SAFE WORK METHOD STATEMENT (Erecting, Altering, Dismantling Scaffold)
Authorized By: _________________________

Rev: 1 03/12/2024
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COMPANY DETAILS
Name: XXX ABN: XXX Address: XXX
TASK NAME / ACTIVITY Erecting, Altering, Dismantling Scaffold
SITE / PROJECT NAME XXX
CODES OF PRACTICE
Construction work First aid in the workplace How to manage work health and safety risks
Managing the work environment and facilities Work health and safety consultation, cooperation and coordination Work near overhead power lines
PERSONAL PROTECTIVE EQUIPMENT
Hard Hat

Hard Hat
High Vis Clothing

High Vis Clothing
Safety Glasses

Safety Glasses
Respiratory Protection

Respiratory Protection
Face Shield

Face Shield
Safety Boots

Safety Boots
Safety Gloves

Safety Gloves
Hearing Protection

Hearing Protection

Other
HIGH RISK CONSTRUCTION WORK
Risk of a person falling more than 2 metres Work on a telecommunication tower Demolition of load-bearing structure
Likely to involve disturbing asbestos Work on or near pressurised gas mains or piping Work in or near a confined space
Work in or near a shaft or trench deeper than 1.5m or a tunnel Use of explosives Temporary load-bearing support for structural alterations or repairs
Work in or near water or liquid that involves a risk of drowning Work on or near energised electrical installations or services Work that may have a contaminated or flammable atmosphere
Tilt-up or precast concrete elements Diving work Work in an area with movement of powered mobile plant
Work in areas with artificial extremes of temperature Work on or near chemical, fuel or refrigerant lines Work on, in or adjacent to a road, railway, shipping lane or other traffic corridor in use by traffic other than pedestrians
Job / Task Hazards / Risks Initial Risk Control Measures Residual Risk Responsibility
Erect Scaffold Falls from height, falling objects High Use of fall arrest systems
Secure tools and materials
Erect exclusion zones
Medium Site Supervisor
Inspect Scaffold Structural failure, improper assembly Medium Conduct pre-use inspections
Ensure compliance with design specifications
Low Qualified Inspector
Dismantle Scaffold Collapse, manual handling injuries High Follow dismantling procedures
Use mechanical aids for heavy components
Medium Team Leader
Work Near Power Lines Electrocution High Maintain safe distances
Use insulated tools
Low Site Supervisor
Scaffold Maintenance Equipment failure Medium Regular maintenance checks
Replace damaged components
Low Maintenance Personnel
Worker Sign off Worker Sign off
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Reference Documents