Whsmp · OPW16/0021

                                                                  SWMS:24 – Working with Explosive Power Tools

 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.

                                                                  PRESCRIBED CERTIFICATE HOLDERS
              Name                        Signature               Certificate Type      Certificate Number                              Work Activity @




crane operator – supervising rigging, panel securing – dogging loads

                                                                       PANEL OR COLUMN CREW
              Name                        Signature                                Work Activity                               Supervisor                  Period of
                                                                                                                                                          Experience




 584 Milton Road TOOWONG QLD 4066                      SWMS Developed by:   Jamie Gilbert                                                          VERSION 6 – May 2014
 P: (07) 3335 5000 F: (07) 3335 5005                   Position:            National Health & Safety Co-ordinator                                               Page 95
 ABN: 52 009 778 330