Form No. OH106 /

SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd

St Marys NSW 2760
ABN: 97 133 373 154 / /
Revision: v1 /
Activity Details
Work Activity: / Installation of Anti-Gawker fencing on concrete road barriers
Address of activity / Project/Client Name:
Commencement date / Duration of works
Worker Details
Supervisor of the Work* / Signature: / Qualifications:
Authorising Jaybro/Orange Hire Person# / Signature: / Position:
Number of workers used onsite / Primary contact number / Sub-Contractor Name
SWMS Preparation / Name / Date
SWMS prepared by: / Scott Montgomery / Reviewed 11/03/2016
Worker(s) who have had input into the development of this SWMS / Scott Pridham / Date:11/03/2016
Date:
Associated SWMS (e.g. Subcontractors SWMS)

*- Responsible for providing site specific training; Implementing & monitoring implementation of this SWMS and conducting inspection

# - Responsible for ensuring SWMS are developed, consulted upon, distributed, returned, filed and all other WHS tasks completed including inspections

Note: template document control only – see header for SWMS review info / Template author date: 01/09/2016 / Review of template: 30/08/2018 / Template version:V2 / Copyright ©2016 Jaybro. All Rights Reserved. / Authorised By – J.Joyce Document Owner – Scott Montgomery / Page 1 of 13
Form No. OH106 /

SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd

St Marys NSW 2760
ABN: 97 133 373 154 / /
Revision: v1 /
Personal Protective Equipment / Site Specific Requirements / Notes
Safety boots
Lace up / High Visible
clothing / Eye protection / Gloves / Hard Hat / Hearing protection / ·  Special PPE______
·  Crew to be inducted into SWMS.
·  Crew to be advised on onsite risks and hazards
· 
Mandatory / Mandatory / Mandatory / Mandatory
HRW & Other Licences Required / Training Required / Permits/Approvals
Dogman
Rigging basic
Rigging Int.
Rigging Adv
WP (>11m)
Traffic Control
MR/HR truck*
HC/MC truck*
LF/LO fork
*Dependant on truck type / Other______
Other ______
Crane License
C2
C6
C1
C0
CV (>10mT)
CN
/ Construction Industry General Induction
Site Induction
P This SWMS
SDS
Confined Space
Manual Handling
Verification of Competency for plant
Trade Certificate / Excavation Other ______
Working at Height Other ______
Hot works
Confined Space
Traffic Management
Other ______
High Risk Work Check
Note which high risk work activities are involved in this project
Risk of falls from greater than 2 meters / Work in an area with movement of powered mobile plant
Work on a telecommunications tower / Temporary load-bearing support structures
Demolition of a load-bearing structure
Work on, in or adjacent to road, rail shipping or other major traffic corridor / Work in or near shaft or trench with an excavated depth greater than 1.5m or a in a tunnel / Use of Explosives
Likely to involve disturbing asbestos
Work on or near pressurized gas pipes or mains / Work on or near chemical, fuel or refrigerant lines
Work in confined spaces / Work on or near energized electrical installations or services
Work with tilt up or pre-cast concrete
Diving work / Work in or near a drowning risk
Work in areas with artificial extremes of temperature / Work in an area with contaminated or flammable atmosphere
Emergency Planning (tick or add as applicable and attach plan or details as required)
First Aid kit
9kg Fire Extinguisher
Radio / Channel:

Page 12 of 13

Form No. OH106 /

SAFE WORK METHOD STATEMENT Orange Hire 81 Links Rd

St Marys NSW 2760
ABN: 97 133 373 154 / /
Revision: v1 /
Protective Barriers (tick or add as applicable)
List warning signs, protective barriers and equipment to be used on this site:
PROTECTIVE BARRIERS:
Bollards/Cones
Edge protection
Tape
__Traffic Control______/ SIGNS:
Danger plant in use
Stop/Slow baton
Other ______/ Other:
Warning lights, reversing alarms
Substances to be brought on to site Note: Any Hazardous Substance must have a valid Safety Data Sheet
Product / SDS Attached / Product / SDS Attached
Fuel
Plant and Equipment (tick or add as applicable) / Note: All servicing MUST be in accordance with manufacturers recommendations
Plant and Equipment to be used on this site? / List inspections and maintenance requirements and attach evidence to this SWMS
Hand tools / Visual inspection
Impact Drill / Visual inspection
Battery operated rattle gun / Visual inspection
Hoses / Visual inspection of hoses, clamps and connectors
Electrical leads / Visual inspection Tagged and tested
Generator / Visual inspection Daily checklist completed

Risk Matrix

Step 1: Determine Likelihood
What is the possibility that the event will occur? / Step 2: Determine Consequence
What will be the expected outcome?
Likelihood / Criteria / Level of Effect: / Example of each level: / Level of Effect: / Example of each level:
Almost certain / Expected in most circumstances. / Minor / First Aid treatment only; no lost time injury / Negligible Discharge / Minor clean up necessary
Likely / Will probably occur in most circumstances / Moderate / Medical treatment; serious injuries, temporary partial disability; lost time injury < 7 days / Moderate Breach / Spill kit deployed, drains and gutters secured; Workzone personnel and site contact notified
Possible / Might occur at some time / Major / Hospital admittance; extensive injuries; lost time injury > 7 days; Permanent Total Disability injury; death / Major Breach of Environmental Statutes / Fire brigade services required for clean-up; Public diverted or evacuated. Principal Contractor notified.
Unlikely / Could occur at some time / Catastrophic / Multiple Permanent Total Disability injuries; multiple deaths / Shutdown of Project due to Environmental Breach / Site shutdown and emergency services required; evacuation of personnel and public
Step 3: Determine the risk score
Using the above steps, determine the risk score? / Step 4: Record risk score on worksheet (Note – Risk scores are a subjective value and should only be used for comparison and to engender discussion.)
Consequences
People / Minor / Moderate / Major / Catastrophic / Score / Action
Environment / Negligible Spill/effect / Moderate Breach of Environmental law / Major Breach of Environmental law / Shutdown of Project due to Environmental Breach / 4
Severe / DO NOT PROCCED. Requires immediate attention. Introduce further high-level controls to lower the risk level. Re-assess before proceeding.
Likelihood / Almost certain / 3 High / 4 Severe / 4 Severe / 4 Severe / 3
High / Review before commencing work. Introduce new controls and/or maintain high-level controls to lower the risk level. Monitor frequently to ensure control measures are working.
Likely / 3 High / 3 High / 4 Severe / 4 Severe / 2
Moderate / Maintain control measures. Proceed with work. Monitor and review regularly, and if any equipment/people/materials/work processes or procedures change.
Possible / 2 Moderate / 3 High / 4 Severe / 4 Severe / 1
Low / Record and monitor. Proceed with work. Review regularly, and if any equipment/people/materials/work processes or procedures change.
Unlikely / 1 Low / 2 Moderate / 3 High / 4 Severe
ACTIVITY
Break the job into steps
What are you doing? / Hazards and Risks
What harm can occur to workers or others / UNTREATED RISK RANKING
(4S, 3H, 2M or 1L) / CONTROLS
What are you going to do to carry out the work safely?
(Apply the hierarchy of control) / RISIDUAL RISK RANKING
(4S, 3H, 2M or 1L) / PERSON RESPONSIBLE
for implementation of the controls
Step 1. Site access
Arrival onsite / Unaware of site safety rules, hazards and instruction / 3H / ·  All members of the crew will need to be:
o  site inducted;
o  trained in this SWMS;
o  involved in the Work Site Inspection
for the work
·  Make sure you are aware of the site’s emergency procedures.
·  If at any time you are unsure or have questions – Speak Up! & ask your Supervisor and/or site manager for advice.
·  Assess weather conditions and adjust work accordingly especially in the case of shadecloth installation
·  Orange hire workers must verify location of install via site map or supervisor instruction / 2M / Supervisor and all crew members
Pre Job Risk Assessment / 3H / ·  You must inspect the site and complete the Work Site Inspection form (last page of SWMS) before commencing work activity.
·  Do not commence work until you are satisfied the job is safe! / 1L / Supervisor and all crew members
Performing duties near
roadways or mobile plant / Hit by moving vehicles/plant / 3H / ·  Check constantly for changing hazards while working
·  Monitor work position at all times. Ensure:
o  High visibility clothing worn at all times
o  Do not stand behind reversing vehicles
o  Allow sufficient distance from plant during operation (allow sufficient room for equipment failure –such as plant rollover)
o  No work is conducted in established “no go zones”
o  Alertness at all times. Listen for:
ü  Reversing alarms/beepers
ü  Calls from Plant Operators
ü  Safety/warning signs, Spotters, traffic barriers etc. must be obeyed as required
o  Work positions should be in clear sight of plant operators
o  Follow traffic management plan where required
·  Never assume you have right of way. Make visual and verbal contact with plant operator
·  Avoid performing work on roadway directly where possible
·  Use traffic cones and signage where available / 2M / Supervisor
Step 2. Use of generator
Operating generator / Explosion
Fire
Failure of equipment / 3H / ·  Prior to use of the equipment inspect hoses, leads and guards for damage.
·  Check for fuel leaks or spills
·  Tag out faulty equipment, mop up any spills
·  Repair or replace any damaged component prior to use of the equipment.
·  Ensure earth leads are secure where fitted / 2M / Supervisor
Spills while refuelling
Fire
Fumes and vapours / 3H / ·  Have a spill kit available
·  Wipe up any spills or overflow of oil with a rag and dispose of rag properly
·  Spills of more than one litre must be reported to site personnel
·  All empty containers must be sealed and returned to depot for disposal
·  Do not store near flame, hot areas, sources of sparks or ignition
·  SDS available for each substances onsite
·  Generator must have at least 1 metre of space on all sides. Never use in confined space
·  P2 mask must be worn during maintenance
·  Re-fuel generator in a well-ventilated area. Do not over-fill fuel tank
·  Make sure the filler cap is closed securely. If any fuel is spilled, clean up immediately and allow fuel vapours is dissipate before starting the motor
·  Before re-fuelling the generator must be powered off and allowed to cool
·  Inspect the area for fire hazards – dry grass, timber, fuel and other flammable material, Stay clear of this material at all times
·  Fire extinguishers are to be located on every vehicle. These are tested every 12 months and replaced once used.
·  No smoking or using mobile phone while refueling
·  All fires must be reported, no matter how small / 2M / Supervisor
Lacerations, strikes, burns from use of tools and maintenance on plant / 3H / ·  Plant engine must be cool prior to maintenance
·  P2 mask must be worn during maintenance
·  Stay clear of exhaust, pipes, muffler and other hot areas of the engine
·  Wear gloves where possible and where they do not create another hazard (e.g. entanglement)
·  Plant must be isolated before maintenance
·  Keep hands and items including tools and rags clear of ingathering nip points or turning/rotating parts
·  Only use tools as they were designed
·  Refer to equipment operating manual prior to using / 2M / supervisor
Electrical / 3H / ·  Inspect cords prior to use
·  Equipment must be tagged and tested
·  Ensure that the tool is appropriate for the voltage supplied. Before connecting the tool to the outlet, be sure the appliance loads do not exceed available AMPs
·  Avoid running power boards or multiple extension leads off generator
·  Appliance must be turned into “off” position before pulling out of socket / 2M / Supervisor
Noise / 3H / ·  Hearing protection must be worn when working in close proximity of generator / 1L / Supervisor
4S / ·  / 2M / Supervisor
Step 3. Attaching Anti-gawker fence panels
Drilling dyna-bolt holes for fence posts / Eye injuries / 3H / ·  Eye protection must be worn at all times during this work.
·  Ensure drill bit is secure
·  Remove any loose debris before drilling
·  Clean up dust after drilling
·  Do not start the drill with the drill bit on the surface of the product. Wait for the drill to reach full speed before drilling / 1L / Supervisor
Hit by moving vehicle / 3H / ·  No work is to be conducted on the traffic side of the concrete barrier without traffic control in place
·  All travel is to be taken through the designated areas as directed by traffic control or site personnel / 2M / Supervisor
Noise / 2M / ·  Hearing protection must be worn while using impact drill / 1L / Supervisor
Vibration / 2M / ·  Use anti-vibration gloves if the impact drill is used for a prolonged period
·  Rotate this task between team mates / 1L / Supervisor
Entanglement
Moving parts / 3H / ·  Check the drill bit is inserted in the chuck correctly and running true
·  Ensure all covers are fitted, secure and functional. Do not operate if drill has missing or damaged covers.
·  Secure/Remove jewelry, long hair and loose clothing
·  Do not grind workpiece on the side of the drill bit / 2M / Supervisor
Affixing posts to concrete barrier using dynabolt, hammer and cordless rattle gun / Struck by falling item / 2M / ·  Ensure the post is firmly held before hammering dynabolt / 1L / Supervisor
Struck by tool / 2M / ·  Hands are to be kept clear of hammer strike area. Communicate with offside and ensure their hands are clear
·  Gloves must be worn / 1L / Supervisor
Eye injuries / 3H / ·  Eye protection must be worn at all times during this work.
·  Ensure work piece is secure
·  Remove any loose debris before hammering
·  Clean up debris after hammering / 2M / Supervisor
· 
Step 3. Erecting fence panels
Fitting anti-gawker fence
panels / Manual handling / 3H / ·  Do not maintain awkward postures
·  Use team lift for heavy items
·  Use safe lifting techniques / 2M / Supervisor
Laceration, pinch points / 2M / ·  Gloves must be worn
·  Keep hands clear of pinch points / 1L / Supervisor
Struck by falling item
Vehicles or persons struck by unsecured panel / 3H / ·  Ensure the panel is firmly fixed before releasing.
·  Fix panel at all necessary points in accordance with manufacturers guidance / 2M / Supervisor
Step 4. Disassembly and pick up
Hazards as per step 2-3 / Work in an area with movement of powered mobile plant / 3H / As controls from Steps 2 – 3. / 2M
Emergency situations
Emergency situations / Various / 4S / ·  Stop work then follow the site evacuation instructions and notify emergency services if required.
·  Determine evacuation assembly area during toolbox talk / 2M / supervisor

Page 12 of 13