Safe Work Method Statement

Job Task Summary: This SWMS is applicable to the employee contractor volunteer
following worker type: student visitor other
This safe work method statement is provided to relocate Indoor AC VRF unit.
SWMS completed by: Ferzhan Email:
Date: 16 May 2019
Site: Cibis 9, Jakarta
Rev : 0

How to complete the form:

1. Discuss with relevant workers the steps, and associated hazards, risks and
5. In the ‘Safety controls’ list how the hazards will be controlled and who is
controls
responsible to implement the controls
2. In the ‘Procedural steps’, list the work steps in sequence of how they will be
6. Specify other requirements for the task
carried out
7. Each person involved with this task must sign acknowledging that they have
3. In the ‘Possible hazards’, list the hazards and risks for each step
understood the steps
4. In ‘R1’ rate the risk without controls using the risk matrix (see over page)

R1 Risk without controls

POSSIBLE PERSON
PROCEDURAL STEP R1 SAFETY CONTROL AND WORK STEP
HAZARD(S) RESPONSIBLE

 Administration  Prepare work permit

Site Engineer
Preparation miss 4D  Prepare approved shop drawings
 Cannot work  Prepare form testing

On Outdoor Unit area:

 Ensure all power are turned off.
 Vacuum pipe refrigerant using ac vacuum
 Make sure there is no refrigerant left, check in pressure
gauge
 Struck by
On Indoor Unit area:
falling load or
 Marking AC in new posisition
equipment
Relocation 3D  Ensure all power are turned off. Site Engineer
 Body Stress
 Dismantle existing indoor unit
 Electrical
 Relocate existing AC bracket
Shock
 Install indoor unit
 Install / add new refrigerant pipe
 Install / add new drain pipe
 Install new power connection
  Check all connection
 Electrical  Test drain pipe level
Testing and Commissioning Shock 4D  Check refrigerant pipe connection Site Engineer
 Equipment fall  Check and measure refrigerant pressure, add if needed
 Check supply air temperature
WHS RISK MATRIX HIERARCHY OF CONTROLS

OTHER JOB REQUIREMENTS

List staff skills/competencies and licences required for safe job performance: List items of plant/equipment/tools required:
-  Hand glove, mob, WD40, Current Clamp Meter, Multimeter,
Additional approvals, certificates, WorkCover approvals/permits required e.g. confined PPE Gloves Eye protection
spaces, working at heights, hot works etc: required: Sunscreen
-
Hard
Overalls Hi visibility vest Lab coat
hat/helmet
Has a risk assessment been completed for any work involving confined spaces, Safety
electrical work or diving work Yes No N/A footwear Hearing Other (please list)
(enclosed or protection Body harness
steel cap)
Prepared By : Approved By :
Signature:
Name: Ferzhan Name: Signature: