Company Name:

Company Address:
ABN/NZBN:

ROPE ACCESS SAFE WORK METHOD STATEMENT (SWMS)

Business Contact: Phone #: Principal Contractor (PC):

Responsible person (for monitoring SWMS and work): PC Address:

Signature: Date: PC Phone #: Date SWMS provided to PC:

Contact Phone #: Job Site Address:

If yes – This SWMS must align with requirements of the Site

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SITE MANAGEMENT PLAN Is the work associated with a Construction Project? Yes No Management Plan in place for the Construction Project.

THIS WORK ACTIVITY INVOLVES THE FOLLOWING “HIGH-RISK CONSTRUCTION WORK” (HRCW - IDENTIFIED IN THE JOB TASK COLUMN)

PL
Confined spaces Mobile plant movement Demolition of a load-bearing structure Asbestos disturbance
Using explosives Diving work Artificial extremes of temperature Tilt-up or pre-cast concrete
Pressurised gas distribution mains or piping chemical, fuel or refrigerant lines energised electrical installations or services

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Structures or buildings involving structural alterations or repairs that require temporary support to prevent collapse
Involves a risk of a person falling from 2m or more, including work on telecommunications towers Work in a ceiling space (W.A. Only)
Working at depths greater than 1.5 metres, including tunnels or mines Work in an area that may have a contaminated or flammable atmosphere
SA
Work carried out adjacent to a road, railway or shipping lane, traffic corridor In or near water or other liquid that involves the risk of drowning
WORKING WITH A RISK OF A FALL OVER 2 METRES. Select the fall from height 'hierarchy of control level' considered when establishing controls:

L 1: Work on the ground or solid construction L 4: Use a fall arrest system e.g., safety harness, catch platforms
L 2: Use a passive fall restraint system e.g., guard rails, scaffolding, EWP L 5: Implement administrative controls e.g., signage, or instruction

L 3: Use a work positioning system e.g., travel restraint, rope access Other?
More than one of these measures to reduce risk can be used. For example, engineering controls like edge protection can be implemented with administrative controls
like training and use of this SWMS, while wearing PPE (non-slip shoes). Please describe why it is not reasonably practicable to use higher-order control measures.
E.g. The job is less than 5 minutes on a ladder.

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ROPE ACCESS SAFE WORK METHOD STATEMENT © SafetyCulture All Rights Reserved ISSUE DATE: REVISION DATE: Page 1 of 12
 Company Name:
Company Address:
ABN/NZBN:

Personal Protective Equipment (PPE)

FOOT HEARING HIGH HEAD EYE FACE HAND PROTECTIVE BREATHING SUN SAFETY Do not wear rings,
PROTECTION PROTECTION VISIBILITY PROTECTION PROTECTION PROTECTION PROTECTION CLOTHING PROTECTION PROTECTION HARNESS watches or
jewellery that may
become
entangled. Long
and loose hair
must be tied back.

CONTROL MEASURES RESPONSIBLE

JOB TASK HAZARDS IR RR
PERSON

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INHERENT RISK-RATING (IR) BEFORE CONTROLS - RESIDUAL RISK-RATING (RR) AFTER CONTROLS
1. Planning  Incorrect 4A Rigging plan developed and approved by a competent person, i.e., engineer 2M Supervisor to
system design  Rigging plan should include: confirm the
 System correct system

PL
o Location (address)
collapse o Type of building
o The layout of the building (including skylights/other potential dangers)
o Anchor points (positions/locations and material to be fixed too)
o Types of anchors and fixing methods
o Number of people undertaking work
o Type of system used.

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Ensure all components of the rope access system meet relevant Standards
 Purpose-built suspension rigs must:
o Be verified by an engineer
o Be clearly marked with the brand name, model number, and serial number
SA
o Be clearly marked with its capacity and intended use
o Clearly display the mass in kg of any movable or removable counterweights.
2. Implement a Personal injury 4A  Trained first aid providers on site 2M Supervisor to
Falls from fall  A reliable means to contact emergency services is available. ensure the
Emergency  Falls rescue plan implemented for the site plan is in place
Rescue Plan
3. HRCW Personal injury, 3H  The vehicle should be positioned in a safe location, clear of traffic/vehicles/pedestrians 2M Supervisor to
Arrival on-site property damage during equipment delivery and materials removal (deploy physical barriers, caution signs as check the site
& assess &/or necessary) and conduct
onsite environmental  Do not park illegally JSA where
conditions incident  Identify and obey all safety-related signage (check site entry requirements) necessary
 Report to Site Supervisor
 Ensure site-specific induction undertaken
 Assess mobile phone reception
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 Company Name:
Company Address:
ABN/NZBN:

CONTROL MEASURES RESPONSIBLE

JOB TASK HAZARDS IR RR
INHERENT RISK-RATING (IR) BEFORE CONTROLS - RESIDUAL RISK-RATING (RR) AFTER CONTROLS PERSON
 The worksite is exactly as detailed in Terms of Agreement or contract
 Complete a JSA specifying the control measures for unanticipated hazards.
Emergency 4A  Where the Risk Assessment has identified high-risk tasks, the ‘buddy’ system may be utilised 2M
where a second person's presence required at all times
 Where serious consequence is probable, do not expose both people to the hazard
simultaneously. The second person should be within sight, but safely removed from the
immediate area
 The ‘buddy’ must be trained in the specific activities the worker he/she is observing for is

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undertaking, be properly equipped with emergency equipment, and be capable of
undertaking pre-planned rescue or emergency operations where needed.

PL
4. HRCW Falling objects 4A  Isolate the area below wherever people may be struck by falling material or tools 2M Supervisor
Work area  Provide information to workers and other people on-site advising them of the exclusion and workers
set-up zones to ensure
 Provide supervision so that no unauthorised person enters an exclusion zone control
 Erect any barriers & signage necessary to keep others safe and aware measures
 Ensure all areas around anchor points are barricaded and signed to prevent followed

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impact/tampering from mobile plant/ pedestrians and unauthorised entry
 All workers must wear hard hats.
Falls from height 4A  Only workers engaged in assembling the rope access system to be present in the work 2M
area
SA
 Set up anchor points/rope system as per the rigging plan. If deviations required from the
initial plan, seek advice from competent people
 Follow manufacturer’s instructions for the rope system set up
 Ropes must reach the ground or suitable landing site and stopper knots tied
 Ensure edges padded to eliminate the chance of rope damage
 Ensure all areas around anchor points barricaded to prevent impact/tampering from mobile
plant/vehicles/ pedestrians and unauthorised entry
 Signs are placed in all anchor point locations to prevent tampering/disturbance.
Communication 3H  Effective communication in place between the operator and other workers to alert others 2M
failure on-site in case of an emergency.
Contact with 4A  Check for obstructions both above and below (such as electric lines) 2M
electricity  Do not work within No Go Zones of electric lines unless power is isolated, and evidence of
on-going isolation obtained from the electrical supplier.

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ROPE ACCESS SAFE WORK METHOD STATEMENT © SafetyCulture All Rights Reserved ISSUE DATE: REVISION DATE: Page 4 of 12