Person conducting a business or undertaking (PCBU):

[PCBU name, contact details]

Principal contractor (PC):

[Name, contact details]

Work manager:

[Name, contact details]

Date SWMS provided to PC:

[Date]

Work activity:

Confined Space Entry

Workplace location:

[Location]

High risk construction work:

Confined space entry involving potential exposure to hazardous substances, restricted entry/exit, and low oxygen levels.

Person responsible for ensuring compliance with SWMS:

[Name, contact details]

Date SWMS received: