SAFE WORK METHOD STATEMENT

PROJECT NAME: Date: / / SWMS No: 00 00

PROJECT ADDRESS:

ACTIVITY DESCRIPTION:
YOUR LOGO HERE
APPLICABLE WORK AREA:

ON-SITE PERSONNEL: ABN:

SEQUENCE OF INTIAL STANDARDS OR TRAINING SAFE WORK POST PERSON

BASIC WORK STEPS HAZARDS RISK CODES OF QUALIFICATIONS PROCEDURE PPE RISK RESPONS-
SCORE PRACTICE SCORE
1.

.
3

.
4

RISK ASSESMENT
 Step 1 Determine Likelihood – What is the possibility of the event happening? Step 2 Determine Consequence - What will be the result if it happens?

Criteria Description Classification Example detail description

Almost certain Expected in most situations Event is a common problem Insignificant No injuries
Likely Will probably occur in most Event is known have occurred at Minor First aid treatment only; spillage contained at site.
situations. this site or it has happened Moderate Medical treatment; spillage contained but with help.
Possible Might occur at some time Event could occur at the site or I’ve Major Extensive injuries; loss of production
heard of it happening
Catastrophic Death; toxic release of chemicals
Unlikely Could occur at some time Event is not likely to occur at the site
or I have not heard of it happening
Rare May occur only in exceptional Event is practically impossible.
circumstances

Step 3 Determine the risk score Step 4 Record risk score against the job sequence steps

Score Action
CONSEQUENCE
4 ACT NOW – Urgent – do something about the risks immediately. Will
LIKELIHOOD Insignificant Minor Moderate Major Catastrophic
A: Acute require detailed pre-planning. Actions will be recorded on a Safe Work
Almost Certain 3 High 3 High 4 Acute 4 Acute 4 Acute Method Statement
Likely 2 Medium 3 High 3 High 4 Acute 4 Acute 3 Highest management decision is required urgently.
H: High Will require detailed pre-planning. Actions will be recorded on a Safe
Possible 1 Low 2 Medium 3 High 4 Acute 4 Acute Work Method Statement
Unlikely 1 Low 1 Low 2 Medium 3 High 4 Acute 2 Follow management instructions.
Rare 1 Low 1 Low 2 Medium 3 High 3 High M: Medium Will require operational planning. Actions will be recorded on a Safe
Work Method Statement
1 OK for now. Record and review if any equipment/ people/ materials/
L: Low work processes or procedures change.
Will require localised control measures