Report all incidents immediately.

Complete a Take 5 prior to work. If additional risks (not covered in this SWP) are identified, complete a separate risk assessment in Riskware.

DO NOT PARTICIPATE IN / CARRY OUT ACTIVITY IF YOU ARE NOT PHYSICALLY / PSYCHOLOGICALLY CAPABLE.

Discuss any fitness for work requirements (e.g. fatigue, injury, illness and medication effects) with your Line Manager / Activity Supervisor.

ACTIVITY SPECIFIC CONTROLS Include controls identified in the risk assessment. This section should contain concise information including, pre-start checks and key steps to work safely. This section (including PPE) can be displayed as a quick reference sheet. E.g. attached to an item of plant / activity site. <can be used to emphasise critical safety points in the process>

PERSONAL PROTECTIVE EQUIPMENT - The following PPE is necessary to complete the task.
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SCOPE (detail who, what and when this SWP applies)
RISKS (list the risks that are associated with this activity / plant / equipment)
MINIMUM SKILLS / EXPERIENCE / QUALIFICATIONS
SUPERVISION & MINIMUM NUMBER OF PERSONS (for the activity / equipment / plant to be used / conducted safely)
EQUIPMENT & FACILITIES (Not including PPE – identified above. E.g. mobile phone, 1L of water per person, basic first aid kit)
COMPLETION, HOUSEKEEPING, MAINTENANCE (if isolation is required - list method for de-energising the plant / equipment.)
EMERGENCIES (Identify the types of emergency and the emergency response)
COMPLIANCE REQUIREMENTS (Including licenses, approvals, permits)
REFERENCES (Document resources that can be referenced for further information. Hyperlink if possible)
WHS Regulations 2011
Revision History
Version Number	Date	Revision Author	Description of Changes

PERSONNEL PERFORMING TASK SIGN ON:
In signing on, I have read and understood my obligations to comply with the requirements of this SWP. I have been provided with an opportunity to provide feedback on this SWP and I will advise my direct Manager / Supervisor in the event that additional hazards are identified.
NAME	DATE	SIGNATURE