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Safe Work Method Statement (SWMS) Page 1 of 4 - DHA

ABNC ompany name1. Organisation details Business addressPhoneContact namePage 1 of 4 Safe work Method Statement ( swms )EmailPostcode2. Activity details Activity/task described by SWMSSite addressPostcodeMITM descriptionMITM numberSWMS dateVersion3. swms preparation Date preparedName of person who prepared SWMSN ames of workers who have had input into the development of this SWMSName of person responsible for implementation, review and monitoring of this SWMS4. Minimum Personal Protective Equipment requirements PPEYe sNoLong sleeve/Long pantsSafety bootsSafety glassesPPEYe sNoHard hatHearing protectionDisposable dust maskPPEYe sNoHalf face respirator Full face respiratorSCBAPPEYe sNoProtective glovesFace shieldHigh-vis vestPPEYe sNoTyvek suitGattorsOther5. Hazardous substances and/or dangerous goods required for activity - Attach copies of Material Safety Data Sheets (MSDS)Product nameMSDS attachedQuantity (Kg/L)NoYe sNoYe sProduct nameMSDS attachedQuantity (Kg/L)Ye sYe sNoNoNoYe sIs the task High Risk Construction work ?

Safe Work Method Statement (SWMS) Page 2 of 4 6. Plant and equipment utilised (tick or add as applicable) – Attach evidence to this SWMS Item (including all mechanical and electrical items) List inspections and maintenance requirements and attach evidence to this SWMS Note: All servicing MUST be in accordance with manufacturers recommendations. Is a licence/ticket

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  Work, Ticket, Swms

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