subcontractors engagement pack - whitepages€¦ · subcontractors engagement pack ... grinding,...

Author: PS STRUCTURES Revision 3

Version 06/01/2017 Note: Uncontrolled when printed.

Approved by: MANAGING DIRECTORS

Subcontractors Engagement Pack

This Subcontractor Engagement Pack aims to provide contractors with an overview of some of the safety requirements prior to completing works on PS Structures projects. This includes key health and safety requirements that you are expected to comply with to assist in delivering a zero harm

workplace.

All subcontractors have a responsibility for environmental protection and their own health and safety whilst on site.

Prior to working on site you must:

1. Register your company on our Rapid Contractor Management Website. 2. All workers must complete a PS Structures Rapid Online Induction. 3. Access project documentation (drawings & specifications etc), and Project Safety &

Environmental Management Plans, which will be accessible via our online document vault. 4. Submit your JSA/SWMS and MSDS (with MSDS Risk Assessment) to PSS Project Manager. 5. Relevant Permits need to be completed. 6. Registers of all electrical equipment, lifting equipment/harnesses need to accompany you to

site. When arriving on site:

1. Report to the Site Manager. 2. Complete a Site Specific Induction, identifying all site current hazards. 3. Be aware of the Muster points and Emergency Plan for the relevant Site. 4. You and your workers (subcontractors included) must abide to PS Structures Contract Terms

and Conditions, Management Plans and Site Rules. 5. Always follow Site Manager and HSE Officers instructions. 6. Copies of licenses/qualifications need to be handed to the Site Manager. 7. Plant must be inducted prior to use.




1. Register your company on Rapid Contractor Management online website.

PS Structures has reviewed its Contractor Management system. As a result, we have implemented a number of key improvements which includes the lodgement of insurances and other safety documentation online before attending a PS Structures site. This approach will simplify and streamline the induction process for all concerned and ensure a safe environment for all workers. You will be issued a Contractor Information guide which will provide you with step-by-step instructions on how to register. Registration can only occur by accessing the unique link in the registration email sent to complete the process. If the registration email is not received, please contact Sandra Kühn/Jo Plumb on 9240-6744. 2. Rapid Online Induction MUST BE COMPLETED PRIOR TO COMMENCING WORK

It is the responsibility of the contractor company to ensure that all their employees and/or subcontractors that will be working at a PS Structures site have completed an online induction prior to commencing work.

After you have successfully registered your company on the Rapid Contractor Management online website, you will receive an email with instructions on how to issue your workers with passwords.

The unique password and link will allow them to complete a rapid induction. It is a requirement to present a valid induction certificate when attending a PS Structures Site.

3. PS Structures Document Vault

You will receive an email providing login details to access all the documents related to the project you are to work on i.e. drawings, Safety Management Plan etc. You can view and download all the documentation. The moment a new revision is uploaded you will be able to see it and a transmittal will be emailed to you as a notification of this revision. For any questions on the Document Vault please contact Sonya on 9240-6744.

4. JSA’s/SWMS & MSDS’s

All JSA’s/SWMS & MSDS’s must be submitted to your Project Manager and must comply with our JSA/SWMS Checklist (see attachments). Sub-Contractor Employees must sign JSA/SWMS as evidence of employees understanding of JSA/SWMS during Site Induction.

MSDS’s are required for all materials/chemicals brought on site. Risk Assessment to be completed for all hazardous chemicals brought to site. (see attachments)




5. Permits

The following permits need to be completed before works can commence:

• Hot Works Permit (7A) • Excavation Permit (7B) • Overhead Power Lines Permit (7C) • Cranes Permit (7D) • Confined Space Permit (7E) • Concrete, Masonry Cutting, Core Drilling Permit (7F) • Electrical Isolation Permit (7G) • Roof Access Permit (7H) • Working At Height Permit (7I)

6. Please note our sites Minimum Qualifications Required to work on our sites, attached.

7. Plant

Plant on site MUST to be accompanied with: Current log book recording daily safety pre start checks Proof of registration Valid License Maintenance Reports - Proof of ongoing maintenance, i.e. maintenance records. The records

should note the most recent inspection and who conducted that inspection. It may also describe any repair work carried out on the plant. Most importantly, there should be no outstanding items noted for repairs.

Plant SPECIFIC Risk Assessment - A checklist should identify general hazards and associated risks relating to the use of the plant & equipment e.g. entanglement, crushing, striking, electrical or other. The checklist should then detail control measures to eliminate or minimise risk

Attachments:

Hot Works Permit (7A) Excavation Permit (7B) Overhead Power Lines Permit (7C) Cranes Permit (7D) Confined Space Permit (7E) Concrete, Masonry Cutting, Core Drilling Permit (7F) Electrical Isolation Permit (7G) Roof Access Permit (7H) Working At Height Permit (7I) MSDS Risk Assessment JSA Checklist




Plant Pre Mobilisation Check Minimum Qualifications

If you need more information please don’t hesitate to contact Sandra Kühn at 9240-6744.

ATTACHMENT - 7A HOT WORKS PERMIT




Objective: To ensure that persons who have to carry out Hot Works are authorised to do so, Risk Assessments have been completed to identify hazards and appropriate controls implemented to mitigate the risk. A Hot Works permit system is required wherever hot work is to be undertaken (PSS Insurers' policy requirement) Hot Works definition - grinding, welding, thermal or oxygen cutting or heating and other related heat-producing or spark producing operations (AS1674.1)

PERMIT APPLICATION FOR PERIODS WHEN THE RISK OF FIRE IS HIGH (SUMMER) (To be completed by Subcontractor and authorized by PS STRUCTURES Representative prior

to work) Project Name

Subcontracting Company

Name of person in control of works Phone number

Location of hot work to be preformed

Detail of hot work to be preformed

CHECKLIST (Subcontractor to complete) YES NO N/A 1 Confirm Job Safety Analysis / Safe Working Method prepared for hot

works ?

2 Confirm Workers involved have signed JSA I Safe Working Method Statement?

3 Confirm Workers are trained and competent ? 4 Confirm Location of work has been examined and area around

works wetted to prevent any possible fire from spreading

5 2 x 9l Portable fire extinguisher/other firefighting equipment readily accessible

6 Combustible material located with 10 metres to be removed or suitably protected

7 Hot Work signage displayed I welding screens erected to warn/protect others?

8 Contractor personnel understand emergency procedures on site? 9 Do smoke or fire detectors require isolation? 10 Adjacent openings / open edges to be covered to prevent transmission of

sparks

11 Area tested for flammable gas? (must be carried out by an accredited Assessor)

Subcontractor Signature __________________________________________ FIRE WATCH - PS Structures Representative to complete X appropriate block

ATTACHMENT - 7A HOT WORKS PERMIT




Fire watch Required (if yes, indicate below) Yes NO Inspect every min for hours up to 4 hours after completion of work

Nominated Persons Below – MUST BE TWO PEOPLE

Name Time Signature Sign Only When Fire watch completed

Name Signature Date

Name Time Signature Sign Only When Fire watch completed

Name Signature Date AUTHORITY TO WORK (PS Structures Representative, or Relevant Authority to be obtained as required)

Date(s) From___________ TO _________ ____ ___________ am/pm to ____________ am/pm

PS Structures Representative Name: Signature: Date

CANCELLATION /COMPLETION(PS Structures Representative to complete) All work associated with this Permit has been completed, the work area and adjacent areas have been inspected for the duration of the firewatch or at least 30 minutes after completion of work. Work area cleared of any debris. This permit is now elinquished. Name: Signature: Date/Time

ATTACHMENT 7B - EXCAVATION PERMIT




C:\Users\sandra.curran\Desktop\Subcontractors Engagement Pack\07B Att - Excavation Permit - Rev 10.doc

NO WORK CAN COMMENCE WITHOUT ATTACHING A MARKED UP DRAWING OF EXACT LOCATION OF AREA TO BE EXCAVATED

LOCATION : DATE TIME PERMIT NO.

DESCRIPTION OF THE TASK

EXCAVATION DIMENTIONS:

DEPTH = Yes No UNDERGROUND SERVICES

(TO BE COMPLETED BY SUBCONTRACTOR)

Subcontractor will be liable for any cost incurred from damaged service pipes/cables/wires.

TOP = W L .......... Services Plan Attached if applicable

BOTTOM = W L .......... Has any New Services Been Installed if applicable

.......... Electrical/ Power Services

.......... Flammable (Gas, Diesel, Petrol )

SOIL TYPE: SOIL TESTED: .......... Water Services

Soil Type (Description of soil) Yes .......... Communication Services

No .......... Other___________

.......... Dial Before You Dig checked

Yes No POTENTIAL HAZARDS

.......... Saturated soil/water inrush

.......... Cave in ( Slumping, tension cracks)

PROTECTION METHOD REQUIRED: .......... Soil subject to loading (traffic)

Sloped/ battered – design (H)_____A____ .......... Contact with Mobile Equipment

Shoring .......... Contaminated Air

Trench Shield/ Box .......... Unprotected edges

Not Required .......... Spoil pile slump/slide

Yes No SAFETY REQUIREMENTS: Yes No PPE REQUIREMENTS:

Risk Assessment? Hard Hat (safety Helmet)

Confined space permit? Safety Boots?

Shoring equip. & materials inspected prior to use

Safety Glasses?

Ladder access? Respiratory Protection?

Barricading & Signage around Area? Hearing Protection?

Rescue Plan? Hand Protection?

Turn page

ATTACHMENT 7B - EXCAVATION PERMIT




C:\Users\sandra.curran\Desktop\Subcontractors Engagement Pack\07B Att - Excavation Permit - Rev 10.doc

Specific Safety Precautions :

NOTE

All unsafe conditions must be corrected prior to trench entry. If any hazardous conditions are observed, the trench must be immediately evacuated and no one allowed to re-enter until corrective action has been taken.

SUBCONTRACTOR COMPANY:

NAME______________________________

SIGN_______________________________

ISSUED___/_____/____ EXPIRES___/____/___

PERMIT AUTHORIZATION:

SITE MANAGER SIGN:

CANCELLATION/COMPLETION (PS Structures Representative to complete) All work associated with this Permit has been completed; the work area and adjacent areas have been cleared of any debris and slurry. This permit is now relinquished. Signature: Date/Time

ATTACHMENT 7D - CRANES




C:\Users\sandra.curran\Desktop\Subcontractors Engagement Pack\07D Att Crane Proc and Permit - Rev 3.doc

1.1.1 PLANNING

A risk analysis shall be conducted and a JSA or lifting plan developed by the crane company in consultation with the relevant subcontractor and site personnel prior to work commencing. The JSA or lifting plan must take into account the following and be provided to the site manager prior to lifting commencing:

• The specific requirements of the job and job priorities; • Type of crane; • Site access, egress and movement onsite; • Prescribed occupations required and certificates of competencies; • Procedures for erection, dismantling and movement of the crane; • The crane shall be operated in accordance with the manufacturers specifications; • Proximity of hazards, e.g. overhead powerlines, trees, nearby structures, wind conditions,

uneven or unstable ground, excavations, underground services and structures, radio interference, inadequate lighting;

• Risk control measures comply with relevant Australian Standards, Codes of Practice and equipment manufacturers specifications;

• Protection of public and site personnel safety; • Access restriction to crane working area including barricades and signage; • Communication system; • Safe loading and unloading of trucks; • Personal protective equipment; and • Emergency procedures.

1.1.2 TYPE AND POSITIONING OF CRANES

The type of crane must be suitable for the proposed lift and the site manager in conjunction with the crane hire company should consider the following:

• Weight to be lifted; • Nature of the load; • Working radius required; • Rigging required; • Ground conditions; • Centre of gravity of the load; • Jib height required; and • Movement of the crane if required. • Weight of the crane (to be distributed over the ground evenly); • Precautions to ensure services are not damaged; • Mobile cranes should not be operated on a gradient unless it has been designed for such work;

and • Ensure when slewing or luffing the crane that it will not contact with any other objects or

structures.






1.1.3 INSPECTION

Prior to any crane commencing work, the following documentation must be made available to the Site Manager:

• Crane Permit to work onsite – Attachment 7D • A JSA or SWMS must be provided which covers the supply, inspection, use, maintenance,

commissioning and Isolation of the crane • Load radius indicator and automatic safe load indicator, record of test (automatic safe load

indicators); • Current certificate of test and thorough examination of crane and records of additional test and

examination performed after substantial alteration or repair; • The mandatory inspection certificates of all other lifting equipment associated with the crane; • Current registration (WorkSafe and Road); and • Subsequent to initial checks, a logbook of daily checks is required.

All cranes shall be subject to a thorough safety inspection by a competent person prior to being used on a Project and a competent person shall conduct three monthly inspections thereafter if required.

For larger cranes that are assembled onsite a pre-operational inspection is to be completed by a competent person before the cranes commences work.

Full details of all inspections, repairs and maintenance are to be recorded in a logbook that is to be kept with the crane at all times.

The crane’s Operators Manual is present in the operators cabin on the crane at all times.

1.2 SAFE USE OF CRANES

• The dogger, rigger, crane operator, supervisor of the lift and the owner of the load, if receiving the load, must have the relevant certification and copies of the certificates shall be provided to the Site Manager;

• The operator is not permitted to leave the crane unattended while the engine is running or a load is attached, except only in an emergency situation.

• A current crane test certificate must be on display in the crane cabin. Cranes will not be permitted on the Project site unless current certificates are displayed.

• All cranes set up on outriggers shall have timber mats placed under each outrigger and the outriggers are to be fully extended. The mats shall be of an appropriate size to ensure the stability of the crane in all lifting operations and are suitable and adequate for the prevailing ground conditions.

• No loads shall be carried over persons at ANY TIME – whenever loads are carried near persons, a safety hook shall be used & suitable warning signals shall be given.

• Cranes with a free falling capacity shall be fitted with a lockable lockout control to prevent free fall of a load.

• The safe working load is not exceeded at ANY time. • Cranes shall not be used to lift loads greater than the safe working capacity of the machine. • Gluts shall be used wherever possible for unhooking loads on the ground;






• Gloves shall be worn if necessary; • The manufacturers operating instructions shall be available to the operator who is required to

operate the machine. • Tag lines shall be used at all times. • Dogmen are required to wear a high visibility vest when directing a load. • Regular inspections are to be undertaken and documented to ensure safe work practices are

being correctly undertaken;

1.2.1 BARRICADING

• Barricading shall be placed around the outriggers and counterweight slew radius of cranes to prevent personnel or plant being exposed to crush or contact hazards.

• The barricading where cranes are set up for extended periods shall consist of rigid or paraweb barricading. Where cranes are in use for short periods then witches hats may be used to designate tail swing or other crush points

• Signage shall be installed (where cranes are set-up for extended periods) that state “crane exclusion zone authorised entry only”. This shall be installed on all barricading faces.

1.2.2 OVERHEAD POWER LINES

• Where work is required to be undertaken in the vicinity of overhead power cables, the project Electrical Engineer shall be notified before commencement of a lift.

• Cranes are to be effectively earthed when working in the vicinity of electrical wires. • No crane shall operate closer than six metres to high voltage lines unless the proper authority

has isolated the lines.

1.2.3 SIGNALS

• Standard crane signals are to be used in all general lifting applications. A chart indicating these signals is to be posted adjacent to places where lifting operations are carried out and at other nominated locations around a Project;

• Communication may be hand signals, light signals or voice direct or two- way radio contact.

1.2.4 WIND RESTRICTIONS

• The manufacturer’s instructions must be complied with in regard to wind velocities. A wind anemometer may be required to measure wind speed.

• Cranes should not be operated in wind speeds exceeding 15 m/sec (54 kph or 33 mph) unless the crane has been specifically designed for such use. For wind speeds above this, or where the wind speed exceeds the manufacturers operating recommendations, cranes shall be placed out of service in accordance with the manufacturer’s instructions.

1.2.5 LOWERING THE LOAD

• All loads must be lowered under controlled power except where a chain block system is attached between the crane hook and the load.






1.2.6 LOADING AND UNLOADING TRUCKS

The following rules apply:

Driver

• Load material so it does not project beyond the truck body. • Secure loads at the lowest possible level on the tray. • Gluts are to be placed securely on the truck when loading operations are complete. • Ensure that no load is lifted with any person standing on the load or in a position where the

person can be struck by or come between the load and a structure or object.

Rigger/Dogman

• Only persons holding the relevant certificate of competency will be involved in slinging operations.

• No standing on top of the load. • Safe access is to be provided i.e. ladder. • Adequate gluts are to be provided to ensure stability of the load.

1.3 CRANES NOT IN USE

Where cranes are to be left unattended for some time or at the end of a shift, they will be parked in a safe condition in accordance with the manufacturers’ recommendations.

1.4 SPECIAL LIFTS

A special lift falls into the following categories:

• Heavy lifts (greater than 20 tonnes) • Multiple crane lifts • Lifts close to the capacity of the crane • Lifts in close proximity to overhead power lines • Lifts in heavily populated work areas • Concrete pours with kibbles • Other lifts as designated by the site Manager

Any significant or critical lift shall have a lift study and JSA conducted and be signed off by the relevant parties involved in the lift and provided to the Site Manager prior to commencement of work.

There are two parts to the Lifting Study – a mass analysis and a pre-operation checklist:

1) The Lifting Study Mass Analysis calculates the total lift mass of all:

o load; o rigging; and o crane o components, and maximum lifting radii, with allowances made for safety factors.






2) A Lifting Study Checklist is a review by the lift supervisor, crane/winch operator, rigger and/or rigger of the proposed lift and associated factors. This checklist contains some items related to the more detailed lifting study as a memory prompt.

Note:

When a lift is complex or difficult, a competent person shall carry out a more detailed Lifting Study eg. an engineer. This competent person shall be involved in a formal and comprehensive review of all the circumstances relating to the lift, and includes mass calculations, drawings, sketches, and all aspects of the lift. Documentation shall be prepared to reflect the risks associated with the lift.

In any situation where multiple cranes are used for one lift, work shall be conducted in compliance with AS 1418.5

The minimum requirements for a multiple crane lift are:

• The cranes shall have similar characteristics; • Slewing motions shall be kept to an absolute minimum; • One authorised person shall be appointed to supervise the entire lift; • Signals and an uninterrupted method of communications must be in place and rehearsed prior

to the lift; • A lifting plan or JSA shall be developed for all multiple cranes lifts; and • The person in charge of the lift and rigging shall ensure the entire crew clearly understands all

aspects of the lift.

ATTACHMENT 7D – MOBILE CRANE PERMIT





Crane Operator Name: Crane capacity: Date of last inspection:

Crane Company: Brief Description of lift :

Site Name: Site Manager Name: Signature: Date:

AREAS TO CHECK FOR NON-COMPLIANCE (Tick, Cross or N/A)

Is there a legible copy of the operators manual with the crane (English) Does the crane have WorkSafe registration (Above 10 tonnes)

Crane driver & rigging crew hold the relevant High Risk License? Risk Assessment sighted?

Are pre-start daily inspections being performed and recorded? Logbook Has the crane crew discussed operational issues?

Are service records and 12 month inspection/maintenance reports available? Obvious visual defects that may compromise the safety of the crane?

PPE Crane crew wearing appropriate PPE? (High Vis vests, hard hats, boots Load charts legible, kept with the crane and written in English?

Will tag lines being used, where required? Load hook fitted with a safety catch and is it operational?

Lifting gear of adequate capacity, good order and tagged with SWL/WWL?

SETTING UP AND SITING THE CRANE: (Tick, Cross or N/A)

Precautions in place regarding suspended loads passing over workers? Outriggers clear of excavations, soft or filled ground?

Timbers under outrigger pads secure? e.g.: solid blocked (pig sty formation) Outriggers fully extended?

Counterweight slewing area barricaded? (e.g.: flags tied between outriggers) Crane set up level, on well compacted and stable ground?

ATTACHMENT 7D – MOBILE CRANE PERMIT





Clear communication protocols in place to control lifts? (e.g.: radios clear without interference, whistles heard, clear line of sight when signaling)

Have road and footpath closure permits been obtained and is traffic management in place?

OVERHEAD POWERLINES:

(Tick, Cross or N/A)

Crane is operating in close proximity to overhead power lines and the power lines have not been de-energised, cranes must operate in accordance with the No Go Zone requirements, including:

Has written permission from the local power company been obtained? Is an approved spotter observing and warning against unsafe approach to overhead power lines?

I have read and understand how I am to carry out the activities listed in this checklist. List name and signature

1. NAME: SIGN: 3.NAME: SIGN: 5.NAME: SIGN:

2.NAME: SIGN: 4.NAME: SIGN: 6.NAME: SIGN:

ITEMS REQUIRING ACTION & FOLLOW UP

* NOTIFY PS STRUCTURES MANAGEMENT OF ANY FAULTS

RISK

E, H, M, L

ACTION

Taken

DATE Close out Initials

Action Taken: M=Monitor C=completed W=Sent to mechanic X=deferred to next service

Extreme or High Risk: Does the hazard have the potential to kill, or permanently disable you or someone else? - Action Immediate Medium Risk: Does the hazard have the potential to cause a serious accident/injury which will temporarily disable you or someone else? - Action Within 48 hrs Low Risk: Does the hazard have the potential to cause a minor accident/injury which would not disable you?- Action Within 7 days

ATTACHMENT 7E – CONFINED SPACE ENTRY PERMIT




C:\Users\sandra.curran\Desktop\Subcontractors Engagement Pack\07E Att- Confined Space Permit - Rev 2.doc

CONFINED SPACE ENTRY PERMIT Permit Number: Linked to Permit: Requested By (Print Name): Employer: Date: 1. Area/Plant : Equipment Description : Equipment Number(s): 2. Description of Work (No work outside this scope may be performed under this work permit): 3. Required Risk Controls Checklist (cross all items in yes or no in the box provided) a risk assessment, JSA and/or SWP is required for authorisation of this permit Yes No Gas Testing Fall Arrest Entry Log Sheet Barricades & Signage Continuous Gas Test Unit

Yes No Sentry Rescue Plan Life line Forced Ventilation Breath Apparatus

Other:

4. Isolation

Type of Isolation Location of Isolation Points

Single Isolation Point Multiple Isolation Points Group Isolation * Location of Group Isolation Box:

5. Permit Issuer Authorisation

Name (print): Date: Time: Signature: This CSE Permit is valid: From (date):_______________(time)__________ To(date):_________________(Time)__________

Permit Issuer (PI) Re-Authorisation From (date):_______________(time)__________ To(date):_________________(Time)__________ PI (sign):_________________(Date)__________

Permit Issuer (PI) Re-Authorisation required if work will exceed the period specified

6. Acceptance of work Permit. (To be signed by the person Supervising the work) “I have read all the requirements for this work permit and understand it. I will ensure that all person(s) working under my supervision also meet all the requirements.” Name (print): Title: Signature: Date: Time: 7. Hand back to authorised Permit Issuer. To be signed by the person Supervising the work. Everyone has signed off the job and all tools, equipment and personal danger tags have been removed from the area. I have checked the equipment nominated on this certificate is safe and ready to return to service OR Equipment is not ready to return to service and an out of service tag has been placed at all the designated isolation points. Signed: Date: Time: 8. Cancellation/Completion of work Permit. (To be signed by Authorised Permit Issuer only)

Name: Signed: Date: Time:

ATTACHMENT 7E – CONFINED SPACE ENTRY PERMIT




C:\Users\sandra.curran\Desktop\Subcontractors Engagement Pack\07E Att- Confined Space Permit - Rev 2.doc

CONFINED SPACE ENTRY LOG SHEET

Permit No: Issue Date: Expiry Date:

Confined Space Location:

Name of Standby Person:

Time In Name Signature Time Out Signature

ATTACHMENT 7F – CONCRETE CUTTING AND CORE DRILLING PERMIT

Author: PS STRUCTURES

Version 11/01/2016 Revision 4

Approved by: MANAGING DIRECTORS Note: Uncontrolled when printed.

Definition of Concrete Cutting & Core Drilling - Cutting of penetrations through any Concrete or Masonry surface. Objective: To ensure that persons who have to carry out Core Drilling and Concrete Cutting are authorized to do so, Risk Assessments have

been completed to identify hazards and appropriate controls implemented to mitigate the risk.

A Concrete Cutting permit system is required wherever Concrete Cutting & Core Drilling is to be undertaken.

PERMIT APPLICATION (To be completed by Subcontractor and authorised by PS STRUCTURES Representative prior to work)

Project Name

Subcontractor Name

Name of person in control of works

Phone number Location of work to be carried out

CHECKLIST (Subcontractor to confirm the following) 1 Job Safety Analysis / Safe Working Method prepared for Cutting/Drilling and Signed Off 2 Workers are trained and competent? 3 Location of work has been examined (e.g. using ground penetrating radar) and there are no Structural,

Electrical, Hydraulic, Gas or Communications services which may be impacted?

4 Portable power and water readily accessible? (Where applicable) 5 All adjacent surfaces protected? 6 Danger signage displayed / Barriers erected to warn/protect others? 7 Contractor personnel understand emergency procedures on site? 8 Drop areas for material bunted off and signage erected? 9 Drop sheets and barriers to retain water/slurry/debris installed? 10 Confined Space Permit required? (Obtain from Site Manager) 11 Working at Height over 2 m required? (Obtain from Site Manager) 12 Adequate lighting is available in the area of work? 13 The Public is protected from debris (if working adjacent to public space)? 14 Adequate PPE is available for workers involved in the task? 15 Scaffolding erected correctly and tagged? 16 Any risk of toxic fumes accumulating? If Yes, ensure adequate ventilation 17 Equipment checked and in safe working order.

Subcontractor Signature: ___________________ AUTHORITY TO WORK (PS Structures Representative, or Relevant Authority to be obtained if necessary)

Date(s) _________________________________ From ____________ am/pm to _______________ am/pm

PS Structures Representative Name: Signature: Date

CANCELLATION/COMPLETION (PS Structures Representative to complete) All work associated with this Permit has been completed; the work area and adjacent areas have been cleared of any debris and slurry. This permit is now relinquished. Name: Signature: Date/Time

yes no n/a

ATTACHMENT 7G – ELECTRICITY ISOLATION PERMIT



Approved by: MANAGING DIRECTORS \\dbserver@6000\DavWWWRoot\Administration\OHS\Documents\30- IMS Plan\Job Sites IMS - MASTER FILE\IMS and Attachments\NEW Federal Attachments for sites Oct

2011\07G Attachment 7G Electrical Isolation Permit Procedure.doc

Permit to Work on Equipment - Voltage - HV OR LV

Permit No: Other Safety documents No’s: JSA No:

Contract Name and Number:________________________

Issued to: _______________________________________ (print name) Expected duration of works

from: to:

Site Location: _______________________________________

Company: _______________________________________

Names of other persons working:________________________

__________________________________________________

3. DECLARATION: I declare that:- (i) It is safe to work on the following voltage equipment for the purpose detailed in (vi) below and will remain so under

the provisions of the Voltage Safety Procedures as set out in the Safety Rules and Procedures. (ii) The apparatus is dead and has been isolated from the supply and all live conductors at the following points and

Caution signs fitted: (iii) Circuit mains earth have been applied to the apparatus at the following points and Caution signs fitted: (iv) High voltage Danger signs placed at:- If None state None (v) Special precautions taken:- If None state None (vi) The following work is to be carried out: Signed Print Name: (Senior Authorised Person/Authorised Person) Time: Date:

4. RECEIPT: I have read and fully understand this permit to work. I am fully conversant with the nature of the work to be done. I accept responsibility for carrying out the work on the apparatus described as being safe to work on. No attempt will be made by me or any person under my control to work on or interfere with any other apparatus.

I also accept Lock-out Box Key No’s:

Signed: Print Name: Competent Person

5. CLEARANCE: I declare that the work for which this permit is issued is now completed and that all men under my charge have been withdrawn and advised it is no longer safe to work on the apparatus specified on this permit, and that all equipment, tools and temporary earthing connections are removed.

Lock out Key No’s are returned: Signed:

Print Name:

Competent Person Time: Date:

6. CANCELLATION: This Permit To Work is cancelled. Signed: Print Name:

(Senior Authorised Person / Authorised Person) *

* Delete accordingly.

Time: Date:

Re-Validation.

ATTACHMENT 7H – ROOF ACCESS PERMIT




Project Name

Subcontracting Company

Name of Person applying for permit

Phone number

Roof where works performed

Area of roof works to be performed Checklist Confirm JSA has been prepared, submitted and approved for works

Confirm workers are trained , competent and fit for task Confirm location has been examined prior to works commencing for existing damage Confirm area below works and surrounds form are protected Confirm that all swath will be removed after works (not swept off protection onto roof) Confirm all protection will be removed from area, at the end of task, without damage Subcontractor Signature

Authority to Work (PS Structures Representative)

Name:

Signature:

Date of access to works:

Completion of Works

Subcontractor has totally cleaned area of roof works of all swath, debris, rubbish and protection

Name:

Signature:

Date:

ATTACHMENT 7I – WORKING AT HEIGHT PERMIT




Objective:To ensure persons who have to work at height are competent, risk assessments have been completed to identify hazards and appropriate controls implemented to mitigate the risk of injury or harm. Permit Required when : Workers are required to work more than 2 meters high and or exposed to a unprotected edge

•

PERMIT APPLICATION (To be completed by Subcontractor )

Subcontractor to Complete: YES NO N/A

1 Person has been inducted to site.

2 Confirm Job Safety Analysis / Safe Working Method prepared for work at height, copy at site office and signed off?

3 Rescue Plan?

4 Confirm all personnel working at height are trained and competent?

5 Confirm Working at Height' sign(s) placed in the area below to warn others?

6 Does the area below require barricading off? (i.e. falling objects / prevent access)

7 Identify proposed equipment to be used for work at height:

8 Confirmation of equipment to be used for work at height has been inspected before use

9 Fall Arrest (Harness) Travel Restraint Other (specify) : Subcontractor Details. Name : Signature: Date:

Project Name:

Applicant Name (i.e.Subcontractor)

Name of Person in charge of workers caring out works:

(Workers to sign back page)

Contact phone number

Location of work to be carried out on site

Detail work to be performed and height

PS STRUCTURES REPRESENTATIVE TO COMPLETE HOLD POINT YES NO

JSA / Safe Work Method Statement accepted by PS STRUCTURES Evidence that relevant signage / barricades in-place When Fall arrest /Restraint equipment used – evidence of tagging ,inspection maintenance, training, Recovery competence & supervision is available & documented

PS STRUCTURES Authority to work DATE FROM

DATE TO

TIME FROM

: am/pm TIME TO

: am/pm

PS Structures representative name Signature date

CANCELLATION PS STRUCTURES REPRESENTATIVE TO COMPLETE All work associated with this Permit has been completed, the work area and adjacent areas have been inspected after completion of work. This permit is now relinquished. PS Structures representative name Signature Date

ATTACHMENT 7I – WORKING AT HEIGHT PERMIT




Name : Signature: Date:

ATTACHMENT 30C – JSA/SWMS REVIEW CHECKLIST

Revision 3 DD 25/01/2016

Objective: To assist PS Structures employees to consistently assess Job Analysis/SMWS from Subcontractors prior to works and provide PS structures with evidence of satisfactory review. Attach

this checklist to the JSA/SWMS and send to site. JSA/SWMS must be satisfactorily reviewed and authorized prior to work commencing. See next page – Comments.

Each JSA/SWMS must be monitored in the field. Attachment 30D to be completed.

Project: Project Number: Subcontractor Trade (eg plumbing) Date Received JSA/SWMS# & Date REVIEW CHECKLIST – Job safety Analysis/SWMS reviewed against following criteria:

Questions Requirement addressed Yes No N/A

1 Subcontractors name included? 2 Activity/ scope of work included? 3 Project name/ job location included? 4 Date included? 5 For each activity shown, verify - Hazards are identified - Risk assessment of potential injury stated (eg Low,

Medium or high etc)

- Risk control measures defined (Using “Hierarchy of Controls” See Below)

- Person(s) identified to implement the control measures?

6 PPE listed meets PS Structures minimum site requirements? (eg safety footwear & hard hat etc)

7 Workers names, involved in preparation of document, are recorded?

8 A permit for the work has been completed and authorised where required (Note: A PS Structures permit MUST be completed before and Hot Work, Excavation (greater than 1 meter in depth), Overhead power Lines etc is carried out.

9 A description of the equipment/plant used 10 Training and licences required for workers is specified 11 PM/SM to ensure the document adequately covers safe

work procedures at heights

12 Material Safety Data Sheets have been provided 13 Steps in logical order? 14 Job steps complete? 15 Does SWMS reflect the requirements of current legislation,

standards & other requirements relevant to health & safety? Relevant legislation is referred to? (OSH Regulations 1996 & OSH Act 1984)



Summary (tick one) Yes No Accepted OR Accepted with comments – Subcontractor to revise and resubmit to PS Structures for approval

GENERAL COMMENTS: (SITE MANAGERS TO ENSURE COMMENTS BELOW HAVE BEEN SORTED WHEN SUBBIE ARRIVES ON SITE.) Reviewed by (PS Structures.) Date

REVIEW OF ACCEPTED WITH COMMENTS Yes No Accepted - revisions GENERAL COMMENTS • Any works not covered in this JSA/SWMS or new works that may be required must have a

new or revised JSA/SWMS issued for approval before commencing; • Please ensure all electrical equipment is tested and tagged; please forward copy of your

electrical register at your earliest convenience or ensure this is issued to the site manager at induction;

• All your employees are required to attend a site induction before commencing on Site and Sign off acceptance of this JSA/SWMS. JSA/SWMS needs to be signed by each worker;

• At induction each employee must issue white cards and any applicable licences; with particular reference to use of EWP, Mobile scaffold and Woking at height with harness;

• Permits are required to be completed on Site with the site Manager; any work requiring working at heights with Harness require a working at heights permit to be completed; REFER to the attached for clarification of permits ( SC responsibilities clause 7.6.1)

• Refer to our traffic management Plan issued with your contract • Ladders are not to be used except platform type up to 2.0m; any other ladder used required

specific separate approval and completion of register and restrictions for isolation; • Please also refer to the attached resent again confirming Subcontractors responsibilities on

Site; with particular the requirements for use of plant to be used on Site; ( SC responsibilities clause 8)

• A high Level of Housekeeping is required and all contractors are to adhere to these requirements by maintaining a clean working area and completing a full tidy at the COB each day;

• Any Use of Mobiles Scaffolds either in use or erection must be completed by a Competent Person

• Please ensure all workers on Site have received adequate Training in Manual Handling Techniques



Reviewed by (PS Structures.) Date



HAZARD CHECKLIST

• Could equipment be damaged? • Could you injure another person? • Could you be exposed to any hazardous conditions, such as: Electricity, fumes, dusts, gases,

heat U.V. radiation etc? • Could you strain or overexert? • Could you be struck by anything? e.g.: falling objects, mobile plant, collapsed, crushed, or

flying objects, etc. • Could you fall, slip or trip? • Could you be caught in/on or between anything? • Could environmental pollution occur?

HIERARCHY OF CONTROL MEASURES

BEST:

• Eliminate the hazard altogether (by removal or substitution) (e.g.: safer chemical/battery tools or compressed air instead of electrical)

• Provide engineering controls to isolate or reduce the risks. (e.g.: enclose hazard/use exhaust ventilation, e.g.: RCD, forklift/hiab, scaffold rather than ladders, guards on power tools, barriers, edge protection.

• Implement administrative controls e.g.: develop JSA/safe work system/adequate supervision/rotate jobs / training in lifting procedures/tagging procedures.

WORST:

Use PPE (e.g.: hearing/eye protection)

Electricity Networks Corporation ABN 18 540 492 861

1Instructions to Complete a Request to Work Near Overhead Powerlines

Each of the following sections is included as a separate form. They need to be completed at diff erent points of your project. Help us assess your needs promptly by following the form guidelines below.

Application details (Part A)

Complete the questions on the form and return to Western Power Customer Service, providing details below:

• Please attach a sketch and listing all street names and boundaries of the work area.This will assist in verifi cation of voltages.

• It is important to clearly defi ne the location and address of the intended work.• The start and fi nish dates of work must be provided.

Do not sign application acceptance (Part B)

This will only be required after Western Power has clarifi ed voltages.

• Clearances must be maintained in accordance with worksafe regulation 3.64. Full details are available from www.safetyline.wa.gov.au

• A quotation will be provided for entering danger zone listing procedures, vicinity permit isolating supply or covering conductors; and site supervision required.

Note: Western Power’s overall process to provide covers or isolation normally takes between six to eight weeks. Please allow 15 working days for covers to be installed after Western Power has receipted payment.

Application acceptance extending work fi nish date (Part C)

This is only required if extension of work fi nish date is required for work near overhead powerlinesor working in the danger zone. A copy must be signed and sent to Western Power Customer Service.

Please notify Western Power at least 14 days before initial fi nish date expires to allow for your arrangements to be extended.

Instructions to Complete a Request to Work Near Overhead PowerlinesIf you have any questions regarding the information contained in this form please contact Western Power

on 13 10 87 or Email: [email protected].

Please complete and send form to Fax: 9225 2660.

When printing this document please be aware that you can help the environment by setting your printer to print only the page you require.

Your safety is importantHave you completed the applicant information pack for

scaff olding and mobile plant?

tamara.edwards

Typewritten Text

ATTACHMENT 7C - OVERHEAD POWER LINES PERMIT



Name of applicant (for tax invoice purposes)

Company or business name

ABN

Company contact person and their current address

Title (e.g. Mr, Mrs.) First name

Surname

Date of birth / /

Lot number Street number Street

Suburb or town Post code

Telephone ( ) Work ( )

Fax ( ) Mobile

Postal address (for tax invoice purposes)



Site address and work details



Contact person


Fax ( ) Mobile

Description of work to be carried out (for example, installing scaff olding)

Start date of work / / Finish date of work / /

Part A - Please fi ll out below form and:

• Send Part A of this form fi lled in for Western Power to advise power line voltages at your site, allowing two working days for return with Western Power’s line voltages.

• Attach a sketch listing all street names and boundaries of the work area.This will assist in verifi cation of voltages.

• A site plan must be included with completed request form work fl ow number.

Request to Work Near Overhead Powerlines (Part A)If you have any questions regarding the information contained in this form please contact

Western Power on 13 10 87 or Email: [email protected]. Please complete this application and send to Fax: 9225 2660.

Work fl ow number



Request to Work Near Overhead Powerlines (Part B)If you have any questions regarding the information contained in this form please contact

Western Power on 13 10 87 or Email: [email protected]. Please complete this application and send to Fax: 9225 2660.

Voltage information provided by Western Power

If there is any doubt about the following site conditions provided please contact Western Power Customer Service

Street Conductor bare or insulated

Low voltage<1000 Volts

High voltage 1000 - 33000

volts

Transmission voltage >33000

volts

Location

Attachments sent

Scaff olding and mobile plant Work fl ow number

The applicant is required to evaluate if work can be carried out outside danger zone and Part B applicant acceptance section must be completed and a copy returned to Western Power before commencing work.

X must be placed in this box, then return to Western Power Customer Services to request a quotation for entering the danger zone.

Applicant acceptance

I, am authorised to represent (full name of applicant) (site owner or company)

and declare that all those to work on the site listed in Part A of the request to work near overhead powerlines;

1. Understand the danger zone and abide by ‘Department of Consumer and Employment Protection’ and ‘Occupational Safety and Health’ requirements, as well as any other relevant safety regulations and guidelines.

2. Keep signed request to work near overhead lines on site at all times while work is being done.3. Indemnify and keep Western Power indemnifi ed against all loss of or damage to any property whatsoever

of Western Power or others and against loss or damage resulting from injury to any person and against all claims, costs charges, and expenses relating thereto arising out of or as a consequence of work detailed in this request.

4. Valid only for the dates shown on this request (to change dates a form requesting new dates is required quoting Work Flow number. This form is available from Western Power Customer Services).

Prior to commencing the work all persons of the work team must sight this request and a copy kept on-site while the work is being carried out.

Signed Date / /

A contractor safety observer is recommended at all times when approaching danger zone of overhead powerlines. Please allow a maximum of fi fteen working

days for a project offi cer to visit your site and prepare your quotation. Please use the work fl ow reference number at top of form for all enquires.

Work fl ow number



Request for Extension of Work Finish Date (Part C)If you have any questions regarding the information contained in this form please contact

Western Power on 13 10 87 or Email: [email protected]. Please complete this application send to Fax: 9225 2660.

The applicant is required to submit a copy this form to Western Power Customer Service to extend the work fi nish date of a request to work near over head powerlines that has been previously been processed.

Work fl ow or DQM number

Confi rmation of site details



Contact person


Fax ( ) Mobile

Start date of work / / Original fi nish date of work / /

Extended work fi nish date

New work fi nish date / /

If there is any doubt about the site conditions provided please contact Western Power Customer Service.

Applicant acceptance of extended work fi nish date

I, am authorised to represent (full name of applicant) (site owner or company)

declare that all those to work on the site listed in Part A will:

1. Understand the danger zone and abide by ‘Department of Consumer and Employment Protection’ and ‘Occupational Safety and Health’ requirements, as well as any other relevant safety regulations and guidelines.

2. Keep signed request to work near overhead lines on site at all times while work is being done.3. Indemnify and keep Western Power indemnifi ed against all loss of or damage to any property whatsoever

of Western Power or others and against loss or damage resulting from injury to any person and against all claims, costs charges, and expenses relating thereto arising out of or as a consequence of work detailed in this request.

4. Valid only for the dates shown on this request.

Prior to commencing the work all persons of the work team must sight this request and a copy kept on-site while the work is being carried out.

Signed Date / /

A contractor safety observer is recommended at all times when approaching danger zone of overhead powerlines. Please allow a maximum of fi fteen

working days for a project offi cer to visit your site and prepare your quotation. Please place the Work Flow or DQM number at top of form to allow this

request to be processed.

Work fl ow or DQM number

ATTACHMENT 9 A - HAZARDOUS SUBSTANCE RISK ASSESSMENT




Hazardous substance: How is it used:

Used by (occupation):

Location used on site:

Quantities used: Frequency and duration of use:

Nature of hazard : Toxic Harmful

Corrosive

Irritant

Sensitiser (may cause allergic- type skin or

respiratory reaction)

Carcinogenic (may cause cancer)

Mutagenic (may cause mutations/ genetic change) Teratogenic (may cause birth defects)

Other hazard/s (specify):

Could cause injury to or via : Eyes Skin Inhalation

Ingestion/

swallowing

Injection

Adequacy of current controls Current controls are adequate & present

Action is needed.

Adequate Present

Action needed

Isolation

Local extraction ventilation

General ventilation

Natural ventilation

Other engineering controls

Safe work methods (eg pumping instead of pouring)

Reduce quantity and/or concentration

Information (at least MSDS and label)

Ongoing training (hazards, safe use, PPE, health surveillance if applicable)

Personal protective equipment (list):

Other measures

First aid supplies/equipment (eg safety shower)

First aid training

Evacuation plan, emergency plan, and required emergency equipment

Other controls (specify):

Monitoring Needed

Present

OK

Conclusion: Risks not significant now and not likely to increase Risks significant but effectively controlled at the moment Risks significant and not adequately controlled @ moment Uncertain about risks; more detailed assessment required

Health surveillance program

Air monitoring program

ATTACHMENT 9 A - HAZARDOUS SUBSTANCE RISK ASSESSMENT




Action required to reduce risks: (check adequacy of controls and whether any exposure routes are at risk)

No If Yes (specify):

Comments:

Risk Rating *Guide to Likelihood

Very likely Expected to occur

Likely Will probably occur

Moderate Will occur at some time

Unlikely Could occur at some time

Highly unlikely May occur in exceptional circumstances

Assessment carried out by Sub contractor

Signature: Date:

Assessment approved by (PS Structures):

Signature: Date:

Guide to actions

Extreme Stop the work until risk is reduced

High Reduce risk urgently

Moderate Reduce risk as a priority

Low Reduce risk when/if convenient

Likelihood* of injury or harm to health

Consequences of injuries or harm to health

Insignificant no first aid

required

Moderate first aid or

medical treatment

Major Extensive Or

permanent injuries

Catastrophic fatality or

many people injured

Very likely High Extreme Extreme Extreme

Likely Moderate High Extreme Extreme

Moderate Low High Extreme Extreme

Unlikely Low Moderate High Extreme

Highly unlikely Low Moderate High High