Form No.

OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Activity Details

Work Activity: Installation of Temporary Fencing

Project/Client
Address of activity
Name:
Commencement Duration of
date works

Worker Details

Supervisor of the Work* Signature: Qualifications:

Authorising Jaybro/Orange
Signature: Position:
Hire Person#
Number of workers used Primary contact Sub-Contractor
onsite number Name
SWMS Preparation Name Date
SWMS prepared by: Scott Montgomery Reviewed 02/09/2016

Worker(s) who have had input into the Robert Ellston, Ra Paul Date:
development of this SWMS
Date:
Associated SWMS (e.g. Subcontractors SWMS)
*- Responsible for providing site specific training; Implementing & monitoring implementation of this SWMS and conducting inspection
# - Responsible for ensuring SWMS are developed, consulted upon, distributed, returned, filed and all other WHS tasks completed including inspections

Note: template document Template author date: Review of template: Template Copyright © 2016 Jaybro. All Authorised By – J.Joyce Page 1 of 15
control only – see header 01/09/2016 30/08/2018 version:V2 Rights Reserved. Document Owner – Scott
for SWMS review info Montgomery
Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Personal Protective Equipment Site Specific Requirements / Notes

Safety boots High Visible Eye protection Gloves Hard Hat Hearing protection  Special PPE__________
Lace up clothing
 Crew to be inducted into SWMS.
 Crew to be advised on onsite risks and hazards

Mandatory Mandatory Mandatory Mandatory
HRW & Other Licences Required Training Required Permits/Approvals
Dogman
Rigging basic Other_______ Construction Industry General Induction
Rigging Int. Other _______ Site Induction Excavation Other ____________
Rigging Adv Crane License  This SWMS Working at Height Other ____________
WP (>11m) C2 Hot works
SDS
Traffic Control C6
MR/HR truck* C1 Confined Space Confined Space
HC/MC truck* C0 Manual Handling Traffic Management
LF/LO fork CV (>10mT) Verification of Competency for plant Other ____________
___
*Dependant on CN Trade Certificate
truck type
High Risk Work Check
Note which high risk work activities are involved in this project
Risk of falls from greater than 2 meters Work in an area with movement of powered mobile plant Temporary load-bearing support structures
Work on a telecommunications tower
Demolition of a load-bearing structure
Work on, in or adjacent to road, rail Work in or near shaft or trench with an excavated depth Use of Explosives
shipping or other major traffic corridor greater than 1.5m or a in a tunnel Likely to involve disturbing asbestos
Work on or near pressurized gas pipes or Work on or near chemical, fuel or refrigerant lines Work on or near energized electrical installations or services
mains Work in confined spaces
Work with tilt up or pre-cast concrete Work in or near a drowning risk Work in an area with contaminated or flammable atmosphere
Diving work Work in areas with artificial extremes of temperature

Emergency Planning (tick or add as applicable and attach plan or details as required)
First Aid kit
9kg Fire Extinguisher
Radio Channel:

Page 2 of 15
Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Protective Barriers (tick or add as applicable)

List warning signs, protective barriers and equipment to be used on this site:

PROTECTIVE BARRIERS: SIGNS: Other:

Other:
Bollards/Cones Danger plant in use Warning lights, reversing alarms
Edge protection Stop/Slow baton
Tape Other ______________________
__Traffic Control______________________

Substances to be brought on to site Note: Any Hazardous Substance must have a valid Safety Data Sheet

Product SDS Product SDS

Attached Attached
E.g. Diesel fuel

Plant and Equipment (tick or add as applicable) Note: All servicing MUST be in accordance with manufacturers recommendations
Plant and Equipment to be used on this site? List inspections and maintenance requirements and attach evidence to this SWMS

Hand tools Visual inspection

Battery operated grinder Visual inspection
Battery operated rattle gun Visual inspection
Hoses Visual inspection of hoses, clamps and connectors
Electrical leads Visual inspection Tagged and tested
Lifting gear Visual inspection by qualified Dogman Tagged and tested

Risk Matrix
Step 1: Determine Likelihood Step 2: Determine Consequence
What is the possibility that the event will occur? What will be the expected outcome?

Page 3 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Level of Level of
Likelihood Criteria Example of each level: Example of each level:
Effect: Effect:
Almost Negligible
Expected in most circumstances. Minor First Aid treatment only; no lost time injury Minor clean up necessary
certain Discharge
Spill kit deployed, drains and
Medical treatment; serious injuries, temporary Moderate
Likely Will probably occur in most circumstances Moderate partial disability; lost time injury < 7 days Breach gutters secured; Workzone
personnel and site contact notified
Fire brigade services required for
Hospital admittance; extensive injuries; lost time Major Breach of
clean-up; Public diverted or
Possible Might occur at some time Major injury > 7 days; Permanent Total Disability injury; Environmental
evacuated. Principal Contractor
death Statutes
notified.
Shutdown of Site shutdown and emergency
Catastrop Multiple Permanent Total Disability injuries; multiple Project due to
Unlikely Could occur at some time services required; evacuation of
hic deaths Environmental
personnel and public
Breach

Step 3: Determine the risk score

Using the above steps, determine the risk score?
Step 4: Record risk score on worksheet (Note – Risk scores are a subjective value and
should only be used for comparison and to engender discussion.)
Consequences
People Minor Moderate Major Catastrophic Score Action
Negligible
Moderate Breach
of Environmental
Major Breach
of
Shutdown of
Project due to
4 DO NOT PROCCED. Requires immediate attention. Introduce
Environment Spill/effect
law Environmental Environmental Severe further high-level controls to lower the risk level. Re-assess
law Breach before proceeding.
Review before commencing work. Introduce new controls
3
Almost certain 3 High 4 Severe 4 Severe 4 Severe and/or maintain high-level controls to lower the risk level.
High Monitor frequently to ensure control measures are working.
Likelihood

Maintain control measures. Proceed with work. Monitor and

2
Likely 3 High 3 High 4 Severe 4 Severe review regularly, and if any equipment/people/materials/work
Moderate processes or procedures change.
Record and monitor. Proceed with work. Review regularly, and
1
Possible 2 Moderate 3 High 4 Severe 4 Severe if any equipment/people/materials/work processes or
Low procedures change.

Unlikely 1 Low 2 Moderate 3 High 4 Severe

CONTROLS RISIDUAL RISK

ACTIVITY Hazards and Risks UNTREATED PERSON RESPONSIBLE
What are you going to do to carry out the work safely? RANKING
Break the job into steps What harm can occur to workers or others RISK RANKING for implementation of the
(4S, 3H, 2M or
What are you doing? (4S, 3H, 2M or 1L) controls
(Apply the hierarchy of control) 1L)
Step 1. Site access

Page 4 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Arrival onsite 3H  All members of the crew will need to be: 2M

Unaware of site safety rules,
hazards and instruction
Pre Job Risk Assessment 3H
Performing duties near 3H
Hit by moving vehicles/plant
roadways or mobile plant
Supervisor and all
o site inducted;
crew members
o trained in this SWMS;
o involved in the Work Site Inspection
for the work
 Make sure you are aware of the site’s
emergency procedures.
 If at any time you are unsure or have questions
– Speak Up & ask your Supervisor and/or site
manager for advice.
 Assess weather conditions and adjust work
accordingly especially in the case of shadecloth
installation
 Orange hire workers must verify location of
install via site map or supervisor instruction
 You must inspect the site and complete the 1L Supervisor and all
Work Site Inspection form (last page of SWMS)
crew members
before commencing work activity.
 Do not commence work until you are satisfied
the job is safe!
 Check constantly for changing hazards while 2M Supervisor
working
 Monitor work position at all times. Ensure:
o High visibility clothing worn at all times
o Do not stand behind reversing vehicles
o Allow sufficient distance from plant
during operation (allow sufficient room
for equipment failure –such as plant
rollover)
o No work is conducted in established
“no go zones”
o Alertness at all times. Listen for:
 Reversing alarms/beepers
 Calls from Plant Operators
 Safety/warning signs, Spotters,
traffic barriers etc. must be
obeyed as required
o Work positions should be in clear sight

Page 5 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Step 2a. Unloading materials (Crane truck)
Via crane truck Hit by moving plant 3H
Hit my moving load
of plant operators
o Follow traffic management plan where
required
 Never assume you have right of way. Make
visual and verbal contact with plant operator as
required.
 Avoid performing work on roadway directly
where possible
 Use traffic cones and signage where available
 Ensure all plant is fitted with hazard lights, 2M
beacon warning lights and reverse alarms
 All staff and contractors to maintain 10 meters
clearance from moving plant and equipment,
and /or within the area of influence of revolving
plant.
 Use witches hats if other plant is passing near
Outrigger/Stabilizer Leg.
 Assess ground conditions before
commencement. Outrigger foot must be on
hardwood timbers.
 Outrigger must be fully extended
 Assess hazards before commencement. Check
for:
o Drains, gutters and other water
services
o Pits, pot holes and ditches
o Debris that may effect the install
o overhead electric lines and other
services
o nearby structures or trees
o other cranes or high obstructions,
including at nearby workplaces
o other mobile equipment moving within
the crane working area
 PPE to be worn, gloves, steel capped boots
and high visibility garments

Page 6 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Crane contact with electrical 3H  An attempt should be made to break the 2M Supervisor
apparatus machines contact by moving the boom away
from the powerlines, if it’s not possible to move
it, then the operator must evacuate the area
and not return until they have been given the all
clear by a person from the relevant power
authority or the supervisor.
 Once you are clear you must stay a reasonably
safe distance from the area and warn all other
people to stay clear of the area until it has been
made safe.
3H  Crane truck driver must be competent to 2M
Competency of crane truck
operate device
driver
 Dogging and rigging duties must be undertaken
by a qualified worker only

Attaching lifting gear 3H  Use 3 points of contact and steps/ ladder when 2M
Fall from height Supervisor
climbing on or off trucks, stay clear of the edge
while on the truck.
 Where possible access truck-bed from
pathways not roadway
 No standing on edge of truck body, access from
ladder only
 Roll up load straps/chains before accessing
truck-bed
 Clear truck-bed of other trip hazards before
commencing work
3H  When picking up lifting gear and strapping the 1L
Sprain, strains from manual Supervisor
load bend with knees not back; keep the load
handling
close to your body; don’t rush; don’t carry more
than your personal limitations allow and make
sure your visibility is not impaired by the load.
4S  Weight of panels are approx. 500kg 2M
Collapse of load Supervisor/Dogman
 Inspect straps for damage, tearing or fraying
 Inspect hooks for cracking, elongation and
damage
 Devices must be inspected every 6months
 Lifting straps are to be firmly placed and double

Page 7 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

checked
 Inspect strap or chain for damage, fraying or
fading
 Strap is tagged and tested 6 monthly
 Ensure bundles are firmly and properly
strapped before lifting – re-strap is necessary
Step 2b. Unloading materials (manual)
3H  Adopt correct manual handling practices, bring 1L
Via hand unloading Sprain, strains from manual Supervisor
loads in close to the body, keep back straight
handling – hazardous manual
and lift with legs not the back.
task
 Slide panels from stack rather than lifting, place
on truck bed then pass down to team mate to
place on ground
 Use a Bucket-Brigade Technique to pass from
the truck to the location to minimize carrying
 Position truck so workers are not lifting feet
from above shoulder height – you may have to
place feet on truck bed in stacks of 1-2 for
removal from ground level
3H  Always wear flexible gloves when handling 2M
Cuts, lacerations and abrasions Supervisor
steel.
3H  Use 3 points of contact and steps/ ladder when 2M
Fall from height Supervisor
climbing on or off trucks, stay clear of the edge
while on the truck.
 Where possible access truck-bed from
pathways not roadway
 No standing on edge of truck body, access from
ladder only
 Roll up load straps/chains before accessing
truck-bed
 Clear truck-bed of other trip hazards before
commencing work
2M  Check the load will not slide/fall before undoing 1L
Collapse of bundles Supervisor
straps
 Ensure the fence bundles are placed flat on a
flat surface and does not rock, tilt or slide

Page 8 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

3H  Ensure the load is secured on the pallet before 2M

Removal of fencing feet from
truck bed
Step 3. Erecting fence panels
Installing fence panels on an
active site
Sprain, strains from manual Supervisor
removing any items to avoid collapse.
handling - hazardous manual
task  Adopt correct manual handling practices, bring
loads in close to the body, keep back straight
and lift with legs not the back.
 Do not remain squatting or kneeling for long
periods
 Use a Bucket-Brigade Technique to pass from
the truck to the location to minimize carrying
 Position truck so workers are not lifting feet
from above shoulder height – you may have to
place feet on truck bed in stacks of 1-2 for
removal from ground level
Crush injury 2M  Wear gloves when handling fence feet 1L Supervisor
 Keep fingers clear of other feet in the stack
when moving or stacking
Struck by object 2M  Avoid throwing fence feet onto the ground 1L Supervisor
Damage to item  Avoid throwing or dropping fence feet in the
Eye injury vicinity of others- this may cause debris/dust to
be ejected
Slip, trips and falls 3H  Check for debris, reo, timber, straps and other 2M Supervisor
site rubbish – remove these from the
access/pathway before moving panels
 Wear proper safety footwear
 Maintain proper footing and take it slow over
uneven, broken or rough surfaces
 Maintain good housekeeping practices to
eliminate hazards and keep access routes
clear
Sprain, strains from manual 3H  Inspect the site for trip hazards 2M Supervisor
handling - Hazardous manual  Adopt correct manual handling practices, bring
task loads in close to the body, keep back straight
and lift with legs not the back.
 Do not bend torso sideward or backwards or
long distances of travel
 Use a team lift if necessary
 Team lifting must be used on wet and/or

Page 9 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

sloping surfaces – avoid these areas in

Step 4. Clamping panels with bracket
Operating drill, hand tool or
rattle gun to secure bracket
possible
 Use all your fingers to hold the panel, avoid
awkward gripping for long periods
 Lift only one panel at a time
 Lower the panel from the side using your legs
to bend
 Use a two person lift when inserting panels into
footing holes
Crush or pinch injury 2M  Wear gloves when handling panels 1L Supervisor
 Lift one panel at a time
 Avoid pinch points when inserting panels into
footing
Sting, bites from insects or 3H  Avoid long grass, brush or low hanging 2M Supervisor
animals vegetation
 Wear safety footwear – boot spats are
optional
 Apply insect repellant – optional
 Be sure footed, make noise/vibration, look
down
 Do not move rocks, avoid crevices
 Do not handle or try to kill wildlife
 Have a first aid kit with snake bite and
sting-goes
Collapse of fencing 3H  Fencing must be installed by competent 2M Supervisor
 Wind conditions installers inducted into Temporary
 Poor install Fencing Installation manual
 The fitting of shadecloth, banner mesh or
signage will breach the installation
instructions. Discuss this with Orange Hire
personnel
 Installers must obtain installation sign off
from the site supervisor
 Installers must take photographs of the
completed works for supply to Orange Hire
Hand injury 3H When operating the tool ensure: 2M Supervisor
 Follow manufacturer’s operating

Page 10 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Step 5. Disassembly and pick up
Hazards as per step 2-4 Work in an area with
movement of powered mobile
plant
instructions
 Wear safety gloves
 Do not carry with finger on starting switch
 Keep all fingers clear during operation
 Do not attempt to exceed rated capacity of
device.
 Use appropriate tools, socket or size for the
job
3H As controls from Steps 2 – 4. 2M

Emergency situations
Emergency situations 4S  Stop work then follow the site evacuation 2M
Various supervisor
instructions and notify emergency services if
required.
 Determine evacuation assembly area during
toolbox talk

Page 11 of 15
 Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Reasonable adjustment to this SWMS

Performing the tasks in a way that does not reflect the above SWMS.
Reasons:
 There is a site specific omission from the SWMS
 You have to perform an extra task
 Performing the task as set out above may create a hazard
Task step: Hazards: Rating  Control of hazard Rating
after Responsible
control persons

Task step: Hazards: Rating  Control of hazard Rating

after Responsible
control persons

Page 12 of 15
Form No. OH103
Revision: v1
State Legislation (tick or add as applicable)
Tick Legislation
 OHS Act 2004 - Vic
 OHS Regulation - Vic
 Workplace Injury Rehabilitation and
Compensation Act 2013 - VIC
 Environment Protection Act 1970 - VIC
 OHS Act 1984 -WA
 OHS Regulation 1996 - WA
 Workers Compensation & Injury Act
1981 - WA
 WHS ACT 2011 – NSW
 WHS Regulation 2011 - NSW
 Workplace Injury Management and
Workers Compensation Act 1998 - NSW
 Workers Compensation Regulation 2010
- NSW
 Protection of the Environment
Operations Act 1997 - NSW
 Work Health and Safety Act 2011 - QLD
 Work Health and Safety Regulation 2011 -
QLD
 Workers’ Compensation and
Rehabilitation Act 2003 - QLD
 Workers’ Compensation and
Rehabilitation Regulation 2014 - QLD
 Environmental Protection Act 1994

Page 13 of 15
SAFE WORK METHOD STATEMENT
Tick Codes of Practices/Guidance
How to Manage Work Health & Safety
Risks
Hazardous Manual Tasks
Managing the risk of falls at workplaces
Labelling of Workplace Hazardous
Chemicals
Managing Noise &Preventing Hearing
Loss at Work
Managing the Work Environment &
Facilities
Work Health & Safety Consultation,
Cooperation & Coordination
First Aid in the Workplace
Construction Work
Managing Risks of Hazardous
Chemicals
Managing Risks of Plant in the
Workplace
Cranes
Orange Hire 81 Links Rd
St Marys NSW 2760
ABN: 97 133 373 154
Tick Other
Traffic Control at Work Sites – within each state
Jaybro’s Procedures & Policies
Temporary Fencing Installation manual
Other relevant legislation
 Road Transport Act 2013 and Heavy Vehicle (Mass,
Dimension and Loading) National Regulation 2013
Australian and other Standards
AS/NZS 2161.1 Occupational Protective glove
AS/NZS1337:1:2010 – Personal Eye and face protection
AS 2741-2002 1-2002 Shackles
Australian Standard AS2550—Cranes, hoists and winches—Safe
use
AS 4497.2-1997 Round slings - Synthetic fibre - Care and use
AS/NZS 4801:2001 Occupational health and safety management
systems
AS/NZS 2210 (1980) Type 1 Safety Footwear
AS 4687-2007 Temporary fencing and hoardings
AS NZS 1170.2-2011 Structural design actions - Wind actions
Form No. OH103
SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd
St Marys NSW 2760
Revision: v1 ABN: 97 133 373 154

Commitment Sign off

I, the undersigned, understand that;
1. The SWMS has been explained to me
4. I have had the opportunity to have input into the preparation or adjustment of the SWMS
2. Its contents are clearly understood by me
5. I will comply with the SWMS otherwise work will stop immediately
3. My qualifications are current to undertake this activity – tick or note
6. I understand the importance of and how to report incidents and near misses
qualification
Skills Matching + Consultation & Review Sign Off

Training / Skill / Competency Required to Complete the Work Safely

Crane license
Site induction
White Card

Dogging
First Aid

Rigging
Forklift

Other

Other
All workers have been consulted, had an induction in and read and
understand the requirements contained in this SWMS. Signed by
ALL workers including non Orang Hire workers involved - Name and
Signature:
NAME SIGNATURE DATE
 
 
 
 
 
 
 
 

Page 14 of 15
 Work Site Inspection

Jaybro Group workers, contractors or sub-contractors must complete the below safety checklist with all other colleagues,
offsiders and assistants to identify any hazards and state how they will control them.

Yes Action
1 Stop, look and think
Required
Do all workers understand what they need to do?
Have SWMS been consulted, explained and Signed?
Check Permits obtained? (e.g. hot work/ground penetration etc.)
with the
team Are suitable and working tools/equipment available?
Is all PPE correct and fitted?
Are all workers trained and competent to perform this task?
Identify hazards – complete section 3 for controls of each What could
2
hazard happen?
Manual handling (e.g. heavy lifting, awkward posture, impact
or exertion)

Slips, trips and falls (e.g. from ladders, truck beds, platforms,
elevated areas; debris, hoses, cables, uneven ground, wet
areas etc.)

Mechanical (e.g. moving parts, moving plant, ejected objects)

Electrical (e.g. overhead wires, faulty tools, live power)

Discuss Chemical (e.g. inhalation, contact with acids, solvents,

if there asbestos)
are any
of the Pressure (e.g. contact with high pressure liquid or air)
following
hazards Noise (e.g. loud noises, hearing emergency alarms or
instructions)

Biological (e.g. exposure to potential disease carrying

material)

Radiation (e.g. exposure to sunlight, UV or x-rays)

Psychological (e.g. stress, violence, fatigue)

Heat and Cold (e.g. working in hot or cold environments)

3 Controls for the above hazards

Risk
rating
Hazard identified (low, How will you control the risk
medium,
high)

4 Safe to proceed with work ☐ Yes ☐ No

Page 15 of 15