Doc.

Ref :
SAFE WORK METHOD STATEMENT
Rev. No. :

Issue Date :

Safe Work Method Statement

Application
Project: SWMS No:

SWMS Title: Pile Test

Contractor:

Task / Activity: Pile Test

Work Location:
Duration: From ______________(Date) to ______________(Date)

Date of Last Review:

Date of Next Review:

Prepared by:
Reviewed by:
Name & Designation
Name & Designation
Signature/Date
Signature/Date

Document Status
Revision No Date Description Reviewed by Approved by
 Doc. Ref :
SAFE WORK METHOD STATEMENT
Rev. No. :

Issue Date :

A SWMS REVIEW CHECKLIST

Note: Each subcontractor, before commencing work, must provide written Safe Work Method Statement/s (SWMS) for the work to be carried out. The following checklist
is to be completed and reviewed by PIC, and assessed to have met the COMPANY acceptance criteria in compliance with the requirements outlined in the checklist and
any relevant EH&S Legislation, Codes and Specifications.
Section 1: Compliance Checklist
Check
SWMS Criteria Remarks / Comments
Yes No
1. Sets out step by step how the work activity will be carried out.

2. Identifies the hazards associated with each step of the work activity.

3. Assesses the risks associated with each step of the work activity.

4. Defines the controls to manage risks associated with each step of the work activity based on the
hierarchy of controls Eliminate, Substitute, Isolate, Engineer, Administrate and PPE.
5. Provides a description of the plant / equipment that will be used in carrying out the work activity
(including equipment maintenance and inspection requirements, certification by qualified person
and / or registration, etc.).
6. Describes the qualifications and training of personnel carrying out the work activity, including
supervisors experience / competency, licenses, operators certification, etc.
7. Refers to and confirms compliance with relevant EH&S Legislation, Standards, Codes, Regulations
and / or GUIDLINES.
9. Includes design requirements, engineered details or certification for both temporary and permanent
structures, platforms or access ways/ladders.
10. Where PPE is nominated, the type of PPE is specifically listed and when it is required.

11. Defines who is responsible to ensure that the work activity is monitored and carried out in
accordance with the SWMS.
12. Defines the process and frequency of reviews and methods for ensuring the work complies with the
SWMS controls.
14. Identifies where any Subcontractors will be used, who is responsible to monitor and supervise the
works, and how hazards arising from interaction between trades will be communicated and
managed (e.g. induction into more than 1 SWMS).
15. For complex or high risk work activities (where appropriate), uses photos / diagrams / sketches /
summary to enhance the SWMS.
16. Includes the name and signature of the person who developed the SWMS, a current date and
revision number.
17. The SWMS includes specific EH&S controls for key high risk hazards as listed below:
(Tick all boxes relevant to the tasks outlined in the SWMS and ensure they are specifically addressed)

Work at height, work near / with penetrations Objects falling from height Electrical work
Use of plant and equipment Work in a confined space Overhead electrical services
Hot work Excavation Demolition
Manual handling Specialised work tasks e.g. tunnels, railways Underground services
Hazardous material removal and disposal e.g. Use of hazardous substances or dangerous Traffic and pedestrian segregation - work site
asbestos goods and public areas
Works requiring the implementation of an
Where an exclusion zone is required, the SWMS must clearly state the detail of the required
exclusion zone
exclusion zone, including the person responsible for implementation and supervision.
 Doc. Ref :
SAFE WORK METHOD STATEMENT
Rev. No. :

Issue Date :

B SCOPE OF WORK
Pile Test Test pile point marking - 4 points.
Positioning of pile rig.
Driving in pile to satisfied depth.
Welding works joining of pile.
Anti-rust paint on connection.

C ORGANISATION OF WORK CREW (Manager, Supervisors, Operatives, etc.)

Site Supervisor,
Site Safety Supervisor,
Sub-contractor site supervisor,
riggers (2),
Crane operator (2).
Welders.
E JOB SAFETY ANALYSIS
Section 1: Risk Matrix
1 - Catastrophic:
Severity (Consequence)
Fatality or fatalities, serious
injury with permanent disability,
life-threatening occupational
disease, major structural or
equipment damage, detrimental
Likelihood environmental impact.
2 - Critical:
Serious injury with permanent
disability, ill-health leading to
permanent disability, major
disruption and damage to
equipment or structure,
significant environmental impact.
3 - Marginal:
Temporary disability, lost time
injury, outpatient treatment, ill-
health leading to temporary
disability, minor or short-term
environmental impact.
4 - Negligible:
First-aid treatment injury,
minor cuts or bruises, irritation,
ill-health with temporary
discomfort, clean-up effort for
environmental impact.

1 - Frequent: likely to happen repeatedly. A A A B

2 - Probable: likely to happen several times regularly. A A B C

3 - Occasional: likely to happen some times. A B C C

4 - Remote: not likely to happen most of the time. B C C D

5 - Improbable: very unlikely to happen; may assume exposure will not happen. C C D D
Risk Index Description Definition
A Intolerable Operation not permissible - risk shall be reduced by all possible means.
B Undesirable Further risk reduction required - high priority remedial action to be taken immediately.
C Tolerable Risk shall be accepted subject to demonstration that the level of risk is as low as reasonably practicable - remedial action to be taken at appropriate time to reduce risk level.
D Acceptable Risk acceptable - discretionary remedial action to be taken.
Plant/Equipment Used: Materials Used
Mobile crane Chain Sling Hazardous Substances:
Piling crane NA
Welding set MSDS available:
Yes No
Applicable Relevant EH&S Legislation Approved Codes of Practice (COP) Applicable to the Works

SWMS 006 PILE TESTING PG4

Section 2: Risk Assessment
Existing Risk Residual Risk
Action Officer /
Possible Accidents / Ill

Likely-hood

Risk Level
Likely-hood

Risk Level
No. Job Steps Potential Hazards Designation /

Severity
Severity
Health & Persons at Risk Existing Risk Control / Additional Risk Control /
Preventive Measures Preventive Measures Follow-up Date

1. Establishment of Communicatio Wrong area Surveyor to peg points 4 4 D Planning between Site Site engineer
survey point 4 point n pegged. on site and to highlight team and surveyor. Site supervisor
identified on layout. on layout. Surveyor
Marking Task is carried out Sub-contractor
Marking of pile to at wrong area. Pile are positioned to
length. pegged points.
Marking is not
visible Proper visible marking
is placed at pegged
position.

2. Mobilising/ positioning Communicatio Wrong area Operator to be briefed 3 4 B Training and brief on Site supervisor
of pile rig n positioning. on work scope. lifting works for pile. Sub-contractor
Safety
Machinery Time wasted to re Rig to be in good Recommended supervisor
malfunction mobilise. working condition training for riggers.
operator to inspect and
Fall off. Faulty machinery. record.

Parts spoiled. Wire sling in good

condition certificates
Fall of parts on to recorded and kept.
workers nearby.
All hydraulic cables
are secured and tied
placed well along the
leader.

No leak observe.

SWMS 006 PILE TESTING PG5

 Rig moved to pegged
position where the
piles are laid.

No workers to be near
the pile rig while its
moving to position.

Exclusion zone to be
placed with proper
signage.

3. Use of mobile crane Toppling of Overloading Crane to be in good 2 4 B Training for signal man Site Supervisor
crane working condition. to be conducted. Sub-contractor
20T Unstable soil supervisor
Mechanical condition PMA and operators Crane operator
Use to lift the pile failure competency to be
near to pile rig for it to Hoisting failure displayed and filled as
be hooked. record.
Worker not feeling
well Operator to be
inducted and work
Fatality process to be
communicated.

Crane to be physically
inspected by operator
and checklist to be
signed off and verified
by safety personal at
site.

Ground condition to be
checked and
confirmed stable for
positioning of crane

SWMS 006 PILE TESTING PG6

Crane out riggers to be
fully extended. .

Steel plate to be
placed as a platform
stabiliser.

All lifting equipment

such as slings are
inspected and in good
working condition no
damage or tears to
equipment.

Proper signalling to be
carried out by
competent signalman.

Exclusion zone to be
placed with proper
signage.

To identify the load of

material prior to lifting
and ensure the load
does not exceed the
SWL.

To ensure the
overload alarm is in
working condition.

Workers condition to
be observed.

Workers to avoid
standing in the lifting
radius of crane.
SWMS 006 PILE TESTING PG7
5. Lifting of pile by piling Falling of load Injury/ accident to To ensure that all 2 3 B Site Supervisor
rig workers due to pile lifting appliances are in Sub-contractor
Machinery slip out of sling. good working supervisor
Sling the wire rope to malfunction condition. Crane operator
the pile Damage to pile
due to slip out from Riggers to ensure that
Pull with hook from hammer cap. the sling is secured.
the leader to pile
Hydraulic leak due No workers are to be
Lifting of pile toward to cable damage. in the lifting radius of
the leader the pile.
Fatality/ injury from
Positioning of piles hydraulic leak spill Only riggers are
below the hammer - on workers. allowed to be in the
inserted into the area.
hammer cap.
Exclusion zone to be
Pile position parallel placed. Exclusion zone
to leader to be placed with
proper signage.

Workers are to wear

ear plugs.

To ensure that the

position of pile is
parallel to the leader.
Levelling is observed
by rigger.

Operator to be notified
if abnormalities are
observed.

Operator to ensure
that crane and
SWMS 006 PILE TESTING PG8
 hydraulic hammer is in
good working
condition.

Ensure that the pile

sits/ placed into
hammer secured.

Signal man/ rigger to

assist.

To ensure that the

hydraulic cables are
secured at all times.

6 Hammer is positioned Falling off Load not secured, Workers to wear ear 3 4 C Quality control carried Site Supervisor
and ready for piling. slip from sling. plug at all times during out. Sub-contractor
Driving the pile to Machinery piling works. supervisor
1/2m depth. malfunction Injury/ fatality due Crane operator
to pile fall onto Site supervisor to
Quality of pile workers. ensure nearby workers
not involve with the
Damage to pile driving of pile to wear
due to slip out from the ear plug if works
hammer cap. are carried out nearby.

Hydraulic leak due Exclusion zone to be

to cable damage. placed and remain
thought out the
Fatality/ injury from process.
hydraulic leak spill
on workers. To ensure the pile is
parallel to leader while
Pile damage due to driving in. levelling.
lack of quality
Limit workers in the
piling zone.

SWMS 006 PILE TESTING PG9

 Work must stop if any
abnormalities are
observe. Worker to
report to site
supervisor
immediately.

7 Pile is driven/ Falling off Load not secured, Workers to wear ear 3 3 C Quality checked and Site Supervisor
hammer to 11m slip from sling. plug. inspected. Sub-contractor
depth. Machinery supervisor
malfunction Injury/ fatality due No workers to be near Crane operator
to pile fall onto the pile driving area,
Quality workers. workers are not to be
stationed/ work/ wait in
Damage to pile front of the pile driving
due to slip out from works.
hammer cap.
Exclusion zone with
Hydraulic leak due signage is maintained.
to cable damage.
Work must stop if any
Fatality/ injury from abnormalities are
hydraulic leak spill observed. Worker to
on workers. report to site
supervisor
Pile damage due to immediately.
quality not
checked.
8 Lifting of second Falling off Load not secured, Item no 5 to 7 to be 2 3 B Site Supervisor
connecting pile, slip from sling. complied. Sub-contractor
Machinery supervisor
Welding 2nd pile to 1st malfunction Injury/ fatality due Welding works hot Crane operator
driven pile. to pile fall onto work permit to be
Welding electrodes Electrocution workers. applied obtained
RD460 before works are
Arc welding. Sparks carried out.

SWMS 006 PILE TESTING PG10

 Arc ray Damage to pile
Anti-rust to be painted due to slip out from All cables, electrode,
on to the connecting hammer cap. plugs and holders are
area. inspected to be in
Hydraulic leak due good working
to cable damage. condition.

Fatality/ injury from Welding set and all

hydraulic leak spill electrical tools are
on workers. inspected before use.

Eye injury due to Welding gloves face

sparks or ray shield and fire
from welding. retardant clothing is
used during this works.
Fire or damage to
machine by sparks. Ensure that welding
set is properly earthed.

All flammable/
combustible materials
to be removed before
work is proceeded.

Exclusion zone to be
placed.

Fire extinguisher to be
placed during hot work
activities.

Paint works to
ensure spill drum is
made available while
painting works are
carried out.

SWMS 006 PILE TESTING PG11

 MSDS to be kept on
site as record.

Dust mask to be used

to avoid inhaling
fumes.

9 Pile driven/ hammer

to set item no 5 to 8
will be continued until
pile test set is
achieved.
10 Personnel protection Injury First aid injury PPE Safety helmet, 4 4 D Additional PPE such Site Supervisor
accruing due to Reflective Vest, Safety as face shield, welding Sub-contractor
handling of Boots, Gloves and gloves and fire supervisor
materials safety Goggles to be retardant clothing to be Site safety
used at all time while used while carrying out personal
working or accessing welding works.
in project site.
To comply to MSDS
for painting works.
11 communication Miscommunica Wrong instruction This SWMS will be Site Engineer
tion communicated to all Sub-contractor
including COMPANY supervisor
site team, Sub
Contractors and
involving the security.
12 compliance The Site Project Project Manager
Manager shall with the Safety Personal
Site Safety Personal
review this SWMS on
a weekly basis.

SWMS 006 PILE TESTING PG12

Section 4: Instruction & Communication
This Job Safety Analysis and associated Safe Work Method have been developed through consultation with the following crew members and have been instructed through induction, read and understood, and signed by all employees
undertaking the works.
Qualifications / Experience & Training to
Name Designation Duties & Responsibilities Signature Date
Complete the Tasks

Section 5: Verification

I have provided, to the best of my knowledge, as such accurate and sufficient information and instructions pertaining to this Job Safety Analysis / Risk Assessment - the hazards associated with each work process / activity and type of potential incident
or accident, the risk controls / reasonably practicable measures to be taken in the course of work and during an emergency - to ensure its / their safe undertaking.

Instructed by (print name): .................................................................. Signed: .............................................................. Date: .../..../... Time: .............. am / pm

PIC (print name): .......................................................... Signed: .............................................................. Date: ......./..../.... Time: .............. am / pm

Section 6: Work Completion

The works associated with this SWMS has been completed and the work area made safe and fit for subsequent use.

Subcontractor (print name): ................................................................. Signed: ...................................................................... Date: ......./..../.... Time: .............. am / pm

PIC (print name): ........................................................... Signed: ...................................................................... Date: ......./..../.... Time: .............. am / pm

SWMS 006 PILE TESTING PG13