Professional Documents
Culture Documents
DISCLAIMER This sample Health and Safety manual is intended to be used as a guide only to assist aviation operators to set up their own Health and Safety system. The policies/procedures contained in it are based on the requirements of the Health and Safety in Employment Act 1992 (HSE Act) and Health and Safety in Employment Regulations 1995 (HSE Regs). The manual is also aligned with the Australia/New Zealand joint standard for Occupational Safety Management Systems AS: NZS 4801:2001, and is designed to encourage operators toward achievement of the ACC requirements of the Primary Level of the Workplace Safety Management Practices (WSMP). The manual covers the following: 1. Health and Safety Leadership 2. System Review, Participation, Communication 3. Hazard Management 4. Incident and Accident Procedures
This Health and Safety Manual developed and provided by the CAA Health and Safety Unit, is an example that aircraft operators may use to set up a Health and Safety Management System. The Management Practices specified in this document may be accepted as satisfying an employers mandatory duties under the Health and Safety in Employment Act 1992, however, please note that it is not inferred or implied that all duties under the Health and Safety in Employment Act 1992 will be met.
Contents
Amendment Process
3: Hazard Management
Hazard Identification and Control Procedures Policy Hazard Register Hazard Analysis Form Chemical and Substances Management Register Emergency Planning Training and Supervision for Employees Policy Employee Training Record Duties to Other People in the Workplace o Visitors, Volunteers, Trainees o Contractors and Sub-Contractors Policy Contractors Agreement
Page TOC 1
15/07/10
Change Control
This manual is subject to review and consequently may be revised from time to time. All pages are identified by An amendment version number following the format of Section, sub-section, page, for example 1.1.1 meaning: section 1, sub-section 1, page 1. A date, in the format of dd/mm/yy. Record of amendments: A record of amendments is held at the front of this manual. All amendments will be entered into the amendment record. Archives: All amended pages will be archived in an archive folder held for that purpose.
Record of Amendments
Amendment Number 1 2 3 4 5 6 7 8 9 Issue Date 15/07/2010 Page References Complete Manual Inserted By CAA Date inserted -
Page AP 1
15/07/10
Senior Managers:
Name:..................................................... Position Title;.................................................... Knowledge of the particular statutes, regulations and codes that apply to the companys business HSE training and experience that the (Senior Manager) has had. Understanding of the CAA HSE Designation Understanding of o Significant Hazard o Principal/contractor Name:..................................................... Position Title;.................................................... Knowledge of the particular statutes, regulations and codes that apply to the companys business HSE training and experience that the (Senior Manager) has had. Understanding of the CAA HSE Designation Understanding of o Significant Hazard o Principal/contractor
Managers:
Name:..................................................... Position Title;.................................................... Knowledge of the particular statutes, regulations and codes that apply to the companys business HSE training and experience that the (Manager) has had. Understanding of the CAA HSE Designation Understanding of o Significant Hazard o Principal/contractor o Employee Induction and Acknowledgement
Page 1.1.1
15/07/10
Name:..................................................... Position Title;.................................................... Knowledge of the particular statutes, regulations and codes that apply to the companys business HSE training that the (Manager) has had. Understanding of the CAA HSE Designation Understanding of o Significant Hazard o Principal/contractor o Employee Induction and Acknowledgement
Staff:
Name:..................................................... Position Title;.................................................... Knowledge of the particular statutes, regulations and codes that apply to the companys business Understanding of o Significant Hazard o Company rules/expectations o S19 HSE Act 1992 o Employee Induction and Acknowledgement
Page 1.1.2
15/07/10
Senior Managers
and
Managers
S 15 S25
All staff: CEO, Managers, Staff Representatives and general Staff, are expected to contribute to ensuring that our company processes and policies are followed, and where appropriate, to give feedback, to other staff and managers, so that improvements can be made. The company sets a number of annual goals and objectives to ensure that the company undertakes a cycle of review and continuous improvement guided by the requirements of the company Health and Safety Policy. Performance of all staff within the Health and safety system will be reviewed on an annual basis and is expected to be reflected in Management and Staff Responsibilities, with specific targets and performance measures. Performance measures will therefore be reviewed at least annually.
Page 1.2.1
15/07/10
3. Measures
Individual measures form part of all managers and staff yearly performance and development programme. While these measures are set to ensure that Managers and staff are actively engaged in Health and Safety processes, those measures form part of the annual review of an individuals performance and development agreement and therefore the measures are located within the personal review process and are to be found on the employees person file. Examples : KPIs Key Performance indicators, AGMs Accountabilities, Goals and Measures, PTMs Performance targets and Measures
Page 1.2.2
15/07/10
ACTION: Enter Name of Business, and sign as the CEO or other Senior Management Representative.
Page 1.3.1
15/07/10
We have a duty to ensure that the health and Safety system remains robust. We undertake to do this by performing Health and Safety audits of our system on a frequent and predictable basis to identify system deficiencies which will enable us to improve the system. A range of checks will be completed to ensure that the system delivers a safe and healthy working environment. Where possible, reviews will also involve the participation of other managers, employee representatives, and nominated union representatives. The Audit Schedule provides the detail as to the timetable for Audits. The Operations Manager will undertake a full H&S Systems Audit annually. This includes reviewing the Health and Safety Manual and the policies and procedures within it to ensure that it is current, that it is effective and is followed. The H&S Officer will perform a walk around Inspection annually to identify new hazards and to re-evaluate existing hazards recorded in the Hazard Register. This includes an assessment of new equipment, task and process changes. All staff are to provide updates to the H&S Officer on an as needs basis of new hazards and changed hazards. Any deficit found will be managed by use of the Hazard/Safety Alert procedure. A post audit report should be issued by the auditor to the Senior Manager for sign-off.
Audit Schedule
Recheck Type Health and Safety Management Programme Audit Hazard Register review Walk-around Inspection H&S officer H&S Officer Person Responsible Operations manager Frequency 12 monthly Month to be carried out September Signed Date performed
ACTION: Add the detail of the reviews as above. ACTION: When audits/reviews completed, the person performing the audit should sign and date the audit schedule. HSE Systems audits are carried out at least two yearly; in more complex businesses, annually. Walk-round inspections should occur annually. ACTION: TIP: A full Hazard Register review should occur at least annually, Hazards should be added and/or updated as they occur. Individual reviews of hazards should occur at least 6 monthly. The normal pre-flight walk-around and pre-flight briefings that are conducted are not in lieu of the H&S activities above, but are additional to them. TIP: Staff are to use the Hazard/Safety Alert Form to notify management of hazards.
Page 2.1.1
15/07/10
Employee Participation
As an employer, we will provide reasonable opportunities for employees to participate in ongoing processes for improving health and safety, particularly with regard to the health and safety in Employment Act 1992, section 6 to section 13. These are: Maintaining a safe working environment and work facilities for safety and health Identification of hazards and establishing appropriate controls Information and training with regard to emergencies, how to deal with hazards and using safe work practices. We will: Ensure that feedback processes such as toolbox meetings and health and safety meetings will be held on a regular basis (scheduled) and relevant minutes of those meetings will be kept. Ensure that health and safety committee membership, or other opportunities to be involved in health and safety processes are provided. Ensure that there are ongoing opportunities: To participate through Health and Safety Representatives, To have available ongoing opportunities for Health and Safety training. Ensure that any elected Health and Safety representatives are trained at approved training courses and that such training is current.
TIP:
Refer to Fact Sheets entitled Employee Participation, Employee Participation Systems, Approved Training Courses and Health and Safety Representatives, available through the CAA HSE Unit webpage, or through the Department of Labour website. CAA Health and Safety DoL - Health and Safety
ACTION:
If there is a requirement for an agreed system, document how that agreement was made and was communicated with the staff.
Page 2.2.1
15.07.10
Communication.
As an employer we will communicate our health and safety expectations by giving relevant information and ensuring new and existing employees are made aware of company policies and procedures. We will: Ensure that the Health and Safety Manual (H&S) is available and accessible to all new and existing employees. Ensure new, and existing employees read and understand the H&S Manual and maintain records to ensure all staff have read and understood the manual. Ensure that health and safety meetings will be held on a regular basis (scheduled) and relevant minutes of those meetings will be kept. (see Employee Participation) Ensure that signage, placards, posters and other items used for information are relevant and meaningful. Ensure all employees are aware of the process for alerting and communicating to management of the existence of hazards as they arise. (see Hazard/Safety Alert Form) Ensure that all employees are aware of the Employers expectations (see Employees Acknowledgement Form)
Information.
Information will be given to employees in a manner that accounts for differences in language, literacy, technical language ability, or any other issue which may impact on the learners ability to understand. Information will be delivered through induction, task specific training and information sessions, and briefings such as toolbox meetings. Employees should also take note of advisory signs and placards.
ACTION: (1) Use the manual during induction of new employees. Ensure it is available by telling staff where the manual is kept: remote bases should have a copy. ACTION: (2) Use a form that a staff member can use to add detail about a hazard, to provide a written notification to management. (See Hazard/Safety Alert Form) ACTION: (3) Verify that all employees have read and understood the manual, are aware of the Employers expectations, then sign off on Employee Acknowledgement form.
Page 2.3.1
15.07.10
Operations Manager:
Hazard, Task, Process Analysis:
Corrective Action Assigned to: Added to Hazard Register Hazard Identification Number Personal Protective Equipment/Clothing required Training for staff required Training record updated after training given
ACTION: Obtain specialist advice for specific hazards where knowledge/competency is not available from immediate staff; e.g. Hazardous Substances and New Organisms Act 1996 (HSNO Act), Noise, Workstation assessments.
Page 2.4.1
15.07.10
I have read and I understand the Health and Safety Manual. I am aware of: The expectation of my employer that I will be involved in health and safety processes through Employee Participation. That I will participate in training that is made available for the tasks, processes, machinery that I use and areas where I work. That I have a responsibility to use safe methods of work which includes the appropriate use of safety equipment and clothing. I have a responsibility for not endangering myself and others in the workplace. Information about the hazards I may be exposed to (including hazard control measures) which are recorded in the Hazard Register, and the Emergency plans, wardens and evacuation procedures. The reporting system for alerting management of hazards, incident/near misses and accidents, and injury and illness that I become aware of associated with the tasks, processes, machinery and area where I work. (Hazard/Safety Alert Form). Person: Employee Participation Specific work methods (SOPs) Occupation/Job Title: Aware YES NO LIST:
Information given
LIST:
Aware
NO
15.07.10
Hazard Management
Hazard Identification and Control Procedures
It is our intention to systematically identify and control all hazards in our workplace. Where there are significant hazards we will take all practicable steps to:
or
Any new hazards identified, will be incorporated into a Hazard Register and all employees informed Any new machinery/equipment/plant/tasks/chemicals/poisons are assessed before use, and safety controls/practices are put in place
Where the hazards may only be minimised, we will ensure: Protective clothing and equipment (PPE) is provided and used by all employees, at all times necessary and as directed Employees provided with PPE will be trained in its use, and the care of and maintenance of the PPE Safe work practices are used and maintained Employees are properly trained and/or supervised Where appropriate, and with employees consent, we will undertake health monitoring in relation to exposure to significant hazards
ACTION: Identify all hazards in your place of work. Write these on the form, Hazard Register. TIP: Identify all tasks, plant, machinery and equipment, and chemicals individually.
ACTION: Include all hazards that employees are exposed to when working Off site. TIP: As above, identify all tasks, plant, machinery and equipment, and chemicals
ACTION: Identify the potential harm for each hazard. TIP: Some hazards may cause a variety of harm, e.g. using a slicer may cause electrocution and cuts.
Page 3.1.1
15.07.10
ACTION: Determine whether the hazard is a significant hazard, i.e. can it cause serious harm? TIP: Refer to the Definition of Serious Harm in: Injury, Incident and Illness Recording, Reporting and Investigation Procedures. ACTION: Evaluate each hazard to determine whether it is practicable to: 1. 2. 3.
Eliminate the hazard [Get rid of, remove the hazard], if not then Isolate the hazard [Confine, totally enclose, separate, insulate the hazard], if not, then Minimise the likelihood of harm [Reduce, decrease, downgrade effects of the hazard].
With all hazards you have identified, this process must be carried out in this order - 1, 2, 3. TIP: Indicate on the Hazard Register form, under E, I, or M the hazard control measure. Note, that some hazards may use more than one hazard control. ACTION: Identify the specific Hazard Controls. Identify all machine guards, work practices or safety equipment, required to operate safely, as Hazard Controls. Note: Hazards Identified: Potential Harm: Hazard Controls: Be specific about the task so you establish exactly who is affected and where/when Be specific about the harm that could occur and how. Be specific about what you have done, or are already doing, and what further action needs to be done/added. ACTION: Identify Training Required for each Hazard. ACTION: Identify Health Monitoring Required for each Hazard. (Monitor with the consent of the employee) ACTION: Identify any new hazards including new plant and equipment, new task and changes.
ACTION:
RE-CHECK the actual hazard at regular intervals: it may be that with task, plant and equipment, or chemical use changes, that the actual hazard no longer exists or has been lessened e.g. new machinery which is much less noisy then the older machinery which was replaced; a different chemical which is much less hazardous than the chemical that was replaced. Record date checked on the Hazard Register.
ACTION: RE-CHECK the Hazard Controls and other safety requirements that are in place at regular intervals, to ensure existing Hazard Controls are appropriate. Record date checked on the Hazard Register. Cross reference this with the Hazard Analysis Form. TIP: Obtain specialist advice for specific hazards where knowledge/competency is not available through immediate staff .e.g. HSNO, noise, workstation assessments.
Page 3.1.2
15/07/10
Hazard Register
Workplace / Location / Task / Process: Office / Administration Area
Hazards Identified Task/Process Visual Display units (computers) Potential Harm Significant Hazard Yes No X E I M Hazard Controls Training Required
Health Monitoring Required Hazard Analysis form Id number Hazard recheck Date Hazard Recheck Date Hazard Recheck Date
Ensure Approved Code of Practice for Safe Use of VDUs is being complied with. Assessment and correction of work station. Training and Information on OOS and prevention Alternate administration and computer workloads Ensure goods are secured Ensure safe means of access and egress. Refer to Pamphlet / Booklet Do as directed - do not put yourself nor others in an unsafe or dangerous situation
Armed robbery
Identify high risk activities. Use trolleys or manual handling aids Reduce or split loads to manageable weight and/or size Two person or team lifting Training in correct lifting and manual handling techniques Use electrical appliance close to power source Use isolating transformers or residual current device (where necessary)
Electrical Equipment/leads
E = Eliminate
I = Isolate
M = Minimise
Page 3.1.3
15/07/10
Hazard Register
Workplace / Location/ Task / Process: Housekeeping / Facilities
Hazards Identified Task/Process Emergency evacuation Potential Harm Significant Hazard Yes No E I M Hazard Controls Training Required
Health Monitoring Required Hazard Analysis form Id number Hazard recheck Date Hazard Recheck date Hazard Recheck Date
Is date of last emergency evacuation, within 12 months? All areas properly cleaned? Are all goods stored safely? Hot water, soap and drying means available? Clean up spills. Kept clean and tidy. Rubbish bin with lid. Hot and cold water. Sufficient fresh air. Extraction of contaminated air/steam Ensure preferred contractors maintain health and safety standards. Ensure first aid kit is kept accessible. Ensure kit is stocked and maintained in accordance with First Aid Regulations. Are they fully charged? Are they within their service period? Restrict access.
Housekeeping
Facilities
Ventilation
E = Eliminate
I = Isolate
M = Minimise
Page 3.1.4
15/07/10
Hazard Register
Workplace / Location / Task / Process: Agricultural Work
Hazards Identified Task/Process Fatigue Potential Harm Significant Hazard Yes No X E I M Hazard Controls Training required
Health Monitoring Required Hazard Analysis form Id number Hazard Recheck Date Hazard Recheck Date Hazard Recheck Date
Hot refuelling
Noise exposure
xxxxxxx
Organophosphate exposure
Impact of Aircraft
Full harness available for pilot and passenger Roll cage fitted Fire extinguishers available Fuel line cut off valves fitted in case of impact
On board fire
Obstacle awareness
Hung load
E = Eliminate
I = Isolate
M = Minimise
Page 3.1.5
15/07/10
Hazard Register
Workplace / Location / Task / Process: Aircraft Crew
Hazards Identified Task/Process Unstowed baggage and equipment Potential Harm Significant Hazard Yes No X E I M Hazard Controls Training required
Health Monitoring Required Hazard Analysis form Id number Hazard Recheck Date Hazard Recheck Date Hazard Recheck Date
Projectile during turbulence /heavy landing and taxi Injuries , head neck and shoulder
Raised Door Sills Lifting items into overhead lockers / passenger and crew luggage
Slip trips and fall injuries Neck and shoulder sprains and strains
X X
X X
Pushing and pulling carts - bending and stretching to unload trays from carts Faulty equipment / working in a confined area
Muscular sprain and strain Faulty brakes can cause carts to move with turbulence -items can fall out of cart doors that dont close - Muscle sprains and strains - Lacerations
Stow equipment and baggage as per operational policy Crew double check galleys, stowages and locks prior to taking a seat No overhead lockers open until PIC switches off seat belt sign Advise passengers to open overhead lockers carefully, as items may have moved during travel Take care if assisting passengers to get luggage from lockers Door sills painted to highlight height Crew to remind passengers of hazard Passengers informed of weight restrictions for cabin baggage Crew to avoid lifting passenger baggage into overhead lockers and encourage passengers to stow their own baggage On board baggage not to exceed 7 kg for passengers and crew Heavy baggage not detected at check in , that is too heavy to lift into overhead lockers, should be placed under a passengers seat or removed to the aircraft hold Manual handling training Operate full carts with two crew Maintain personal fitness Faulty equipment needs to be identified , and logged for repair Faulty equipment should not be used for the remainder of the flight then off loaded for repair at the next available port Practice situational awareness
E = Eliminate
Page 3.1.6
I = Isolate
M = Minimise
15/07/10
Hazard Analysis
Hazard: Description : Id:
Personal Protective Equipment/Clothing: Issued Date: Use of, Care of, Maintenance, PPE review dates:
Information sources: COPs, Guidelines, Technical Advice (who, from where, qualifications)
YES
NO
ACTION: Obtain specialist advice for specific hazards where knowledge/competency is not available from immediate staff; e.g. HSNO, Noise, Workstation assessments.
Page 3.1.7
15/07/10
Form
Gas, liquid, gel, solid, powder
Required
In place
Required
In place
Health monitoring Secure storage Segregation Labelling Signage Emergency response plan Bunding Test certificates Approved handler / CSL holder Name:
Page 3.1.8
15/07/10
Hazardous Substances and New Organisms Act 1996, Health and Safety in Employment Act 1992 (S7) ACTION: Identify all chemicals and hazardous substances, including safe handling and emergency procedures. Enter this information on the Chemical and Substances Management Register.
ACTION: Obtain all Safety Data Sheets (SDSs) from the supplier of chemicals or hazard substances. Keep these SDSs with the Chemical and Substances Management Register. TIP: Display copies of SDSs near to where the chemicals or hazardous substances are being used or mixed.
Page 3.1.9
15/07/10
Emergency Planning
Some Ideas: policies/procedures for
Fire, Earthquake, Flood, Civil Defence preparedness, Hazardous substances (HSNO), chemical spill to environment, chemical spills on a person, emergency showers/eye wash facilities Chemicals and hazardous substances on board aircraft Serious injury, loss of aircraft impacting on business capability, Business Continuation Plans Non return of aircraft procedures (e.g. agricultural aircraft sowing fertiliser) Emergency dumping of load, hopper, fuel. Fire: Smoke and/or Fire on Board Fire on aircraft during landing phase: includes planned landing and impact landing and Aircraft Evacuation Planned emergency landings. Unplanned landings including impacts Emergency supplies, Emergency First Aid. On board emergency response for ill employees, passengers: Emergency first aid, Cardio-pulmonary resuscitation (CPR) including the use of an Automated External Defibrillator (AED) where applicable. Bomb threat, threatening passengers Dangerous goods Designated call personnel, wardens if the operation is big enough.
In the event of any emergency or natural disaster, the following should happen: 1. 2. 3. 4. 5. 6. 7. Prevention of harm to all persons on site. Raise the alarm. Contact Emergency Services on 111 (as required). Do not put yourself or anyone else at any unnecessary risk! Evacuate from building or area. Assemble all personnel at (designated assembly point)
TIP:
Some of these issues are dealt with by the ERMA/DoL Emergency procedures guide. This guide can be found on the ERMANZ website: www.ermanz.govt.nz
ACTION: Establish a safe designated assembly area. TIP: 11 or more staff: a fire service approval is required for your emergency evacuation scheme. Check with your local Fire Service if further assistance required. ACTION: Practice emergency drills, annually. Emergency practices should be scheduled in the Hazard Register. TIP: TIP:
Page 3.2.1
Show date of drills completed, in Hazard Register. Note the date and drills completed, in training record.
15/07/10
New employees will undergo induction training which is to be recorded on the Induction/Training record. On-going and task specific training will be recorded in the training section of the Induction/Training record. Employees Responsibilities Every employee shall take all practicable steps to ensure: Their own safety while at work; and That all personal protective clothing (and equipment) is worn/used (as identified by hazard controls) and as directed by the employer: and That no action or inaction of the employee while at work causes harm to any other person(s).
The person assigned as the trainer will have the relevant skills, experience, or qualifications in the task(s) that are the subject of the training session. Qualifications will be current. Each task will be assessed as to the skills, experience, or qualification required by the trainer and if no suitable staff member is available that is knowledgeable/competent, an assessment of external trainers is to occur.
ACTION: All information on which the training was based, e.g. codes of practices, guidelines, standards, task Operating Procedures (SOPs) should be referenced and retained.
Page 3.3.1
15/07/10
ACTION: Advise employees of all hazards that they may be exposed to. Ensure they understand all the hazard controls, including appropriate personal protective clothing and equipment (PPE), and where it is kept. ACTION: Transfer all hazards from the Hazard Register that require training to the individual Employees Induction / Training Record form. No employees are to operate any plant or equipment, or undertake any activity unless properly trained and/or supervised.
ACTION: Ensure all employees are aware of the emergency and evacuation procedures. TIP: Training may be recorded against tasks on a LULU training sheet. Verify the competencies of the employee undergoing training. Once the trainee is judged to be fully competent, the trainee and trainer are to sign off and date the Induction/Training record.
Page 3.3.2
15/07/10
____________________________________
__________________________________________
TRAINING
Under Training Date
Lockout / Isolation Procedures Chemical Management Manual Handling Visual Display Units
Date 2/12/08
l 1/11/08
l 1/11/08
22/11/08
1/12/08
14/12/08
14/12/08
XXXXXXXXX
XXXXXXXXX
Key: l
Initial training; not competent Almost competent, can tell and demonstrate
Some competence, can tell trainer Competent, can tell, demonstrate, teach other
15/07/10
Page 3.3.3
We do not have a duty to: Trespassers Persons on site solely for recreation or leisure (providing they were not authorised to be here) People exempted by Section 3A(4) in respect of an aircraft in operation.
Visitors All visitors will sign a visitors register and will be escorted by a staff member who will be responsible for accompanying the visitor. The person responsible for accompanying the visitor will ensure that the visitor has been informed of any hazard that they may be exposed to and the evacuation plan. Visitors are to remain within designated walk areas, and to be cognisant of signage and hazards that they have been made aware of. Volunteers We are required to take all practicable steps to ensure the health and safety of volunteers whilst undertaking any work activities. In some situations they are to be treated as though they are an employee. Trainees / Loaned Workers / Persons Carrying out Work Experience Trainees, loaned workers and persons doing work experience are to be treated as though they are our employees.
ACTION: Define areas where entry restrictions apply. TIP: Display conspicuous sign, e.g. No unauthorised entry.
Page 3.4.1
15/07/10
We will ensure the following is given to all contractors / sub-contractors: 1. 2. 3. Letter to Contractor / Sub-contractor; Safety Requirements for Contractors; Conditions of Contract;
ACTION: Write to all regular contractors to advise them of standards to be met. Agreement. TIP: TIP: TIP:
Refer to Contractors
Send two copies of Contractors Agreement. Ensure one copy is signed and returned by contractor/sub-
contractor, with a copy of their Health and Safety Management Plan/Manual. Make a list of your preferred contractors. (A preferred contractor is one who meets all the health and
Page 3.4.2
15/07/10
Contractors Agreement
Date
Dear
re: CONTRACT FOR To comply with the Health and Safety in Employment Act 1992, we require all contractors who wish to tender for contracts, or maintain a service agreement, or remain a preferred contractor or supplier, to provide the following information: 1. Health and Safety Management Plan that includes: Safety policy; Hazards and the hazard controls; and Injury/Incident/Illness reporting procedures 2. Contractors are reminded that all work is subject to the provisions of the Health and Safety in Employment Act 1992 and, in some instances, the Civil Aviation Act, Rules and certificates. In particular: 3. Contractors are to comply with all regulations, enactments, codes of practice (approved or voluntary) applying to the trade or profession within which they operate; We, as the Principal, are to be advised of any and all hazardous plant, equipment, machinery or substances which are brought into the workplace; All people utilised are fully trained in the work to be undertaken or are closely supervised by someone who is. Any accident or incident which harms or may have harmed any person in the workplace, in addition to being recorded and notified as required under Section 25 of the Health and Safety in Employment Act 1992, are to be reported to Us, as the Principal. All safety clothing/equipment required to minimise the likelihood of harm, is to be provided, accessible to and used by any person engaged in the workplace.
Before commencing work on our premises, all contractors must ensure that any employees of the contractor, subcontractors on our premises, or if an individual, they are conversant with: Emergency procedures (to be followed in the event of an emergency); Safety rules and procedures; Hazards which have been identified, and the hazard controls.
4.
We as the Principal to the contract retain the right to inspect the contract operation at any time, to ensure all safety procedures and rules are being followed. Failure to follow safety rules and procedures may result in the work being stopped to allow the situation to be made safe. Failure may also result in the contract being terminated immediately.
I agree to abide by all the above conditions, on behalf of: Contractors Name: ......................................................................................................................................................................... Contractors Signature: ................................................................................................................................................................... Date: ............................................................................................................................................................................................... Contact Phone / Fax Number(s): .................................................................................................................................................... Sign the attached copy and return with your Health and Safety Management Plan / Manual.
Page 3.4.3 15/07/10
Forms
Accident/Incident Form Investigation and Analysis Form Serious Harm Notification Form Notifiable Occupational Disease Form
Page 4.1.1
15/07/10
Policy
All injury, incidents and illnesses resulting from work, must be notified to the Manager or Supervisor immediately. If any accident or incident is not notified on the day it happens and relates to an injury, then it may not be accepted as a work related injury. Do not disturb the scene. (There are exemptions for this) Seek approval from an HSE Inspector before releasing or disturbing the scene: if the accident involves the DoL, call them, however, if aircrew were harmed in respect of an operational flight, contact the HSE Unit of CAA instead. All accidents, incidents, illnesses resulting from work and non-serious harm accidents must be recorded on the Injury /Incident Form included in this Safety Manual. All serious harm accidents and serious harm illnesses affecting any person e.g. employee(s), contractors, contractors employees and other person(s) are to be notified as soon as possible. (Refer to list of CAA / DoL Addresses and Phone Numbers). Note: Principals and self-employed persons must also report serious harm accidents and serious harm illnesses. A Notification of Circumstances of Accident or Serious Harm form, is to be forwarded to the nearest CAA or DoL Office within seven (7) days of the event. A company investigation is to occur: the initial investigation is to have priority above other work to prevent exposures and/or accidents, incidents recurring. Once an initial assessment has been made, then a decision as to the ongoing investigation can be made. The Investigation and Analysis Form is used for this purpose. Inform all employees of the outcome of any accident/incident investigation, i.e. new hazard identified and the hazard controls.
ACTION: Ensure all staff are aware of the correct procedures for notification of serious harm accidents. Notify DoL or the CAA
HSE Unit as soon as possible, and do not disturb the scene (with exceptions), until released by an Inspector.
ACTION: Investigate all accidents and incidents (or near misses). Incidents (or near misses) are often an indicator of potential
harm.
TIP: Transfer any new identified hazards and hazard controls into the Hazard Register.
Page 4.1.2
15/07/10
If the answer to these three questions is Yes, then the event should be notified in terms of Section 25 of the Act.
Page 4.2.1
15/07/10
The NOD system is generally used by General Medical Practitioners (GPs) to alert employers, and , if necessary, the CAA or DoL, that your personal health assessment shows that your ill health could be linked to your workplace activity. The employer then has an opportunity to conduct an investigation.
Page 4.3.1
15/07/10
Accident/Incident/Illness Flowchart
INCIDENT
ACCIDENT/ILLNESS Serious Ensure they get appropriate first aid and / or treatment, and ensure the safety of others. Minor Minor
If Serious Harm (see definition) notify CAA or DoL to give advice of the event; Phone or fax
Use the Investigation and Analysis Form Investigate to find out what caused and contributed to the injury or incident.
Page 4.4.1
15/07/10
START
Begin the investigation into the injury/incident. Use the Investigation and Analysis Form
Make sketches, maps, take photos, conduct interviews. Examine equipment. Check records Training records Job procedures, practices Maintenance Was it... The task, including people factors The system, environment, equipment The culture (how we do things here, e.g. Processes, decisions) Do you need to .... Review hazards and their controls Guarding Maintenance Work practices Training PPE Signage Health monitoring
Consider the factors contributing to the injury/incident. Describe what key factors were involved.
Write down what needs to be done to avoid a repeat of the situation Who will do it When will it be done
END
Page 4.4.2 15/07/10
ACCIDENT/INCIDENT/ILLNESS FORM
___________________________________________________________________________________________________
INCIDENT DETAILS
Incident type: Severity: Near Miss Minor (First Aid) Accident Potentially Serious Illness Serious (see Serious Harm definition)
NB: All Serious Harm accidents and serious harm illnesses must also be recorded on Notification of Circumstances of Accident or Serious Harm form, and notified within 7 days of the event.
What Happened?
Personal Details
Name: __________________________________ Date of Birth: ____________________________ M /F Phone: ______________________ Date and Time of Incident:____________________/________________
Injury Details
Body Part:
Shade the part of the body that is injured
Page 4.5.1
15/07/10
_____________________________________________
Health and Safety Investigation Details
Short title / description of injury/incident:
Information Details
Describe what information you have collected about the injury/incident:
(who is injured, witnesses, interviews, observations, photos, notes, re-enactments.)
Analysis
Describe what key factors/hazards contributed to the injury/incident:
(Consider tasks, people factors, systems, environmental factors, equipment, culture, weather, etc.)
Action Details
Describe what needs to be actioned to fix the situation:
(What changes will be made, who approves them, who needs to be informed about them.)
Action Plan Assigned to:___________________________________ Date Action Due:_____________________________ Action Completed:____________________________ Does the Hazard Register need updating? Y / N Updated On: __________________________
REPORTING DETAILS: Has CAA / DoL been advised? Y / N Date Advised: _________________________ ___________________________________________________________________________________________________________________________________ Sig: ______________________________ Title: _________________________________________________________
Page 4.5.2
15/07/10
Form of register or notification of circumstances of accident or serious harm Required for section 25(1), (1A), (1B), and (3)(b) of the Health and Safety in Employment Act 1992 For non-injury accident, complete questions 1, 2, 3, 9, 10, 11, 14 and 15 as applicable 1 Particulars of employer, self-employed person or principal: (business name, postal address and telephone number) 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 upper limb lower limb systemic internal organs trunk multiple locations
a self-employed person
(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 5 Occupation or job title of injured person: (employees and self-employed persons only)
Sex (M/F)
6 The injured person is: an employee a contractor (self-employed person) self other 7 Period of employment of injured person: (employees only) 1st month 1st week 6 months-1 year 1-5 years non-employee 8 Treatment of injury: None Doctor but no hospitalisation
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 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.)
9 Time and date of accident/ serious harm: Time Date am/pm Shift Day Afternoon Night 15 If notification is from an employer: (a) Has an investigation been carried out? (b) Was a significant hazard involved? yes yes no no
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
Page 4.5.3
Signature and date ________________________ ___ / ___ / ___ Name and position (capitals)
15/07/10
Circumstances:
I, the undersigned agree to: 1. An interview, if needed, by qualified personnel either from, or working on behalf of, the Civil Aviation Authority of New Zealand, to obtain information about my medical, social and work history.
10. Who is making this notification? GP Physiotherapist Occ. Therapist Union rep. 11. Name and address of person making this notification (if not self or GP): Self
Go to question 12
2. Qualified personnel either from, or working on behalf of, the Civil Aviation Authority, having access to my medical records and investigations, if appropriate. 3. I consent to qualified personnel either from, or working on behalf of, the Civil Aviation Authority of New Zealand disclosing or discussing my health information with ACC, myself and other medical providers. 4. I understand that access to my health information is only available to the Civil Aviation Authority, ACC, myself and my other medical providers. 5. I understand that my personal data will be recorded and kept on file and computer subject to the provisions of the Privacy Act 1993 and the Health Information Privacy Code 1994. 6. I understand that this notification may result in a workplace assessment/visit by qualified personnel either from, or working on behalf of, the Civil Aviation Authority. Signature: Date:
Date: 12. Has the persons employer notified the Civil Aviation Authority about serious harm in connection with this Case? Yes CAA use: Work Request Number Send completed form to: HSE Unit, Civil Aviation Authority, P O Box 31-441, Lower Hutt 5040; or Fax: 0-4-569 2024; or Email: hsu@caa.govt.nz No Dont know
Page 4.5.4
15/07/10
hsu@caa.govt.nz
P O Box 31 441 Lower Hutt 5040
Fax:
CAA WEB ADDRESS
04569 2024
Post:
Tel: Fax:
DoL WEB ADDRESS
Post:
www.dol.govt.nz
Page 4.6.1
15/07/10
Page 4.7.1
15/07/10