Principal Contractor (PC) Approving Authority APT AM Holdings Pty. Ltd. [ABN] 95124754383 APA Group Level, HSBC Building 580 George Street Sydney NSW 2000 State Representative John Ferguson Group Executive Networks Phone 02 9693 0057 SITE / WORK REQUIREMENTS Subcontractor Signature and Date Sign: Project Reference and Work Description Risk Construction Work Work Location /Address Personnel consulted risk construction work including the removal or contact with asbestos containing materials. This SWMS pertains to asbestos removal work not exceeding 0.5m 2. Greater than this amount must only be conducted by a registered Asbestos Removalist. Yes Gas pipes containing coal tar enamel coatings (S4 or as marked) Flanged pipework & fittings Asbestos CP pits Other asbestos service pits (e.g. Telstra) APA Group building works Customer metering sites Buried asbestos waste in public areas Asbestos Cement meter Boxes Chris Stewart, Robin Gray, Billy McNeill Date: / / Provided to PC : Site Responsible Person Responsible onsite supervisor Note: in future this will be the Supervisor as reflected in the Safeguard Group Procedure HSEGP08.02 Section 2.4 (Permit Acceptor) Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 1 of 9 pages
Required Supervision As identified on the APA JHEA(APA NAT-00026) Permit to Work & other Approval Requirements APA Hazardous Task Permit: <50mm tapping tee offsite issue 50mm tapping tee onsite issue Flange gaskets offsite issue Required Qualifications Class B non-friable asbestos removalist qualification APA Group Permit Acceptor Plant, Equipment, Materials Tools and equipment required for asbestos removal Non-ferrous tools for asbestos coating removal Scraper for gasket removal Water for wet down purposes Asbestos disposal bin & service Air monitoring equipment (to be determined) Adhesive labels, 20mm dia. green Required Training Construction Industry General Induction APA induction card or short term induction Workplace specific induction Induction to this SWMS Permit acceptor training Training necessary to meet Class B non- friable asbestos removalist qualification Asbestos removalist refresher training (2 yearly) Hazardous Substances Non-friable asbestos Note: Where friable asbestos has been identified a licenced & suitably trained person shall be engaged to remove friable asbestos Workplace Health, Safety and Environment Plan Emergency Procedures and Equipment Backup asbestos removalist kit available Contaminated clothing to be disposed Communications with nominated asbestos consultant First aid equipment & training Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 2 of 9 pages
Personal Protective Equipment (PPE) PPE Other Mandatory Visibility Not to be worn during asbestos removal works Mandatory asbestos boots (disposable) Mandatory for all construction activities Mandatory Asbestos approved coverall Mandatory Safety Glasses Gloves As required Nitratex gloves Ear protection As required Based on JHEA Risk Assessment Face mask / SCBA Gear As required Asbestos approved face mask (disposable) In addition to the specific Asbestos related PPE shown above, a removal kit provided by APA Group (all disposable) shall also include the following: 2 asbestos approved plastic bags 2 CAUTION DO NOT ENTER signs Spray bottle Roll of duct tape Wet wipes REFERENCES OHS legislation as prevails for each state NOHSC: 2002 Code of practice for the safe removal of asbestos NOHSC: 2018 Code of practice for the management and control of asbestos in the workplace NOHSC: 1003 National exposure standards for atmospheric contaminants in the occupational environment NOHSC: 3003 Guidance note on the membrane filter method of eliminating airborne fibres ASSOCIATED DOCUMENTS APA Protocol 020 Asbestos Management APA Group Permit to Work APA Group Procedure 6301 Pipeline Coatings APA Group Procedure 6305 Removal of Existing Coatings Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 3 of 9 pages
Step No. 1. What are the tasks involved? in order of job sequence Break the job down into steps. Each step should accomplish some major task and be in a logical sequence Identify potential asbestos containing material 2. Isolate work area Hazards/risks What can happen and how can it happen? Specify the potential hazards associated with each step and risks to health, safety and the environment. Examine each to find possibilities that could lead to an incident. Raw Risk Assess the raw risk without controls Contact with asbestos 26 Public make contact with asbestos Controls to be implemented to reduce risks What will be done to ensure zero harm? Describe the measures to be implemented to eliminate or control the risks. Describe how these measures are to be implemented, monitored and reviewed. Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 4 of 9 pages Identify pipes containing asbestos identified on plans (S4 coal tar enamel coating) Identified flange gaskets which may contain asbestos. Ensure removal work does not exceed 0.5m 2. Operator must have undertaken Asbestos awareness training Undertake Asbestos induction Refer to APA Group work procedures Review Site asbestos register if available Consult Specialist asbestos consultant where friable asbestos is encountered Asbestos free gaskets can be identified by green label on flange Refer to Protocol 020 Asbestos Management Residual Risk Assess the residual risk with controls 2 Person responsible Who will make sure it happens? Specify Person(s) Responsible Permit acceptor on site 26 Place Asbestos warning signs Permit acceptor on site
Other workers contact asbestos Awareness of hazard around site Rollout warning tapes or place barricades around work area (where required) 3. Asbestos fibre air monitoring Legislative breach Excessive exposure to asbestos fibres 25 Establish air monitoring requirements prior to commencing works (not always necessary for non-friable asbestos) Ref. HSE GP 08.05 Monitoring the Work Environment Permit acceptor on site Wear asbestos removal kit provided by APA Group (all disposable): 4. Protect operators Contact with asbestos 26 2 asbestos approved plastic bags Asbestos approved disposable coverall Pair Nitratex disposable gloves Pair asbestos disposable boots Asbestos approved disposable face mask 2 Caution do not enter signs Spray bottle Roll of duct tape Wet wipes Wet down work area with fine water spray 2 Permit acceptor 5. Containment of asbestos containing materials Airborne asbestos distributed 25 Double bag asbestos containing material, PPE and other waste, and tape opening Permit acceptor 6. Identification of asbestos removal activities 7. Transport of asbestos Poor productivity, unable to identify asbestos free gaskets Airborne asbestos distributed 22 Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 5 of 9 pages Affix green adhesive label to flange to indicate that gasket has been replaced with asbestos free compound 2 Permit acceptor 25 Transport to nearest APA Group Permit acceptor
containing materials depot and transfer to designated disposal bins 8. Disposal of asbestos containing materials Airborne asbestos distributed 25 Stored in lockable bins at centre Disposal via registered asbestos disposal service Centre manager 9. Emergency response procedure Airborne asbestos distributed Contact with asbestos material 25 Refer to Protocol 020 Asbestos Management Refer to Asbestos Management Plan (where applicable) Centre manager Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 6 of 9 pages
General Industry Induction Project Specific Induction Declaration by contractors and workers - I have been given the opportunity to comment on the content of this Safe Work Method Statement (SWMS). - I have read and understand how I am to carry out the activities listed in this SWMS. - I have been supplied with the personal protective equipment identified on this SWMS and I have been given training in the safe use of this equipment. - I have read and understand the requirements set out in the material safety data sheets for the hazardous substances identified in this SWMS Consultation & Review Sign Off Analysis of Training / Skills or Competencies Required Training / Skill / Competency Required to Complete the Work Safely A = All employees are required to hold. % of personnel required to hold Number of personnel required to hold A A Name Position Signature Date Training / Skill / Competency held by employee tick () evidence must be available Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 7 of 9 pages
LIKELIHOOD Possibility, Probability, Frequency of exposure, Historical evidence RISK RANKING ACTION REQUIRED CONSEQUENCE or Activity must not commence. Reduce risk to at least moderate or to ALARP through additional controls. Reduce risk to at least moderate or to ALARP through additional controls. Activity must not commence without Management approval Work can proceed once supervisor has confirmed process has been adequately followed and risk controls identified and implemented Work can proceed once risk controls identified and implemented HSE Environment First Aid Treatment only with the ability to return to work immediately Limited effect of low significance to minimal area External Medical Treatment but excluding hospitalisation with the ability to return to work next shift / day Short-term temporary impairment to localised area Degree of Potential Harm Injury or illness requiring hospitalisation and resulting in the inability to return to work the next shift / day (LTI) Prolonged but reversible impairment to localised area and does not affect ecosystem function Permanent partial disability Uncontrolled, long term but reversible impairment to localised area and does not affect ecosystem function Fatality or life threatening injuries or permanent total disability Uncontrolled, long term but reversible environmental impairment of ecosystem function Multiple Fatalities Uncontained, long term serious environmental degradation OR permanent impairment to ecosystem function. Description Descriptor Insignificant Minor Medium Significant Major Catastrophic Is currently occurring, or will almost definitely occur Frequent (7) (13) (21) (31) (33) (36) Can be expected to occur in most circumstances Likely (6) (12) (20) (24) (32) (35) Can be expected to occur in certain circumstances Occasional (5) (10) (16) (23) (27) (34) May occur in certain circumstances Possible (3) (9) (15) (22) (26) (30) Not expected to occur but may occur in abnormal circumstances Unlikely (2) (8) (14) (18) (25) (29) Conceivable but only in exceptional circumstances Rare (1) (4) (11) (17) () (28) Note 1: Risk should be rated according their potential and most credible consequences. Note 2: The number presented in each risk box represents a unique identifier for tracing a likelihood / consequence combinations (where required) and serves no other purpose. Note 3: Refer to APA HSE GP 06.01 Risk Management Overview for full explanation of likelihood, consequence and risk descriptors. Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 8 of 9 pages
Document: HSE NET NAT SWMS APAND00002 Version: 0.01 Date: 20/11/2012 Review by: 15/01/2014 Page 9 of 9 pages