SAFE WORK METHOD STATEMENT/JSA WORKSHEET

Transcription

1 Employer: Nelson Agricultural and Landscaping Services Zone: SWMS/JSA Job/Task: Landscaping Services Work Locations: Supervisor/ leading hand: Dean Fomiatti Initiated by: Date: WHS review Date:30/06/20 Management Review Date: SWMS/JSA Sign off and acceptance of proposed work method and associated responsibilities No Surname First Name Classification Employed by Signature date 1 Fomiatti Dean Operator/Owner Nelson Ag

2 Brief description of work to be undertaken: Reference and detail applicable sections of: Manufacturer / Supplier recommendations / specifications Australian Standards Nos Codes of Practice List key individuals and qualifications: As signed in on page 1 Detail any approvals required e.g. Permit to Excavate: Key safety duties/responsibilities: Wear correct PPE & and obey all site regulations Detail training required to complete work: Onsite training List Certificates or Licenses required to operate plant or perform tasks: N/A List plant and equipment to be used for work Tractor and implements Drivers licenses / WHS card, SOA Ticket & VOC Ticket List plant, equipment and area safety inspections required: See Attached Nelson Ag Daily Plant Checklist Key contact number Name Dean Fomiatti Key contact number - Name Key contact number Name

3 Project No. Key safety issues to be managed and key safety controls to be implemented: Key PPE issues: Helmet Safety footwear High Vis Clothing Safety glasses All unloading equipment (e.g. Chains/Slings) for lifting purposes only must be tagged for usage Other forms of PPE to be worn when required Safety Legislation: Legislation WHS ACT 2011 WHS Regulation 2017 Moving Plant on Construction Site Code of Practice 2004 Managing risks of hazardous chemicals in the workplace 2014 Work near overhead power lines 2006 N/A RTA G22 Truck and Plant Requirements Excavation Code of Practice 2015 Project WHS&R Management Plan Site Work Guidelines

4 Step No Process steps List the steps needed to do the job in the sequence to be done 1 Pre start Truck /Tractor safety Entering and exiting truck Assess site traffic conditions and controls Complete daily prestart checklist Potential Hazards Against each step list potential hazards that could cause injury when the jobs done Risk level 1-4 Hazard Control Measures Slip, fall, trip causing injury 4 Walk around the truck before starting housekeeping Collision with plant, equipment, or people Dirty/broken windscreen, mirrors, Check Oil, Grease Machine while on site 3 Attend daily toolbox talk Determine traffic expectations flow for day Take care always and be on the look-out for pedestrian s workers and other plant 4 Fix clean windscreens mirror prior to starting Action By (print name of person) 2 General option Driving on a construction site Reversing the tractor/truck Transport of materials 3 Arrival on site Site Traffic and working plant Accident causing damage to equip or persons 3 Drive defensively obey road signs and traffic control plans Collision with other plant equipment or 1 Check reversing alarm persons Use a spotter Injury to people other vehicles and 3 Cover loads always whilst in transit occupants Use appropriate tie down straps as necessary Over load truck 4 Only load truck to within safe working load Collision with or obstruction to traffic 3 Follow site rules and direction of traffic controllers

5 Likelihood How Likely is it that someone will get hurt? Consequence How severely could someone get hurt? Catastrophic Death very serious environmental/struc tural and or plant damage Major Permanent disability loss of production or major environmental structural and or plant damage Moderate Temporary disability or moderate environmental structural and or plant damage Minor Minor injury or minor environmental structural and or plant damage Very Likely (Could Happen soon) Likely (could happen occasionally) Moderate (possible it might happen) Unlikely (could happen but rarely) Very Unlikely (could happen but probably never will) Legend: 1 Critical /Extreme Risk 3.- Moderate Risk 2 High Risk 4.- Low Risk Environmental Checklist Is the activity scheduled for approved hours of operation (7am-6pm M-F and 8am-1pm Sat) if not please advise Environment Manager or proposed works and submit an Out of Hours Work Proposal? Have you considered potential for dust and associated controls? If so what are these (e.g. water cart, spray grass, cover stockpile)? Is their potential for polluted water to leave the site or enter a drain? If so outline your control methods (e.g. sediment fences, gravel socks, diversion drains, vegetated buffers) Are the works going to be very noisy? What possible controls or measures can you use to reduce noise? Do you need a specified concrete washout area? Have you considered all other possible environmental risks?

6 Power Take Off (PTO) shaft Fixed and Greased. All Clients must be clear of minimum 100m while working. Roll over 3 Must Wear mandatory site PPE required, visually check site, Must Avoid steep slopes and banks, Daily Inspection, ensure adequately greased, ensure amber safety beacon operational, Must Stop Work if Clients are within 100m of Tractor Risk level refer to Risk Matrix overleaf to determine risk level 1, 2, 3 or 4

7 Power Take Off (PTO) shaft Fixed and Greased. All Clients must be clear of minimum 100m while working. Roll over 3 Must Wear mandatory site PPE required, visually check site, Must Avoid steep slopes and banks, Daily Inspection, ensure adequately greased, ensure amber safety beacon operational, Must Stop Work if Clients are within 100m of Tractor Risk level refer to Risk Matrix overleaf to determine risk level 1, 2, 3 or 4

8 Power Take Off (PTO) shaft Fixed and Greased. All Clients must be clear of minimum 100m while working. Roll over 3 Must Wear mandatory site PPE required, visually check site, Must Avoid steep slopes and banks, Daily Inspection, ensure adequately greased, ensure amber safety beacon operational, Must Stop Work if Clients are within 100m of Tractor Risk level refer to Risk Matrix overleaf to determine risk level 1, 2, 3 or 4

9 Power Take Off (PTO) shaft Fixed and Greased. All Clients must be clear of minimum 100m while working. Roll over 3 Must Wear mandatory site PPE required, visually check site, Must Avoid steep slopes and banks, Daily Inspection, ensure adequately greased, ensure amber safety beacon operational, Must Stop Work if Clients are within 100m of Tractor Risk level refer to Risk Matrix overleaf to determine risk level 1, 2, 3 or 4

10 Power Take Off (PTO) shaft Fixed and Greased. All Clients must be clear of minimum 100m while working. Roll over 3 Must Wear mandatory site PPE required, visually check site, Must Avoid steep slopes and banks, Daily Inspection, ensure adequately greased, ensure amber safety beacon operational, Must Stop Work if Clients are within 100m of Tractor Risk level refer to Risk Matrix overleaf to determine risk level 1, 2, 3 or 4