Safe Work Method Statement

Have you completed a Cubo Projects Site Specific Induction? *

This is mandatory, please complete this form prior to continuing.

Yes

What is today's date? *

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The following is a list of all high risk construction works that require a Safe Work Method Statement (SWMS) to be filled out. Please select the activity(s) that you are completing this form for. *

Select multiple if applicable.

Where there is a risk of a person falling more than 2m

Work on or next to roadways or railways used by road or rail traffic

In, over or next to water or liquids where there is a risk of drowning

At workplaces where there is any movement of powered mobile plant

Where there are structural alterations that require temporary support to prevent collapse

In an area where there are artificial extremes of temperature

On or near energised electrical installations or services

Involving a trench or shaft more than 1.5m deep

On or near pressurised gas distribution mains or piping

Involving demolition

Involving a confined space

On or near chemical, fuel or refrigerant lines

Involving tilt-up or precast concrete

On telecommunications towers

Involving diving

Involving removal or disturbance of asbestos

In an area that may have a contaminated or flammable atmosphere

Involving the use of explosives

Involving a tunnel

I understand that these SWMS (Safe Work Method Statement) have not been provided by Cubo Projects. I/We have worked together on identifying the risks and hazards that are present in performing the following high risk activity(s) on the building site.

I/We agree