SAFE WORK METHOD STATEMENT
Organisational Details
WORK AROUND HIGH-PRESSURE GAS LINES SWMS Company Name:
Approval Date:
Company Address:
Next Review Date:
Director / Manager Name:
Contact Number:
Type of SWMS:
Generic (multiple projects, jobs, or work requests)
SWMS Details
Site Specific Details
Principle Contractor:
n/a
Site Manager or Supervisor Name:
n/a
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Site specific (complete section below)
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Contact Number:
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Other PCBU’s: Site Address:
n/a
n/a
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What high risk work activities are covered by this SWMS?
Work on or near pressurised gas distribution mains or piping Work on, in or adjacent to a road, railway, shipping lane or other traffic corridor in use by traffic other than pedestrians Work in an area with movement of powered mobile plant.
What is the scope of the works?
Scope of work includes the physical work of installing, maintaining, repairing, altering, removing, or adding to Plumbing works.
Who else was consulted/involved in preparing this SWMS? Additional compliance measures:
SWMS 005 Work Around High-Pressure Gas Lines Issue Date: 26/08/2022 Page 1 of 8
Workers / employees
Principle Contractor
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WHS Team
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Pre-start Hazard Risk Assessment
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Toolbox Talk
Workplace Safety Inspection
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