SWMS 106 - Traffic Control

Safe Work Method Statement Worksheet
Use of Master Builders Generic Safe Work Method Statements

Disclaimer:
The Master Builders Association of Victoria expressly disclaim all and any liability to any person in respect of anything, and of consequence of anything
done or omitted to be done by any or such person in reliance, whether wholly or partially on this generic safe work method statement.
Rules for the use of Master Builders generic SWMS
1. This generic SWMS is provided as a sample. It is not to be used by a builder or subcontractor for the purpose of managing safety on their projects.
It can be used as a template to enable builders and subcontractors to produce their own SWMS. Master Builders have carbon copy pads available
for sale to enable builders/subcontractors to produce their own SWMS.
2. Employers intending to use this SWMS as a template for their own SWMS must ensure they consult with their employees, including their Health
and Safety Representatives, prior to its introduction.
3. Builders and subcontractors must ensure that their SWMS is relevant to the project at hand. Generic SWMS should not be used unless precautions
have been taken to ensure that the document adequately addresses the hazards and risks relevant to each particular project.
4. Builders and subcontractors intending to use this sample SWMS as a template for their own generic SWMS, without making any changes to the
detail, must ensure that they adhere to and implement all of the relevant risk controls.
5. The range of generic SWMS provided by Master Builders are not sufficiently broad enough to cover all hazards or risks encountered by builders
and subcontractors. It does not cover the full list of requirements for which SWMS are specifically required under the OHS Construction
Regulations. It is important that the builder or subcontractor undertake their own hazard identification and risk control process relevant for each
particular task.
It is highly recommended that persons who are responsible for preparing and reviewing SWMS undertake training so as to understand the process of
identifying and controlling risks in the workplace.
Remember: Each Safe Work Method Statement should be site specific. Include all workers in the development of the Safe Work Method Statement.
All workers should sign off to verify that they understand all the requirements of this Safe Work Method Statement.
Safe Work Method Statement Worksheet

Company Name
Site Name
Safe Work Method Statement

106
No ______ Page
Activity Traffic Control
Contractor
of
Permit to Work Requirement

Yes
No
Tasks
Hazards and Risks
Risk control measures
Who is responsible?
List the tasks required to perform

the activity in the sequence they are
carried out.
What can harm you - Hazards?

What can happen - Risks?
List the control measures required to eliminate or reduce the risk of injury
and detail how the control measures will be put in place.
Write the name of the person

responsible (supervisor or
above) to implement the control
measures identified.
Induct traffic controllers

into site specific Traffic
Management Plan
procedure
Directing vehicles onto or
off the site
Personal injury and/or property damage due

to traffic controllers being untrained or not
familiar with Traffic Management Plan
procedure
Struck by car
Car Accident
Public struck by vehicle
All designated traffic controllers to be appropriately

trained. Traffic Controllers to be consulted on the
content of the site specific Traffic Management Plan
and Procedure, and to become familiar with it.
Try to stand where you can see both the end of the
work area nearest you and the traffic controller at the
other end of the job if there is one
You must also be able to see approaching vehicles at
least one and a half times the speed limit (i.e. if the
speed limit is 60km/h, you should be able to see at least
90mtrs) and they MUST be able to see you
Stand facing the traffic but just outside the path of
vehicles. Make sure you do not obstruct a drivers view
of other signs and devices and that you are not partially
hidden by one of these.
Once traffic has stopped, change position if necessary
so that you are clearly visible to further traffic as it
arrives, Stay at the head of the traffic and stand by
yourself. Give definitive hand signals.
Stand clear of traffic before allowing it to proceed.
Do not inadvertently display a stop sign to a stream of
traffic. You must remain at your station until directed by
your supervisor to leave to be relieved by another
employee.
Remember: Each Safe Work Method Statement should be site specific. Include all workers in the development of the Safe Work Method Statement.
All workers should sign off to verify that they understand all the requirements of this Safe Work Method Statement.

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Safe Work Method Statement Worksheet

Use of Master Builders Generic Safe Work Method Statements

Safe Work Method Statement Worksheet

Safe Work Method Statement

Activity Traffic Control

Permit to Work Requirement

Hazards and Risks

Risk control measures

List the tasks required to perform

What can harm you - Hazards?

Write the name of the person

Induct traffic controllers

Personal injury and/or property damage due

All designated traffic controllers to be appropriately

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