SAFE WORK METHOD STATEMENT
PROJECT- PRINCIPAL CONTRACTOR:
SITE ADDRESS-
TRADE ACTIVITY- Vinyl Installation
SCOPE OF WORK- Preparing floor and installation of Vinyl flooring
SWMS PREPARED BY: Ben Fitzgerald SIGNED: DATE: 4/1/2012
SWMS REVIEWED BY: SIGNED: DATE:
SUPERVISOR Ben Fitzgerald SIGNED: CONTACT: 0409 255 200
RESPONSIBILITY:
TO INSPECT ,APPROVE AND MONITOR ALL WORK AREAS, METHODS, TOOLS AND MATERIALS AND ENSURE THAT THE WORKS ARE
CARRIED OUT SAFELY AND TO CONSULT WITH ANY INSTALLERS PRIOR TO ANY CHANGES.
PERMITS TO WORK: ☐ Confined Space Hot Work
PPE: Hard Hat Hi- Visibility Garment Glasses
Safety Boots ☐ Gloves Mask
LEGISLATION: VICTORIA Occupational Health and Safety Act 2004
Occupational Health and Safety Regulations 2007
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
SAFE WORK METHOD STATEMENT
CODES OF PRACTISE: Electrical Safety on Construction Sites 2006
Manual Handling 2000
Control of hazardous Substances 1999
Mobile Plant on Constructions Sites 2008
AS 18845 Resilient Sheet and Tile Installation Practices 2004
QUALIFICATIONS:
PLANT & EQUIPMENT:
TYPE MAINTENANCE FREQUENCY
Floor Sander As per Kennard’s Hire To be tagged
Tools Tagged Monthly
ATTACH ANY RECORDS FOR POWERED MOBILE PLANT
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
SAFE WORK METHOD STATEMENT
RISK ASSESSMENT MATRIX
CONSEQUENCE
How severely could someone be harmed?
LIKELIHOOD-
How likely could someone be CLASS 3 CLASS 2 CLASS 1
harmed? Medical Treatment or First Aid Lost Time Injury Permanent Disability or Death
Injury
Certain- Medium High High
Could happen frequently
Possible- Low Medium High
Could happen occasionally
Unlikely- May occur in extreme Low Low Medium
circumstances
HIERARCHY OF RISK CONTROL
Preferred Order to Eliminate or reduce the risk of injury
Elimination- Redesigning the job to design out risks altogether is the most effective method of risk control.
Substitution- Materials, chemicals, equipment or processes can be replaced with less hazardous ones.
Isolation- Enclosing or isolating the hazard from employees can eliminate or reduce the risk of injury or disease.
Engineering Control- If a hazard can not be eliminated, substituted or isolated, an engineering control is the next preferred measure.
Engineering controls may involve the provision of mechanical aids, barriers, guarding, ventilation or insulation to prevent employees
being exposed to a hazard.
Administrative Control- This may involve establishing policies, procedures and work practices designed to reduce an employee’s
exposure to a risk. It may also relate to the provision of specific training and supervisory practices.
Personal Protection Equipment- This may involve using appropriate protective clothing eg. Masks, respirators, fall arrest equipment.
This control should be considered when only other control measures are not practicable, or to increase protection from risk of injury.
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
SAFE WORK METHOD STATEMENT
ITE JOB STEP POTENTIAL Inherent Risk CONTROLS PERSON
M (Break the job HAZARD (1 Low- 3High) (What are you going to do to make the (who will
down into steps) (What can harm job as safe as possible?) ensure this
you?) happens)
1 Site Induction Injury or Harm 1 (class 3 x possible = Low 1) Complete Site Induction before Site Manager/
entering site Installer
2 Unload tools and Traffic problems. 1 (class 3 x unlikely= Low 1) Unload from kerb side Installers
vinyl from vehicle Provide “warning signs” if unloading
from road
Move vehicles immediately after goods
are unloaded to car park.
Public interference. 1 (class 3 x unlikely= Low 1) Protect public while unloading by Installers
providing a barrier to area.
Use designated access areas
Trip hazards. 1 (class 3 x possible= Low 1) Do not store tools or carpet rolls etc on Installers
public footpath
Manual Handling 3 (class 2 x certain = high 3) Ensure materials are delivered in Installers
Injury smallest possible lengths.
Ensure proper manual handling
techniques are used.
Make sure there is enough help to
minimise weight lifted.
Use trolley
3 Run Leads Electric shock. 3 (class 1 x possible = High 3) Provide Earth Leakage breaker Installers
Do not use piggyback plugs
Ensure leads are tagged and valid
Trip Hazards 2 (class 3 x certain= medium 2) Suspend leads 1.8mm min. from Installers
ground if leads are being extended
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
SAFE WORK METHOD STATEMENT
across multiple work areas on hook
stands to keep leads off the ground.
Keep leads on floor area along walls
4 Establishment of Trip Hazards 1 (class 3 x possible= low 1) Principal contractor to provide open Installers
work area clear level work area.
Barrier off work areas to other trades
5 Establishment of Hand or body 1 (class 3 x unkiley= low 1) Wear correct P.P.E at all times Installers
personal damage, skin Consult and adhere to material safety
protective wear problems data sheets
6 Loading of Vinyl Trip Hazards 2 (class 2 x possible= Medium 2) Establish a storage area with site Installers
to work area manager
Keep walkways clear
Keep clear of props and “no go areas”
Manual handling e.g. 3 (class 2 x certain = High 3) Use correct manual handling Installers
back damage. procedures
7 Floor preparation Inhalation 2 (class 3 x certain= Medium 2) Wear correct P.P.E. Installers
installation Provide ventilation as required
Provide barrier to other trades
Consult and Adhere to MSDS
Back Injury 1 (class 3 x possible = Low 1) Use correct bending techniques Installers
Eye Injury 1 (class 3 x possible = Low 1) Wear gloves and glasses Installers
8 Spread of Vinyl Back injury 2 (class 2 x possible = Medium 2) Use correct bending techniques Installers
adhesive and Provide signs showing trip hazard
materials Provide barrier when laying close to
void
Provide signs showing trip hazard
Inhalation 3 (class 2 x certain = High 3) Provide ventilation as required Installers
Wear correct P.P.E.
Consult and Adhere to MSDS’s
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
SAFE WORK METHOD STATEMENT
Skin Contact 1 (class 3 x possible = Low 1) Wear correct P.P.E Installers
Clean Up any spills immediately
Barrier off areas to other trades.
9 Install Vinyl into Lacerations from 2(class 3 x certain= Medium 2) Wear gloves whenever necessary to Installers
Adhesive cutting tools avoid cuts from Stanley knives.
Keep work area tidy and practice good
housekeeping at all times.
Place all old blades in a safe container
for disposal.
Manual handling e.g. 3 (class 2 x certain = High 3) Use correct manual handling Installers
back damage. procedures
Cut vinyl into manageable sizes
Knee Injury 1(class 3 x unlikely= Low 1) Use correct bending techniques Installers
Wear Knee Pads
10 Welding of Vinyl Inhalation Problems 2(class 3 x certain= Medium 2) Wear correct PPE Installers
Joins Provide ventilation as required
Provide barrier to stop other trades
entering areas
Burns to Body 2(class 3 x certain= Medium 2) Trained personell only to use welder Installers
Wear gloves
Electrocution or 2 (class 1 x unlikely= Medium 2) Provide earth leakage breaker Installers
Electric shock Do not piggy back leads
Ensure leads are tested and tagged
And valid
Fire Risk 1 (class 3 x unlikely= Low 1) Make sure fire extinguishers located Installers
nearby
Trip factor 1 (class 3 x unlikely = Low 1) Make sure leads around walls on floor Installers
area
11 Place rubbish, off Laceration by nail 1 (class 3 x unlikeyly= Low 1) Clean up Work area every hour. Installers
cuts and dust in and sharp objects Wear gloves
bins
Dust inhalation 1 (class 3 x possible = Low 1) Wear Dust Mask Installers
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
SAFE WORK METHOD STATEMENT
Safe Work Method Statement (Part 2)
Workers name, qualifications and
experience Workers duties and responsibilities Training required to complete work
Reviewed By: / /
Representative Position Signature Date
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
SAFE WORK METHOD STATEMENT
Safe Work Method Statement (Part 3)
The following people have read/had explained to them this safe work method statement and agree to abide
by it.
NAME SIGNATURE DATE NAME SIGNATURE DATE
This work method statement has been approved to be true and accurate by
…………………………………………………………………………………………………………………
Director of
……………………………………………………………………………………………………………………………………………………………………………………………………………
…………
Signed………………………………………………………………………….. Date……………………………………………………………
FloorCOM Pty Ltd 28-32 Bruce Street, Kensington Vic 3031
ABN 65 119 989 936 ACN 119 989 936
Phone: 03 9376 3444 Fax: 03 9372 6999
