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BCCA AN INTEGRATED CATCHMENT MANAGEMENT GROUP FOR THE BURNETT REGION BURNETT CATCHMENT CARE ASSOCIATION APPENDIX 3: SAFE WORK METHOD STATEMENT 1. Organisation Details Organisation Name: Contact Name: ABN: Contact Position: Address: Contact Phone No: 2. Project Details Project: Location: Date: Description of Works: Work Activities to be undertaken: Plant & Equipment involved: PPE required: □ Four wheel Drive □ Trailer □ Single axle Truck □ Dual axle truck □ Bobcat □ Dingo □ General hand tools □ Power Tools □ Post Borer □ Chain Saw □ Other _____________________________________ □ Hard Hat □ Hearing Protection □ Wide brim hat □ Safety Glasses □ HI Vis shirt/vest □ Safety Boots □ Face Shield □ Gloves □ Other ____________________________________________ Material Safety Data Sheet (MSDS): Emergency Equipment: □ First Aid Kit Emergency Contacts: Police, Fire, Ambulance (000), Poison Information Centre (131126) □ Snake Bite Kit □ Excavator □ Other _____________________________________ □ Post hole digger □ Respirator Step 3 Determine the risk score Step 4 Record risk score on worksheet (Note - risk scores have no absolute value and should only be used for comparison and to engender discussion) CONSEQUENCE LIKELIHOOD Insignificant Minor Moderate Major Catastrophic Score Almost certain 3 3 4 4 4 4 EXTREME – Requires immediate attention Likely 2 3 3 4 4 3 HIGH – Require urgent attention Possible 1 2 3 4 4 2 MEDIUM - Follow management instructions Unlikely 1 1 2 3 4 1 LOW – OK for now. Monitor and review if changes to equipment, personnel, work processes or procedures Rare 1 1 2 3 3 Refer to Appendix 2 for further details on developing risk scores Action 3. Site Specific Risk Assessment Task Breakdown Example: Planning Risk Identification (describe each hazard which could cause injury for each task) Personal Injury: Hit by moving vehicle / plant Animal attacks/bites/stings Physical violence Exposure to hazardous environment Slips/trips/falls Problems with back, muscles and joints Risk Score before control 4 – Extreme 1 – Low 4 Transport to Site Pre-start, P.P.E requirement, Site Induction Preparation Personal Injury Problems with back, muscles and joints Hit by moving vehicle Slips/trips/falls Exposure to hazardous environment Electric shock 3 Control Measures to Reduce Risk Liaise with all people working on the project. Ensure the following is provided before work commences: Site specific induction (include location of amenities, first aid facilities, emergency plans and evacuation points, incident reporting, contact persons etc) Health and Safety Rules for site Supervisor arrangements PPE requirements for site Types of hazards at site Drive to conditions, maintain awareness, observe road rules and regulations Site plans – showing no go zones for pedestrians or workers Traffic Management plans if required Assess: Presence of potentially aggressive persons Dangerous plants and animals Presence of biological contamination (waste, debris, animal or human waste, syringes etc.) Weather conditions, ground conditions Disposal requirements for materials Ensure: Workers to sign SWMS Tool Box Talks to be conducted Site assessment conducted and reviewed during work processes. Services assessed (power lines, Telstra, water, etc.) Developed & approved by: Name: Position: Date: Risk Score after control 4 – Extreme 1 – Low Responsible Person 1 Workers Supervisor Project manager Land owner This risk is relevant and has been considered: Name: Signature: 1 I acknowledge that I have been trained in the SWMS listed above, the controls are clearly understood, my qualifications are current to undertake the activity, I will comply with the SWMS and I have been consulted and had the opportunity to input into the SWMS. Print Names Position / Trade Signature: Date Monitoring & Review of SWMS Use and Effectiveness Observation Log 01 02 03 04 05 06 Initial: Date: Safe Work Method Statement - Appendix 1 Certificates of Competency Required 1.1 Procedures 1. 2. 3. 4. The SWMS must be specific to task, including the site environment and the particular work crew, equipment and materials The workers and supervisors involved in carrying out the work activity must be consulted in identifying the safety hazards and determining the safe work methods Every 12 months the SWMS will be generally reviewed Any significant change to the work process or sequence or to the type of plant or materials used is to trigger a review of this SWMS, as is any Lost Time Injury/Medically Treated Injury, Near Miss or Environmental breach or notice served by a regulatory body 5. Changes are not to be made to the safe work methods prescribed in this SWMS without first consulting with the work team. Changes are to be documented, reviewed and approved before instructing the workers involved into the changes 6. The SWMS will be reviewed by the Project Manager at the commencement of each project to ensure all works to be undertaken are included in the SWMS 7. SWMS will be discussed at Tool Box Talks generally, with any site specific or general changes to SWMS discussed in full 8. Regular inspections and observations will be conducted by the Site Foreman to ensure SWMS is being complied with 9. SWMS must be made available for inspection or review as required by WHS legislation 10. Record of SWMS must be kept as required by WHS legislation (until job is complete or for two years if involved in a notifiable incident 1.2 Considerations Legislative requirements Relevant Codes of Practice and Australian Standards (WHS Act 2011 Regulations 2011 Principal Contractor’s Safety Rules / Safety Alerts Manufacturers’/ Suppliers’ recommendations 1.3 Safety and Environmental Planning Site Safety Plan Environmental Management Plan Engineering / Client approvals Previous (similar work) injuries, incidents Formal training, licences required for workers Training in the following safe work procedures / SWMS / training modules is required undertaking this task (All workers to be trained in the relevant procedures) Plant and equipment suitability Experience / competency / licensing of workers / operators / supervisors MSDS of materials used in works Industry specific alerts / guides Duties of workers undertaking this task Project Managers QBSA – Site Supervisor Licence General Industry Induction (Blue/White Card) Relevant trade qualification Site specific inductions Training in this SWMS Nature of hazards / risks Emergency procedures Supervisors Workers Land Owners Details of supervisory arrangements for workers undertaking this task Competent supervisors for job Direct on-site supervision Remote site – communication systems / schedule Audits Spot checks Reporting systems Details of regulatory permits / licenses, engineering details, certificates, approvals Local council permits Building approvals EPA approvals / permits PPE to comply with relevant Australian Standard Legislation / Codes / Standards to be complied with Queensland Work Health & Safety Act 2011 Queensland Work Health & Safety Regulation of 2011 Electrical Safety Regulations 2002, Code of Practice for Noise, Code of Practice 2010 – Manual Tasks, Qld Plant Code of Practice 2005 Safe Work Method Statement - Appendix 2 Risk Assessment Ranking Step 1 Determine Likelihood – What is the possibility that the effect will occur? Criteria Description Step 2 Determine Consequence – What will be the expected effect? Level of Effect Example of each level Almost certain Expected in most circumstances Insignificant / Acceptable Likely Will probably occur in most circumstances Possible Might occur at some time Unlikely Could occur at some time Rare May occur in only exceptional circumstances Effect is a common result Effect is known to have occurred at this site or it has happened Effect could occur at this site or I’ve heard of it happening Effect is not likely to occur at the site or I have not heard of it happening Effect is practically impossible Minor No effect – or so minor that effect is acceptable First Aid treatment only; spillage contained at site Moderate Medical treatment; spillage contained but with outside help Major Extensive injuries; loss of production Catastrophic Death; toxic release of chemicals Safe Work Method Statement - Appendix 3 Step 3 Determine the risk score Step 4 Record risk score on worksheet (Note - risk scores have no absolute value and should only be used for comparison and to engender discussion) CONSEQUENCE LIKELIHOOD Insignificant Minor Moderate Major Catastrophic Score Action Almost certain 3 3 4 4 4 4 EXTREME – Requires immediate attention Likely 2 3 3 4 4 3 HIGH – Require urgent attention Possible 1 2 3 4 4 2 MEDIUM - Follow management instructions Unlikely 1 1 2 3 4 1 LOW – OK for now. Monitor and review if changes to equipment, personnel, work processes or procedures Rare 1 1 2 3 3