Form No. OH112 /

SAFE WORK METHOD STATEMENTOrange Hire 81 Links Rd

St Marys NSW 2760
ABN: 97 133 373 154 /
Revision: v1
Activity Details
Work Activity: / Installing concrete 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 12/08/2016
Worker(s) who have had input into the development of this SWMS / Jason Kwizla, Rob Elston / Date:21/02/2015
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. OH112 /

SAFE WORK METHOD STATEMENTOrange 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 / Mandatory
HRW & Other Licences Required / Training Required / Permits/Approvals
Dogman
Rigging basic
Rigging Int.
Rigging Adv
WP (>11m)
Traffic Control
MR/HRtruck*
HC/MCtruck*
LF/LO fork
*Dependant on truck type / Other______
Other ______
Crane License
C2
C6
C1
C0
CV (>10mT)
CN
/ Construction Industry General Induction
Site Induction
 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 1 of 13

Form No. OH112 /

SAFE WORK METHOD STATEMENTOrange 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
E.g. Diesel fuel
Plant and Equipment (tick or add as applicable) / Note: All servicing MUST be in accordance with manufacturers recommendations
Plant and Equipmentto be used on this site? / List inspections and maintenance requirements and attach evidence to this SWMS
Crane / Daily, Monthly, Yearly, Other______
Weight of the load being lifted / 3120 Kgs DB80 Concrete safety barrier
Other (list)______/ Daily, Monthly, Yearly, Other______
Hoses / Visual inspection of hoses, clamps and connectors
Electrical leads / Visual inspection Tagged and tested
Lifting gear / Visual inspection by qualified Dogman Tagged and tested

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 / Reviewbefore 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 / 4S /
  • All members of the crew will need to be:
  • site inducted;
  • trained in this SWMS;
  • 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
  • Orange hire workers must verify competency of Crane operator and dogman
/ 2M / Supervisor and all crew members
Pre Job Risk Assessment / 4S /
  • 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
Planning / Potential to tip over Crane Truck / misjudge weights etc. / 4S /
  • Supervisor to check Crane’s stability, capacity, range diagrams and rating charts before making the lift.
  • Crane operator will not operate the crane over 100% or near limits.
  • Competent person to make a visual inspection of the crane and lifting apparatus i.e. chains, lugs and hooks, for damage prior to using
  • Ensure chains/straps have been inspected, tagged and certified within the last 6 months
  • Ensure operators of Crane/dogman are qualified, competent, ticketed and inducted
  • Damaged equipment must be tagged out of service and reported to the appropriate person
/ 2M / Supervisor/driver
Step 2. Rigging the load
Dogman attaching lifting
Clutch / Fall from height / 4S /
  • Make sure the area is clear of trip or slip hazards (e.g Dunnage, straps, chains etc)
  • Get on & off facing the truck using steps and rails; Don’t jump off!
  • Stay 1.8 metres away from any unprotected edge unless directly exiting truck bed
  • Dogman to hook chain lifters on barrier on truck, move to a safe position before the crane lifts. Crane driver to signal when safe for dogman to move in and unlatch lifters.
  • Barriers on live traffic side of truck to be removed last so as not to expose dogmen to live traffic.
/ 2M / Supervisor
Sprain, strains from manual handling / 3H /
  • When picking up lifting gear bend with knees not back; keep the load close to your body; don’t rush; don’t carry more than your personal limitations allow and make sure your visibility is not impaired by the load.
  • Ask for assistance with heavy loads. Plan the lift and make sure travel area is cleared
/ 1L / Supervisor
Rigging the load / Collapse of load / 4S /
  • Dogman to request assistance from the Crane Operator.
  • Weight of barrier is approx. 3120kg
  • Engineered lifting points MUST be used when available
  • Dogman to assess the load and to determine the slinging method.
  • Lifting gear is to be selected, inspected before use and rigged by a trained, qualified and competent dogman.
  • Lifting gear will be within current test and will be rated and rigged to suit the load
/ 2M / Supervisor/Dogman
Step 3. Crane travel and load lifting
Crane travel and movement / Struck by moving plant
Struck by moving load / 4S /
  • All workers trained in this and any associated SWMS
  • All lifting must be done in accordance to site instruction.
  • Orange hire workers must verify competency of Crane operator and dogman
  • Orange hire workers must move to a safe location clear of moving plant and tag lines
  • Orange hire workers must not undertake dogman activities unless qualified
  • All workers involved in activities are to obey the instructions of crane crew at all times
  • Make available all necessary equipment and requirements to safely lift and transport barriers
  • Dogman to hook chain lifters on barrier on truck, move to a safe position before the crane lifts. Crane driver to signal when safe for dogman to move in and unlatch lifters.
/ 1L / Supervisor
Moving the load / Collapse of load causing serious injury or death / 4S /
  • Mobile phones are not to be used when operating the crane or dogging.
  • Team members to assess their capacity to work safely and not to commence work if they will put their own safety or others at risk.
  • Consider the effects of drugs, alcohol, fatigue, illness, injury or state of mind. Random Drug & Alcohol testing may be conducted.
  • Toolbox talk to include communication options available including Emergency procedures for loss of radio contact during a lift.
  • If Dogman is in line of sight of crane operator clear hand signals to be used if radio communications fail.
  • When working out of sight of operator, Dogman must carry a whistle.
  • Maintain isolations; if this is being ignored by others improve and modify or advise the site personnel
  • Only personnel who have been trained in this SWMS and who are trained, competent and qualified are to be within the crane’s isolated working area
/ 2M / Supervisor/dogman
Entanglement causing serious injury or death / 3H /
  • Dogman to ensure loose clothing and equipment is free from rigging before signaling crane operator to lift load.
  • Dogman to use tag line if possible to control load.
  • Dogman to float load.
  • Crane operator to observe if possible
/ 1L / Supervisor/dogman
Collapse/tipping of crane causing serious injury or death / 4S /
  • Dogman to double check the load is rigged and attached to the crane properly. Engineered lifting points MUST be used when available
  • Crane Operator will swing, lift and land the load slowly.
  • Crane Crew will monitor weather conditions and reduce loads or suspend work as needed.
  • Dogman to assess the load and to determine the slinging method.
  • Only lift loads from engineered lifting points.
  • Crane operator to lift load 100mm for the Dogman to inspect.
  • Always inspect lifting points before use & do not assume all lifting points are the same type / size - especially on pre-cast concrete units.
  • All loads must be secure;
  • If a load falls, stop work immediately, make safe, notify Mid-state cranes and Orange hire team and do not use the crane again until it has been inspected & cleared.
  • A load will not be left suspended.
/ 2M / Supervisor/dogman
Travelling with load / Struck by load (person, vehicle or structure) / 3H /
  • Only travel with load if the crane is designed to do this. Suspension locks to be used if fitted.
  • Keep the load clear from the ground but as low as possible.
  • Crane to travel at slow speed eg walking pace.
/ 1L / Supervisor/crane driver
Tipping of crane
  • Unstable or poor ground conditions
  • Moving a load across a slope
  • Structural failure
/ 3H /
  • Cease work is ground becomes unstable or exceedingly slippery, avoid potholes
  • Do not drive along edge of trenches, ditches, cuttings
  • Load must always be kept uphill from the crane and traveling at the lowest speed possible.
  • Never exceed the rated load and limits as specified on the manufactures load charts.
/ 1L / Supervisor/crane driver
Load moves uncontrollably when load is being walked / 2M /
  • Inspect the path of travel for trip, slip or fall hazards and arrange for them to be eliminated.
  • Control the movements of vehicles or other traffic by isolating the area or by using spotters.
  • Use tag lines to secure and control the load.
  • Franna crane to travel at walking pace.
/ 1L / Supervisor/crane driver
Crane contact with electrical apparatus / 4S /
  • An attempt should be made to break the machines contact by moving the boom away from the powerlines, if it’s not possible to move it, then the operator must remain in the cabin of the machine until they have been given the all clear by a person from the relevant power authority or the supervisor.
  • If you need to leave the cabin in case of fire or another life threatening situation you must jump clear of the machine without touching the machine and the ground at the same time.
  • It is very important that you must hop (with both feet together) away from the machine.
  • Once you are clear you must stay a reasonably safe distance from the area and warn all other people to stay clear of the area until it has been made safe.
/ 2M / Supervisor/crane driver
Step 4. Landing the barrier
Landing area fails or is damaged due it being unable to support the weight of load / Struck by falling object
Tipping of the barrier
Damage to barrier
Incorrect installation / 2M /
  • Pre-inspect the landing area to make sure it can support the load.
  • Ensure the area of installation is free of debris
/ 1L / Supervisor/crane driver
Person too close to load when it is being landed / Crushed by load / 4S /
  • Communication between Dogman and Crane Operator to be clear and concise;
  • All other workers to keep clear of the load until it is landed, stable and secure.
/ 2M / Supervisor/crane driver/dogman
Emergency situations
Emergency situations / Various / 4S /
  • Stop work, secure the crane/load then follow the site evacuation instructions and notify emergency services if required.
  • Determine evacuation assembly area during toolbox talk
/ 2M / supervisor
Reasonable adjustment to this SWMS
Performing the tasks in a way that does not reflect the above SWMS.
Reasons:
  • There is an omission from the SWMS
  • You have to perform an extra task
  • Performing the task as set out above may create a hazard

Task step: / Hazards: / Rating /
  • Control of hazard
/ Rating after control / Responsible persons
Task step: / Hazards: / Rating /
  • Control of hazard
/ Rating after control / Responsible persons
State Legislation (tick or add as applicable)
Tick / Legislation / Tick / Codes of Practices/Guidance / Tick / Other
  • OHS Act 2004 - Vic
/ How to Manage Work Health & Safety Risks / Traffic Control at Work Sites – within each state
  • OHS Regulation - Vic
/ Hazardous Manual Tasks / Jaybro’s Procedures & Policies
  • Workplace Injury Rehabilitation and Compensation Act 2013 - VIC
/ Managing the risk of falls at workplaces / State road legislation
  • Environment Protection Act 1970 - VIC
/ Labelling of Workplace Hazardous Chemicals / Other relevant legislation
  • OHS Act 1984 -WA
/ Managing Noise &Preventing Hearing Loss at Work /
  • Road Transport Act 2013 and Heavy Vehicle (Mass, Dimension and Loading) National Regulation 2013

OHS Regulation 1996 - WA

/ Managing the Work Environment & Facilities / Australian and other Standards
  • Workers Compensation & Injury Act 1981 - WA
/ Work Health & Safety Consultation, Cooperation & Coordination / AS 3760 - In-service safety inspection and testing of electrical equipment
  • WHS ACT 2011 – NSW
/ First Aid in the Workplace / AS 4380: 2001Motor vehicles - Cargo restraint systems -Transport webbing and components
  • WHS Regulation 2011 - NSW
/ Construction Work / AS 4497.1:1997 Roundslings - Synthetic fibre - Product specification
  • Workplace Injury Management and Workers Compensation Act 1998 - NSW
/ Managing Risks of Hazardous Chemicals / AS 3776Lifting components for Grade T chain slings
  • Workers Compensation Regulation 2010 - NSW
/ Managing Risks of Plant in the Workplace / AS 2321 for Lifting Chains
  • Protection of the Environment Operations Act 1997 - NSW
/ Cranes / AS/NZS 2161.1 Occupational Protective glove
  • Work Health and Safety Act 2011 - QLD
/ AS/NZS1337:1:2010 – Personal Eye and face protection
  • Work Health and Safety Regulation 2011 - QLD
/ AS 2741-2002 1-2002 Shackles
  • Workers’ Compensation and Rehabilitation Act 2003 - QLD
/ AS2550—Cranes, hoists and winches—Safe use
  • Workers’ Compensation and Rehabilitation Regulation 2014 - QLD
/ AS 4497.2-1997 Roundslings - Synthetic fibre - Care and use
  • Environmental Protection Act 1994
/ AS/NZS 4801:2001 Occupational health and safety management systems
AS/NZS 2210 (1980) Type 1 Safety Footwear

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