SAFETY MANAGEMENT PLAN - Bunbury Fibre Exports...• Provide and maintain workplaces, plant and...

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SAFETY MANAGEMENT PLAN

Transcript of SAFETY MANAGEMENT PLAN - Bunbury Fibre Exports...• Provide and maintain workplaces, plant and...

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SAFETY MANAGEMENT PLAN

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Safety Management Plan Developed 13th April 2004 Safety Management Plan Next Review 13th April 2009

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TABLE OF CONTENTS

1. INTRODUCTION ........................................................................................................................................... 4

1.1. OBJECTIVES .............................................................................................................. 4 1.2. OBLIGATIONS ........................................................................................................... 4

2. HAZARD MANAGEMENT ........................................................................................................................... 5

2.1. REQUIREMENTS OF THE ACT .................................................................................... 5 2.2. IDENTIFYING HAZARDS ............................................................................................ 5 2.3. RISK ASSESSMENT ................................................................................................... 7 2.4. IDENTIFYING CONTROLS .......................................................................................... 8 2.5. REPORTING HAZARDS .............................................................................................. 8 2.6. JOB SAFETY ANALYSIS - JSA ................................................................................. 10 2.7. WORKPLACE HAZARD INSPECTIONS ...................................................................... 11 2.8. TOOLBOX SAFETY MEETINGS ................................................................................ 11 2.9. RESOLUTION OF SAFETY ISSUES ............................................................................ 11 2.10. EMPLOYEE INDUCTION ........................................................................................... 11 2.11. CONTRACTOR INDUCTION ...................................................................................... 13

3. INCIDENT AND ACCIDENT REPORTING .............................................................................................. 14

3.1. FIRST AID ............................................................................................................... 14 3.2. INCIDENT AND ACCIDENT REPORTING ................................................................... 14

4. EMERGENCY MANAGEMENT................................................................................................................. 15

4.1. GENERAL EMERGENCY PROCEDURE ...................................................................... 15 4.2. FIRE PROCEDURE ................................................................................................... 15 4.3. BOMB THREAT/SUSPECT PACKAGE ....................................................................... 15 4.4. MEDICAL EMERGENCY........................................................................................... 15 4.5. HAZARDOUS MATERIALS SPILL ............................................................................. 16 4.6. EVACUATION /EMERGENCY EXITS ......................................................................... 16

5. FATIGUE AND HEAT MANAGEMENT ................................................................................................... 17

5.1. FATIGUE MANAGEMENT ........................................................................................ 17 5.2. HEAT MANAGEMENT ............................................................................................. 18

6. SAFE OPERATING PROCEDURES ........................................................................................................... 19

6.1. MANUAL HANDLING .............................................................................................. 19 6.2. VEHICLES OR MOVING PLANT ............................................................................... 20 6.3. CRANE OPERATION ................................................................................................ 20 6.4. PRE-START CHECKS ............................................................................................... 21 6.5. PROTECTION IN RELATION TO HOLES AND OPENINGS ........................................... 22 6.6. WORK IN CONFINED SPACES .................................................................................. 22 6.7. FALL PREVENTION ................................................................................................. 23 6.8. PERSONAL PROTECTIVE EQUIPMENT ..................................................................... 23 6.9. HOUSEKEEPING ...................................................................................................... 25 6.10. HAZARDOUS SUBSTANCES ..................................................................................... 26 6.11. PLANT, MACHINERY AND TOOLS ........................................................................... 26 6.12. WELDING AND ALLIED PROCESSES........................................................................ 27

7. TRAINING AND COMPETENCY .............................................................................................................. 28 8. INJURY MANAGEMENT ........................................................................................................................... 29

8.1. INJURY MANAGEMENT POLICY .............................................................................. 29 8.2. INJURY MANAGEMENT SYSTEM ............................................................................. 29

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APPENDIX 1 - HAZARD REPORT FORM .................................................................................................. 31

APPENDIX 2 - JOB SAFETY ANALYSIS FORM ....................................................................................... 32

APPENDIX 3 - WORKPLACE HAZARD INSPECTION FORM ................................................................ 33

APPENDIX 4 - TOOLBOX MEETING MINUTES FORM .......................................................................... 34

APPENDIX 5 - EMPLOYEE INDUCTION FORM ...................................................................................... 35

APPENDIX 6 - CONTRACTOR INDUCTION FORM ................................................................................ 36

APPENDIX 7 - FIRST AID REGISTER ........................................................................................................ 38

APPENDIX 8 - ACCIDENT/INCIDENT REPORTING FORM ................................................................... 39

APPENDIX 9 - EQUIPMENT TRAINING FORM ....................................................................................... 41

APPENDIX 10 - TRAINING REGISTER FORM ............................................................................................ 42

APPENDIX 11 - RETURN TO WORK PROGRAM ........................................................................................ 43

APPENDIX 12 - AVOID TROUBLE WITH BEES ......................................................................................... 46

APPENDIX 13 - EPIPEN STANDARD OPERATING PROCEDURE............................................................ 49

APPENDIX 14 - ACTION PLAN FOR ANAPHYLAXIS ............................................................................... 58

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1. INTRODUCTION

1.1. Objectives

The objectives of Bunbury Fibre Exports (the company) in implementing this Safety Management Plan are to: -

• Promote and secure the safety and health of people at work • Protect people at work against hazards • To reduce, eliminate and control hazards • To assist in securing safe and hygienic work environments • To foster consultation and co-operation between employers and employees • To provide for the development of policies and the co-ordination of the laws

relating to occupational safety and health • To promote education on matters relating to occupational safety and health

1.2. Obligations

Employer Obligations

The company will so far as is practicable, provide and maintain a working environment in which employees are not exposed to hazards. This means the company will: -

• Provide and maintain workplaces, plant and systems of work that do not expose employees to hazards

• Provide information, instruction, training and supervision to enable employees to perform their work in a manner that they are not exposed to hazards

• Consult and co-operate with employees regarding occupational safety and health in the workplace

• Where it is not practicable to avoid the presence of hazards, provide employees with personal protective equipment as is practicable to protect them from hazards

• Advise the Commissioner when an employee incurs an injury that results in the death of the employee or is designated as a notifiable incident

• In relation to matters of which he has control, the principal is deemed the “Employer” of the contractor. Therefore, the contractor and sub contractors are deemed to be employees of the principal. None of this derogates from the duties of the principal to the contractor or the duties of the contractor to sub contractors

Employee Obligations

• An employee will take reasonable care to ensure his own safety and health at work and avoid adversely affecting the safety or health or any other person

• An employee must comply with instructions given by the Company for his own safety and health and for the safety and health of other persons

• An employee must use protective clothing and equipment provided by the Company

• An employee must report any hazard to the Company, where immediate rectification is not possible

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• An employee must report any injury or harm to health which he is aware that arises

in connection with his work

2. HAZARD MANAGEMENT

2.1. Requirements of the Act

The Occupational Safety and Health Act 1984 require:

“A person who, at a workplace, is an employer, the main contractor, a self employed person, a person having control of the workplace or a person having control of access to the workplace must, as far as practicable: -

• Identify each hazard to which a person at the workplace is likely to be exposed. • Assess the risk of injury or harm to a person resulting from each hazard, if any. • Consider the means by which the risk may be reduced

The company will endeavour to identify each hazard to which a person at the workplace is likely to be exposed, assess the risk of injury or harm to a person resulting from each hazard, if any and consider the means by which the risk may be reduced. Consideration will also be given to hazards that may be created by the introduction of new equipment or any changes to procedures or processes.

All hazard reports will be taken seriously by management and will be dealt with or passed to the appropriate person for prompt action. All identified hazards will be documented using the Hazard Report Form (appendix 1), with exception at the commencement of a new job where a Job Safety Analysis (appendix 2) is conducted.

2.2. Identifying Hazards The following are possible hazards that may exist in the workplace: -

2.2.1. Industrial Hazards

Physical Chemical Biological Ergonomic Miscellaneous Noise Vapour Fungi Repetition Stress Vibration Gases Bacteria Weights Shiftwork Temperature Dust Mites Posture Drugs Lighting Mist Yeasts Work Patterns Alcohol Humidity Fume Viruses Manual Handling Violence Ventilation Corrosives Enzymes Heights Distractions: Radiation Solvents Body fluids Distance Noise Pressure Animals Light Machinery Plants Visual Housekeeping Attitudes/Behaviours Fire Layout Explosion Mechanical Electrical

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Consideration should be given to the following when considering whether a hazard exists: -

• Can a person be struck by anything, such as: − Moving or flying objects − Falling materials • Can a person strike against anything, such

as: − Stationary or moving objects − Protruding objects − Sharp or jagged edges • Can a person be caught in, on, or between

anything, such as: − Pinch points − Protruding objects − Moving and/or stationary objects

• Can a person slip, trip or fall: − On the same level − To a lower level

• Can a person be injured by poor job/plant design

hazards such as: − Frequency (such as noise or repetitive

movement) − Force − Stressful posture − Lay out (such as proximity of other

equipment or activity) • Can a person come into contact with any energy

source such as: Electricity Noise Chemicals Gases Steam Compressed air Heat/cold Radiation Gravity Hydraulics • Can a person come into contact with any

hazardous materials such as: − asbestos − chemicals − solvents etc

2.2.2. Potential Office Hazards Hazards may also exist within the office environment and consideration will be given to the following when assessing potential office hazards: -

House Keeping and Safe Access What could cause a slip, trip or fall?

• Are electric cables routed out of the way where they will not be tripped over? • Are floors and floor markings in good condition? • Are wet floors signposted? • Are spills an issue? • Are there things on the floor, which could be slipped or tripped over? • Are passageways and important areas clear? • Is fire fighting equipment readily accessible? • Are access and exits clear? Storage

• Are shelves and storage racks secured? • Are shelves, bookcases and cabinets stable? • Are shelves, bookcases and cabinets top heavy? • Are items appropriately stored given their size, weight and shape? • Is their safe access to the top shelves i.e. stepladder?

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Electricity

• Is electrical equipment maintained and serviced regularly by a suitably qualified person?

• Are plugs firmly secure? • Are the cables of portable electrical equipment checked for damage prior to use? • Is there a system for dealing with faulty/damaged equipment • Are damaged cables fixed properly? • Is damaged/faulty equipment tagged and taken out of service until repaired? • Do multi-block sockets have automatic overload cut-outs? • Are cables and sockets in potentially wet areas safe? • Are cables secured out of wet areas • Are sockets protected from splashes First Aid

• Are there an appropriate number of first aiders? • Is someone nominated to be in charge of first aid facilities? • Do trained first aiders have current certificates? • Is a first aid box or cabinet provided? • Is the first aid box adequately stocked and regularly checked? • Is the first aid area clean and tidy? • Is the first aid area clearly identified? • Are washing facilities provided? • Is a first aid room provided? Other Office Considerations

• Temperature • Lighting • Noise levels • Equipment i.e. Guillotine, Shredder, Photocopier, Staplers, Others i.e. Kitchen Zip

at eye level etc • Ergonomics – work station set up, prevention of OOS (RSI)

2.3. Risk Assessment The criteria or measurement of risk can be determined by the following:

Measurement Risk Impact Low Unlikely or rare Insignificant or minor Medium Moderate likelihood Moderate damage High Likely or almost certain Moderate damage Extreme Almost Certain Major or catastrophic

When determining the consequence, the impact of the hazard if to occur must be taken into account

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2.4. Identifying Controls Identifying the control required for a risk is for the safety of all personnel and plant. A simple way of looking for an effective control of identified hazard in order of sequence follows: Control Examples Elimination Look to see if hazard can be eliminated, by way of identifying alternative

practice Substitution Choose an alternative method of work or product Engineer/Design Erect, install barriers to hazard Administration Change of work method or procedure

2.5. Reporting Hazards A Hazard Report Form is also to be used to report potential defects and hazards in the workplace.

For any defects or hazards that are identified: • The person who has identified the defect or hazard is required to fill out a Hazard

Report Form • Assess risk of defect hazard (see job safe analysis risk assessment) • Communicates hazard to any personnel exposed to potential harm • Advise a Supervisor of the hazard • Remedy defect hazard either directly or through competent personnel. • If a Supervisor is not available the employee should notify the Health and Safety

Representative for the area. • A copy of the Hazard Report Form is to be filed at the office. • The status of the hazard is to be communicated to the person who reported

defect/hazard within a reasonable time.

(Refer Appendix 1 Hazard Report Form)

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HAZARD MANAGEMENT FLOW CHART

JSA

Hazard Report

Site

Inspection

Accident/ Incident Report

Minimise Hazard

Can it be resolved by?

Admin Procedures

Can it be

engineered out?

Can it be

substituted?

Can it be

eliminated?

Eliminate

Substitute &

Training

Engineer/ Modify

& Training

Modify Process/

Procedures

Inform Staff of Controls

Monitor Controls

New

Hazard Created

Training

No

No

No

No

Yes

Yes

Yes

Yes

Yes

No

Yes

IDENTIFY THE

HAZARD

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2.6. Job Safety Analysis - JSA

A Job Safety Analysis will be conducted prior to commencement of work where a hazard is identified. Due to practicality, a Job Safety Analysis will be performed when the prioritising of hazards has taken place. Management, with employees, shall determine when a job safety analysis is to be done. For identifying the jobs, which require a JSA, the criteria for analysis followed will be: • Commencement of new job

• Severity of incident consequence

• Frequency of incident

• A new or modified system of work is introduced A Job Safety Analysis will be conducted using the following guidelines: - Technique: -

• Break job into sequence of order

• Identify potential hazards through Risk Assessment

• Identify and record control

• Approval and sign of by Plant Manager

Breaking Down the Job: -

• The order of the job to be conducted is imperative to the effectiveness of the analysis.

• The persons conducting the work must agree to the sequence of job tasks.

• The way to break job down:

� Record each step noting what task is done e.g. lift turn open close etc

� Identify the hazard with each task

� Assess the risk with each task, look at the probability and effect of the risk

� Record the control to each step

� Follow the control (Refer to Appendix 2 Job Safety Analysis Form.)

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2.7. Workplace Hazard Inspections

To assist with the monitoring of identified hazards the company will undertake regular Workplace Hazard Inspections to ensure the existing hazards continue to be controlled and new or temporary hazards are identified and managed. The Plant Manager, in consultation with employees, will conduct regular safety inspections of their areas of responsibility. The inspections will involve observation of the environment and task, clarification of the process with employees and analysis of the tasks being performed. The inspections will be carried out regularly and the results recorded on the Workplace Hazard Inspection form. (Refer Appendix 3 Workplace Hazard Inspection form)

2.8. Toolbox Safety Meetings Toolbox Safety Meetings provide structured interaction between management, employees and contractors. They allow for cooperation and consultation between management, employees and contractors. The Plant Manager will be responsible for conducting regular toolbox meetings with employees. Attendance is mandatory for all employees. The meetings will focus primarily on safety and not on other workplace issues. (Refer Appendix 4 Toolbox Safety Meeting Minutes Form)

2.9. Resolution of Safety Issues Where a safety issue arises or is identified it will be dealt with in the following manner:

• Notify management and the Plant Manager or safety officer

• Complete appropriate form

• The Plant Manager will discuss the safety issue

• A resolution will be achieved

• The resolution will be documented and staff advised of outcomes

• Apply appropriate control measures

• If the risk does not have a resolution and the risk is serious or imminent Worksafe is to be notified and a strategy developed to resolve the issue.

2.10. Employee Induction Bunbury Fibre Exports will undertake a company and a site-specific induction for all new employees. The induction will include any safety training applicable to the workplace.

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(Refer Appendix 5 Employment Induction).

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2.11. Contractor Induction The company will undertake the following prior to a contractor commencing on the work site: - • Check that the Contractor has a Safety Policy. • Check that the Contractor has an Injury Management Policy. • Check that the Contractor has appropriate insurance. • What is the Contractor’s safety/Workers Compensation record? • Obtain a safe work plan for the work to be undertaken by the contractor (you are

checking to ensure that both your employees and the contractor will be kept safe) • Ensure that all of the contractor’s personnel are taken through your induction

program. If a contractor’s employee has not been inducted they should be accompanied on site at all times.

• Regularly review the contractor’s work procedures to ensure that they meet with your company’s safety requirements.

• Ensure that all accidents/incidents are reported to a nominated company personnel • Include the contractor’s personnel in safety meetings.

Contractors and visitors to your workplace premises must agree (and provide written agreement) to and follow all safety procedures in force. The person who brings them on site is responsible to ensure they are told about workplace hazards, restricted areas and required procedures, before being allowed to commence work. (Refer Appendix 6 Contractor Induction).

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3. INCIDENT AND ACCIDENT REPORTING

3.1. First Aid

First Aid kits are provided and located in the office and workshop. All First Aid treatments are to be recorded in the First Aid Register located in the office. (Refer Appendix 7 First Aid Register) All injuries requiring more than basic first aid must be reported as detailed in Incident and Accident Reporting and Management.

3.2. Incident and Accident Reporting

In the event of an incident, accident, near miss, or dangerous occurrence, persons employed by Bunbury Fibre Exports are to report it immediately to the Plant Manager. Definitions: Incident A minor occurrence with the potential for injury Accident Injury or damage from an occurrence Near miss An occurrence that may have resulted in injury or damage Dangerous occurrence Potential for incident or accident Hazard Anything that may result in injury or harm

A report form is to be completed as soon as practicable.

(Refer Appendix 9 Incident/Accident Reporting Form).

The persons to complete the report are:

• The employee concerned • The Plant Manager • Witnesses if applicable Accidents and incidents are to be reported to management as soon as practical. Failure to report accidents and incidents may lead to disciplinary action. If the injury is of a serious nature the company may be required to notify Worksafe. Notifiable injuries are detailed in the Occupational Safety and Health Regulations 1996 Part 2 Division 1 r.2.3.

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4. EMERGENCY MANAGEMENT

4.1. General Emergency Procedure

• Raise alarm immediately; contact the Person in Charges (1. General Manager, 2. Plantation Manager, 3. Production Manager, 4. Maintenance Manager, 5. Office Manager).

• Notify those exposed to potential danger by UHF “Channel 29” or mobile telephone.

• Assist anyone in danger if safe to do so. • Move to designated “Emergency Assembly area”, on instruction from the Person

in Charge.

NOTE: Employees are to remain at the designated area until (Roll Call to be conducted) instructed otherwise by the Person in Charge.

4.2. Fire Procedure

• Raise alarm immediately; contact the Person in Charge, call FESA “000” if necessary.

• Notify those exposed to potential danger (UHF Channel 29 or mobile phone). • Assist anyone in danger if safe to do so. • Extinguish fire if safe to do so. Follow the Bunbury Fibre Exports written

“Procedure for Fire Fighting” accompanying this document. • Move to “Emergency Assembly area”, on instruction from the Person in Charge. • Remain at designated area, until instructed otherwise by the Person in Charge.

4.3. Bomb Threat/Suspect Package Threat Received • Record all details. • Notify management, Police “000” and those exposed to danger. • Evacuate to “Emergency Assembly area”. • Remain at assembly area until instructed by the Person in Charge. Bomb Found or Unidentified Package Found • Do not touch it. • Isolate the area. • Leave the area and do not re-enter or allow access. • Notify the Person in Charge and those exposed to danger. • Evacuate to designated “Emergency Assembly area”.

4.4. Medical Emergency

• Notify the Person in Charge and Ambulance “000” if necessary as soon as practicable.

• Check for danger to you. ‘DRABC” . • Proceed with first aid if you are able to do so. ‘DRABC” . • Stay with injured person/persons, unless necessary to contact help. • Provide support to first-aider or ambulance if required.

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• Do not move casualties unless in a life threatening situation.

4.5. Hazardous Materials Spill

• Notify the person in charge. • If possible, identify the extent and potential of the spill. • If Diesel, make sure cement bund is containing spill. If breached Call FESA “000”

report Hazmat spill. • If Sodium Hypochlorite, make sure run-off is directed into dam is unobstructed.

Avoid contact. Call FESA “000” report Hazmat spill.

4.6. Evacuation/Emergency Exits

Bunbury Fibre Exports recognises prior planning for emergency situations will minimise risk to life, property and environment. As such, training and rehearsals of the site evacuation shall occur on a regular basis using the procedure below.

In the event of an emergency requiring evacuation of the site, the following procedure must be followed;

• Immediately cease work upon hearing the evacuation order. • Ensure all equipment is shut down or made safe. • Walk to the “Emergency Assembly area” at the Administration Office and await

further instruction from the Person in Charge. • Do not leave the site until instructed to do so. • Emergency exit is through the main entry gate.

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5. FATIGUE AND HEAT MANAGEMENT

5.1. Fatigue Management

The company recognises that fatigue is a potential safety and health risk and understands the need to manage fatigue as part of duty of care responsibilities. Employer’s Obligations

Bunbury Fibre Exports will consider the following to reduce accidents and incidents arising from fatigue: -

• Ensure employees are informed of the risks associated with fatigue and how

to participate in controlling these risks. • Manage of working hours, shifts and rosters to avoid or minimise fatigue. • Monitor that employee’s exposure to workplace contaminants such as noise

and hazardous substances are kept within acceptable levels • Provide conditions that are conducive to sleep and a balanced diet where site

accommodation is required. • Provide transport to employees who appear to be over-fatigued • Use Risk Assessment to identify tasks whereby fatigue may cause a threat to

health and safety of employees, damage to plant or the environment • Implement control measures to eliminate risks identified • Ensure shift rosters comply with required standards

Employee’s Obligations

An employee is required to consider the following to reduce accidents and incidents arising from fatigue: -

• Ensure they obtain adequate sleep and are not fatigued before commencing

work. • Ensure that activities outside working hours do not inhibit their ability to

carry out their duties or put other employees at risk. • Advise a supervisor if they believe their work is affected by fatigue. • Advise a supervisor if they believe another person is affected by fatigue.

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5.2. Heat Management

The Company recognises that fatigue due to exposure to excessive temperature is a potential safety and health risk and understands the need to manage situations where high temperatures may cause fatigue.

Employer’s Obligations

• Ensure employees are provided with protection from the sun including head

protection and sunscreen • Ensure employees take additional breaks in periods of extreme heat • Ensure employees are taking fluids to counteract the risk of dehydration • Provide information to employees regarding the effects of heat stress

Employee’s Obligations

• Wear head protection and sunscreen to minimise the effects of exposure to the sun • Increase fluid intake to counteract the risk of dehydration • Be aware of the effects of heat stress

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6. SAFE OPERATING PROCEDURES

6.1. Manual Handling

Purpose

To eliminate or minimise the risk of injury to all employees where manual handling is required. Definition of Manual Handling

“Manual Handling” means any activity requiring force exerted by a person to lift, lower, push, pull, carry or otherwise move, hold or restrain an object. Requirements

Any employee who is required to handle heavy objects should consider the following points: -

• Ask for assistance • Lifting aids should be used if possible • There should be sufficient space for lifting to be done in the correct position and

with correct posture and body movements • There should be no obstructions when moving objects • The start and finish height of the load should be a suitable level above the floor,

that is, between mid-thigh to shoulder height, preferable at about waist height • The centre of gravity of the load is more difficult (heavier) to lift or carry if it is not

close to the body • The back should not be twisted or bent sideways • Lifting with one hand should be avoided

Where risk factors have been identified, then the provision of mechanical handling equipment may reduce the risk and should be used. Actions and movements should not cause undue discomfort or pain. Actions should be performed smoothly and with control, avoiding sudden or jerky movements. Manual handling should be performed in a balanced and comfortable posture. Extreme ranges of joint movement should be avoided, especially when this is prolonged or repetitive. The requirement for gloves or similar protective personal equipment also needs to be assessed in relation to manual handling risks. Gloves may protect against hand injuries, such as abrasions or burns, but they will affect the grip stability, dexterity and strength. The size, shape, structure and material of the load can affect the risk of injury.

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6.2. Vehicles or Moving Plant

Purpose To eliminate or minimise the risk of injury to persons or damage to property from vehicles and plant moving around the site.

Requirements • All employees of Bunbury Fibre Exports area required to observe job area speed

limits, hazard and other warning signs. • All persons travelling in vehicles on site shall be seated. No travelling on running

boards or standing in vehicles will be permitted. • Roads are to be kept clean at all times. Any spillage or other debris must be

reported to the Plant Manager to be cleared in a proper and authorised manner.

6.3. Crane Operation

Purpose To prevent any risk to persons or damage to property by material or gear being lifted, lowered or otherwise moved by a crane on the site.

Requirements Care must be taken when working in the vicinity of personnel working on the ground. Where loads are to be lifted, they are not to be swung over personnel at work. Extreme care must be taken when operating in the vicinity of overhead structures, particularly power lines. In order to prevent any person or vehicle from entering any area in or adjacent to the site where a crane is operating and there is a risk of injury to persons or damage to property the following steps are to be taken: -

• Install warning signs, flashing lights, barriers or use traffic controllers • Properly secure the load to minimise the risk of injury to persons or damage to

property occurring.

Where a person is to ride in a workbox suspended from a crane then both the rider and the driver of the crane must be given written instructions for the use of the crane in those circumstances and signed by both the rider and a competent person. All cranes, hoists or building maintenance units are to be operated in accordance with AS 2550.

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6.4. Pre-start Checks

Purpose To identify defects and hazards in all equipment and plant and to ensure the defect or hazard is addressed appropriately

Requirements A pre start check is required of any person prior too operating any piece of equipment or plant. A walk around check and function test is required. Where an employee identifies a defect or hazard, the employee is to remove the cause of defect or hazard if it is safe to do so. Steps to take for dealing with defects or hazards identified at the pre-start check: -

• Turn off the equipment or plant • Remove the source of energy if applicable • Notify those persons that may be exposed to the defect or hazard • Repair defect or hazard where this is possible if not • Immediately notifying the appropriate personnel for repair • Complete Hazard Report

Pre Start checks are required on the following equipment:

• Log Loader • Bell Logger • 84” Chipper • 48” Chipper

Individual Check sheets have been developed for the above equipment.

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6.5. Protection in Relation to Holes and Openings

Purpose To eliminate or prevent risk to persons working around holes and opening. Requirements • Any hole or opening (other than a lift, stairwell or vehicle inspection pit) with

dimensions of more than 200mm x 200mm but less than 2m x 2m or with a diameter greater than 200mm but less than 2 m in a floor or structure (other than concrete) must be covered with a material that is strong enough to prevent persons or things entering or falling through. The material must also be securely fixed to the floor.

• Where the hole as described above is in a concrete floor, if practicable, it must be covered by wire mesh (as described in the OSH Regulations 1996 3.54 (2). A material that is strong enough to prevent persons or things entering or falling through must also cover the hole. The material must also be securely fixed to the floor.

6.6. Work in Confined Spaces

Purpose To ensure employee’s safety when working in a confined space. Requirements Where an employee is required to work in a confined space that is not intended or designed primarily as a workplace and has a restricted means for entry and exit the company will where practicable: -

• Provide safe means of entry and exit • Provide instruction to persons working in the confined space in relation to

assessing the risks, establishing safe working methods and emergency procedures

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6.7. Fall Prevention

Purpose To protect employees against potential hazards where alternative measures are impracticable. Personal protective equipment is also used in addition to existing measures to further minimise hazards. Requirements

• Every effort as far as practicable must be made to minimise the opportunity of

falling. This can be achieved through the use of scaffolding, elevated work platforms, etc. The use of a fall arrest system must be considered the least preferred option.

• Only trained and competent personnel shall use fall arrest equipment.

6.8. Personal Protective Equipment

Purpose

To protect employees against potential hazards where alternative measures are impracticable. Personal protective equipment is also used in addition to existing measures to further minimise hazards. Purchasing Requirements

Purchasing of Personal Protective Equipment for Bunbury Fibre Exports employees will meet the Australian Standards and provide for the adequate protection of employees for the specific protective items purchased. Each employee shall be provided with the following Personal Protective Equipment; • Hard Hat • Safety Glasses • Safety Boots • Hearing Protection Additional protective equipment shall be provided as deemed necessary.

Training/Instruction

Bunbury Fibre Exports employees will receive the necessary training and instruction with the issuing of personal protective equipment.

Issuing/Compliance

Bunbury Fibre Exports employees will be issued with the required personal protective equipment necessary to perform their tasks safely. The issuing of personal protective equipment is a basic requirement of the employer to provide. The requirement of the employee is to wear and look after the personal protective equipment provided.

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Actions of employee's failing to comply will be referred to counselling and disciplinary procedure.

Safety Helmets

The wearing of head protection is compulsory. Personnel operating equipment with protective cabins must wear head protection when outside the cabin of the machine.

Eye Protection

Eye protection will be used when a hazard to eyesight exists, including but not limited to the following: - Use of grinders, compressed air tools (e.g. jackhammers, chipping hammers etc), welding and cutting equipment, acid or caustic solutions, riveting tools, tools for the chipping of concrete brick etc and any other operation that could cause damage to the eyes. Eye protection may take the form of safety glasses, welding or chemical goggles or face shields, depending on the particular situation.

Hearing Protection Where it is not practicable to avoid exposing an employee or contractor at a workplace to noise above the exposure standard for noise then the company will ensure that the employee or contractor is provided with personal hearing protectors. The following are indications of some situations where an employee will be exposed to noise and must use personal hearing protection: -

• Chipper buildings • Electric saws • Percussion drills • Jack-hammers • Bench saws • Grinders • Hammering in confined areas

Safety Footwear All employee’s and contractors of Bunbury Fibre Exports are required to wear steel capped approved safety footwear at all times.

Clothing All employees shall be provided with suitable clothing which must be worn whilst working at the plant Gloves

Gloves are to be worn to protect hands from rough, splintery and sharp objects.

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6.9. Housekeeping

Purpose To eliminate or reduce the risks of injury to a person due to hazards arising from debris or unhygienic workplaces. Requirements The following are to be complied with by all employees: -

• All areas are to be maintained free of dangerous projections or obstructions and be

reasonably free of fire hazards, debris and other extraneous materials. • Storing and stacking should confirm to recognised safe practices, be neat, orderly

and provide ease of access. • All work areas, elevated platforms, access ways, ladders and workshops shall be

kept tidy, orderly and in good repair. • Lunchrooms shall be kept free of extraneous materials such as used paper

containers, old newspapers or bottles. • Housekeeping is to be a daily routine and responsibility of all employees • Grease, oil or other slip-hazards materials shall not be allowed to accumulate on

workshop floors, or work areas. When spillage has taken place it must be properly cleaned up immediately.

• The presence of timber or other materials with protruding nails and protruding objects of a similar nature will not be tolerated. Nails, etc must be removed or made safe before stacking.

• Tools and other gear shall not be left in a position where they may fall to a lower level or cause obstruction to other persons.

• Food scraps and other rubbish shall be placed in the disposal receptacles provided. • Toilet and washing facilities are to be maintained in a clean, tidy and hygienic

condition.

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6.10. Hazardous Substances

Purpose To eliminate or reduce the risks to a person due to hazards arising from exposure or use of hazardous substances Requirements • Prior to the first use of any hazardous substance in the workplace the Company

must obtain a Material Safety Data Sheet (MSDS) from the supplier • The Company must consult with all employees who might be exposed to the

hazardous substance about the intention to use the substance and the safest method of use

• The MSDS must be readily available to any person who might be exposed to the hazardous substance

• The MSDS must not be altered by the Company or any employee • The container holding a hazardous substance must be labelled in accordance with

the relevant requirement • Notification must be provided to any person who might be exposed to a hazardous

substance contained in an enclosed systems such as a pipe or piping system • The labelling or colour coding of a hazardous substance must not be removed,

defaced, modified or altered • A current register is to be kept containing a listing of each hazardous substance and

the MSDS for each hazardous substance. The register must be available to each person who may be exposed

• Any person who may be exposed to a hazardous substance must be provided with personal protective clothing or equipment

• Any person who may be exposed to a hazardous substance must receive relevant and adequate training on the potential health risks and any toxic effects, control measures to minimise the risk, correct methods of use

6.11. Plant, Machinery and Tools

Purpose To eliminate or reduce the risks of injury to a person due to hazards arising from faulty plant, machinery and tools. Requirements • All plant, machinery and tools in the workplace will be regularly inspected and

maintained. • All portable power tools will be inspected and tagged by an electrician every three

months. • All electrical installations will comply with current standards and earth leakage

protection will be provided to all portable hand tools, equipment and extension cords.

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6.12. Welding and Allied Processes

Purpose

To ensure the safety of persons undertaking or in the vicinity of where welding or an allied process is being carried out.

Requirements • The means of extracting fumes generated by the welding or allied process and the

means of ventilation are as close as practicable to the point where the welding or allied process is done

• The welding or allied process is carried out in accordance with the provisions of AS 1674 applying to the type of welding or allied process

• Where electric welding is carried out, where practicable, suitable screens are to be provided to protect persons in the vicinity of the welder from harmful rays produced the process

• Where gas welding, heating, cutting or an allied process is done a flashback arrester is to be fitted on the operator’s side of each regulator connection or gas discharge of a manifold cylinder pack and to the blowpipe

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7. TRAINING AND COMPETENCY

The Company will ensure personnel in control of plant and equipment or conducting their duties are competent at the tasks required of them.

(Refer Appendix 9 Equipment Training Form)

Personnel will not be permitted to operate any industrial equipment unless they hold an accredited certificate of competency.

Training undertaken for all equipment will be recorded, on a Training Register Form.

(Refer to Appendix 10 Training Register Form).

The Training Register shall be used to identify record existing skills, competencies and any further training provided by Bunbury Fibre Exports.

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8. INJURY MANAGEMENT

8.1. Injury Management Policy

Bunbury Fibre Exports is committed to assisting injured workers to return to work as soon as medically appropriate and will adhere to the requirements of the Workers’ Compensation and Injury Management Act 1981 in the event of a work related injury or illness. Management supports the injury management process and recognises that success relies on the active participation and cooperation of the injured worker. Whenever possible, suitable duties will be arranged internally having regard for the injured worker’s medical restrictions.

Workplace Information: Employer’s Contact Person: Brett Humble Telephone: 08 9721 5963 Employer’s signature: Date: 25/08/2006

8.2. Injury Management System

Aim of the Injury Management System To ensure that Bunbury Fibre Exports is able to respond to workers’ compensation claims quickly and properly, so that injured workers can remain at work or return to work at the earliest appropriate time.

Injury Management Policy Bunbury Fibre Exports’s approach to injury management will be set out in a policy that will be available to all workers. Injury Management Steps When information that a worker has a First Medical Certificate for a work related injury is received or the worker requests Bunbury Fibre Exports will provide the worker with a workers’ compensation claim form. When a completed workers’ compensation claim form and the First Medical Certificate is received from the injured worker, Bunbury Fibre Exports will send the documents to the insurer within three working days in accordance with the Workers’ Compensation and Injury Management Act 1981 (the Act).

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Bunbury Fibre Exports will discuss the workers’ compensation claim with the insurer, to clarify any issues or concerns or request up-to-date information on Bunbury Fibre Exports’s responsibilities in relation to the claim. Bunbury Fibre Exports will maintain close contact with the injured worker to check on progress and make arrangements for the worker to remain at work or return to work as soon as medically appropriate.

If it is required, a return to work program will be established in consultation with the injured worker and in accordance with the Act. (Refer Appendix 11 Return to Work Program)

Worker Participation For a workers’ compensation claim to be processed, an injured worker should give Bunbury Fibre Exports a completed claim form and all medical certificates from the treating medical practitioner.

Injured workers should maintain close contact with Bunbury Fibre Exports to provide information on their progress and participate in return to work activities in accordance with the Code. Any issues associated with a claim should be referred to Bunbury Fibre Exports, who will endeavour to resolve these issues or, where necessary, refer them to the approved insurer. Day-to-Day Management The person who has day-to-day responsibility for injury management is:

Name: Brett Humble

Contact details: (08) 9721 5963

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Appendix 1 - HAZARD REPORT FORM

HAZARD IDENTIFICATION

Date: Description of Defect/Hazard:

Reported By:

Reported To:

Work Location:

Equipment No: ASSESSMENT OF HAZARD

Risk Likelihood Impact Priority

Low

Rare Insignificant Low Risk (routine procedures)

Medium Unlikely Minor Moderate Risk (Assign actions)

High Likely Moderate High Risk (Snr Mgt Attn)

Extreme Almost certain Major Extreme Risk(immediate)

CONTROLS

Immediate/Short Term: By Whom: When:

Long Term: By Whom: When:

What has been done:

Future actions:

_______________________________________ _____/_____/________ Name of person completing report Date _______________________________________ _____/_____/________ Supervisor Date

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Appendix 2 - JOB SAFETY ANALYSIS FORM

Date: Area:

JSA New/JSA Review Type of JSA: Position/Process/Machinery

JSA Team Leader: Position:

JSA Team Members Positions:

Job Steps

Job Task Existing/ Potential/ Temporary Hazard

Control Options/Safe Operating Procedure

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Appendix 3 - WORKPLACE HAZARD INSPECTION FORM

Date: Area: New

Inspection tick applicable

Inspectors Names: Follow-up Inspection

tick applicable

Hazard Action Addressed

By Who Signature Date

Resolved

_______________________________ ___/___/_____ Supervisor Date

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Appendix 4 - TOOLBOX MEETING MINUTES FORM

TOOLBOX MEETING MINUTES DATE SITE: START: FINISH: ATTENDEES: DISCUSSION: ACTION:

_______________________________ _____/_____/________ Supervisor Signature Date

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Appendix 5 - EMPLOYEE INDUCTION FORM

Employee Name: Phone: _ Employee Address: ________ Date Commenced: Position: __________________________ ITEM NO

ITEM CHECK LIST INDUCTOR INITIAL

EMPLOYEE INITIAL

1 Reporting structure 2 All sign on paper work complete 3 Company policies and procedures 4 Time Sheets/Time Clock 5 Workplace layout and amenities 6 Expectations regarding appearance, conduct and attendance 7 Personnel functions and relationships (names & contact no’s) 8 Start/Finish times 9 Job procedures/Safe work procedures 10 General occupational safety and health (employee and

employer responsibilities)

11 Personal Protection Equipment/Safety Gear 12 General Housekeeping (Walkways, Spills, Rubbish etc) 13 Expected Behaviors (No Skylarking, fighting, alcohol, drugs

etc)

14 Smoking in designated areas 15 Company Safety and Management Plan (copy provided) 16 Machinery Guards (only to be removed by Maintenance) 17 Machinery Safety (training on safe use provided, danger tag

out procedures etc)

18 Discuss Correct Lifting Procedure 19 Lifting Equipment/Location and Usage (training provided) 20 Hazards Reporting System (location and use of forms) 21 Safety Reports (how to raise issues) 22 First Aid Facilities and Procedures (shown location & forms)

23 Incident Reporting procedure (location & use of forms) 24 Serious Injuries 25 Emergency Procedures

I acknowledge that I have been advised on all of the above items and understand the points discussed and demonstrated. I have also been issued with, and instructed in the correct usage of all personal protection equipment, I accept that compliance to safe working procedures is a condition of my continued employment and a requirement under the Occupational Safety and Health Act 1984.

Signed Employee: Date:

Signed Inductor: Date:

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Appendix 6 - CONTRACTOR INDUCTION FORM

Contractor Company: ________________________________________________________ Contractor Name: ___________________________________________________________ Contract Period:________________________ � Briefing from the contractor on the work to be undertaken (please record on the

back) � Safety issues to advise the Contractors Employees ___________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________ � Introduction � Key Bunbury Fibre Exports Contact Person- location and contact number � Fire Exits � Fire Alarm/extinguisher locations � Evacuation meeting point � First Aid Kits � Accident reporting and forms � Hazards reporting – copy of workplace hazards to be provided to contractor

� Review of Procedures and Expectations � Procedures for protection of employees and visitors � Notification of contractor introduced hazards to Bunbury Fibre Exports � Notification of accidents/incidents to Bunbury Fibre Exports � ‘Off Limit’ areas __________________________________________________________ � Permits for work to be undertaken � First Aid providers � Review of the workplace Hazards � Operating hazards � New contractor work hazards I ………………………………………. (Name of contractor), have been provided with the information above and understand the expectations that Bunbury Fibre Exports have outlined. I agree to undertake the work in accordance with the Health and Safety Plan and understand that the Bunbury Fibre Exports can stop work at any time due to safety concerns. I am aware that if I have any questions or would like further information I can ask a Supervisor of Bunbury Fibre Exports at any time. …………………………………….. ……………………. Signed (Contractor) Dated …………………………………….. …………………….

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Signed (Inducted By) Dated

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Appendix 7 - FIRST AID REGISTER

FIRST AID REGISTER

DATE

TIME

NAME OF INJURED PERSON

SECTION OR

DEPT

OCCUPATION

TYPE OF INJURY

TREATMENT GIVEN

FIRST AIDER

INITIAL

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Appendix 8 - ACCIDENT/INCIDENT REPORTING FORM

Name of Person involved: Employee/Contractor/Visitor Name of Witness: Telephone No: Date of Inc/Acc: ___/___/___ Time of Inc/Acc: Location of Inc/Acc: Machinery/Plant involved: Type of Injury: Injured Part of Body: Machinery/Plant involved: Description of Incident/Accident: Was First Aid Given? Yes/No By Whom? Was further medical treatment sought Yes/No Where?

Was this a lost time incident: Yes/No Name of GP: Telephone No: Suggestions for prevention of this incident occurring again:

_______________________________________ _____/_____/________ Name of person completing report Date _______________________________________ _____/_____/________

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Supervisor Date

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Appendix 9 - EQUIPMENT TRAINING FORM

Employee Name: _Machine/Plant _____________

This four step-training program is designed to ensure employees are able to operate the equipment or machine competently and safely. Before moving onto the next stage, both the employee and the trainer must be satisfied that competency has been achieved in the current stage. Under no circumstances is the employee to operate this equipment without supervision until authorised by a supervisor. Stage 1 The employee has read and understood any safety and operating instructions relating to this machine. Trainee Operator Date Stage 2 The employee has spent a period of ______ hours observing/assisting a skilled operator on this machine. Trainee Operator ______ Date Skilled Operator ______ Date

Stage 3 The employee has operated this machine for _____ hours while being closely observed and instructed by a skilled operator.

Trainee Operator Date Skilled Operator Date Stage 4 The employee is satisfied that he/she understands all the operating and safety requirements of this machine, and is competent to operate it without close supervision. Trainee Operator Date Skilled Operator Date I am satisfied that__________________________________ understands the operating and safety requirements of this equipment or machine and is competent to operate the machine without further training or close supervision. He/She is now an authorised operator. Skilled Operator/Trainer Date

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Appendix 10 - TRAINING REGISTER FORM EMPLOYEE NAME: ________________________________ EMPLOYEE JOB TITLE : ______________________________ DATE: ___/___/___

Task Name And Detail Qualification Required Competency Detail Assessment Approved

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Appendix 11 - RETURN TO WORK PROGRAM Worker Details Worker Name: Claim No: Telephone (home): Telephone (work): Email: Position Title: Section:

Employer Details Employer/Business Name: Supervisor: Telephone: Email: Person co-ordinating return to work program: Telephone: Email:

Insurer Details Name of Insurer: Contact person: . Telephone: . Email:

Medical Details Name of Treating Medical Practitioner: Address: . . Telephone: . Email: Facsimile:

Work Restrictions on the Current Medical Certificate (if any):

………………………………………………………………………………………………………

………………………………………………………………………………………………………

………………………………………………………………………………………………………

Date of Review by Treating Medical Practitioner: ______/______/______

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Program Details Return to Work Goal

[ ] Same Employer/Same Job [ ] New Employer/New Job

[ ] Same Employer/Modified Job [ ] Other vocational rehabilitation options

[ ] Same Employer/New Job

Start Date: ______/______/______ Review Date: ______/______/______

Week Date Hrs of work Duties Restrictions

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RETURN TO WORK PROGRAM continued …/2

Actions to be Completed to Enable the Injured Worker to Return to Work

Action Person Responsible

Completion/

Review Date

Vocational Rehabilitation Details Note: these details are only included if the worker, the employer and the treating medical practitioner have agreed to a referral to an approved vocational rehabilitation provider. Name of Approved Vocational Rehabilitation Provider:

Telephone: Email:

Date of Referral: ______/______/______

AGREEMENT BY PARTIES AT THE WORKPLACE:

I agree to the terms of this return to work program.

WORKER’S SIGNATURE:

Date: ______/______/______

EMPLOYER’S SIGNATURE:

Name of person signing on behalf of employer:

Position:

Date: ______/______/______

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Appendix 12 - AVOID TROUBLE WITH BEES Avoid trouble with bees (By Bill Trend, Senior Apiculturist, South Perth) Bees are becoming more of a problem because of the extension of residential areas into native bushland and the increase in the number of swimming pools, which attract bees, particularly in hot weather.

While bees may cause some inconvenience, insecticides have destroyed many natural pollinating insects, and some garden plants therefore depend on bees for pollination and reproduction. This Gardennote explains how to avoid trouble with bees

Bee stings

Bees sting to protect themselves or their hive. Any interference with a hive or swarm of bees will cause the guard bees to attack unless they are quietened with smoke. Petroleum products such as kerosene or petrol and garden sprays, paint thinners and hair lacquer irritate bees and may excite them to sting. Bees sting for other reasons, too. If a bee is trodden on or trapped in a person’s hair, it will sting to protect itself. Bees, like dogs and horses, can sense fear, so if you are afraid of bees, the chances of being stung are greater.

If you are bothered by bees, avoid swatting them. Walk quietly away into the wind with your head bowed and your face covered with your hands

Removing a bee sting

The bee’s sting consists of two barbed, harpoon-like shafts attached to a poison sac. When the bee stings, small muscles work the barbs inwards alternately with one barb holding as the other penetrates more deeply. Poison from the sac is pumped down the centre of the sting, causing pain.

To prevent the poison entering your skin, remove the sting as soon as possible. The best way is to press down hard with a fingernail on the skin, and scrape the sting out. If the fingernail is not pressed hard enough the sting will not be removed in one action.

Do not grasp the sting to pull it out as this squeezes more poison out of the sac as it is pulled. As the sting is barbed, some of the barb may not be removed but this will not cause irritation or pain.

The affected area should be washed with cool water to remove any poison that may be on the skin and to soothe the pain. Such remedies as applying a blue bag have little, if any, effect. Washing the poison from the skin will also stop other bees from being attracted by the scent, which excites them into stinging the same area

Reactions to bee stings

Bee stings are very painful and are often followed by local swelling and then itching as the swelling subsides. The swelling varies from a small reaction similar to an ant or mosquito bite to a swollen area which turns red and itches for three or four days. With a normal reaction, the whole

Figure 1: Bees sting to protect themselves or their hive.

Figure 2: A bee sting consists of two barbed harpoon like shafts attached to a poison sac.

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leg or arm may swell after being stung but this is never dangerous. Repeated stinging will gradually build up an immunity, with each sting causing less swelling. Beekeepers, who are often stung more than 100 times each day, usually react until they become immune, which may take from 3 to 12 months, depending on the number of stings.

Allergic reactions

A true allergic reaction will develop within minutes after a sting, with blotches appearing all over the body. The eyes and nose may water and the scalp, palms of the hands, soles of the feet and crotch may itch. The lips and the tissue surrounding the eyes may swell and, as the blotches become more apparent, large areas of the body may become red and raised.

A person usually recovers from such a reaction in several hours but if breathing is affected, medical help should be sought. A person with an allergic reaction who is stung again may develop a more serious reaction. Their blood pressure may drop drastically, causing unconsciousness, and the throat passages may swell, making breathing difficult. In this case, medical attention should be sought immediately.

A person with an allergy to bee stings should be prepared with an insect sting kit as recommended by a family doctor. The kit may contain anti-histamine tablets, adrenalin, a syringe and an iso-preneline spray inhaler.

Fortunately, allergic reactions to bee stings are rare, with only about one person in 10,000 affected.

Prevention of stings

Water

Bees are attracted by moisture, particularly in hot weather, as they need water to cool the hive and maintain humidity. This increases the chance of being stung near leaking taps, swimming pools, or after a lawn has been watered.

Many people are stung on bare feet while moving lawn sprinklers, so wear suitable footwear or water the lawn late in the day so that it will be dry by morning.

Leaking taps should be repaired and bird baths should not be near pathways, play areas or work areas. Fish ponds should be covered with shadecloth or fibreglass flywire.

Swimming pools should also be covered and if bees are found floating in the pool they should be removed before people use the pool. A filter system using saline chlorinators makes the water salty and less attractive to bees.

Fruit and sugars

Sugar will attract bees when flowers are scarce. Any soft drink bottles with a little sweet liquid remaining should be put into a rubbish bin with a close fitting lid.

Damaged fruit should be removed from the tree as the juice may attract bees, although bees themselves cannot damage the skin of sound fruit.

Flowering plants

Some plants attract bees because they have a strong scent or because they produce large quantities of nectar. These species should not be planted near walkways and play areas. A nursery can recommend alternatives.

Some plants such as the umbrella tree Schefflera actinophylla, when flowering, cause bees to fall to the ground dazed, where they will sting people walking barefoot in the area. The problem can be overcome by cutting the flowers or using a temporary fence to fence off the area while bees are present.

Backyard beekeepers

Two hives is a reasonable number to keep in a backyard in the metropolitan area without worrying neighbours. The hives should be placed in a suitable area, preferably where the bees will fly high and not be a nuisance, and a suitable water supply should be provided. However, bees from wild hives in the area may still drink from neighbouring properties where water is available.

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If a neighbour’s bees are causing concern, the problem should be discussed with the beekeeper or referred to the local council. If the problem persists, officers of the Department of Agriculture are available for advice. The Department does not control where bees may be kept.

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Appendix 13 - EPIPEN STANDARD OPERATING PROCEDURE

Standard Operating Procedure

How and When to use an EpiPen® (ARM 150.12)

Authorisation: Managing Director/Horticulturalist Page:

Version: 1 Date: September 2007

Purpose: To outline to Managers and Supervisory personnel when and how to use an Epipen® (autoinjector adrenaline device) in case of an employees severe allergic reaction -Anaphylaxis (eg bee sting, wasp sting).

Authorities and Responsibilities:

Cautions: EpiPen® is only for the immediate EMERGENCY TREATMENT of a SEVERE ALLERGIC REACTION – ANAPHYLAXIS. Where physically possible the person suffering from the allergic reaction should administer the EpiPen® to themselve s.

General Equipment Required : EpiPen® -TO BE STORED IN FIRST AID KIT WHEN BEE HIVES are on site. At all other times the EpiPen® will be stored in the site office.

Storage Requirements : EpiPen® should be kept in a cool dry place away from direct sunlight, but not refrigerated. Store at 25°C. Keep EpiPen® in its pr otective carry tube until it needs to be used and handle with care so as not to accidentally activate it or make it “fire”.

Background Information In people who suffer from allergies, their immune system reacts to substances in the environment that do not bother most people. The substances are known as allergens.

It should be noted that people can get a worse reaction each subsequent time they are stung, so someone that advises you that they only get mild swelling may have only been stung once or twice and the third or forth sting

may give them a serious reaction.

Anaphylaxis is the most severe form of allergic reaction and is potentially life-threatening. It is sometimes called ‘allergic shock’ and occurs after exposure to an allergen (such as food, pollens, insect sting, medicine) to which the person is already extremely sensitive. Anaphylaxis affects the entire body.

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What causes Anaphylaxis? Common triggers of anaphylaxis include:

Food

Milk, eggs, peanuts, tree nuts, sesame, fish, crustaceans and soy are the most common food triggers, which cause 90% of allergic reactions, however, any food can trigger anaphylaxis. It is important to understand that even trace amounts of food can cause a life-threatening reaction. Some extremely sensitive individuals can react to even the smell of a food (e.g. fish)

Insect Venom

Bee, wasp and jumper ant stings are the most common causes of anaphylaxis to insect stings. Ticks and fire ants also cause anaphylaxis in susceptible individuals.

Medication

Medications, both over the counter and prescribed, can cause life threatening allergic reactions. Individuals can also have anaphylactic reactions to herbal or ‘alternative’ medicines.

Other

Other triggers such as latex or exercise induced anaphylaxis are less common and occasionally the trigger cannot be identified despite extensive investigation.

Signs and Symptoms The signs and symptoms of anaphylaxis may occur almost immediately after exposure or within the first 20 minutes after exposure. Rapid onset and development of potentially life threatening symptoms are characteristic markers of anaphylaxis.

Allergic symptoms may initially appear mild or moderate but can progress rapidly. The most dangerous allergic reactions involve the respiratory system (breathing) and/or cardiovascular system (heart and blood pressure).

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EpiPen® Information Do not use the Epipen® if the contents are cloudy, are coloured, contain sediment or the “viewing window: shows Red (when “viewing window shows Red the EpiPen has been “fired” and cannot be used again).

The EpiPen® should be checked at regular intervals (3 monthly and weekly during periods when bee hives are on the property) and replaced if expired or faulty.

EpiPen® is only for immediate emergency treatment of a severe allergic reaction.

Further treatment is usually needed. Ring 000 and do not leave the person alone. Only use the EpiPen® if you cannot get medical assistance prior to onset of severe symptoms (eg: breathing difficulties).

Expired EpiPens® are not as effective. However, an expired EpiPen® should be used in preference to not using an EpiPen® at all.

Do not use EpiPen® to treat any other medical conditions unless a doctor tells you to. Do not use EpiPen® on a child who weighs less than 30kg unless a doctor tells you to. Do no inject into hands, feet, ears, nose, buttocks, genital area or blood vessels.

EpiPen® can be given through light clothing if it is too difficult to remove.

Information for First Aiders or Employees that need to administer the EpiPen®. Legally if you need to administer the EpiPen® your action comes under the “Good

Samaritans Act” and if you administer the EpiPen® in good faith, and are not under the influence of drugs or alcohol and are not intentionally impersonating a doctor, nurse or

officer of the police force then you cannot be sued or held accountable.

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Using the EpiPen Autoinjector device (adrenaline, epinephrine) to treat severe allergies -a pictorial guide

Adrenaline (epinephrine) is a natural hormone released in response to stress. It is a natural "antidote" to the chemicals released during severe allergic reactions triggered by drug

allergy, food allergy or insect allergy. It is destroyed by enzymes in the stomach, and so needs to be injected. When injected, it rapidly reverses the effects of a severe allergic reaction by

reducing throat swelling, opening the airways, and maintaining blood pressure.

Use of adrenaline for treating anaphylaxis is First Aid.

IMPORTANT The information provided is of a general nature and should not be used as a substitute for professional advice. If you think you may suffer from an allergic or other disease that

requires attention, you should discuss it with your family doctor.

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EpiPen – How to Use it!

Remove the device from the plastic protective container.

Remove the grey cap from the fatter end of the device.

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NB: This "arms the unit" ready for use

Hold the EpiPen in your fist with clenched fingers wrapped around it

(NB: there is nothing to "push" at the white end)

Press the black tip gently against the skin of the mid thigh, then start to push harder until a loud "click" is heard. This means that the device has been activated.

Hold in place for 10-15 seconds (count "1 elephant, 2 elephants, 10 elephants etc") while the adrenaline is injected under pressure.

NB: The EpiPen "pop" is often quite loud.

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EpiPen – How to Use it!

Remove the pen from the thigh; be careful with the needle that will now be projecting from the EpiPen when you dispose of the device.

Massage in the adrenalin. There may be some slight bleeding at the injection site.

Apply firm pressure with a cloth, tissue, clean handkerchief or bandage.

Record the time that the EpiPen was given. Call for help – Ambulance 000

Retain used EpiPen® in case medical professionals require it (handle with care as the needle is exposed) or dispose of in a safe manner (sharps disposal unit)

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EpiPen Mistakes-what not to do!

Carrying and knowing how to use injectable adrenaline (epinephrine) correctly is an essential component of treating serious allergic reactions (anaphylaxis). This is

a pictorial guide to common mistakes and how to avoid them.

Here are 3 common mistakes that should not be made.

MISTAKE NUMBER 1

The black tip contains the needle and needs to be placed against the mid-thigh.

Holding the wrong end and injecting the thumb (blue line) is painful and not very effective ...

MISTAKE NUMBER 2

Unless the grey cap is removed (blue line), the EpiPen will NOT work, no matter how hard you push

...

MISTAKE NUMBER 3

This photograph is more subtle. The patient is pressing the white end very hard (blue line), assuming there is a "button" at the white end. There is not! Unless pressure is exerted at the black end, the EpiPen will not work. By all means rest the thumb on the white end, but you must exert pressure on the black tip into the thigh as well.

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Appendix 14 - ACTION PLAN FOR ANAPHYLAXIS

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