CONTRACTOR HEALTH AND SAFETY PLAN
[Pages:13]CONTRACTOR HEALTH AND SAFETY PLAN
Company name: Client name: Site/Work Location: Description of the Work
Plan Prepared By: Plan Approved By:
Name
Signature
Contents:
1 - Contractors Health & Safety Policy/Statement 2 - Schedule of Appointed Responsible Persons 3 - Management & Supervision Organisational Chart 4 - Construction Risk Assessment 5 - Fall Protection Plan 6 - Hazardous Work/Activities - Method Statements 7 - Personal Protective Equipment Requirements 8 - Measures to Control the Condition and Use of Tools and Equipment 9 - Fire Prevention and Control Measures 10 - Use and Control of Hazardous Chemical Substances 11 - Environmental Protection Measures 12 - First Aid Arrangements 13 - Construction Site Signage
Appendices:
A - Client H&S Specification B - Principle Contractor Appointment C - Appointment Letters D - PPE Issue Registers E - Equipment Inspection and Repair Registers
Ladders Scaffolding Portable Electrical Tools Safety Equipment Lifting Tackle Lifting Machines F - Material Safety Data Sheets H ? Safe Disposal Certificates
Date
Page 1 of 13
CONTRACTOR HEALTH AND SAFETY PLAN
1 Contractors Health And Safety Policy/Statement
(Insert Contractors health & safety policy statement)
2 Schedule of Appointed Responsible Persons
Appointments i.t.o. OHSAct
Section
16 (2) 37(2)
17
Appointment Description
Assignment of duties by CEO Employer/Mandatory agreement Health & Safety Representative
Appointments i.t.o. Construction Regulations
Name
Section
6 (1) 6 (2) 6 (6)
7 (1) 8 (1) (a) 10 (a)
11 (1) 12 (1) 14 (2) 15 (1) 17 (1) 18 (1) 19 (2) (g) (i) 21 (1) (j)
22 (e)
26 (a) 27 (h)
Appointment Description
Construction supervisor Assistant construction supervisor Construction site health and safety officer Risk assessor Fall protection plan developer Formwork & support work supervisor Excavation work supervisor Demolition work supervisor Scaffolding supervisor Suspended platform supervisor Material hoist inspector Batch plant supervisor Explosive powered tool issuer Construction vehicles & mobile plant inspector Temporary electrical installation controller Stacking and storage supervisor Fire extinguisher inspector
Name
Appointments i.t.o. General Machinery Regulations (GMR)
Section 2 (1)
Appointment Description Supervisor of Machinery
Name
Details of Appointed Persons Qualification/Experience
Details of Appointed Persons Qualification/Experience
Details of Appointed Persons Qualification/Experience
Page 2 of 13
CONTRACTOR HEALTH AND SAFETY PLAN
3 Construction Management and Supervision Organisational Chart
Page 3 of 13
CONTRACTOR HEALTH AND SAFETY PLAN
4 Construction Risk Assessment
Risk assessment leader: Risk assessment team members: Date of risk assessment:
Severity Index
Probability A Common B Has happened C Could happen D Not likely E Practically impossible
Impact
1
Fatality or permanent disability
2
Major injury
3
Average lost time injury
4
Minor injury
5
Medical treatment only or less
PI Index
1 2 3 4 5
Probability A BC D E 1 2 4 7 11 3 5 8 12 16 6 9 13 17 20 10 14 18 21 23 15 19 22 24 25
Impact
1 ? 6 7 - 15 16 - 25
HIGH MEDIUM LOW
Page 4 of 13
Risk No.
1.
Description of Risk
2.
3.
4.
5.
CONTRACTOR HEALTH AND SAFETY PLAN
Construction Risk Assessment
Probability Impact
PI Index
Control Measures/Procedures/Methods to Manage the Risk Description
Resp
Page 5 of 13
5 Fall Protection Plan
Risk No.
Description of Risk
1
2
3
4
CONTRACTOR HEALTH AND SAFETY PLAN
Elevated Work Risk Assessment
Probability Impact
PI Index
Control Measures/Procedures/Methods to Manage the Risk
Description
Resp
Measures/Procedures/Requirements
Physical & Psychological Fitness of Workmen Working At Height
Describe the measures to be taken/procedures to be followed to ensure that the workmen performing work at elevated heights are physically & psychologically fit to perform the work:
Resp
Training Requirements for Workmen Working at Height
Define the training requirements/programme for workmen who will be working at elevated heights.
Fall protection equipment Inspection testing & maintenance.
List & describe the procedures/methods/requirements for ensuring that the fall protection equipment is safe to use.
Page 6 of 13
CONTRACTOR HEALTH AND SAFETY PLAN
6 Hazardous Work/Activities - Method Statements
HWA Description of Hazardous Work No. Activity
1
2
3
Method To be Followed/Used to Safely Carry Out the Hazardous Activity
Work Method Responsible Specified by Person
Page 7 of 13
CONTRACTOR HEALTH AND SAFETY PLAN
7 Personal Protective Equipment Requirements
Protective Equipment Description Work Required to Be Used For Overall Contamination Suit Pants Contamination Suit Top Dust Coat Apron Hard Hat Gum Boots Safety Shoes Gloves Safety Goggles Face Shield Welding Hood Self Contained Respirator Respirator Dust Mask Hearing Protection Safety Harness & Life Line Thermal Suit Thermal Jacket Jersey Other
Page 8 of 13
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