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Scissor Lift Safe Work Method Statement Template

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This Scissor Lift Safe Work Method Statement (SWMS) template is free and readily available to document how each person performing work involving a scissor lift will conduct themselves. The template includes the main parts of a safe work method statement, including the identified hazards, control measures, and risk score for each job step.
Want easier access to your SWMS? Once you start using this smart Scissor Lift Safe Work Method Statement, you can access it via your computer, mobile, or tablet device (and so can other workers), which makes managing and sharing the work method statement much easier.

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Scissor Lift Safe Work Method Statement  Template

What is Scissor Lift Safe Work Method Statement ?

A Scissor Lift Safe Work Method Statement is a legal document that ensures all people involved in operating or using a scissor lift have a thorough understanding of the hazards and risks involved in the task, as well as the controls to manage the risks associated with those hazards.

Compare this Scissor Lift Safe Work Method Statement to paper-based forms created from Word, Excel or PDF

Curious how this Scissor Lift Safe Work Method Statement works? Check out the example below and see how quickly you can generate one, then export it as your own custom form. Fill in your details, and you'll have a ready-to-use SWMS in minutes.

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Applicable Standards and Policies for Scissor Lift Safe Work Method Statement

Industries all over Australia make use of scissor lifts to help provide a stable platform when performing activities in elevated areas. However, this useful heavy equipment also brings hazards that can harm the employees. Establishing a safe work method statement is one of the best ways to ensure that all procedures conducted involving the scissor lift are provided with the correct measures to eliminate or mitigate the effect of the hazards. Providing a SWMS also ensures compliance with the following regulations in Australia:

  • WHS Regulation 2011, Regulation 40—This provision provides a duty to employers to provide a safe and healthy working environment for all employees.
  • WHS Regulation 2011, Regulation 299—This provision in Australia requires establishments to create a Safe Work Method Statement for high-risk construction work.
  • WHS Regulation 2011, Regulation 291—This regulation is a provision in Australia that defines and classifies high-risk construction work.
  • Health and Safety at Work Act (HSWA) 2015, section 30—This legislation is a provision in New Zealand that describes the requirements to control risks that affect health and safety.
  • Health and Safety at Work Act (HSWA) 2015, section 36—This legislation is a provision in New Zealand that requires persons conducting a business or undertaking to ensure the health and safety of workers affected by the hazards found at work.

Staff Members and Parties that use Scissor Lift Safe Work Method Statement

The effectiveness of creating and completing a Scissor Lift Safe Work Method Statement relies heavily on the involvement of the following staff members:

  • Project Manager: Project managers oversee operational requirements on a high level. They are responsible for ensuring sufficient resources, planning, and compliance requirements (quality, health, and safety) are effectively in place.
  • Site Manager: Their role includes planning and managing safety in the workplace, which is why it is their responsibility to implement the SWMS. They review and approve the SWMS, especially for high-risk activities.
  • Workforce: The workforce directly faces the hazards. Part of their duty is to guarantee that they perform the provided method statement; therefore, their participation in creating and completing the scissor lift SWMS is essential. Their exposure and firsthand knowledge of the hazards also enable them to provide diverse perspectives on the observable hazards they encounter while performing their activities.
  • Safety Officers: These are the individuals who assess the effectiveness and efficiency of controls offered in all activities, particularly those in which employees work in hazardous conditions. It is their responsibility to guarantee that safety management measures are adequate and sufficient to protect all workers engaging in high-risk activities.

Business Risks Reduced by Scissor Lift Safe Work Method Statement

Keeping everyone safe also means keeping the business safe. Employers must commit to the duty to protect the business against various hazards, in addition to the employees, who are the company’s lifeblood. Committing to the practice of implementing a SWMS for scissor lifts reduces the following business risks:

  • Increased expense owing to unanticipated downtime
  • Increased expense due to accidents and injuries
  • Increased expense owing to non-compliance with regulations
  • Increased rate of lost time incidents (LTI)
  • Delayed timetables and deadlines
  • Negative impact on company reputation

Business Opportunities Created by Scissor Lift Safe Work Method Statement

The Scissor Lift Safe Work Method Statement can provide all the necessary safety measures to adequately safeguard employees from potential hazards while performing their daily activities. However, compliance with this document provides more than just protection. Businesses can greatly benefit from this simple yet effective tool. Compliance with this document creates the following commercial opportunities:

  • More cost savings over time
  • Longer machine and equipment life
  • Lower insurance premiums
  • Stronger relationships among employers, employees, and stakeholders
  • Better output quality
  • Enhanced company reputation

What does the Scissor Lift Safe Work Method Statement eliminate?

The Scissor Lift Safe Work Method Statement ensures the following problems are removed:

  • Unidentified hazards
  • Uncontrolled risks
  • Unclear work procedures
  • Miscommunication
  • Unsafe work methods
  • No clear responsibilities
  • Improper PPE
  • Panic during emergencies

Scissor Lift Safe Work Method Statement: Safe Operation and Work at Height

The Scissor Lift Safe Work Method Statement outlines the safe procedures and control measures required when operating and working from a scissor lift during construction and worksite activities. It covers key hazards such as falls from height, plant movement, overturning, contact with overhead services, falling objects, and unsafe ground conditions. The statement gives workers a clear and practical way to do pre-start inspections, operate the scissor lift, position the equipment, work at height, and safely shut down the plant, while making sure operators are trained, certified, and using the required personal protective equipment.

How to create a Scissor Lift Safe Work Method Statement template

Creating an effective safe work method statement requires systematic planning and input from multiple stakeholders. Follow these steps to develop a comprehensive SWMS using this editable template.

Prerequisites for creating a Scissor Lift Safe Work Method Statement template

  • Detailed work scope and activity descriptions
  • Equipment specifications and operating manuals
  • Relevant safety data sheets for materials
  • Previous incident reports or lessons learned
  • Applicable safety regulations and standards
  • Worker competency and training records
  • Emergency contact information and procedures

Add a section for project details

This section provides an overview of what the SWMS is for. It should have the following fields:

  • Project name
  • Project location
  • Activity date
  • Activity
  • Activity scope

Add a roles and responsibilities section

This section provides the details of each role and responsibility. The following fields should be present:

  • Name of Employee
  • Role
  • Responsibilities
  • Certifications

Create a hazard and control section

This section records the identified hazards and the needed control measures. It should have the following fields:

  • Task/procedure
  • Identified hazard
  • Severity of hazard
  • Control measures
  • New safe procedures

Add a PPE requirement and emergency procedure section

This section provides a list of the PPE needed for the activity and the emergency protocols.

  • Provide a field for all the needed PPE for the activity
  • Add another field for the emergency procedures and contacts

Add a sign-off section

The following signatures should be present to validate the SWMS:

  • Person who prepared the SWMS
  • Person who approves the SWMS

Frequently asked questions

Who completes the Scissor Lift Safe Work Method Statement template?

When should the Scissor Lift Safe Work Method Statement template be completed?

How are the risk ratings completed in the Scissor Lift Safe Work Method Statement template?

Can the Scissor Lift Safe Work Method Statement template be changed after it has been completed?

How to create Scissor Lift Safe Work Method Statement Process in an App or Software System

A well-designed digital Scissor Lift Safe Work Method Statement template ensures automated compliance tracking and mobile accessibility that traditional paper-based systems cannot match. These platforms enable immediate updates to safety procedures, instant communication of changes to all relevant personnel, and comprehensive audit trails that demonstrate regulatory compliance.

20 minutes

Easy difficulty

How to create a Scissor Lift Safe Work Method Statement in an app?

Using an app that employs digital forms instead of paper-based ones may help improve the process by:

  • AI assistance
  • Having fewer manual data entries
  • All produced forms are stored in a single access cloud
  • Reformatting is straightforward and can be adapted to new protocols or updated standards.
  • Formula integration is much simpler
  • Workflows and notifications may be automated and scheduled
  • Improved template design and look

Formatting the project details section

  • Add a text field to allow users to input a project name.
  • Add another text field to allow users to input the project location.
  • Provide a date field for the activity date.
  • Add a text field for the scissor lift activity.
  • Add a multiple-text field for the scissor lift activity scope.

Formatting the roles and responsibilities section

  • Add a 5-column table where users can freely add rows.
  • Use the following headers for each column: name, role, responsibilities, certified, and certification.
  • Format columns one, two, and three as text fields so that users can input the names, roles, and responsibilities.
  • Format column 4 as a selection field to provide the users with options if the employee requires a certification for the role. Each selection item can be provided with colors to make the form more appealing.
  • Format column 5 as an attachment field to allow users to upload the relevant certification.

Formatting the safe work method statement section

  • Provide an 8-column table where users can freely add rows.
  • Provide these as headers for each column: procedure, procedure description, possible hazards, likelihood, severity, risk score, control measures, and corrected procedure.
  • Format the first, second, and third columns as a text field to allow users to input the procedure, procedure description, and possible hazards, respectively.
  • Format the fourth and fifth columns as selection fields to provide the users with options for the likelihood and severity score of each identified hazard. Each selection item can be integrated with colors to make the form more professional. Selection items are 1, 2, 3, 4, and 5.
  • Format the sixth column as a formula field to automatically calculate the risk score of the hazard. The resulting value should follow this formula: Risk score = Likelihood score x Severity score
  • Format the seventh and eighth columns as text fields to allow users to input the appropriate control measure and the corrected procedures, respectively.
  • Add a multiple-text field after the table to allow users to input all the required PPE for the activity.

Formatting the signatory section

  • Provide a signature field for the person who prepares the SWMS.
  • Another signature field should be provided for the person who will approve the SWMS.

About the author

Felmar Mantalaba

Engineering Content Writer

LinkedIn

Education:

Cebu Institute of Technology - University - Mechanical Engineering with Mechatronics

Bio:

Felmar is a mechanical engineer, whose four years of experience in the mining industry inspired him to write and share stories to progress the revolution of new technologies and create smarter, smoother ways of living.

Project Details:

Safety, Health, and Environment Management System (SHEMS) Coordination

SHEMS Coordinator at Atlas Consolidated Mining, ensuring organizational compliance with ISO 14001 and ISO 45001 standards, performing risk assessments, developing policies, and conducting audits and inspections to maintain a safe and environmentally responsible workplace.

Maintenance Management and Optimization

Senior Maintenance Manager (OIC) leading equipment maintenance and operational efficiency initiatives, reducing downtime by 10%, improving Mean Time Between Failure (MTBF) and Mean Time To Repair (MTTR) for major equipment, and managing maintenance schedules, manpower, and materials, while overseeing capital project optimization.

Inspection Engineering and Equipment Reliability

Inspection Engineer responsible for technical blueprint interpretation, vendor collaboration, preventive maintenance scheduling, and data collection for vibration and temperature readings, delivering actionable recommendations and comprehensive reports to improve equipment reliability and operational performance.

End-to-End Operational Oversight in Mining Engineering

Contributed to multiple facets of operational management, including SHEMS compliance, maintenance optimization, inspections, and capital project evaluation, integrating safety, reliability, and efficiency improvements across all stages of copper production operations.

Version History:

03/09/2026 25-11-v2 Felmar
Content rewritten to current editorial and QA standards

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