Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy

Process: Initiators of SWMS/JSAs are responsible for consulting the Supervisor, Engineer or other persons in charge of the work and all personnel involved in performing the work for input into the SWMS/JSA. Other persons may be consulted for technical advice and review of the SWMS/JSA to see proposed measures are effective and workable. All involved in the task must review and sign this SWMS/JSA form.

Project No.:

ELH - 00000
, Rev 01

Zone:

SWMS/JSA No: ELH-00000-A21

Work locations / areas: Section 7 and 9 Initiated by: Rifaat Hanna Management Review: Rahmy Hanna OHS review: Jeff Boers / Date: 2/02/2010 Date: 2/02/2010 Date: 2/02/2010

Employer: ELH Road & Bridge Construction Job/ Task: Electrical Installation and Relocation Works

Supervisor: Section 9: Darryl Woodeson

Date: 2/02/2010

SWMS/JSA Sign off and acceptance of proposed work method and associated responsibilities
No
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
Reference Documentation
N777-SH-4010 Rev 2 SWMS/JSA Worksheet.doc

Surname

First Name

Classification

Employed by

Signature

Date

Document N, Rev

ELH-00000-A21

, Rev 01

Page 1 of 8

Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy 17 Project No.: ELH - 00000

SWMS/JSA Sign off and acceptance of proposed work method and associated responsibilities
No
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

Surname

First Name

Classification

Employed by

Signature

Date

Reference Documentation
N777-SH-4010 Rev 2 SWMS/JSA Worksheet.doc

Document N, Rev

ELH-00000-A21

, Rev 01

Page 2 of 8

Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy Project No.: ELH - 00000

Brief description of work to be undertaken:

Electrical Installation and Relocation Works in Section 9 - Sunnyholt Road

Key safety issues to be managed and key safety controls to be implemented:

Working near traffic, operating plant, hauling equipment, manual handling.

Key PPE issues:

* Helmet * Safety footwear * High Vis Clothing * Safety glasses * Other forms of PPE to be worn when required

Reference and detail applicable section/s of: Legislation OHS Act 2000 OHS Regs 2001 Manufacturer / Supplier recommendations / Specifications List key individuals & qualifications:
Workcover certificates of competency for plant operators.

Project OHS&R Management Plan Australian Standard/s Nos

LCPL Safe Work Guidelines Codes of Practice

Workcover Code of Practice Excavation Work, Moving Plant & Machinery on Construction Sites

Key safety duties/responsibilities:

Operator Control of machinery Foreman Supervision on site

Detail training required to complete work:

All workers to undertake project and zone Induction as well as daily toolbox talks.

Detail any approvals required e.g. Permit to Excavate:

Traffic Management: Lane Closures (Sunnyholt Road), ROLs And TCPs. Permits to Excavate

List Certificates or Licenses required to operate plant or perform tasks:

Workcover certificates of competency for operators of plant requiring Workcover certification.

List plant and equipment to be used for work:

Crane borer, truck-mounted rotating drums, cable hauling devices, cranes, elevated work platforms, light vehicle / dressing truck, backhoe, hiab trucks, semi trailers,
Key contact Numbers:
Name: Alan Walker Number: 0429 846 581 Name: Gerry Edwards

List plant, equipment and area safety inspections required:

Daily plant inspection required on all mobile equipment. All electrcial equipment to be tagged and tested
Name: Alan Leitch Number: 0401 331 735 Name: Mark Eastwood Number: 0424 291 138

Number: 0431 143 377

Reference Documentation
N777-SH-4010 Rev 0 SWMS/JSA Worksheet.doc

Document N, Rev

ELH-00000-A21

, Rev 01

Page 3 of 8

Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy Project No.: ELH - 00000

Step No

Process Steps
List the steps needed to do the job in the sequence to be done.

Potential Hazard/s
Against each step list potential hazards that could cause injury when the jobs done.

Risk Level

Hazard Control Measures

For each hazard identify control measures to eliminate or minimise the risk of injury.

Action by (Print
name of person)

1-4

1 Community Community disputes 3

Working hour Mon to Fri 7am 6pm, & Sat 8am 1pm Community around work area notified about works to be conducted If approached by members of the public refer them to the T-Way info line: ph 1800 335 742

Supervisor Plant operator

2 Environmental Dust generation 3

Areas where dust maybe generated, control methods are to be in place to reduce dust from leaving site. Water cart to be used where large areas of exposed material may cause dust

Supervisor Plant operator

Unauthorised access/egress 3 Site establishment Unsafe conditions Traffic 1

All personnel to be Project and Site inducted All personnel to attend daily toolbox All personnel to wear mandatory PPE No work to be conducted with in 3m of live traffic flow unless conducted under traffic control Supervisor Plant operator

Reference Documentation
N777-SH-4010 Rev 0 SWMS/JSA Worksheet.doc

Document N, Rev

ELH-00000-A21

, Rev 01

Page 4 of 8

Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy Project No.: ELH - 00000

Damage to under ground services. Trip and Fall into and in Excavation 4 Underground Services Unauthorised access to site Collapse of trench, burial, suffocation, injuries from falling material, over come by noxious gases or oxygen deprecation. 1

Ensure safe access is provided for personnel. Only licensed plant operators to be used. Operator using plant to be advised of services in or around excavation. Operator to ensure that he is aware of any personnel in the excavation area.

No excavation is allowed to proceed without a Permit to Excavate, (copy must be onsite with plant operators).
If excavation is to proceed near a service, the service shall be pot holed and were possible protected. Access ladders are to be used and secured to enter and exit the excavation. Barricades and Handrails are to be in-place if excavation depth exceeds 1.5m meters. During excavation only authorised personnel (inducted in JSA) allowed within excavation. Excavation depth greater than 1.5m in unstable ground will be supported by appropriate shoring system. Hand excavate around all services with Non Destructive Digging and or manual tools. Follow Leighton T-way Project Instruction Working Near Overhead Powerline. If identified that works will be with in the Authority exclusion zone (<3m, <6m or <8m) then a Authority Permit is required (may require Outage). If identified that works will be greater than the Authority exclusion zone BUT less than LCPL exclusion zone (>3m<6m, >6m<12m, or >8m<16m) then a LCPL Overhead services Permit must be filled out. If identified that works will be greater than LCPL exclusion zones of (>6m, >12m or >16m) works can commence. Adequate separation and or protection (barricade if necessary) from existing power poles/street light poles. Should it be difficult to achieve adequate separation or protection then a trained spotter shall be used.
Document N, Rev

Supervisor Plant Operator

Damage to overhead services.

Supervisor Plant Operator Spotter

Overhead Services

Power poles/ Street Lights

Reference Documentation
N777-SH-4010 Rev 2 SWMS/JSA Worksheet.doc

ELH-00000-A21

, Rev 01

Page 5 of 8

Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy Project No.: ELH - 00000

Persons hit by traffic 6 Traffic Damage to plant and or property 1

Do not work within 3m of live traffic unless, A Traffic Management Plan is in place. A Traffic Control system is in place under the direction of ticketed traffic controllers. There is a safety barrier in place ( such as concrete new jersey kerbs) Correct PPE to be issued and worn correctly Constant use of water to water down the structure, waste bin and work area

Supervisor Plant operator

Supervisor Plant operator

General Safety Issues

Dust

General Safety Issues

Noise

Both operator and labourer to wear the correct PPE (ear muffs to be issued to both) Where possible turn off machinery Use a ladder to enter and exit excavated pits Barricade excavated pits using appropriate parra webb fencing to withstand force of a person, until cable hauling works are complete.

Supervisor Plant operator

Access and egress to cable hauling pits excavated to >1.5m

Slips and Trips Operator falls Working at night - Work area must be illuminated for work to be carried out in a safe manner - work area must be illuminated so it can be identified by others (public).

2 2

10

Working at night

Provide adequate illumination in the form of: - Lighting equipment affixed to plant - Portable Lighting towers - Street lighting may need to be augmented

Supervisor

Reference Documentation
N777-SH-4010 Rev 2 SWMS/JSA Worksheet.doc

Document N, Rev

ELH-00000-A21

, Rev 01

Page 6 of 8

Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy Project No.: ELH - 00000

In addition to the above processes, all works to be carried out according to the attached Powerserve Safe Work Method Statements, as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Cable Laying Cable Pulling Conductor Stringing Pole Hole Boring and Pole Erection HV Cable Jointing Pole Delivery and Pole Dressing Relocation of Overhead and Underground Assets Relocation of Overhead Assets Upgrade of Overhead Assets Integral Energy Installation of Temporary Generator Rev 0 Rev 0 Rev 1 Rev 0 Rev 1 Rev 1 Rev 0 - Rev 1 Rev 0 Rev 0

Risk Level Refer to Risk Matrix overleaf to determine risk level 1, 2, 3 or 4.

Likelihood How likely is it that someone will get hurt?

Consequence How severely could someone get hurt?

Catastrophic Death, very serious environmental/ structural and/or plant damage Major Permanent disability, loss of production or major environmental/ structural and/or plant damage Moderate Temporary disability or moderate environmental/ structural and/or plant damage Minor Minor injury or minor environmental/ structural and/or plant damage

Environmental Checklist
Is the activity scheduled for approved
hours of operation (7am-6pm M-F and 8am-1pm Sat)? If not please advise Environment Manager of proposed works and submit an Out of Hours Work Proposal.

Have you considered potential for dust

and associated controls? If so what are these (eg. water cart, spray grass, cover stockpile)? , Rev 01 Page 7 of 8 ELH-00000-A21

Reference Documentation
N777-SH-4010 Rev 2 SWMS/JSA Worksheet.doc

Document N, Rev

Is their potential for polluted water to

leave the site or enter a drain? If so outline your control methods (eg.

Safe Work Method Statement / JSA

Project: ELH Road & Bridge Construction Master Copy Project No.: ELH - 00000

Very Likely (could happen soon or l l ) Likely (could happen occasionally) Moderate (possible it might happen) Unlikely (could happen but rarely) Very Unlikely (could happen but probably never will)

1 1 2 2 3

1 2 2 3 3
3 Moderate Risk 4 Low Risk

1 2 2 3 4

3 3 3 4 4

Legend: 1 Critical/ Extreme Risk 2 High Risk

Reference Documentation
N777-SH-4010 Rev 2 SWMS/JSA Worksheet.doc

Document N, Rev

ELH-00000-A21

, Rev 01

Page 8 of 8