SWMS (DRAFT) — {{short job title}} — {{site address

Scope of work: {{2–3 sentence plain description of the job}}

Review before use. Drafted from a short description — the person responsible must check it before work starts. Confirm or fix:

{{check item}}

1Business & job

{{PCBU \| Employer / self-employed}}	{{business name}}
ABN	{{ABN}}
Address	{{business address or CHECK}}
Contact	{{supervisor name, mobile}}
Engaged by	{{company name, contact}}
Principal contractor	{{PC name}} · provided: ______
Work site	{{site address \| generic wording}}
Site status	{{occupied / vacant; residents, children, pets \| "Varies — recorded on Site check"}}
Start / duration	{{start date}} · {{duration \| "Ongoing"}}

Revision history

Rev	Date	Change	By
0	{{today}}	Draft prepared for review	{{supervisor}}

2People & equipment

Implements & monitors	{{supervisor}}
Reviews this SWMS	{{supervisor or business owner}}
Workers consulted	{{crew names or CHECK}}
Licences / tickets	{{list}} CHECK: confirm held
Head contractor rules	Follow {{company}}'s site rules, induction, permits and SWMS approval process CHECK: confirm
Plant & tools	{{list}}
Hazardous substances	{{list or "None expected"}}
PPE (minimum)	{{list}}

3High risk construction work — identification

Tick every category this work involves. A SWMS is required if any box is ticked. Each ticked item is cross-referenced to the job steps where it arises (section 4).

No.	High risk construction work	Involved?	Job steps	How it arises on this job
{{n}}	{{limb}}	☒ Yes ☐ No	{{2, 3}}	{{one line: where/why on this job}}
{{n}}	{{limb}}	☐ Yes ☒ No	—

Identified by: {{supervisor}} Date: {{today}} Signature: ______________________ If other high risk work comes up during the job, stop and review this SWMS.

4Job steps, hazards and controls

#	Job step	High risk work	Hazards and risks	Risk	Control measures	Residual	Responsible
1	{{step}}	1 Falls >2 m 12 Electrical	{{hazard → what could happen}}	H4×4	ENG{{control}} ADMIN{{control}}	L1×4	{{name}}

Controls, most to least effective: ELIMEliminate SUBSubstitute ISOIsolate ENGEngineering ADMINAdministrative PPEProtective equipment

Likelihood ↓ / Consequence →	1 Insignificant	2 Minor	3 Moderate	4 Major	5 Catastrophic
Likelihood ↓ / Consequence →	Score = L × C · Low 1–4 · Medium 5–9 · High 10–16 · Extreme 20–25
5 Almost certain	5	10	15	20	25
4 Likely	4	8	12	16	20
3 Possible	3	6	9	12	15
2 Unlikely	2	4	6	8	10
1 Rare	1	2	3	4	5

5Emergency

Emergency services	000 (112 from a mobile with no coverage)
Nearest hospital (ED)	{{name, address, drive time \| "Recorded on Site check"}}
First aider / kit	{{name · kit location}}
Assembly point	{{location}}
Isolation points	{{switchboard, gas, water, solar/battery}}
Stop work if	{{2–4 job-specific stop-work triggers}}

6Implementing, monitoring & review

How controls are put in place	{{supervisor}} briefs all workers on this SWMS before work starts; everyone signs on. {{job-specific set-up check}}.
How controls are checked	{{supervisor}} checks controls {{frequency}}; {{job-specific checks}}. Workers stop work and report if a control is missing or not working.
Review date	{{review date}} — or sooner if a trigger occurs
Must be reviewed when	The work, system of work or location changes A new hazard or new information about a risk is identified A control is found not to be effective, or is changed A notifiable incident occurs during the work The SWMS is not being followed Before the work starts at each new site (if reused)
Legislation	{{Act and Regulations}} · Code of Practice: Construction Work · Regulator: {{regulator}}

7Worker sign-on

By signing I confirm this SWMS has been explained to me, I understand it, and I will follow it. I will stop work and tell my supervisor if I can't.

Name	Company	Licence / ticket no.	Signature	Date

Reviewed by {{company}}	Name: ____________________ Signature: ____________________ Date: __________ ☐ Accepted ☐ Changes needed

Site check — complete at each property before work starts

This generic SWMS only applies once this page is completed for the property. Copy or print one per job. If any answer is "No", fix it or record the extra control before starting.

Property address
Date / job ref
Occupied?	☐ Vacant ☐ Occupied — adults ___ children ___ pets ___

Check (from this SWMS)	Yes	No
{{check}}	☐	☐
No high risk work at this property beyond what is ticked in section 3 (if there is: stop and review this SWMS)	☐	☐

Anything here different from this SWMS? ☐ No ☐ Yes — record each one:

Site-specific hazard	Extra control

Nearest hospital (ED)
First aider / kit location
Assembly point
Isolation points
Checked by (supervisor)	Name / signature / time:

Crew at this property must also sign on (section 7).