site specific safety plan master
TRANSCRIPT
The Site Specific
Safety Plan (SSSP)
is a communication
tool between
subcontractors and
main contractors
and should be
completed before
starting a
construction
project. When used
correctly, it ensures
that relevant site
information is
regularly updated
and safety is
monitored.
A SSSP helps record the basic health and safety actions companies need to do,
such as:
• Hazard management and identification
• Accidents and incident investigation
• Train and/or supervise staff
• Emergency ready eg. Prepared with first aid / rescue plan
• Responsibilities:
- Provide opportunities for employees to be involved - Employees have a responsibility for their own safety
For managing hazards:
Health & Safety Policy
Subcontractor
Communication & Consultation
Emergency
Safety Inspections
Hazard
Identification, Risk
Management Info
Incident
Management
Safe Work
Procedures
Notifiable Works
SDS sheets
Training Register
Procedures
Safety Performance
Monitoring
Full range of Safety
and Hazard Registers
PPE register and
issuing form
Employee Induction
& Training
Assessment & Control
Plant & Equipment
Registers
Evacuation Plan
Supervision
Employee Health
Just some of the additional information in this file to consider:
General Hot
Works
Induction/Visitor Register
Task Analysis
Notifiable Works
Accident/Incident
Register
Full range of Safety and Hazard Registers
Toolbox Safety
Tips and Meetings
Accident Investigation
Inspection Form
A Safety Plan to Suit Your Job
Your Specific Safety Plan Checklist contains Yes or No check boxes.
Where there is a Yes/No option, a response must be given.
Tick the Actioned box when the subcontractor has completed the required action.
All items must be responded to in order to sign off the Site Specific Safety Plan
(SSSP).
Once the SSSP is signed off, site access can be granted to the subcontractor.
The person who is designated to act on behalf of your business for safety on site may be a dedicated safety representative, your supervisor, or one of your employees.
Definition of a Principal
A person who engages any person (other than as an employee) to do any work for
gain or reward. A principal can be a:
• client who directly contracts a main contractor or subcontractors
• a main contractor who engages subcontractors • subcontractors who engage other subcontractors • self-employed persons who engage subcontractors.
Definition of a Person Who Controls a Place of Work A person who controls a place of work can be a person who:
• owns, leases, subleases or is in the possession of/occupies a place of work
• owns, leases or subleases plant or equipment used in the place of work.
Definition of a Person A person can be a legal person such as an employer or a natural person such as
an employee.
A person can be:
• the Crown
• a group of people who act as an individual such as a company, a body
corporate or the Crown • an employee
• a self-employed person.
Persons in control of the workplace. The subcontractor must identify the person
who has control of the workplace and confirm this on form 1 of this SSSP. This
will often be the project’s principal, but if the work is being done directly for a
client on their premises, then the employer in control of the site may be the client or building owner. The people in control of the workplace, and their site representative, have the overall responsibility for health and safety management
for the site, which will include managing most of the items in the SSSP Checklist
and co-ordination of all trades’ health and safety.
All hazards to be brought onto the site or created during the course of the work
must be identified and controlled. The standard Task Analysis Worksheet may be used to analyse the various tasks within your trade work, identify the significant safety hazards and detail the method of control. These sheets must be attached and forwarded with your SSSP.
A Hazardous Substance/Dangerous Goods Register must be maintained with the
appropriate Safety Data Sheet (SDS). If specific emergency processes need to be set up, this will be addressed on the Task Analysis Worksheet to be incorporated into the project emergency planning and evacuation processes.
Communication/Employee Participation (Toolbox Safety Meeting Minutes)
On-site safety requirements must be communicated to all site personnel. This
will include the notification of hazards brought onto the site or created during the
course of the work. Do this by posting hazards on the main site hazard board, or advising staff during regular safety meetings. The aim is to ensure that all workers on site are aware of the hazards as they arise and are advised when they
no longer exist. If English is the second language of any of your employees, then you must maintain a liaison person on site who can effectively communicate between them and the site management team.
Toolbox meetings should be run on a regular basis and run for 10-15 minutes. The
frequency of meetings will depend on the size, nature and location of the site. Some hazardous activities could require daily meetings, while often a
weekly/fortnightly meeting will suffice. Safety meetings for workers should be short and to the point.
Why do we run Safety Meetings?
• Inform workers of changes to company procedures
• Identify new hazards and review existing hazards
• Develop/review hazard controls
• Discuss/review accident and incident data
• Employee participation
• Communication
• Discuss programs
• Develop/review work processes
• Short training sessions
Record Meetings
Details of meetings should be recorded and kept on file. Record meeting dates,
attendees and discussion items. Show follow-up items from previous hazards, accidents and incidents.
Emergencies(Emergency Plan; Emergency Evacuation Plan)
In the event of a site evacuation, the Emergency Evacuation Alarm will be sounded and your employees must promptly evacuate the site. The site
management team will notify you of your assembly point at the time of your
induction onto the site.
Some emergencies that you may need to prepare for, and have a procedure to deal with, include spillage of hazardous substances, serious harm accidents to
your staff, and rescue of a fall arrest victim. Each potential emergency you
identify under your hazard management process must have an emergency plan and procedure prepared and included with the hazard management information submitted so that any effect it may have on the Emergency Evacuation Plan can
be identified and rectified.
You must have a person on site trained in First Aid, with a current valid
certificate, in case of an injury or accident.
Accident/Incident Reporting
All accidents and incidents must be reported immediately to site management.
Accident and Incident Investigation Reports are to be given to site management as soon as is practicable. You must also report serious harm accidents directly
to Provincial or State agencies. In the case of serious harm accidents, the scene
must not be disturbed until a full and complete accident investigation has been undertaken.
Safety Inspections and Safety Reviews
You are required to carry out regular, documented safety inspections of your own
work areas while on site, at the intervals and as per the prime contractors safety manual. Copies of the Accident and Incident Investigation Report must be given
to site management for discussion at safety meetings. Any recommended/completed corrective action will be advised at these meetings.
Training/Induction
All persons starting work on this site must go through a formal induction process. During this process, safety rules and various site specific issues will be discussed.
Please supply a list of all your employees working on this site, along with their access card numbers and expiry dates at the time of the induction. All employees will be expected to show their Site Safe access cards at induction.
You will need to provide and maintain evidence of your employees’ skills training, e.g. trade qualifications, certificate of competency, etc.
Sign-off/Approval
Before any work commences on site, the subcontractor will sign off their SSSP and submit it with all attachments to the principal/site management for approval.
The principal/site management will review the plan using the Site Specific Safety
Plan Evaluation and return it to the subcontractor if not complete, or request a
meeting with the subcontractor to review and action any deficiencies.
Once all the evaluation checks have been satisfactorily agreed, the principal/site
management will sign and date the SSSP confirming approval and return a signed
copy to the subcontractor for their record.
Subcontractors
The subcontractor must have a process in place for approving their own
subcontractors’ safety systems. If the subcontractor contracts out some of their
work to another subcontractor, then the site management must be notified in a schedule attached to the subcontractor’s SSSP of the names and contact details
for all their subcontractors.
Hazard Register
PROJECT/SITE
IDENTIFIED
HAZARD
POTENTIAL
HARM
SIGNIFICANT
HAZARD E I M
HAZARD
CONTROLS
REGULAR CHECK OF HAZARD CONTROLS IN
PLACE
Yes No Training Required
Date Checked
Date Checked
Date Checked
Date Checked
Hazardous Substance/Dangerous Goods Register (Safety Data Sheets – SDS)
PROJECT/SITE EMPLOYER
“SDS” records concise health, safety and technical information held for all products used and stored by the organisation
Date
Substance,
Chemical, Material or
Solvent
Supplier
SDS Report
Held Y/N
Hazard Potential Safer Alternative Protective
Clothing Required
Action
Recommended
Action
Review Date
Completion guide and action sign-off
Completed Safety Data Sheets are held for all products and the information, health risks and the directive to use protective
equipment have been conveyed to employees and recorded in the Safety Training and Competency
Register……………..……………………..…………….……signed (Site management) ………………………..….(Date)
Task Analysis Worksheet
JOB DESCRIPTION PROJECT/SITE EMPLOYER DATE
PPE required: Task Analysis completed by:
Date:
Plant required:
Signage required:
SEQUENCE OF BASIC STEPS POTENTIAL SIGNIFICANT HAZARDS HAZARD CONTROL METHOD
List the 4 to 8 steps required to complete the job
(Follow the flow of the product or the process)
List the potential SIGNIFICANT hazards beside each step. Focus on what can cause harm and
what can go wrong (Use the Seven Point Analysis as a guide)
List the control methods required to ELIMINATE, ISOLATE or MINIMISE
each SIGNIFICANT hazard
Step
No.
Step
No.
E/I/M
Seven Point Analysis
To help identify hazards, for each step ask – Can I?: � strain or sprain my back or other muscle � be caught in, on or between anything � slip, trip or fall from height, on the same or
lower level � be injured by poor plant/job design
� be struck by or against anything � come in contact with a hazardous substance
� come in contact with an energy source
SEQUENCE OF BASIC STEPS POTENTIAL SIGNIFICANT HAZARDS HAZARD CONTROL METHOD
List the 4 to 8 steps required to complete the job (Follow the flow of the product or the process)
List the potential SIGNIFICANT hazards beside each step. Focus on what can cause harm and what can go wrong
(Use the Seven Point Analysis as a guide)
List the control methods required to ELIMINATE, ISOLATE or MINIMISE each SIGNIFICANT hazard
Step
No.
Step
No.
E/I/M
Task Analysis Sign-off
All persons involved in Task Analysis have been trained in the processes
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Toolbox Safety Meeting Minutes
PROJECT/SITE EMPLOYER
FOREMAN/SUPERVISOR
PRINCIPAL
DATE
Attendees: Signatures of attendees:
Site activity/safe work practices/accident/incident investigations discussed:
Employee issues raised:
Date to be resolved by:
Safe observations reviewed/discussed:
Pre-start Site Assessment
PROJECT/SITE ASSESSOR SIGNED
DATE
Hazards √ Controls
Height/Overhead Work:
Falling material
Ladders
Scaffolds
Roofs
Cranes
Elevated work platforms
Trenches/Confined Spaces:
Pits and trenches
Tanks
Shafts
Confined spaces
Plant:
WoF/current test tag
Machine guards
RCDs
Leads
Vibration
Task Analysis completed/reviewed:
Date:
General Environment:
Public access/protection
Signage/barriers
Organisation/housekeeping
Wet/slippery environment
Hazardous materials
Chemicals
Services (gas/water/power)
Exposure to weather
Extreme temperatures
Traffic
Noise
Dust and debris
Explosion/fire
Machinery
Mobile plant
Personal Protective Equipment:
Safety boots
Hearing protection
Eye protection
Hi viz clothing
Safety helmet
Respiratory protection
Self Safety Inspection Checklist
PROJECT/SITE EMPLOYER
Safety representative: Inspection by: Date:
Remedial complete (sign/date):
1 Site Control ����/x 9 Welding/Gas Cutting ����/x 1. Hazard board and signage up-to- 9.1 Hot work permits being issued 1. Environmental plan – issues 9.2 Fire extinguishers on hand 1. Toolbox Talk last date / 9.3 Operators using PPE 1. Safety inductions for all on site 10 Electrical Equipment 1. Safety notice board current 10. Main board 2 Site Facilities 10. Current tagged and damage- 2. Offices – clean, adequate and 10. Current tagged plant 2. Smoko sheds – clean, potable 10. Current tagged lifeguards 2. Toilets – clean, washing water 10. Leads safely placed 2. Tool/equipment sheds adequate 10. Equipment in good condition 3 General Site Tidiness and 10. Appropriate guards on 3. Clear, safe access to work areas 10. Adequate temporary lighting 3. Stairways and accessways clear 11 Chemicals 3. Hoardings/fence and gates 11. Correctly stored 3. Loose materials secure from 11. Safety Data Sheet (SDS) 4 Personal Safety Equipment 11. Operators using PPE 4. Signage displayed and legible 12 Tools 4. Hardhats being worn 12. PAT tool current and secure 4. Correct footwear being worn 12. Staff trained in tool use 4. Glasses/ear muffs/vests/masks 12. PAT signage on site 5 First Aid/Fire Prevention 13 Scaffolding 5. First Aid box Availabl Curre 13. Notifiable weekly 5. Accident register 13. Handrails/mid-rails 5. Fire Available 13. Toe boards 5. Current (12 mth) 13. Platforms 5. Sufficient 13. Ladders/stairs 5. Evacuation Procedure 13. Base sound 5. All emergencies 13. Work platforms clear 6 Cranes/Hoist/Lifting Equipment 13. Platforms trip free 6. Proper lift assessment plan done 13. Planks tied down 6. Crane certification current 13. Headroom clear 6. Slings/chains certified 13. Ties/bracing adequate 6. Operator procedures in place 14 Ladders 6. Inspections being done 14. Good condition 6. Man cage available 14. Secured top and bottom 6. Emergency plan in place 14. Stays to step ladders 7 Compressed Air Equipment 14. Working 2 steps down 7. In good condition 15 Fall Hazards 7. Appropriate guards fitted 15. Floor edges Floor 7. Trained user 15. Lift shafts Stairs 8 Excavations correctly shored Excavations
Emergency Plan and Procedures for Hazardous Work
PROJECT/SITE EMPLOYER
Potential Emergency Situations
List separately: Procedure:
Responsibilities
Personnel: Key responsibilities:
Evacuation Procedures
Visitors:
Assembly areas:
Alarms:
Medical Treatment
First Aiders:
Location of nearest
medical centre:
Emergency services:
Key subcontractors’ telephone numbers:
Training and Procedure to advise site staff:
Emergency Evacuation Plan
In the case of emergency requiring evacuation of the project, either:
FIRE, EARTHQUAKE, SERIOUS ACCIDENT, STRUCTURAL COLLAPSE, TSUNAMI, EXPLOSION, AVIATION INCIDENT, HAZARDOUS SPILL OR PRACTICE
EVACUATION
The following warning will sound:
______________________________________________________________________________
If this warning sounds, SHUT DOWN all plant and equipment. All personnel on the project are to proceed IMMEDIATELY by the
SAFEST IDENTIFIABLE ROUTE to the SAFE ASSEMBLY POINT
And REMAIN there, so ALL personnel can be ACCOUNTED FOR
DO NOT RETURN to the project until the project manager has given the
OFFICIAL CLEARANCE
MEDICAL FACILITIES LOCATED AT:
When calling 911, READ THE FOLLOWING TO THE DISPATCHER:
We have an emergency at…
We need help from Ambulance/Fire…
Directions to the emergency are…
Our phone number is…
The medical problem seems to be…
Send someone outside to meet the emergency services
EMERGENCY TELEPHONE NUMBERS:
Dial 111 for: FIRE, AMBULANCE, POLICE, GAS, CHEMICAL SPILLS
PHONE NUMBERS MAY DIFFER – CHECK YOUR LOCAL DIRECTORY
HOSPITAL ( ) WORKSAFE Safety ( ) ________________________
Emergency Evacuation Plan
POISON CENTRE (_______) _____-__________
POWER (Customer Service) ( ) 24hr Faults ( ) Subcontractors on site: ( )
SAFETY MANAGER IS:
TRAINED FIRST AIDER IS: FIRST AID KIT AND FIRE EXTINGUISHER LOCATED AT SITE OFFICE
OR:
Accident/Incident Register
PROJECT/SITE EMPLOYER
Date
and Time
Details:
Name of person (injured or observer): • Description of accident/incident/near miss
• Cause of harm (if any)
• Type of injury/disease (if any)
Immediate action
taken: • First Aid
• Corrective
action • Review Hazard
Register
Serious
Harm Y/N
WORKS
AFE Notified
Y/N
Date
Investigation actioned and
documented Y/N
Investigation outcomes
discussed at safety meeting
on:
1. Particulars of employer, self-employed
person or principal: (Business name, postal address and telephone number)
2. The person reporting is: � an employer � a principal � a self-employed person
3. Location of place of work:
(Shop, shed, unit nos., floor, building, street nos. and names, locality/suburb, or details of vehicle, ship or aircraft)
4. Personal data of injured person:
Name
Residential address
Date of birth Sex (M/F)
5. Occupation or job title of injured
person:
(Employees and self-employed persons only)
6. The injured person is:
� an employee � a contractor
(self-employed person) � self � other
7. Period of employment of injured
person:
(Employees only) � 1st week � 1st month � 1-6
11. Agency of accident/serious harm:
� Machinery or (mainly) fixed plant
� Mobile plant or transport � Powered equipment, tool or appliance � Non-powered handtool, appliance or
equipment
� Chemical or chemical product � Material or substance � Environmental exposure (e.g. dust,
gas)
� Animal, human or biological agency (other than bacteria or virus)
� Bacteria or virus 12. Body part:
� Head � Neck �
Trunk � Upper limb � Lower limb � Multiple locations
� Systemic internal organs
13. Nature of injury or disease: � Fatal
(Specify all) � Fracture of spine � Puncture wound � Other fracture � Poisoning or
toxic effects
� Dislocation � Multiple injuries � Sprain or strain � Damage to
artificial aid � Head injury � Disease, nervous system � Internal injury of trunk � Disease,
musculoskeletal system � Amputation, including eye � Disease, skin � Open wound � Disease,
digestive system � Superficial injury � Disease, infectious or parasitic � Bruising or crushing � Disease,
respiratory system
Notice or Record of Accident/Serious Harm
months � 6 months-1 year � 1-5 years � Over 5 years
� Non-employee
8. Treatment of injury: � None � First Aid only
� Doctor but no hospitalisation � Hospitalisation
9. Time and date of accident/serious
harm:
Time am/pm
Date
Shift � Day � Afternoon � Night
Hours worked since arrival at
work
(Employees and self-employed persons only)
10. Mechanism of accident/serious
harm: � Fall, trip or slip � Hitting objects
with part of the body
� Sound or pressure � Being hit by moving objects � Body stressing � Heat, radiation
or energy
� Biological factors � Chemicals or other substances � Mental stress
� Foreign body � Disease, circulatory system � Burns � Tumour
(malignant or benign)
� Nerves or spinal chord � Mental disorder
14. Where and how did the
accident/serious harm happen? (If not enough room, attach separate sheet or sheets)
15. If notification is from an employer: (a) has an investigation been carried
out? � Yes � No (b) was a significant hazard involved? � Yes � No
Signature and date: ________________________ ___ / ___ / ___
Name and position:
(Use capitals)
Check that the details on this copy are complete and forward it to your nearest WorkSafe office
Accident and Incident Investigation Report
EMPLOYER BRANCH/DEPARTMENT
NAME OF INVESTIGATOR
PARTICULARS OF INCIDENT
Day of Incident
(circle)
M T W T F S
S
Time Project/Site Date Reported
INJURED PERSON
Name: Address:
Age: Phone number:
Reported date of incident: Length of employment: Time on job:
TYPE OF ���� Bruising ���� Dislocation
���� Other
(specify)
Remarks: ���� Strain/sprain ����
Scratch/abrasion ���� Internal
���� Fracture ���� Amputation ���� Foreign Injured part of body: ����
Laceration/cut ���� Burn scald ���� Chemical
DAMAGED PROPERTY
Property/material damaged: Nature of damage:
Object/substance inflicting damage:
INCIDENT
Description
Describe what happened (space overleaf for diagram – essential for all vehicle incidents):
Analysis
What were the causes (root and contributing causes) of the incident?
Root causes – safety system failures:
Contributing causes – unsafe acts and conditions:
Prevention
What action has or will be taken to prevent a recurrence? Tick items already actioned (use space overleaf if required)
Completed ���� X
By whom
When
TREATMENT AND INVESTIGATION OF INCIDENT
Type of treatment given: Name of person giving
First Aid:
Doctor/Hospital:
Incident investigated by: Date: WORKSAFE
advised: Yes /
No
Date:
Signed by: Employer…….…………..…………..……..……and Employee………….….………….…………………
Safety Training and Competency Register This register is a record of training, qualifications, experience and competencies for your employees. Complete the register for each employee, noting Site Safe
training that has been completed, along with other safety and trade training
undertaken. List certificates, licences and other formal qualifications in the column to the right of the training section.
Name Site
Induction
Date
Current Site Safe
Card Type
and Number
(See
key below)
Current
Site Safe
Card Expiry Date
Other Site
Safe Training
(See key
below)
Training, Qualifications,
Experience Competence
Trade and
Skills
Training
(Specify all
types)
Formal Qualifications, Certificates,
Licences, and Unit
Standards (Specify all
types)
No
. Y
ea
rs’
Exp
eri
enc
e in
Le
ve
l of
Co
mpe
ten
ce
in
Cu
rre
nt
Job
(use
LU
LU
)
Key:
Site Specific Safety Plan Evaluation This evaluation process assumes that the contractor has already submitted their
health and safety systems to the client and that the client has approved these systems. The purpose of this evaluation is intended to provide the client with confidence that the contractor is aware of their responsibilities and has
procedures in place that meet these responsibilities on this specific project.