HEALTH AND SAFETY PLAN
Index:
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
1 Contractors Health And Safety Policy/Statement
(Insert Contractors health & safety policy statement)
2 Schedule of Appointed Responsible Persons
Appointments i.t.o. OHSAct
Details of Appointed Persons
Section Appointment Description
Name Qualification/Experience
16 (2) Assignment of duties by CEO
37(2) Employer/Mandatory agreement
17 Health & Safety Representative
Appointments i.t.o. Construction Regulations
Details of Appointed Persons
Section Appointment Description
Name Qualification/Experience
6 (1) Construction supervisor
6 (2) Assistant construction
supervisor
6 (6) Construction site health and
safety officer
7 (1) Risk assessor
8 (1) (a) Fall protection plan developer
10 (a) Form-work & support work
supervisor
11 (1) Excavation work supervisor
17 (1) Material hoist inspector
18 (1) Powered tool issuer
19 (2) (g) (i) Construction vehicles
21 (1) (j) Temporary electrical installation
controller
22 (e) Stacking and storage supervisor
26 (a) Fire extinguisher inspector
Appointments i.t.o. General Machinery Regulations (GMR)
Details of Appointed Persons
Section Appointment Description
Name Qualification/Experience
2 (1) Supervisor of Machinery
3 Construction Management and Supervision Organisational Chart
4 Construction Risk Assessment
Risk assessment leader:
Risk assessment team
members:
Date of Risk assessment:
Severity Index
Probability Impact
A Common 1 Fatality or permanent
disability
B Has happened 2 Major injury
C Could happen 3 Average lost time injury
D Not likely 4 Minor injury
E Practically impossible 5 Medical treatment only or
less
PI Probability
Index A B C D E
1 1 2 4 7 11
Impact
2 3 5 8 12 16
3 6 9 13 17 20
4 10 14 18 21 23
5 15 19 22 24 25
1–6 HIGH
7 - 15 MEDIUM
16 - 25 LOW
Construction Risk Assessment
Ris PI Control Measures/Procedures/Methods to Manage the Risk
Description of Risk Probabilit Impact Index
k y Description Resp
No.
1.
2.
3.
4.
5.
5 Fall Protection Plan
Elevated Work Risk Assessment
Ris PI Control Measures/Procedures/Methods to Manage the Risk
Description of Risk Probabilit Impact
k Index
y Description Resp
No.
1
2
3
4
Measures/Procedures/Requirements Resp
Describe the measures to be taken/procedures to be followed to ensure that the
Physical & Psychological workmen performing work at elevated heights are physically & psychologically fit to
Fitness perform the work:
of Workmen Working At Height
Define the training requirements/programme for workmen who will be working at elevated
Training Requirements for heights.
Workmen Working at Height
List & describe the procedures/methods/requirements for ensuring that the fall protection
Fall protection equipment - equipment is safe to use.
Inspection testing &
maintenance.
6 Hazardous Work/Activities - Method Statements
HWA Description of Hazardous Method To be Followed/Used to Safely Carry Out the Work Responsib
No. Work Activity Hazardous Activity Method le Person
Specified
by
1
2
3
CONTRACTOR HEALTH AND SAFETY PLAN
7 Personal Protective Equipment Requirements
Protective Equipment Work Required to Be Used For
Description
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
8 Measures to Control the Condition and Use of Tools and Equipment
Item Description of Responsible
Measures & Procedures To Ensure Safe Condition & Use of Tool/Equipment Person
Tools/Equipm
ent
1 Portable electric tools Weekly inspection of all portable electrical tools by competent person (artisan or supervisor).
Tools found to be unsafe tagged “do no use” and withdrawn from the worksite until repaired.
Details of all portable electrical tool inspections and repairs are to be recorded in a register
kept on site. All register entries to be signed and dated by the person performing the
inspection.
All portable electrical tools to be removed from the work area and stored in suitable tool boxes
overnight.
Only persons who have been trained to use the particular portable electrical tool shall be
allowed to use it.
2 Ladders Weekly inspection of all ladders by competent person (artisan or supervisor).
Ladders found to be unsafe tagged “do no use” and withdrawn from service until repaired.
Details of all ladder inspections and repairs recorded in a register kept on site. All register
entries signed and dated by the person performing the inspection.
Ladders removed from the work area and stored in suitable tool boxes overnight.
All ladders to be secured during use.
3 Lifting Tackle
4 FLT
5 Crane/Lifting Machine
8 Measures to Control the Condition and Use of Tools and Equipment
6 Other (specify)
CONTRACTOR HEALTH AND SAFETY PLAN
9 Construction Site Fire Prevention and Control Measures
SCHEDULE OF INFLAMABLE SUBSTANCES TO BE STORED & USED AT THE WORK SITE
Expecte
Name of Inflammable Details of Control & Safety Measures To Be Taken Responsible
Item d Max. MSDS To Be Used For
Substance During Storage & Use of the Inflammable Substance Person
Qty.
on Site
1
Yes/no
2
Yes/no
SCHEDULE OF HOT WORK TO BE PERFORMED
Combustible
Item Hot Work To Location of the Measures & Procedures To Prevent a Fire Responsible
Materials in the
Be Hot Work Starting and to Handle a Fire Should One Start Person
Vicinity of the Hot
Performed
work
1
2
10 Control & Safety Measures For Hazardous Chemical Substances
SCHEDULE OF HAZARDOUS CHEMICAL SUBSTANCES
Expecte
HCS Details of Control & Safety Measures To Be Responsibl
Name of HCS d MSDS To Be Used For
No. Taken During Storage & Use of the HCS on e Person
Max.
Site
Qty. on
Site
HCS
1 Yes/no
HCS
2 Yes/no
11 Environmental Protection Measures
SCHEDULE OF WASTE MATERIALS & EFFLUENTS
Safe
Expected Name, address & contact
Wast Description of Waste/Effluent Waste/Effluent Disposal Final disposal
Quantity of details of company &
e No. Generated on the Site Method & Procedures Disposal certificat
Waste/Efflu persons responsible for
Location e
ent disposal
required
1 Yes/no
2 Yes/no
3 Yes/no
12 First Aid Arrangements
Name(s) of first aiders on the
work site
Number of and location of first
aid boxes
Details of other first
aid/emergency medical
arrangements made
13 Construction Site Signage
Description of Signage Location Required
MV1 – Eye Protection shall be worn
MV2 – Respiratory protection shall
be worn
MV3 – Head protection shall be
worn
MV4 – Hearing Protection shall be
worn
MV5 – Hand protection shall be
worn
MV7 – Foot protection against
crushing shall be worn
MV8 – Safety harness & lifelines
shall be worn
PV3 – Thoroughfare of Pedestrians
Prohibited
PV6 – Proceeding beyond this point
prohibited
WW1 – General Warning of Danger
WW8 – Warning of Suspended
Loads Hazard
WW14 – Warning of Workers
Overhead
Other – (specify)
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