General-SWP-Template
General-SWP-Template
1. General Information
Purpose To safely carry out [name of task]
Scope Who does the SWP applies to?
Risk Assessment Completed? Yes No
Location of Risk Assessment
Materials/Equipment Required for
Procedure
Procedure Written by:
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
4. Post Procedure
List things to consider like disposal, hazardous waste, clean up etc.
6. Incidents/Accidents
List the information for the person who will be contacted in the event of an
incident/accident
Contact Name
Contact Number
For UBCV Staff, Faculty and Student-Staff we will call
604-822-4444
First Aid (Contact)
For UBC V Students we will call 604-822-2222
For Offsite locations, we will call [insert phone number]
Are specialized First Aid Yes, explain:
Procedures required? No
Are exposure control plans Yes
required to be followed? No
Centralized The CAIRS system will be used to report and document
Accident/Incident incidents that occur as a result of carrying out this
Reporting System (CAIRS) procedure
7. Emergency Procedures
Based on the hazards and risks, identify the potential emergencies that could occur
and the steps to take to address it
10. Review
No, review is not necessary
Yes, review
The risk of an immediately
There is a potential that this task could
reportable incident (listed above) is
result in an immediately reportable
minimal AND this SWP is identified is
incident AND/OR this SWP will be
not to be broadly used across a unit or
broadly used across a unit or
department.
department.
No further review is required though
Submit the SWP to the applicable Joint you may still request the SWP to be
Occupational Health and Safety reviewed by a knowledgeable person,
Committee for their review and local safety team, Joint Occupational
comments followed by the Health and Safety Committee, Safety
Administrative Head of Unit. and Risk Services and/or intra-
department safety advisors.
The [name of JOHSC] [Name of person], Click or tap here to
Joint Occupational Health [title] has enter text.
and Safety Committee Click or tap reviewed this safe
has reviewed this safe to enter a work procedure
work procedure and date. and provided their
provided their comments comments
(Optional)
Identify the Department
(s), Unit(s) or work
group(s) to whom this
safe work procedure
applies
This Safe Work Procedure will be reviewed annually or whenever deemed necessary
by the responsible departmental representative.
Prepared By:
Name : Mohd Khairi bin Bahrun
Role : Site Safety Supervisor
Doc. Ref. No : SWP/24/001
Revision : 001
Date Publish : July 2024