Important: This SWMS template is provided as a starting point only. It must be reviewed and customised to reflect the specific conditions, hazards, and controls for your workplace and task. The PCBU remains responsible for ensuring the SWMS is suitable for the specific work. This template does not constitute legal advice. Refer to your state or territory WHS regulator for compliance requirements.
Plumbing & Gas

Backflow Prevention Device Testing — Safe Work Method Statement

Safe Work Method Statement for field testing, maintenance and repair of testable backflow prevention devices such as RPZ valves and double check valves on water services, fire services and irrigation systems.

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Testing a backflow prevention device is usually not high risk construction work, so a SWMS is not legally required for most tests. Many facility managers and principal contractors still ask for one, and the job carries hazards worth planning for, especially when devices are in pits, plant rooms or on fire services. If the device is in a pit that meets the definition of a confined space, or you have to work in a road, the work needs extra controls and may become HRCW.

Testable devices such as reduced pressure zone (RPZ) valves, double check valves and testable vacuum breakers must be tested when installed and then at least annually, or more often if the water authority requires. Testing must be done by a licensed plumber who holds the backflow prevention accreditation or endorsement required in your state or territory, using a test kit that is in calibration. Results are usually lodged with the water authority or local council. AS/NZS 3500.1 sets the requirements for backflow protection on water services.

The hazards are specific. Many devices sit in in-ground pits with heavy lids, standing water and sometimes poor air. Shutting down a fire service backflow device can leave a building without sprinkler or hydrant protection, so impairment must be arranged with the building owner and the fire protection contractor. RPZ relief valves can discharge suddenly, and the water from the downstream side of a device on a high-hazard service (chemical dosing, medical, industrial process) may be contaminated. Test fittings carry mains pressure and can blow off.

Your SWMS must cover access to the device, isolation and notice to building users, fire service impairment where relevant, the test sequence, handling of contaminated water, and return to service.

Customise this template with the site address, device type, size and location, the hazard rating of the connection, whether it serves a fire service, the impairment arrangements, the test kit and calibration date, and the tester's licence and accreditation numbers.

Personal Protective Equipment

Safety glassesNitrile gloves (high-hazard services)Steel-capped safety boots or gumbootsKnee pads (pit work)High-visibility vest (car parks and roads)

Risk Assessment

1.Pre-test notification and site access

Hazard / RiskInitial RiskControl MeasuresResidual RiskResponsibility
Building left without fire protection when a fire service device is isolatedHighFor fire service devices, arrange the impairment with the building owner or manager and the fire protection contractor before the test. Notify the alarm monitoring provider as required, minimise the isolation time, and do not leave site until the service is restored and confirmed.LowLicensed Plumber / Building Manager
Water shut-off affecting occupants or critical processesModerateGive the building manager notice of the shutdown time and duration. Check for processes that cannot lose water (medical, cooling towers, boilers) and agree how they will be managed.LowLicensed Plumber

2.Accessing devices in pits, plant rooms and enclosures

Hazard / RiskInitial RiskControl MeasuresResidual RiskResponsibility
Manual handling injury lifting pit lids or working bent over in pitsModerateUse a lid lifter for heavy lids. Kneel on a knee pad rather than bending for long periods. Do not reach into a pit to work at full stretch; use extension test hoses.LowLicensed Plumber
Poor air or water in deep pitsHighWork from the surface where the device can be reached. Do not enter a pit that is deep, enclosed or poorly ventilated without assessing it as a possible confined space; if it is one, entry needs a permit and a separate SWMS. Pump out standing water before work.LowLicensed Plumber
Falls into open pits or struck by vehicles in car parksModerateBarricade open pits and park the vehicle to shield the work area. Use cones and a sign in car parks and wear high-visibility clothing.LowLicensed Plumber

3.Field testing the device

Hazard / RiskInitial RiskControl MeasuresResidual RiskResponsibility
Test fittings or hoses blowing off under mains pressureModerateCheck test kit hoses and fittings before connecting. Open test cocks slowly with the hose connected and pointed away from the face. Wear safety glasses.LowLicensed Plumber
Contact with contaminated water from high-hazard servicesModerateIdentify the hazard on the downstream side before testing. Wear nitrile gloves and glasses. Direct relief valve discharge and test water to a drain, not onto people, electrical equipment or garden beds treated as potable.LowLicensed Plumber
Inaccurate results due to uncalibrated test kitModerateUse a test kit within its calibration period and carry the certificate. Follow the test procedure for the device type in order and record each reading.LowLicensed Plumber

4.Repair or replacement of failed components

Hazard / RiskInitial RiskControl MeasuresResidual RiskResponsibility
Hand injury from springs and covers under tensionModerateFully isolate and depressurise the device before removing covers. Use the manufacturer's tools for spring-loaded check covers and follow the service manual.LowLicensed Plumber
Device returned to service without protectionHighRetest any device after repair. Do not bypass a failed device to restore water; tag it and notify the owner and water authority as required.LowLicensed Plumber

5.Return to service and reporting

Hazard / RiskInitial RiskControl MeasuresResidual RiskResponsibility
Water hammer or pressure surge when restoring supplyModerateOpen isolation valves slowly, downstream first then upstream as the procedure requires, and bleed air from the service.LowLicensed Plumber
Fire service left isolated after testingHighConfirm all fire service valves are open and locked or strapped in the open position. Tell the building manager and monitoring provider the service is restored, and record this on the test report.LowLicensed Plumber
Test not lodged, leaving the owner non-compliantLowFill in the test report and tag the device with the test date and result. Lodge the result with the water authority or council as required in your area.LowLicensed Plumber

Relevant Codes of Practice

Worker Acknowledgement

By signing below, I confirm that I have read, understood and agree to comply with this Safe Work Method Statement.

Name: ___________________Date: ___________________
Signature: ___________________________
Name: ___________________Date: ___________________
Signature: ___________________________
Name: ___________________Date: ___________________
Signature: ___________________________
Name: ___________________Date: ___________________
Signature: ___________________________
Name: ___________________Date: ___________________
Signature: ___________________________
Name: ___________________Date: ___________________
Signature: ___________________________
Name: ___________________Date: ___________________
Signature: ___________________________
Name: ___________________Date: ___________________
Signature: ___________________________

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