Safe Working Method Statement

(SWMS) Form
Person responsible for
ensuring this SWMS is carried Harry Sim
out:
Work being performed:
Using a Disc Sander

DATE:
LOCATION:

What are the tasks involved?

What are the Hazards or risks?

Appropriate Training

Inappropriate training of personnel

Wearing all appropriate PPE

Personal Injury

Clothing/PPE

Entanglement

Tagging

Electrocution

4/2/2015
Kardinia International College,
Rm A2

How will the Hazard or risk be

controlled?
(Describe the control measures
and how they will be used).
Appropriate training must be given
by a qualified instructor on how to
use the machine in a safe manner.
Inadequate training can put
themselves or others at risk.
Eye Damage
Appropriate protective eye wear
should be worn at all times.
Ensure theres no loose clothing
and all hair is tied back. Sleeves
must be rolled up sleeves or short
sleeves worn, blazer removed, an
apron and any other PPE is worn.
Ensure the machine has been
tagged for electrical safety. Inspect
power cord and belt sander before
use. If there is a safety tag do not
use equipment

Issued: February, 2014

Kardinia International College

Establishing a safe working

environment

Safe Working Method Statement

(SWMS) Form
Tripping

Establishing a safe working

environment

Crowded work area

Establishing a safe working

environment
Use of machinery

Dust
Flying objects

Use of machinery

Burns

Ensure the work area is safe and

tidy and clean before work
commences.
One person only is allowed in the
work place during operation of
machine.
Ensure that the extraction fan is
turned on before use.
While operation of the machine it is
possible for discs to break or
anything other objects to become a
projectile.
Ensure the disc sander is in
working order. Turn on the
appliance, keep your hands away
from the moving discs. To prevent
burns

Issued: February, 2014

Kardinia International College

Safe Working Method Statement

(SWMS) Form
Sign-Off Sheet: I have read and understood this SWMS:
Student:
First Name:

Surname:

Signature:

Surname:

Signature:

Teacher approval sign-off:

First Name:

Teachers can only approve of this once the student has demonstrated appropriate and safe use
of this particular piece of machinery. A practical demonstration and the completion of this SWMS
form is required.

Issued: February, 2014

Kardinia International College