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Whsmp · OPW16/0021

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




                                                                             FURTHER
                          ITEM                              YES NO                         Date Date Date
                                                                         ACTION/COMMENTS
The controls selected by the subcontractor align
with the Project Risk Assessment.
(refer to Project Risk Assessments titles to review where
controls may be needed to be added to SWMS/Plan e.g.;
Work at heights – Manual Handling – Plant and Equipment))

Where electrical lock out is required:
   Has a lock out procedure been provided by
     electrician?
Where a hazardous substance will be used:
 Has a risk assessment provided?
 SWMS provided?
 SDS provided?
 Register provided?
If the activity is a prescribed activity (Asbestos
Removal or Demolition Work):
 Appropriate training of workers?
 Supervision by competent person
 Certificate Number for activity provided
The Safe Work Method Statement has an area
for worker or workers representative to be
consulted with respect to safe work practices.
Each Safe Work Method Statement has an area
for each individual worker/s to review and sign
off on SWMS content
The above issues have been reviewed, the
subcontractor’s Safe Work Method Statement
has been:
         Accepted
            (meets above criteria)
         accepted with following conditions
            (change or add part of existing sections)
             Conditions have been provided – close out
         accepted with amendment
            (add new section to document)
             Amendment have been provided – close out
         not accepted requires resubmission
            (does not meet any of above criteria)

 Signed and dated by a representative of
  Hutchinson Builders
 Kept with Hutchinson Builders WHS
    Management Plan.

Name of Hutchinson Builders Representative completing checklist:

                                                                 Date:
Signature:



                                                                                                     Page 2 of 2

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