Issue date: 01/02/15
Contractor SWMS Review
Review date: 01/02/18
Use this form to record the review of SWMS provided by LAA Contractors engaged under Contract No. 1500755.
Project Title
Contractor Company
Job description
SECTION A – Use this section to review
Contractor SWMS only
1.
Work Description and/or Title
2.
The contractors letterhead that shows the name and
registered office address of the contractor
3.
Date SWMS developed recorded
4.
Signed and dated by a senior management
representative of the contractor, and the author
5.
Are the names and positions of those who developed the
SWMS listed?
6.
Was it developed in consultation with employees or their
representatives?
7.
Does it include a clear description of the work to be
undertaken?
8.
Is the task sequence broken into the step-by-step
process actually involved in the work?
9.
Does it include reference to the requirements specific to
Contract No 1500755 including:
-
Preparatory work; confirmation of access points
and ceiling height
-
Pre-inspection risk assessment
-
Removal of soft clothing / furnishings below
manhole access to ceiling cavity
-
Close doors and windows adjacent to manhole
Satisfactory
?
(/ / NA)
Comments
Electrical safety:
-
Disconnection of main power to house including
reference to solar power where present
-
Advise to home owner that power is to remain
disconnected for duration of inspection
-
Arrangements for lockout/tagout on mains
switch board
-
Heating/cooling systems and fans exhausting
into ceiling cavity are disabled
-
Plastic 200um thick drop sheet placed under
manhole
-
Appropriate PPE including minimum P2 half face
mask with cartridge and disposable overalls
rated 5, category 3
-
Room is cleared of persons other than LAA prior
to accessing manhole
-
Decontamination point set up
Custodian: WHS Manger
Approved by: Place Services
Number: SMS-06-FM-A760860
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Issue date: 01/02/15
Contractor SWMS Review
SECTION A – Use this section to review
Contractor SWMS only
-
Review date: 01/02/18
Satisfactory
?
(/ / NA)
Comments
Risk management controls for working at
heights
10.
Do the potential hazards for each step appear to be
clearly described? (see Section B)
11.
Has the risk associated with each hazard been assessed
& ranked?
12.
The person responsible for implementing the controls is
named specifically?
13.
Are all precautions to be taken to protect health and
safety (workers, visitors, public etc.) listed?
14.
Have appropriate sections of legislation, codes of practice
and Australian Standards been referenced?
Minimum: WHS Act 2011, WHS Regulations 2011,
SafeWork NSW Managing the risk of falls at workplaces,
SafeWork codes of practice How to safely remove
asbestos; How to manage and control asbestos in the
workplace; AS/NZS 1716, ISO 13982-1;
15.
Are all health and safety instructions to be given to
persons involved with the work included?
16.
Are all plant and equipment that will be used for the work
listed?
17.
Have inspection and maintenance checks required for the
plant and equipment been listed?
18.
Are the details / conditions of any permits and/or licences
required for the work stated? ie NSW OHS General
Induction Card (White Card) and LAA license card
19.
Are the training courses and qualifications required to do
the job safely included?
20.
Has responsibility for controls been identified?
- supervise the work
- inspect and approve work area conditions, work
methods, protective measures, plant, equipment and
power tools for use
21.
Does it include the names of those who will be, or have
been, trained for the work activities described in the
SWMS, and the names and qualifications of the people
responsible for training them
22.
Is the SWMS signed by all workers who will be
performing that task?
23.
Is it site specific rather than generic?
24.
Is there a step prior to commencing any tasks that a prework brief will be carried out with all staff and how often
this will occur?
Custodian: WHS Manger
Approved by: Place Services
Number: SMS-06-FM-A760860
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Version: 1.0
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Issue date: 01/02/15
Contractor SWMS Review
Review date: 01/02/18
SECTION B – Contractor SWMS Hazard Identification and Control Checklist
Use this table to list hazards that may be associated with the job (tick box).
Check whether they have been identified and adequately addressed by the contractor SWMS.
Hazard
Adequately
addressed
Yes
No
Adequately
addressed
Yes
No
Hazard

Biological /food handling

Cold/ Hot Conditions
Yes
No
 Noise
Yes
No

Communication
Yes
No
 Radiation
Yes
No

Contaminated soil/ Dust
Yes
No
 Plant and Equipment
Yes
No

Essential Services/Structures
Yes
No

 Slips trips and falls
Yes
No

Electrical
Yes
No
  Security/ Access/
Yes
No

Environmental/ Heritage
Yes
No
Yes
No

Hazardous Chemicals
Yes
No
 Service provisions
(lighting/water)
 Traffic Management
Yes
No

Hazardous Materials
Yes
No
 Waste materials
Yes
No

Hazardous Manual Tasks
Yes
No
 Work Environment
Yes
No

Isolated work
Yes
No
 Workplace design/layout
Yes
No

Lighting
Yes
No
 Psychological
(stress, fatigue, workplace ,
violence)
Yes
No

Other
Yes
No
 Other
Yes
No
 Public area
SECTION C – Reviewer Recommendation
Name
Reviewer details
Position
Signature
Date of review
Recommendation:
Custodian: WHS Manger
Approved by: Place Services
Number: SMS-06-FM-A760860
Allow Works to Commence
Or
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Amendments required
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