2023 10 07 Plumbtech Engineers Your First Project Your First Team DP Swms 006 1

Filepath: Plumbtech Engineers/Your First Project/Your First Team Template ID: DP-SWMS-006
Template Version: 2
Form Version: 3
Plumbing Safe Work Method Statement (SWMS)

Akshay Dani
Created Thu, 05 Oct 2023, 10:27 PM (UTC+05:30)
Organisation Details
Contact Name and

Company Name Company Address Position Contact Phone Number Project Name Project Address
[insert] [insert] [insert] [insert] Bhima Jwellers, #10, Sivanchetti

Dickinson Road Gardens,
Near Commercial
Street,Dickenson Road
Bangalore - 560034.
Method Statement Details
Person responsible for Measures in place to Occupational Health Codes and/or

Work Activity (Job ensuring compliance Developed in ensure compliance with Safety or Environmental Standards Applicable to
Description) with method statement: consultation with the method statement Reviewed by Legislation the Works
Plumbing & Sanitary Akshay D Dani (Project [insert] [insert] [insert] [insert] [insert]
Works Lead/Manager)
Possible hazards
Heights (People Falling) Confined Space Falling Objects Electricity Compressed Gas Underground / Overhead Services
Noise / Vibration Security / Lone / Isolated work Weather Conditions Total Fire Ban Animals (Dogs, etc) Dust
Inspects (Spiders, etc) Traffic Fire & Explosion Hazardous Substances
PPE required:
Hard Hat Safety Footwear Eye Protection Safety Harness Respiration Equipment Hand Protection Ear Protection
Overalls Illuminating Safety Vest Wet Weather Gear Sun Glasses Hat Sunscreen Hair Net
Method Statement
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Page 1 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
(Consequence x Risk Score (After
Job Step Potential Hazards Likelihood) Controls Control Measures) Person Responsible
Planning the works Unqualified or Moderate (4-9) = All personnel Low (1-3) = Work able to Project Manager
inexperienced Permission from worker shall be proceed
workers can risk in charge to proceed workcover OH&S
injury to accredited and
themselves and trade qualified
others All workers will
Lack of be instructed at
direction/consult a site induction
ation between on any site risks.
workers and Appropriate
supervisors can standards &
lead to injury codes followed
Improvisation All workers are to
using be used correct
inappropriate materials for the
materials or works & are to
wiring methods observe
can lead to the construction
risk of electrical methods
injuries

Page 2 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Maintenance & routine Not checking Moderate (4-9) = Electrical Low (1-3) = Work able to Project Manager
checking of electrical electrical Permission from worker equipment will proceed
equipment equipment for in charge to proceed be tested and
damage can tagged in a site
cause electrical log by a suitably
injuries to qualified person
workers and on a monthly
others on site basis. As per
Faulty equipment AS3760 and
& that not used elec. Code
in accordance Earth leTools and
with the leads with
manufacturers physical damage
spec can cause will be removed
electrocution from service until
repaired, tested
and retagged
Tools and leads
will not be
placed in water
and will be kept
of the ground
using lead stand
or hooks
Double insulated
power tools will
be used
wherever
possible

Page 3 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Use of explosive tools Untrained and Moderate (4-9) = Suitably qualified Low (1-3) = Work able to Project Manager
unqualified Permission from worker persons to proceed
workers using in charge to proceed operate
explosive tools explosive power
can cause tools and signs
serious injury to will be displayed
themselves and at all workplaces
others where these
tools will be used
Emergency Planning Accidents Moderate (4-9) = Workers will be Low (1-3) = Work able to Project Manager
caused by Permission from worker inducted and proceed
persons resulting in charge to proceed instructed on the
in emergency correct
action being emergency
taken procedures and
Incorrect, the location of
incomplete or fire extinguishers
missing first aid and be
kits can hinder instructed in their
treatment to an use.
injured person First aid kits are
Lack of to kept fully
communication stocked and
in the event of an available and
emergency can meet the
hinder aid requirements
under clause 20
of the regulation
All workers shall
be aware of the
location of
emergency
contact numbers

Page 4 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Working with hazardous Using hazardous Moderate (4-9) = MSDS for all Low (1-3) = Work able to Project Manager
substances substances can Permission from worker substances will proceed
cause illness or in charge to proceed be kept on site.
injury if not MSDS will
handled correctly contain first aid,
usage and
storage
information for
the product,
Workers will be
advised all
information to
use the product
safely
General house cleaning An untidy work Moderate (4-9) = Workers will Low (1-3) = Work able to Site Supervisor
area can lead to Permission from worker ensure the work proceed
slips, falls and in charge to proceed areas are kept
trip hazards clean and tidy
resulting in and left in a
personal injury reasonable
condition.
Rubbish/rubble/l
eft over materials
etc to be
removed and
placed in the
bins or taken off
site

Page 5 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Working on site Not wearing or Moderate (4-9) = All persons on Low (1-3) = Work able to Site Supervisor
using Permission from worker site to wear proceed
appropriate in charge to proceed personal
personal protective
protective clothing and
equipment can equipment as
lead to personal and where
injury necessary to all
Incorrect manual them to perform
handling can the works safely
cause injury and without risk
Faulty or poorly of harm. The
assembled work personal
platforms/ladder protective
s equipment
required for this
site is outlined
on page 1 of this
document.
Workers must
use good manual
handling
techniques *
Maintain inclined
back and bent
knees when
lifting * Ensure
ground surface is
stable * Use
mechanical
means or team
lifting for items
>20kg
Ladders will
comply with
AS1892 and: *

Page 6 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Will be secure to
prevent
movement * Will
be placed on
stable work
surface * Will be
maintained in
good working
order * Ladders
used during
electrical work
will be insulated
with styles of
non conductive
materials -
Scaffolds will be
erected and
dismantled as
per AS1576 by
qualified
personnel

Page 7 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Excavation and trenching Lack of safety High (10-15) = All persons on Moderate (4-9) = Project Manager
systems can lead Permission from high site to wear Permission from worker
to trips and fall level management to personal in charge to proceed
hazards proceed protective
Contact with clothing and
underground equipment as
services can lead and where
to damage of necessary to all
gas, water, them to perform
sewer, the works safely
communications, and without risk
electricity, of harm. The
supplies can personal
injure to protective
operators/worker equipment
s required for this
site is outlined
on page 1 of this
document.
Workers must
use good manual
handling
techniques *
Maintain inclined
back and bent
knees when
lifting * Ensure
ground surface is
stable * Use
mechanical
means or team
lifting for items
>20kg
Ladders will
comply with
AS1892 and: *

Page 8 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Will be secure to
prevent
movement * Will
be placed on
stable work
surface * Will be
maintained in
good working
order * Ladders
used during
electrical work
will be insulated
with styles of
non conductive
materials -
Scaffolds will be
erected and
dismantled as
per AS1576 by
qualified
personnel

Page 9 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Equipment planning inadequate Moderate (4-9) = All workers are Low (1-3) = Work able to Project Manager
training and Permission from worker trained and only proceed
supervision can in charge to proceed those qualified to
result in personal operate specific
injury and equipment will
equipment do so. All
damage workers are
trained in the
tasks they are
required to
perform and
follow manual
handling
procedures
Specific task equipment Inappropriate Moderate (4-9) = Equipment used Low (1-3) = Work able to Project Manager
equipment can Permission from worker will be proceed
cause task in charge to proceed appropriate for
specific injuries the task and
Risk of injury meet relevant
through faulty standards and
equipment be operated by
only qualified
personnel
All equipment
shall have
guards fitted etc.
all to the
manufacturers
specs

Page 10 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Workers on site Workers can be Moderate (4-9) = PPE will be worn Low (1-3) = Work able to Site Supervisor
injured through Permission from worker at all times proceed
lack of protection in charge to proceed
against
ultraviolet rays,
moving
equipment/plant
and tasks
involving dust
and noise
Site works Injury to workers Moderate (4-9) = Workers wear Low (1-3) = Work able to Site Supervisor
from lack of Permission from worker high visibility proceed
visibility to in charge to proceed vests. Areas to
passing traffic be barricaded off
General public or using witches
other hats, road
unauthorised barricades or
persons exposed bunting as
to risks from required
work activities Work times to be
arranged when
risk to others is
minimised.
Effective barriers
erected to
prevent access
by non-
authorised
persons to work
area

Page 11 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
Working at heights Workers risk High (10-15) = All ladders will Moderate (4-9) = Project Manager
falling from Permission from high be suitable for Permission from worker
heights such as level management to the task and in charge to proceed
ladders, scaffold proceed erected/set up to
or other work comply with
platforms, AS1892. They
gantries and will be erected at
roofs - Workers the correct angle
can be injured by and will be
falling objects secured using
dropped from pole or roof
above clamps. Roof
rails, scaffold or
catch scaffold
shall be in place
for all work on
roofs where
possible and
harness or
equivalent fall
arresters will be
used at all times
when working on
roofs or near
edges
Work not to be
carried out over
or under other
workers. Areas
below work face
to be effectively
barricaded to
halt access -
Personal
protective
equipment (PPE)

Page 12 of 15 Sat, 07 Oct 2023, 4:13 pm
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Risk Score
to be worn at all
times
Method Statement (Additional Steps)
Risk Score
Risk Matrix

Page 13 of 15 Sat, 07 Oct 2023, 4:13 pm
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Legend
C = Consequence
5 = Catastrophic = Fatality, permanent disability, long term widespread impacts, huge financial loss
4 = Major = Permanent disability or extensive injuries, medium to long term widespread impact, major financial loss
3 = Moderate = Lost time injury, reversible medium term local impact, high financial loss
2 = Minor = Medical treatment, reversible short – medium term impact to local area, medium financial loss
1 = Insignificant = First aid, limited impact to minimal area, low financial loss
-----
L = Likelihood
5 = Almost Certain = It is almost certain that the risk will occur in most circumstances
4 = Likely = The risk is likely to occur in most circumstances
3 = Possible = There is uncertainty that the risk could occur
2 = Unlikely = The risk could occur at some time but there is confidence that it will not
1 = Rare = The impact/risk may occur only in exceptional circumstances
Compliance
I have been consulted and assisted in developing the work method statements which apply to my work activities. I will comply with its safe work practice.
Worker Sign-off (Scan Sitemate app IDs)

Name Company Signature Date Time Location
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Page 14 of 15 Sat, 07 Oct 2023, 4:13 pm
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Form Version: 3
Worker Sign-off (Manual) Akshay Dani, Plumbtech Engineers, Sat, 07 Oct 2023, 4:13 pm
Supervisor Sign-off Not signed yet.

Page 15 of 15 Sat, 07 Oct 2023, 4:13 pm

2023 10 07 Plumbtech Engineers Your First Project Your First Team DP Swms 006 1

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Filepath: Plumbtech Engineers/Your First Project/Your First Team Template ID: DP-SWMS-006

Plumbing Safe Work Method Statement (SWMS)

Contact Name and

[insert] [insert] [insert] [insert] Bhima Jwellers, #10, Sivanchetti

Method Statement Details

Person responsible for Measures in place to Occupational Health Codes and/or

Inspects (Spiders, etc) Traffic Fire & Explosion Hazardous Substances

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Printed version is uncontrolled This PDF was created at

Method Statement (Additional Steps)

Printed version is uncontrolled This PDF was created at

4 = Likely = The risk is likely to occur in most circumstances

3 = Possible = There is uncertainty that the risk could occur

1 = Rare = The impact/risk may occur only in exceptional circumstances

Worker Sign-off (Scan Sitemate app IDs)

There are no signatures to display yet.

Printed version is uncontrolled This PDF was created at

Supervisor Sign-off Not signed yet.

Printed version is uncontrolled This PDF was created at

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