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Restricted Space Work SWMS
Site Specific Details
Organisational Details
Work involving work conducted in restricted space work. Company Name:
Approval Date:
Company Address:
Next Review Date:
Director / Manager Name:
Contact Number:
Type of SWMS:
SWMS Details
n/a
Principle Contractor:
☐
Site Manager or Supervisor Name:
n/a
☐ n/a
Site Address:
What high risk work activities are covered by this SWMS?
What is the scope of the works?
☐
Generic (multiple projects, jobs, or work requests)
Site specific (complete section below)
☐ n/a
Contact Number:
☐ n/a
☐
Other PCBU’s:
n/a
☐
☐
A risk of a person falling more than 2 metres Work in an area with movement of powered mobile plant. Work on or near energised electrical installations or services. Scope of work includes the physical work of installing, maintaining, repairing, altering, removing, or adding to construction painting services.
Who else was consulted/involved in preparing this SWMS?
Workers / employees
Principle Contractor
☐
WHS Team
☐
Additional compliance measures:
Pre-start Hazard Risk Assessment
Toolbox Talk
Workplace Safety Inspection
SWMS C06 – Restricted Space Work SWMS | Revision: 01 | Issue date: 21/10/2022