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Whsmp · OPW16/0021

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                                                      SWMS: 21 – Swing Stage Suspended Scaffolds - N/A
Matt Leeke                                         Site Manager/ Foreman

                                                   Workers Representative



I acknowledge that I have been trained in the SWMS listed above, the controls are clearly understood, my qualifications are current to undertake
the activity, I will comply with the SWMS and I have been consulted and had the opportunity to input into the SWMS.
              Print Names                      Position / Trade                                        Signature:                   Date




Monitoring & Review of SWMS Use and Effectiveness
 Observation                   01             02                       03                             04            05                 06
    Log
584 Milton Road TOOWONG QLD 4066              SWMS Developed by:   Jamie Gilbert                                         VERSION 7 – September 2015
P: (07) 3335 5000 F: (07) 3335 5005           Position:            National Health & Safety Co-ordinator                                    Page 58
ABN: 52 009 778 330

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