Whsmp · OPW16/0021

                                                                           Subcontractor SWMS Checklist
                                                                                               HB-HSEQ-F-021-A
                                                                                                    Version: 10



PROJECT NAME:
SUBCONTRACTOR:
REVIEW DATE:    /    /
TITLE/NUMBER SWMS REVIEWED:

SCOPE OF WORK
                                                                           FURTHER
                            ITEM                              YES NO                     Date Date Date
                                                                       ACTION/COMMENTS
Has the subcontractor provided a Safe Work
Method Statement for the scope of work to be
undertaken by the subcontractor?

Each SWMS has:
 The contact name and phone number for the
  subcontractor

 The company name and address

 The name of the project

 If the subcontractor has an ABN, the ABN
Each Safe Work Method Statement includes:
a) The title / description of the activity
(I.e. Working in trenches, Use of hazardous substance).

b) A sequential description of the job steps that
   make up the activity.

c)   A listing of the hazards for each job step.

d) An analysis for each hazard which includes:
      Pre-control risk assessment;
      Control allocation using the hierarchy of
       control;
      Post-control risk assessment;

e) An identification of responsible parties /
   roles to implement controls.

f)   How the effectiveness of the control
     measures will be monitored and reviewed
(E.g. inspections, checks, monitoring, etc.).

g) The training /licences / tickets /
   qualifications required to do the work.
(E.g. confined space entry training, advanced scaffolders
ticket, registered professional engineer, etc.).

h) The equipment to be used as part of the
   work activities including any maintenance or
   pre-start checks required.
i)   Applicable WH&S legislation and Codes of
     Practice to be complied with.
(E.g. Code of Practice for Scaffolding, Qld WH&S Regulation
or other relevant state requirements).



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