Roadwork SWMS Form
Complete this Safe Work Method Statement to document roadwork activities, hazards, and safety controls.
Project/Site Name
*
Job Location
*
Date of Work
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Work Activity Description
*
Hazard Identification
*
Traffic hazards
Underground/overhead services
Working at heights
Manual handling
Environmental hazards
Other
Control Measures for Hazards
*
Person(s) Responsible for Implementing Controls
*
Supervisor Name
*
Additional Comments
Approval/Sign-Off Name
*
Submit SWMS
Should be Empty: