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:

Maintenance of Electrical Equipment

Workplace location:

[Location]

High risk construction work:

Electrical maintenance involving potential exposure to live electrical circuits, faulty wiring, and inadequate grounding.

Person responsible for ensuring compliance with SWMS:

[Name, contact details]

Date SWMS received: