Authors Helper notes
•	Replace sample text bounded by [] square brackets with your own content
•	Remove any of the authors helper text coloured RED where required
•	Delete these helper notes from your documents when finished

Organisation Details	
Business/Trading name		
ACN/ABN		
Contract Job Number		
Director/Manager		
Address		
Phone		
Fax		
Mobile		
Email		

The following table sets out a brief description of the work to be carried out by [enter-your-company-name-here] during the course of the [insert activity] contract/agreed works on the [insert site name] project managed by [insert contractors name]     .

Date	Description of Works	No of Employees
(inc subcontractors)	

			

The table below identifies the designated person on site responsible for the management of occupational health safety and environment.
Name	Contact Details	

		

Sub subcontractors intended to be used (if any) on this site are:
Business	Contact Details	

		

		

[enter-your-company-name-here] will ensure that the above mentioned subcontractors provide a SWMS for their specialised work, and that [enter-your-company-name-here] shall review the SWMS, and append the SWMS to this Plan. If they are an employer, [enter-your-company-name-here] will also ensure that evidence relating to a current workers compensation policy is provided.

Director / Manager______________________________		Date____/____/____