RESIDENTIAL CONSTRUCTION

making a difference

HOUSING INDUSTRYSITE SAFETY PACK

JANUARY 2009

Disclaimer

The authors of the Housing Industry Site Safety Pack (the Site Safety Pack) expressly disclaim any and all liability and responsibility to any person in respect of anything, or the consequence of anything, done or omitted by any person in reliance, whether wholly or partially, upon the whole or any part of this document.

Duty of Care

As a contractor you have a duty of care to review work areas and activities to ensure your safety and that of others.

The Site Safety Pack is not intended to be a substitute for specific legal advice, but to provide guidance to enable you to manage your occupational health and safety (OHS) in a systematic manner.

You may need to develop additional information, taking into account the circumstances specific to site conditions, trade interface, client requirements and individual company policies and procedures.

All OHS documents should be regularly reviewed and updated to reflect changes to legislation, codes of practice, Australian Standards and organisational policies and procedures.

Acknowledgement

The Site Safety Pack has been developed by the following residential construction industry partners:

• Housing Industry Association (HIA)

• Housing Industry Consultative Committee (HICC) representatives:

º ATF Hire Group

º Australand

º Clarendon Residential Group

º Masterton Homes

º Mirvac Homes

• Master Builders Association (MBA)

• WorkCover NSW.

1

INTRODUCTION

We have developed the Site Safety Pack to assist small businesses (0-10 employees) working in the residential

construction sector.

The Site Safety Pack provides a framework for you to meet your main OHS legal responsibilities. By following this

guidance you will be better placed to ensure a safe construction site.

Authorities, clients and principal contractors may require evidence of your OHS system. If you use the Site Safety

Pack as directed, you will be able to produce the necessary documents.

HOW TO USE THE SITE SAFETY PACK

1. Read and sign:

• OHS FORM 01: ORGANISATION DETAIL

• OHS FORM 02: ROLES AND RESPONSIBILITIES

• OHS FORM 03: OCCUPATIONAL HEALTH AND SAFETY POLICY

2. Read through the OHS procedures and guidelines.

3. Ensure that your business follows and adopts these recommended procedures and guidelines.

4. Ensure that your employees are aware of their responsibilities.

5. Print out and complete the relevant OHS FORMS or write N/A where OHS Forms are not relevant.

6. Make two (2) copies of the completed Site Safety Pack and put into a file/binder and:

• Give 1st one to the principal contractor for their review.

Note: Once they are satisfied with it, you will be listed as a pre-qualified contractor.

7. Keep the 2nd Site Safety Pack with you when you go to site each day.

8. Update the information in the OHS Forms if anything changes. ie SWMS, registers etc.

9. Store a copy of the Site Safety Pack for each builder you do work for.

10. Create a new Site Safety Pack for each builder you do work for.

CONTENTS PAGE/OHS FORM

INTRODUCTION 1

How to use the Site Safety Pack 1

OHS Form 01: Organisation details 3

OHS Form 02: Roles and responsibilities 4

OHS Form 03: Occupational Health & Safety policy 5

Consultation and communication 6

Risk management 7

Safe work method statement – hazard identification, risk assessment and control 9

Training 9

Plant and equipment 10

Electrical 10

Hazardous substances 10

Hazard reporting 11

Injury and incident investigation 11

OHS Form 04: Site-specific risk assessment 12

OHS Form 05: Safe work method statement 14

OHS Form 06: Record of tool box talk 24

OHS Form 07: Employee training register 25

OHS Form 08: Plant and equipment register 26

OHS Form 09: Electrical equipment register 27

OHS Form 10: Hazardous substance register and risk assessment 28

OHS Form 11: Incident and injury report 29

3

OHS FORM 01: ORGANISATION DETAILSBusiness or trading name

ACN/ABN Number of employees

Scope of works

Insurances (Attach copies of

certificates of currency)

Company Policy Number Limit per claim

Limit year Expiry date

Workers compensation

Public liability

Professional indemnity

Sickness and accident

Contract licence number

Name of director or manager

Business address

Telephone Mobile

Facsimile Email

Person responsible for managing OHS on site

Contact details

We do/do not intend to subcontract all or part of the works.

If engaged, the sub-subcontractors intended to be used on this site are:

Business Contact details

We shall ensure that the above subcontractors provide an SWMS for their specialised work, and shall review and amend the SWMS as appropriate.

Signed (director or manager)

Date

*Insert Company Logo

4

OHS FORM 02: ROLES AND RESPONSIBILITIES

The owner/director/manager (delete as appropriate), , has overall

responsibility for the safe conduct of all work activities carried out on behalf of the business.

The roles and responsibilities of employees are listed below.

OWNER/DIRECTOR/MANAGER’S RESPONSIBILITIES

The owner/director/manager is responsible for OHS on the project. Duties include:

• implementing the OHS procedures

• observing all legal OHS requirements

• ensuring that all works are conducted in a manner without risk to employees’ OHS

• planning to do all work safely

• participating in the planning and design stages of trade activities

• identifying OHS training required for an activity

• ensuring workers undertake identified OHS training

• communicating and consulting with employees

• investigating hazard reports and ensuring that corrective actions are undertaken

• assisting in rehabilitation and return to work initiatives.

Signed by: Date:

SUPERVISOR OR LEADING HAND

The supervisor or leading hand is responsible for operational safety on the project. Duties include:

• making decisions about OHS that may effect work activities and/or others

• ensuring legal OHS requirements are met in the workplace

• actioning safety reports and carrying out workplace inspections

• facilitating the preparation of SWMS (including those for trades)

• ensuring safe work practices at all times

• conducting project inductions, toolbox talks and daily team briefings

• participating in accident or incident investigations

• leading by example and promoting OHS at every opportunity

• supervising and ensuring compliance with safe work procedures.

Signed by: Date:

EMPLOYEES

Every individual employee is responsible for:

• conducting their allocated tasks in a safe manner and in accordance with their training and experience

• giving due consideration to the safety of all others

• co-operating in matters of OHS

• leaving their work site in a safe condition

• complying with the SWMS and is encouraged to participate in the development of all SWMS

• complying with the site safety rules (including those set down by the principal contractor) in the site induction.

5

OHS FORM 03: OCCUPATIONAL HEALTH AND SAFETY POLICY

We believe that the well-being of people employed at work, or people affected by our work, is a priority and must

be considered during all work performed on our behalf.

People are our most important asset and occupational health and safety (OHS) is everyone’s responsibility. The safety

of the public is given equal priority to that of our employees.

The objectives of this policy are to, as far as reasonably practicable,:

• achieve a safe and incident free workplace

• consider OHS in project planning and work activities

• involve employees and subcontractors in the decision-making process through regular communication and

consultation

• encourage employees and subcontractors to identify and control risks in the workplace

• monitor and review the elimination or control of potential risks

• enhance employees’ OHS knowledge through a program of education and training.

The success of our OHS management depends on:

• the commitment of all persons to achieving the policy objectives

• planning work activities with due consideration given to OHS

• undertaking the risk management process in an effective manner

• promoting communication between employees and subcontractors.

We are committed to fulfilling the objectives of this policy and expect the same of all employees and

subcontractors working on our behalf.

/ /

Name and position Signature Date

6

CONSULTATION AND COMMUNICATION

Promote active participation of all employees in OHS decisions.

Consult with employees and give them the opportunity, encouragement and training to be involved in OHS

matters affecting the organisation and their own work.

Matters for consultation may include:

• hazard and risk identification

• control measures for managing hazards and risks

• the development of safe work method statements or risk assessments

• site induction

• changes to site conditions

• emergency procedures, covering:

º emergency contact details (including emergency services)

º the location of a first aid kit

º emergency assembly points.

Record consultation and communication using:

• the record of toolbox talk (see OHS form 06)

• a site diary

• any documents clearly recording OHS meeting minutes.

Consultation records should include at least the following information:

• date

• location or workplace

• names and signatures of people present and consulted

• items or issues raised

• corrective actions to be undertaken and the people responsible for implementing those actions.

7

RISK MANAGEMENT

Hazards versus risks

Hazards are different to risks.

A hazard has the potential to cause harm. This can include substances, plant, work processes and/or other

aspects of the work environment.

A risk is the likelihood that death, injury or illness might result because of a hazard.

Risk management cycle

OHS laws require anyone in control of a workplace or a workplace activity to identify any potential hazards,

assess the risks associated with those hazards and (if necessary) implement control measures to eliminate or

minimise the risks.

All persons must have an understanding of the five-step risk assessment process. Incorporate the five steps into

all work activities. If any persons are concerned with the control measures used in a workplace activity, they

should bring this to the attention of their direct manager.

Step 1:IdentifyHazard

Step 5:Monitor and

Review

Step 2:AssessRisk

Step 4:Implement

ControlMeasures

Step 3:Decide on

ControlMeasures

Step 1: Identify hazard

Hazards should be assessed by any person undertaking a work activity. When assessing what is a hazard,

consider: the work environment such as height or confined spaces, substances such as chemicals, plant and

equipment, energy such as electricity, gas or induced heat, manual handling, noise, etc. Assess all identified

hazards on their own merit.

Step 2: Assess risk

Once a hazard has been identified, determine how serious the risk is. Do this by assessing the likelihood of an

event happening and the consequence should the event occur. See the risk table on page 6.

8

HOW TO USE THE RISK TABLE

Identify

potential

hazards

Decide – what

damage could

it cause?

Decide – how

likely is it to

be serious?

Line up your

choices in the

table to rate

the risk

Use the risk

rating to guide

your next steps

RIS

K T

AB

LE

How likely is it to be serious? NOTE: If a hazard is rated 1, 2 or 3, take action immediately.

What damage could it cause?

Very likely

(could happen

anytime)

Likely

(could happen

sometimes)

Unlikely

(could happen,

but only rarely)

Very unlikely

(could happen, but

probably never will)

Death or permanent disability 1 1 2 3

Long term illness or serious injury 1 2 3 4

Medical attention and several

days off work2 3 4 5

First aid needed 3 4 5 6

If a risk is rated 1, 2 or 3, take action immediately to reduce the risk.

Step 3: Decide on control measures

Implement control measures to eliminate the risk (where possible) or reduce it to its lowest level. When the

activity is a high risk (rating 1, 2 or 3), implement appropriate control measures prior to the activity being

undertaken. Refer to the hierarchy of controls below.

Step 4: Implement control measures

Implement control measures in line with the following hierarchy of controls:

Eliminate the risk

altogether

Substitute the risk

with a lesser one

Engineer out the

risk

Use administrative

controls

Use personal

protective

equipment (PPE)

Best Worst

Step 5: Monitor and review

Take steps to monitor and review the effectiveness of implemented control measures by:

• consulting with employees

• identifying any new hazards and undertaking further risk assessments

• analysing accident and incident reports.

9

SAFE WORK METHOD STATEMENT – HAZARD IDENTIFICATION, RISK ASSESSMENT AND CONTROL

Identify any potential hazards of the proposed work, assess the risks involved and develop controls to eliminate

or minimise the risk. Carry out the risk management process in consultation with your employees.

Do not commence construction work unless:

• the principal contractor has provided the relevant parts of their workplace OHS management plan or

equivalent (only applies where the project work costs exceed $250,000)

• you have undertaken an assessment of the risks associated with the work to be carried out and provided to

the principal contractor a written safe work method statement (SWMS)

• you have conducted a site-specific risk assessment (see OHS form 04) before undertaking work on site, if

site conditions change (eg weather, additional trades) and if the scope of work changes.

Maintain an SWMS for each task undertaken on the project and provide the principal contractor with any

changes made to the SWMS.

TRAINING

Ensure that all employees undertake a minimum of three levels of induction training prior to commencing work:

• general industry (safety awareness) training

• site-specific induction training

• work activity training (as noted in the SWMS).

Give all employees appropriate instruction and training so they can carry out their work activities safely,

including:

• site safety rules

• the handling of hazardous substances in line with the material safety data sheets (MSDS)

• fire fighting equipment

• manual handling techniques

• the safe use of power tools

• working at heights (including the safe use of ladders)

• PPE.

Record all employee training on one or more of the following forms:

• employee training register (see OHS form 07)

• safe work method statement training declaration (see OHS form 05)

• record of tool box talk (see OHS form 06).

10

PLANT AND EQUIPMENT

Ensure that employees are familiar with hazards and risks associated with the use of plant and equipment, and

the requirements for regular inspection and maintenance.

Carry out regular inspection and maintenance of all plant and equipment used.

Ensure that plant and equipment is inspected and maintained in accordance with the relevant standards and

manufacturer’s recommendations. Document the inspection and maintenance history of each item and make it

available with the relevant plant or equipment.

Document and implement control measures for all plant and equipment. Assess the effects of all plant and

equipment on the workplace and document the risks in the SWMS.

Ensure that pre-start checks, schedules of maintenance and fault reports are notified to the supervisor,

documented in plant log books and made available to relevant parties on request.

Where plant and equipment is hired, the same requirements as above still apply.

Record inspections on one or more of the following forms:

• plant and equipment register (see OHS form 08)

• site-specific risk assessment – also known as pre-start inspection (see OHS form 04).

ELECTRICAL

Test and tag all electrical plant and equipment before use. List the equipment and plant on the SWMS.

Inspect, test and tag all portable electrical equipment on at least a three-monthly basis.

Ensure that all residual current devices (RCDs) are calibrated and tested by a qualified electrician every three

months, and trip tested by a competent person monthly or prior to each use.

Record inspections of all electrical equipment on an electrical equipment register (see OHS form 09), or an

equivalent record, and make them readily available.

HAZARDOUS SUBSTANCES

Use the hazardous substance register and risk assessment (see OHS form 10 in) to record all products

classified as hazardous. Include the product name, its application, an assessment of the risks associated with

the product use and the control measures that will be implemented and included in the SWMS.

Upon request, make available for inspection on site a current MSDS (within five years of the date of issue) for

hazardous products and substances that are to be used for the work activity.

Provide all employees involved with hazardous products and substances with information and instruction on

their use and handling.

11

HAZARD REPORTING

Ensure that all hazards are reported to the supervisor and the principal contractor immediately.

Record the details of any additional hazards in a site diary or in the site-specific risk assessment (see OHS form

04).

INJURY AND INCIDENT INVESTIGATION

Ensure that all incidents and injuries are reported to the supervisor and are recorded on the incident and injury

report (see OHS form 11).

Investigate all incidents, record them on the incident and injury report and provide a copy to the principal

contractor upon request.

Notify the authorities if an incident or injury results in a person being killed or could be defined as a ‘serious

incident’. Authorities also require that the place of work is ‘not to be disturbed’ except by actions relating to

emergency rescue. For information relating to what is defined as a ‘serious incident’ and a ‘notifiable incident’,

contact WorkCover NSW on 13 10 50.

12

OHS FORM 04: SITE-SPECIFIC RISK ASSESSMENT

SCOPE OF WORKS

PRINCIPAL CONTRACTOR DATE TIME

SITE ADDRESS

PERSON COMPLETING THIS ASSESSMENT SIGNATURE

Site-specific work activity – risk assessment Yes No N/A

Contractor assessment

1 Have all employees completed OHS training (general, site induction and work-specific tasks)?

2 Have all employees been instructed on safe working practices (eg manual handling)?

3 Have all employees read and understood the SWMS and is it accessible on site?

4 Do you have the correct type of first aid kit, and is it stocked and accessible for use?

5 Have all employees been trained in the safe use of power tools?

6 Specify the PPE required.

Hard hat Safety boots Eye protection Hearing protection

Hi-visibility vest Hat Sunscreen Sun protective clothing

7 Is the hazardous substance register on site and are all relevant persons trained in using and handling the substances safely?

8 Do you have the appropriate fire-fighting equipment on site for flammable substances or hot works?

9 Have all employees reviewed the site safety signage before commencing work?

Equipment assessment

10 Has all the electrical equipment been tested and tagged, and is the electrical tagging register on site?

11 Are all electric outlets (generator, meter box, etc) protected by an RCD unit?

12 Have all tools and equipment been serviced and are they in good working order?

13 Have all plant and tools been inspected and are they fit for purpose?

14 Have all ladders used on site been inspected and are they fit for purpose?

15 Is there guarding on all machinery, covering all moving parts?

13

Site assessment

16 Is the site security fencing intact (with no gaps or missing fencing panels) and are gates chained and padlocked?

17 Is the work area clear of rubbish and debris, and is an area provided for debris?

18 Are materials delivered and stored in a safe and responsible manner in your work area?

19 Are the public and other workers protected during work activities?

20 Are amenities on site clean and accessible for use?

21 Are all fall zones protected?

22 Have all safety systems (eg edge protection, scaffolding and guard railing) been inspected and are they safe to use?

23 Has the stairwell and open penetrations protection system been installed?

24 Is there a safe path of travel to all work areas and have all trip hazards been identified?

25 Have all trenches and excavations been backfilled, covered or barricaded?

HAVE YOU ELIMINATED ALL POTENTIAL RISKS FROM ANY OTHER HAZARDS IDENTIFIED ON SITE THAT MAY AFFECT YOUR WORK TASK?

If you answer No to any of the items above – you must complete the risk assessment table below and consult with all employees and subcontractors before commencing any work. If you cannot remove or control the hazard,

please contact your construction supervisor for advice before starting any work.

Identify below any hazard (plant or substance or process) that could be a risk to OHS, and list the controls taken.

Hazard identifiedRisk (1-6)

Controls implementedRisk (4-6)

By whom

Risk rating score 1-6

POSSIBLE RISK Very likely Likely Unlikely Very unlikely

Death or permanent disability 1 1 2 3

Long term illness or serious injury 1 2 3 4

Medical attention or days off work 2 3 4 5

First aid needed 3 4 5 6

OH

S FO

RM

05:

SAF

E W

OR

K M

ETH

OD

STA

TEM

ENT

(SW

MS)

– a

lso

know

n as

job

safe

ty a

naly

sis

wor

kshe

et o

r sc

ope

of w

orks

Com

pany

nam

e:

AB

N:

This

SW

MS

has

bee

n de

velo

ped

and

auth

oris

ed b

y:

Nam

e

Pos

itio

nD

ate

Sig

natu

reP

hone

Mob

ile

DE

SC

RIP

TIO

N O

F W

OR

K A

CTI

VITY

:

Trad

es i

nvol

ved

wit

h un

dert

akin

g th

is w

ork

acti

vity

:

This

SW

MS

is

subm

itte

d to

(pr

inci

pal

cont

ract

or):

CO

MPA

NY:

CO

NTA

CT

NA

ME

:C

ON

TAC

T N

AM

E:

SIT

E A

DD

RE

SS

:P

RO

JEC

T D

ES

CR

IPTI

ON

:

This

SW

MS

was

rev

iew

ed b

y (p

rinc

ipal

con

trac

tor)

:

NA

ME

: P

OS

ITIO

N:

SIG

NAT

UR

E:

DAT

E:

PH

ON

E N

UM

BE

R:

MO

BIL

E N

UM

BE

R:

Per

son

resp

onsi

ble

for

supe

rvis

ing

and

impl

emen

ting

, on

the

con

trac

tor’s

beh

alf,

the

OH

S c

ontr

ols

asso

ciat

ed w

ith

each

ste

p of

thi

s w

ork

acti

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.

NA

ME

: P

OS

ITIO

N:

SIG

NAT

UR

E:

DAT

E:

PH

ON

E N

UM

BE

R:

MO

BIL

E N

UM

BE

R:

14

15

List

pla

nt,

equi

pmen

t an

d to

ols

to

be u

sed

List

haz

ardo

us s

ubst

ance

s to

be

used

or

hand

led

MS

DS

av

aila

ble?

(T

ick)

List

PP

E t

o be

use

d(T

ick)

List

haz

ards

to

cons

ider

(Tic

k)

eg E

lect

ric

gene

rato

reg

Unl

eade

d pe

trol

Har

d ha

tFa

ll fr

om l

adde

r

Saf

ety

boot

sFa

ll fr

om h

eigh

ts

Hig

h-vi

sy c

loth

ing

Fall

from

sca

ffol

d

Glo

ves

Con

tact

wit

h el

ectr

icit

y

Hea

ring

pro

tect

ion

Falli

ng o

bjec

ts

Saf

ety

glas

ses

Col

laps

e

UV

crea

mS

lip,

trip

s an

d fa

lls

Dus

t m

asks

Man

ual

hand

ing

30

+ s

unsc

reen

Exp

osur

e to

noi

se

Oth

er (

spec

ify)

:S

truc

k by

mov

ing

plan

t

Inha

lati

on o

f du

st o

r fu

mes

Cut

s

Oth

er (

spec

ify)

:

RISK TABLE

How

lik

ely

is i

t to

be

seri

ous?

N

OTE

: If

a h

azar

d is

rat

ed 1

, 2

or

3,

take

act

ion

imm

edia

tely

.

Wha

t da

mag

e co

uld

it c

ause

?

Very

lik

ely

(cou

ld h

appe

n an

ytim

e)

Like

ly

(cou

ld h

appe

n so

met

imes

)

Unl

ikel

y (c

ould

hap

pen,

bu

t on

ly r

arel

y)

Very

unl

ikel

y (c

ould

hap

pen,

bu

t pr

obab

ly

neve

r w

ill)

Dea

th o

r pe

rman

ent

disa

bilit

y1

12

3

Long

ter

m i

llnes

s or

se

riou

s in

jury

12

34

Med

ical

att

enti

on a

nd

seve

ral

days

off

wor

k2

34

5

Firs

t ai

d ne

eded

34

56

How

to

com

plet

e th

e fo

llow

ing

form

•Li

st t

he s

tep-

by-s

tep

sequ

ence

of

task

s re

quir

ed t

o ca

rry

out

a w

ork

acti

vity

from

sta

rt t

o fi

nish

.

•Li

st t

he p

oten

tial h

azar

ds a

ssoc

iate

d w

ith e

ach

step

, an

d th

e re

late

d O

HS r

isks

.

•U

sing

the

ris

k ta

ble,

rat

e th

e id

enti

fied

ris

ks.

•Li

st w

hat

cont

rols

you

will

im

plem

ent

to r

educ

e th

e ri

sks

to t

he l

owes

t

poss

ible

lev

el.

•R

ate

the

leve

l of

ris

k on

ce t

hose

con

trol

s ha

ve b

een

impl

emen

ted

(mus

t be

4-6

bef

ore

you

can

star

t w

ork)

.

•Li

st t

he n

ames

or

posi

tion

s of

the

per

sons

res

pons

ible

for

ens

urin

g th

at t

he

cont

rols

are

im

plem

ente

d.

A s

epar

ate

SW

MS

is

requ

ired

for

eac

h w

ork

acti

vity

.

16

STEP

Act

ivit

y st

ep

Bre

ak t

he a

ctiv

ity

dow

n in

to s

teps

. Li

st t

he s

teps

in

this

col

umn.

Haz

ards

Ide

ntif

icat

ion

Iden

tify

any

pot

enti

al h

azar

ds

asso

ciat

ed w

ith

each

ste

p –

and

any

rela

ted

risk

s. D

etai

l th

e ha

zard

s an

d ri

sks

in t

his

colu

mn,

and

ent

er t

he

risk

rat

ing

in t

he n

ext

colu

mn.

Initial risk rating (1-6)

Con

trol

s Im

plem

ente

d D

ecid

e w

hat

cont

rols

to

use

to e

limin

ate

or m

inim

ise

the

risk

s. D

etai

l th

e co

ntro

ls

in t

his

colu

mn,

and

ent

er t

he r

evis

ed r

isk

rati

ng i

n th

e ne

xt c

olum

n. N

ote:

If

the

risk

rat

ing

is s

till

1-3

, do

not

beg

in w

ork.

Revised risk rating (1-6)

Per

son

resp

onsi

ble

1.

2.

3.

4.

17

STEP

Act

ivit

y st

ep

Bre

ak t

he a

ctiv

ity

dow

n in

to s

teps

. Li

st t

he s

teps

in

this

col

umn.

Haz

ards

Ide

ntif

icat

ion

Iden

tify

any

pot

enti

al h

azar

ds

asso

ciat

ed w

ith

each

ste

p –

and

any

rela

ted

risk

s. D

etai

l th

e ha

zard

s an

d ri

sks

in t

his

colu

mn,

and

ent

er t

he

risk

rat

ing

in t

he n

ext

colu

mn.

Initial risk rating (1-6)

Con

trol

s Im

plem

ente

d D

ecid

e w

hat

cont

rols

to

use

to e

limin

ate

or m

inim

ise

the

risk

s. D

etai

l th

e co

ntro

ls

in t

his

colu

mn,

and

ent

er t

he r

evis

ed r

isk

rati

ng i

n th

e ne

xt c

olum

n. N

ote:

If

the

risk

rat

ing

is s

till

1-3

, do

not

beg

in w

ork.

Revised risk rating (1-6)

Per

son

resp

onsi

ble

5.

6.

7.

18

STEP

Act

ivit

y st

ep

Bre

ak t

he a

ctiv

ity

dow

n in

to s

teps

. Li

st t

he s

teps

in

this

col

umn.

Haz

ards

Ide

ntif

icat

ion

Iden

tify

any

pot

enti

al h

azar

ds

asso

ciat

ed w

ith

each

ste

p –

and

any

rela

ted

risk

s. D

etai

l th

e ha

zard

s an

d ri

sks

in t

his

colu

mn,

and

ent

er t

he

risk

rat

ing

in t

he n

ext

colu

mn.

Initial risk rating (1-6)

Con

trol

s Im

plem

ente

d D

ecid

e w

hat

cont

rols

to

use

to e

limin

ate

or m

inim

ise

the

risk

s. D

etai

l th

e co

ntro

ls

in t

his

colu

mn,

and

ent

er t

he r

evis

ed r

isk

rati

ng i

n th

e ne

xt c

olum

n. N

ote:

If

the

risk

rat

ing

is s

till

1-3

, do

not

beg

in w

ork.

Revised risk rating (1-6)

Per

son

resp

onsi

ble

8.

9.

10

.

19

STEP

Act

ivit

y st

ep

Bre

ak t

he a

ctiv

ity

dow

n in

to s

teps

. Li

st t

he s

teps

in

this

col

umn.

Haz

ards

Ide

ntif

icat

ion

Iden

tify

any

pot

enti

al h

azar

ds

asso

ciat

ed w

ith

each

ste

p –

and

any

rela

ted

risk

s. D

etai

l th

e ha

zard

s an

d ri

sks

in t

his

colu

mn,

and

ent

er t

he

risk

rat

ing

in t

he n

ext

colu

mn.

Initial risk rating (1-6)

Con

trol

s Im

plem

ente

d D

ecid

e w

hat

cont

rols

to

use

to e

limin

ate

or m

inim

ise

the

risk

s. D

etai

l th

e co

ntro

ls

in t

his

colu

mn,

and

ent

er t

he r

evis

ed r

isk

rati

ng i

n th

e ne

xt c

olum

n. N

ote:

If

the

risk

rat

ing

is s

till

1-3

, do

not

beg

in w

ork.

Revised risk rating (1-6)

Per

son

resp

onsi

ble

11

.

12

.

13

.

20

STEP

Act

ivit

y st

ep

Bre

ak t

he a

ctiv

ity

dow

n in

to s

teps

. Li

st t

he s

teps

in

this

col

umn.

Haz

ards

Ide

ntif

icat

ion

Iden

tify

any

pot

enti

al h

azar

ds

asso

ciat

ed w

ith

each

ste

p –

and

any

rela

ted

risk

s. D

etai

l th

e ha

zard

s an

d ri

sks

in t

his

colu

mn,

and

ent

er t

he

risk

rat

ing

in t

he n

ext

colu

mn.

Initial risk rating (1-6)

Con

trol

s Im

plem

ente

d D

ecid

e w

hat

cont

rols

to

use

to e

limin

ate

or m

inim

ise

the

risk

s. D

etai

l th

e co

ntro

ls

in t

his

colu

mn,

and

ent

er t

he r

evis

ed r

isk

rati

ng i

n th

e ne

xt c

olum

n. N

ote:

If

the

risk

rat

ing

is s

till

1-3

, do

not

beg

in w

ork.

Revised risk rating (1-6)

Per

son

resp

onsi

ble

14

.

15

.

16

.

17

.

21

STEP

Act

ivit

y st

ep

Bre

ak t

he a

ctiv

ity

dow

n in

to s

teps

. Li

st t

he s

teps

in

this

col

umn.

Haz

ards

Ide

ntif

icat

ion

Iden

tify

any

pot

enti

al h

azar

ds

asso

ciat

ed w

ith

each

ste

p –

and

any

rela

ted

risk

s. D

etai

l th

e ha

zard

s an

d ri

sks

in t

his

colu

mn,

and

ent

er t

he

risk

rat

ing

in t

he n

ext

colu

mn.

Initial risk rating (1-6)

Con

trol

s Im

plem

ente

d D

ecid

e w

hat

cont

rols

to

use

to e

limin

ate

or m

inim

ise

the

risk

s. D

etai

l th

e co

ntro

ls

in t

his

colu

mn,

and

ent

er t

he r

evis

ed r

isk

rati

ng i

n th

e ne

xt c

olum

n. N

ote:

If

the

risk

rat

ing

is s

till

1-3

, do

not

beg

in w

ork.

Revised risk rating (1-6)

Per

son

resp

onsi

ble

18

.

19

.

20

.

22

ITE

MS

RE

QU

IRE

D F

OR

TH

IS W

OR

K A

CTI

VITY

QU

ALI

FIC

ATIO

NS

TRA

ININ

G

CO

DE

S O

F P

RA

CTI

CE

OR

AS

/NZS

STA

ND

AR

DS

TO

BE

CO

MP

LIE

D W

ITH

23

Dec

lara

tion

by

cont

ract

ors

and

wor

kers

•I

have

bee

n co

nsul

ted

and

have

ass

iste

d in

the

dev

elop

men

t of

thi

s S

WM

S.

•I

have

bee

n gi

ven

the

oppo

rtun

ity

to c

omm

ent

on t

he c

onte

nt o

f th

is S

WM

S.

•I

have

rea

d an

d un

ders

tand

how

I a

m t

o ca

rry

out

the

acti

viti

es l

iste

d in

thi

s S

WM

S.

•I

have

bee

n su

pplie

d w

ith

the

pers

onal

pro

tect

ive

equi

pmen

t id

enti

fied

on

this

SW

MS

and

I h

ave

been

giv

en t

rain

ing

in t

he s

afe

use

of t

his

equi

pmen

t.

•I

have

rea

d an

d un

ders

tand

the

req

uire

men

ts s

et o

ut i

n th

e m

ater

ial

safe

ty d

ata

shee

ts f

or t

he h

azar

dous

sub

stan

ces

iden

tifi

ed i

n th

is S

WM

S.

NA

ME

SIG

NAT

UR

ED

ATE

24

OHS FORM 06: RECORD OF TOOL BOX TALKWorkplace: Date:

Name of supervisor or presenter:

Subject: Time:

Persons present

Name Signature Name Signature

Comments and issues raised

Action Person responsible

Action completed

Name Signature Date

OH

S F

OR

M 0

7:

EM

PLO

YEE

TR

AIN

ING

RE

GIS

TER

Nam

e: _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__ D

ate

empl

oym

ent

star

ted:

___

____

____

____

____

____

_

Exa

mpl

es o

f tr

aini

ng:

•O

HS

gen

eral

ind

ucti

on f

or c

onst

ruct

ion

wor

k•

basi

c sc

affo

ld

•m

obile

cra

ne l

icen

ce•

skid

ste

er o

r fr

ont

end

load

er l

icen

ce

•ex

cava

tor

licen

ce•

fork

lift

licen

ce•

vehi

cle

load

ing

cran

e lic

ence

•us

e of

haz

ardo

us s

ubst

ance

s

•tr

ade

or c

ontr

acto

r lic

ence

•

wor

k ac

tivi

ty t

rain

ing

•to

ols

and

equi

pmen

t.

Ple

ase

wri

te c

lear

ly.

Type

of

trai

ning

or

cert

ific

atio

nC

erti

fica

te o

r ca

rd n

umbe

r (i

f ap

plic

able

)In

stru

ctor

’s n

ame

Dat

e of

tra

inin

gE

xpir

y or

ren

ewal

dat

e (i

f ap

plic

able

)

25

OH

S F

OR

M 0

8:

PLA

NT

AN

D E

QU

IPM

EN

T R

EG

ISTE

RIn

clud

e de

tails

of

all

plan

t an

d eq

uipm

ent

to b

e us

ed d

urin

g th

e w

ork

acti

viti

es.

Exa

mpl

es i

nclu

de l

ifti

ng g

ear,

fire

-fig

htin

g eq

uipm

ent,

mob

ile p

lant

and

fal

l re

stra

int

equi

pmen

t.

Com

pany

nam

e:

Add

ress

: Pla

nt o

r eq

uipm

ent

type

Ser

ial

no o

r re

gist

rati

on n

o M

ake

and

mod

elD

ate

last

ser

vice

d or

m

aint

aine

d (r

ecor

d re

quir

ed)

Req

uire

d m

aint

enan

ce f

requ

ency

(a

s pe

r m

anuf

actu

rer’s

ins

truc

tion

s)

26

27

OH

S F

OR

M 0

9:

ELE

CTR

ICA

L E

QU

IPM

EN

T R

EG

ISTE

RIn

spec

t, t

est

and

tag

all

elec

tric

al e

quip

men

t, i

nclu

ding

ext

ensi

on l

eads

.

Com

pany

nam

e:

Add

ress

:

Ele

ctri

cal

com

pany

(if

req

uire

d):

Add

ress

:

Equ

ipm

ent

desc

ript

ion

Man

ufac

ture

rS

eria

l nu

mbe

rD

ate

of

insp

ecti

on

and

test

Res

ult

Act

ion

to b

e ta

ken

Sig

natu

re o

f pe

rson

un

dert

akin

g th

e w

ork

Cer

tifi

cate

nu

mbe

r (i

f ap

prop

riat

e)

Dat

e fo

r ne

xt

insp

ecti

on

and

test

Ele

ctri

cal

item

Freq

uenc

y of

ins

pect

ion

and

test

Tool

s an

d le

ads

Eve

ry t

hree

mon

ths

RC

D u

nit

(sub

-boa

rd e

arth

lea

kage

dev

ice)

Trip

-tes

t on

a m

onth

ly b

asis

C

alib

rate

eve

ry t

hree

mon

ths

28

OH

S F

OR

M 1

0:

HA

ZAR

DO

US

SU

BS

TAN

CE

RE

GIS

TER

AN

D R

ISK

AS

SE

SS

ME

NT

Pro

duct

nam

eA

pplic

atio

nP

rodu

ct

labe

lled?

(Y

es/N

o)

MS

DS

dat

e of

iss

ue n

o ol

der

than

fiv

e ye

ars?

(Y

es/N

o)

Ris

k ra

ting

(1

–6)

Con

trol

s to

be

impl

emen

ted

Not

e: I

ncor

pora

te t

hese

con

trol

s in

to t

he S

WM

S

29

OHS FORM 11: INCIDENT AND INJURY REPORT

Details

Details of incident (eg property, plant or environmental damage)

Date of incident Time of incident am pm

Nature of incident

Location of incident

Description of incident

Details of damage to equipment or property

Name of person who received the report

Telephone

Reported to authorities?Yes Provide details (when and whom):

No

Details of injury (eg to a worker or visitor) and treatment

Date of incident Time of incident am pm

Name of injured person Date of birth

Address Telephone

Occupation Employer

Activity in which the person was engaged at the time of injury

Exact site location where injury occurred

Nature of injury – eg fracture, burn, sprain, foreign body in eye

Body location of injury (indicate location of injury on the diagram)

Treatment given on siteName of treating person

Referral for further treatment?

Yes Name of doctor or hospital:

No Medical certificate received?

Yes Attach copies

No

Injury management required?

Yes Notify return to work coordinator

No Name of return to work coordinator

Reported to authorities?Yes Provide details (when and whom):

No

30

Witness to incident (each witness may need to provide an account of what happened)

Witness name Witness contact

Witness name Witness contact

Investigation

Cause of incident or injury

Preventative actions (include what needs to be done, who will do it and when it will be done)

Completed by

Name Position

Signature Date

Catalogue No. WC05723 WorkCover Publications Hotline 1300 799 003

WorkCover NSW 92-100 Donnison Street Gosford NSW 2250Locked Bag 2906 Lisarow NSW 2252 WorkCover Assistance Service 13 10 50Website www.workcover.nsw.gov.au

ISBN 978 1 74218 030 4 ©Copyright WorkCover NSW 0109