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CONTRACTOR SAFETY HANDBOOK CONTRACTORS AND SESIH MANAGERS WORKING TOGETHER FOR A SAFE WORKPLACE OHS Improvement Ongoing OHS Challenge

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Page 1: Contractor Induction Handbook - SESLHD€¦ · SESIH Generic Contractor Induction training ... To achieve current status a contractor must provide a Statement ... number of sites

CONTRACTOR SAFETY HANDBOOK

CONTRACTORS AND SESIH MANAGERS WORKING TOGETHER FOR A SAFE WORKPLACE

OHS Improvement

Ongoing OHS Challenge

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CONTENTS 1. Introduction .............................................................................................................................................. 2 2. SESIH Management Responsibilities ................................................................................................... 3 3. SESIH Contractor Flowchart.................................................................................................................. 4 4. Current Contractor Status ..................................................................................................................... 5 5. Contractor responsibilities ..................................................................................................................... 6

5.1 General ............................................................................................................................................. 6 5.2 Risk assessment and hazard management .............................................................................. 6 5.3 Work method statements ............................................................................................................. 6 5.4 Communication ............................................................................................................................... 7 5.5 Training............................................................................................................................................. 7 5.6 Plant and equipment...................................................................................................................... 7 5.7 Chemical management and Material Safety Data Sheets. .................................................... 8 5.8 Waste management ....................................................................................................................... 8 5.9 Work Permits................................................................................................................................... 9

1. Hot Work Permits ...................................................................................................................... 9 2. Confined Space Work Permit .................................................................................................. 9

5.10 Incident management .....................................................................................................................................................10 Area Policy Directives Requiring Contractor Compliance.............................................................. 10

6. Contractor Site Safety Requirements................................................................................................ 10

1. Accidents and Incidents ....................................................................................................... 11 2. Safety Equipment.................................................................................................................. 11 3. Safe Access............................................................................................................................. 11 4. Workplace Inspections ......................................................................................................... 11 5. Animals .................................................................................................................................... 11 6. Electrical Appliances ............................................................................................................. 11 7. Suspicious or Hazardous Material...................................................................................... 12 8. Drugs and Alcohol ................................................................................................................. 12 9. Smoking .................................................................................................................................. 12 10. Cleaning................................................................................................................................... 12 11. Manual Handling .................................................................................................................... 12 12. First Aid ................................................................................................................................... 13 13. Fire and Emergency Evacuation Procedures ................................................................... 13

Appendix 1 - Standard OHS clause for SESIHcontracts....................................................................... 14 Appendix 2 - Contractor Orientation Checklist ....................................................................................... 15 Appendix 3 - Example Work Method Statements .................................................................................. 16 Appendix 4 - Disruption Work Method Statement................................................................................. 21 Appendix 5 - General Contractor Work Permit....................................................................................... 23 Appendix 6 - Hot work permit.................................................................................................................... 24 Appendix 7 - Confined Space Entry Permit ............................................................................................. 25 Appendix 8 - Electrical Work Permit ......................................................................................................... 26 Appendix 9 – Corrective Action Report .................................................................................................... 27 Appendix 10 - Table of Definitions............................................................................................................ 28

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1. Introduction

The purpose of this handbook is to outline an Occupational Health and Safety (OHS) management framework that aims at developing and fostering a team approach between South Eastern Sydney Illawarra Health (SESIH) and Contractors working on Health Service premises. SESIH managers and contractors have statutory duties under the NSW Occupational Safety Act 2000 and the NSW Occupational Health and Safety regulations 2001 to ensure employees, contractors and visitors at SESIH premises are provided and maintained with a healthy and safe environment. By establishing a clear contractor management framework and ensuring requirements within such a framework are implemented SESIH managers and contractors can demonstrate conformance with current OHS legislation and work towards maintaining a healthy and safe workplace for employees, contractors, patients, clients and visitors. A team approach to contractor management means that both contractors and SESIH managers have management responsibilities. This handbook will set out what those responsibilities are and provide OHS management tools and guidance for SESIH managers and contractors. This handbook defines SESIH responsible managers as “managers who have control of specific workplaces and who direct and control contractors at the workplace.” This handbook defines contractors as “persons who are not employees of SESIH but are performing work for SESIH under a contract for the provision of goods and services”.

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2. SESIH Management Responsibilities

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3. SESIH Contractor Flowchart

1. The Assets, Leasing & Health AMMS Department coordinate the SESIH Generic Contractor Induction training program for contractors who apply for recognition as preferred suppliers. Following training Contractors details are entered into current contractor database.

2. SESIH responsible manager choose contractors from current contractor data base

4. SESIH responsible manager ensures contractors undertake risk assessment of proposed works and provide documented risk elimination or controls (Work Method Statements or Job Safety Analysis)

7. SESIH responsible manager informs all SESIH departments that may be affected by contracted work

9. Contractors must regularly review their stipulated hazard control measures. SESIH managers and elected Health and Safety Representatives will also monitor contractors risk controls and report to OHS coordinator on non- compliance issues.

8. SESIH responsible manager must ensure regular meetings are undertaken with contractor to ensure regular communication takes place and issues relating to contract can be discussed.

5. SESIH responsible manager reviews nominated hazard risk elimination or controls. SESIHmanager and contractor sign off on work permit if nominated risk elimination or controls are judged appropriate. This document is to be filed for audit purposes.

6. SESIH responsible manager delivers local /site orientation, completes checklist and files for audit purposes

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4. Current Contractor Status

1. To achieve current status a contractor must provide a Statement that complies with Section 175B of the Workers Compensation Act 1987 stating:

o that the contractor has a policy of worker compensation in respect

of work done in connection with, and during the period of, the contract and all workers compensation premiums have been paid, attaching a certificate of currency of insurance, AND

o whether the subcontractor, themselves, engage subcontractors,

and if so, stating that the subcontractor has obtained a written Statements from these subcontractors, stating that these sub contractors have a policy of worker compensation in respect of work done in connection with, and during the period of, the contract and all workers compensation premiums have been paid (accompanied by a certificate of currency of insurance)

2. provide a copy of a certificate of currency for general liability

insurance to a minimum value of $ 10,000,000 3. sign SESIH Contractor Induction Acknowledgement 4. provide a copy of the relevant contracting licenses applicable to the

scope of works proposed

5. contractors undertaking construction or building maintenance must provide evidence of OHS general induction training (termed in Industry as “Green Card”)

6. be able to work to a budget. This is to be assessed through

appropriate references and contractor evaluations

7. maintain a high level of OHS awareness and training within their organizations including compliance with all relevant statutory requirements

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5. Contractor responsibilities 5.1 General

1. Principal Contractor management must provide relevant OHS details as per Point 4 above to facilitate assessment for placement on approved contractor data base.

2. Contractors are required to attend SESIH generic induction training. 3. Contractors must attend localised orientation in which SESIH

managers controlling local environments provide site specific training. 4. Principal contractor management must ensure contractor employees

and sub contractors are aware of specific site requirements and act within the established systems and procedures developed by SESIH and principal contractor management.

5. The Principal contractor will ensure it maintains current workers

compensation and general liability insurance. The principal contractor will ensure sub contractors also maintain current insurance.

6. Contractors will be required to provide details to be used for a

Criminal Record Check.

5.2 Risk assessment and hazard management

1. Contractors must undertake a risk assessment of the work to be undertaken and supply documented evidence of such risk assessments. The risk assessments must identify hazards to SESIH staff, patients, clients, general public and contractor staff.

2. Contractors must ensure hazard control measures are regularly

monitored and reviewed. Contractors must be able to provide documented evidence of risk monitoring (i.e. site checklists, toolbox meeting minutes, etc) at appropriate forums and as requested by SESIH managers.

5.3 Work method statements

1. Where a Risk Assessment has identified any hazards, the measures that will be taken to eliminate the risks or, if not reasonably practicable to eliminate, to control the risks, must be specified on Safe Work Method Statements

2. Contractors must complete a Work Method Statement for all works conducted on SESIH sites.

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3. A Work Method Statement is a document which describes the job to be completed, outlines the steps involved, the hazards associated with the work and the controls to be implemented to ensure that the work is completed safely. Work Method Statements are completed by the contractor company as the contractor is expected to be experienced in the work and the hazards associated with it.

4. If the work to be completed is routine work, one Safe Work Method Statement is sufficient for all occasions where the work is conducted as long as the conditions do not change and all relevant staff are trained in the practice and understand the controls to be implemented. Generic work method statements can be used at a number of sites as long as the task and conditions do not change.

5.4 Communication

1. Contractors must ensure regular communication occurs between

themselves and SESIH responsible managers. Contractors must attend meetings planned by SESIH responsible managers and act upon issues as appropriate.

2. Contractors must complete relevant components of SESIH Permit to

Work documentation. 5.5 Training

1. Principal contractors must ensure their staff and sub contractors have

appropriate training for the works being undertaken. Information relating to contractors training must be recorded on Safe Work Method Statements.

2. If construction or building maintenance is being undertaken all

contractors must hold a certificate in OHS General Construction Induction Training as per NSW WorkCover requirements.

5.6 Plant and equipment

In order to control the risks associated with working with plant and equipment the contractor should develop and implement risk assessments and operational procedures in accordance with all legislative requirements.

Contractors must ensure that:

1. All equipment is registered and has appropriate log books as per NSW

WorkCover requirements. 2. All equipment has correct guarding and such guarding is regularly

checked and maintained. Contractors must ensure that appropriate

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Personal Protective Equipment (PPE) is used in conjunction with engineered plant and equipment safeguards.

3. Plant and equipment must be stored, operated and maintained in accordance legislative and Australian Standard requirements.

4. Contractors must carry out work relating to the contract in a

sequence and at times which causes minimum disruption to SESIH business activities.

5. Contractors undertaking work that has the potential to disrupt

services to the SESIH or adjacent properties (digging near underground cables for example) must ensure appropriate checks are undertaken before work commences (for example calling “dial before you dig”). Contractors must also consult with site engineering staff if applicable.

6. All portable electrical equipment is tested and tagged in accordance with AS3760 and any legislative requirements.

5.7 Chemical management and Material Safety Data Sheets.

1. Contractors must provide up to date Material Safety Data Sheets (MSDSs) for all chemicals:

• used on site

• brought onto the site and/or stored at the site.

2. MSDSs are valid for five years from the date of issue. They must include Australian emergency contact details.

3. Contractors must store chemicals in a manner and location that is:

• in a secure position where unauthorised people cannot access them

• free from the risk of falling or being knocked over

• away from food

• in line with SESIH storage requirements for dangerous goods and hazardous substances

• appropriately labelled

5.8 Waste management

1. Contractors must ensure that environmental issues are considered in site risk assessments and that EPA guidelines are followed when environmental controls are implemented.

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2. Contractors must control their waste products whilst on SESIH sites, dispose of waste according to EPA/Local Authority guidelines and maintain work areas in a neat and tidy fashion.

5.9 Work Permits.

Before contractors perform the work for which they are engaged, they must obtain the necessary work permits.

1. Hot Work Permits

The contractor must not commence any hot work; for example, welding or any task using an open flame, within SESIH premises, without completing a Hot Work Permit. The Site Manager can provide the contractor with a copy of the Hot Work Permit to fill in. For the purpose of this permit, the SESIH Site Manager or delegate is the authorised SESIH representative

The contractor must ensure that:

• all combustible materials are removed from the area as far as practically possible, or made safe within the area

• no flammable liquids, vapours, gases or dusts are present

• extinguishers and fire hoses are present at the site

• the contractor’s employees know how to use portable fire-fighting equipment

• the contractor’s employees know the location of the fire alarm system and telephones

• fire retardant covers are supplied and, where possible, they cover merchandise

• clearance distances are met

• gas bottles are secured

• the area is isolated

2. Confined Space Work Permit

Contractors must complete a Confined Space Work Permit and comply with all the Australian Standards and State legislative requirements associated with the confined space entry, before they can begin work in a confined space.

The relevant SESIH Site Manager can provide the contractor with a copy of the Confined Space Work Permit form as required however the contractor should have a Confined Space Procedure in place and implemented. If entry is required, the employee must obtain a Confined Space Work Permit and comply with all the requirements of the AS 2865 and State legislative requirements on confined space entry.

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On completion of the confined space works, the authorised person for the works must sign off the permit. For the purpose of this permit the authorised person is an appropriately trained contractor company representative.

3. Electrical work permit

Electrical work must be undertaken in conjunction with Facility Engineers and Maintenance Departments and permits issued accordingly.

5.10 Incident management

Contractors must report all accidents and incidents to responsible SESIH site Manager which include the following:

o Personnel injuries o Fires o Suspicious acts or items o SESIH building, equipment or plant damage

The Area Corrective Action Request (CAR) Form F 117 shown in Appendix 9 is available for Contractors use.

Area Policy Directives Requiring Contractor Compliance

• Area PD 027 Biomedical Services- mobile communications, control of

interference to medical equipment policy

• Area PD 065 Radiation accidents and incidents – reporting of

• Area PD 067 Security – people and property

• Area PD 072 Manual Handling Policies

• Area PD 073 OHS Policy –Statement of Commitment

• Area PD 079 Waste Management Policy

• Area PD 082 Dangerous goods and hazardous substances-

management of

• Area PD 083 Hazard assessment, management of

• Area PD 092 Radiation sources – security of

• Area Infection Control Policies

Any of these policy directives may be downloaded upon

request.

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6. Contractor Site Safety Requirements 1. Accidents and Incidents

All accidents and incidents (including near misses) involving contractor

activities must be reported to SESIH responsible manager. Injuries must be recorded in the appropriate SESIH injury register. Accidents must also be reported to WorkCover according to the current WorkCover NSW notification protocols.

2. Safety Equipment

The contractor shall ensure safety equipment (including guarding and

Personal Protective Equipment) is worn and maintained in accordance with risk assessments and controls stipulated on Work Method Statements.

3. Safe Access

Safe access to the work site and surrounding areas shall be maintained.

Fire stairs and corridors are to be left clear at all times. Contractors and SESIH managers should review this situation regularly and rectify any non-compliance issues.

4. Workplace Inspections

Workplace inspections will be undertaken periodically by SESIH

managers and staff. Issues of contractor’s conformance to documented risk assessments and controls will be assessed and non-conformance must be rectified through a consultative process. Contractors must ensure they also undertake regular inspections of the workplace.

5. Animals

The contractor shall not be permitted to bring animals onto any SESIH

sites. Clearance can be obtained for animals used in some circumstances i.e. guide dogs.

6. Electrical Appliances

All electrical plant/machinery, appliances, power tools and extension

cords shall comply with the NSW WorkCover code of practice for construction work. Up to date testing and tagging of electrical equipment must be monitored by principal contractor. All contractors’ electrical tools and plant shall be supplied through Residual Current Devices.

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7. Suspicious or Hazardous Material If contractors discover the presence of material which they are unsure

about (for example suspicions of asbestos or dangerous chemicals) the material should not be disturbed and the SESIH responsible manager informed immediately. Investigation and remedial actions must then be taken before work in the area begins again.

8. Drugs and Alcohol

Contractors must not perform any duties whilst under the influence of

non - prescribed drugs and alcohol. The consumption of non-prescribed drugs and alcohol is prohibited on all SESIH sites.

9. Smoking

All buildings within the health service are designated no smoking areas.

Smoking is allowed only in designated outdoor areas, these areas can be located at each facility and are clearly sign posted.

10. Cleaning

Rubbish and debris is to be removed from site daily unless otherwise

agreed to by the SESIH responsible manager. Care should be taken to ensure the health and safety of persons in surrounding areas. Sharp items must be disposed of in accordance with SESIH procedures. This means contractors will have to source appropriate sharps disposal systems in areas adjacent to where they are working. At the completion of the works the site is to be left in a safe, clean and tidy condition with all excess material and rubbish appropriately removed.

11. Manual Handling

Contractors must ensure basic manual handling techniques are

implemented whilst they are working on SESIH sites. The techniques to be followed include:

• Using mechanical lifting equipment where possible • Plan lifting by estimating the load and knowing exactly where it

is to be placed • Ensure that access to the area is clear • Avoid lifting excessively heavy loads – get help • Avoid bending backs to pick up a loads – bend knees and keep

back straight • Hold load as close as possible to body • Avoid twisting while lifting of carrying • Take care to reduce likelihood of slips and falls which can jar

the spine

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12. First Aid

Principal contractors must ensure adequate first aid provision is available

for all contract employees and sub contractors. First aid kits should be stocked in accordance with WorkCover guidelines (i.e. Kit type A,B or C).

13. Fire and Emergency Evacuation Procedures

Contractors must cooperate with emergency evacuation procedures

developed by SESIAHS. Fire emergency control equipment should not be interfered with and only used in appropriate circumstances.

Contractors are required to sign an acknowledgement of training following the completion of training.

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Appendix 1 - Standard OHS clause for SESIH contracts SESIH managers should attempt as far as is reasonably practicable to ensure written contracts are implemented for all works or services provided to the organization. The type and scope of written contracts will vary according to type and nature of service being provided. The following is a standard clause that should be included in all written contracts within SESIAHS.

OHS Clause: The South East Sydney and Illawarra Health Service is subject to the provisions of the NSW Occupational Health and Safety Act 2000 and OHS regulations 2001 which imposes a duty on the SESIH to provide and maintain as far as is reasonable practicable, a working environment which is safe and does not present risks to staff and/or visitors.

Contractors engaged to carry out work in workplaces under the control of the SESIH are expected to adopt safe working practices, comply with internal SESIH safety procedures, relevant statutory provisions, Australian Standards and to cooperate with SESIH staff in the interest of reducing the risk of injury and maintaining a safe working environment.

Accidents which result in, or could give rise to injury or damage to SESIH staff, patients, clients, public and plant / equipment must be reported.

The Contractor must complete an SESIH PERMIT TO WORK before beginning work on SESIH premises

The contractor must provide evidence of relevant insurance certificates and dangerous equipment licenses.

To facilitate an effective OHS management system, the Contractor shall:

• be obliged to undertake a risk assessment of the work and workplace (Identify hazards) in accordance with Australian Standard 4360.

• Provide the SESIH Responsible Manager with suitable Safe Work Method Statements which identify hazards and means of controlling those hazards.

• provide an undertaking that information on Safe Work Method Statements is checked and continual monitoring of hazard control is undertaken. This information is to be supplied to SESIH Service management.

• Supply information and details of training their staff have in relation to the tasks they are performing. (This information can also be supplied on Safe Work Method Statements).

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Appendix 2 - Contractor Orientation Checklist

SESIH responsible managers who direct or control contractors must ensure those contractors have appropriate information about the workplace. Information should be provided using a contractor orientation process. The following orientation checklist must be completed for each new contractor working in areas controlled by SESIH responsible managers. Completed checklist should be kept on site for a minimum of 3 years.

Indicate in the space provided if specified components of induction have been undertaken. Yes No

Ensure SESIH contractor clearance card is sighted

Details given to contractors of: building layout, including exit points, assembly areas, identification of area Emergency Wardens (senior person in charge of the shift) and emergency phone numbers.

Local positions of fire extinguishers with fire fighting equipment identified and use explained.

Identification of specific workplace hazards, including storage of hazardous materials, use of office equipment (photocopiers etc), workstation set-up and housekeeping issues.

Explanation of incident reporting requirements - ALL incidents MUST be reported to the responsible SESIH manager

Explanation of emergency evacuation procedures.

Explanation of office/site safety rules and requirements.

Identification and location of first aid kits.

Location of the following amenities explained: toilets, kitchen, drinking water and staff facilities.

Explanation of the means of obtaining security passes and related security issues.

Explanation of SESIH No-smoking and Drugs & Alcohol Policy

Explanation of contractor/contractor employee OHS responsibilities.

Contractors have undertaken a documented risk assessment of work area.

Contractors have supplied SESIH with Safe Work Method Statements.

Contractors & SESIH managers have completed a valid Permit to Work.

Contractors to ensure all new employees in their control undertake induction (records to be maintained for verification).

Contractors Name: Contractor Company Date SESIH Responsible Manager SESIH Responsible Manager ( signature) Contractor confirmation, I confirm I have received the above information in the SESIH induction process (signature)

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Appendix 3 - Example Work Method Statements

Work Method Statement (Part 1) Signed off: ______________________________

Contractor: Acme Partitioning Company Date: _______________________ No: _______

Project: Relocation Level 2 Accepted: Yes/No

Job: Remove and Relocate Office Partitioning Area:

Procedure (in steps): Possible Hazards: Safety Controls:

1.Remove all office furniture, fittings etc.

Manual handling of heavy items. All personnel must be appropriately trained in manual handling techniques. Team lifting and/or mechanical lifting devices should be used for loads in excess of 20kgs.

2. Remove electrical fittings and fixtures

Electrical Outlets and Cables All electrical outlets and cables shall be disconnected and moved by a licensed electrician. Partitioning Contractors must report any live cables or outlets to their supervisor.

3. Remove partition components Sharp edges All exposed sharp edges should be flattened over or covered.

Falling debris Keep dismantling area clear of personnel. Danger areas can be taped off. Operatives undertaking the work must wear head protection.

Dust from partition components Protective equipment will be used when air quality is affected by dust from partition components

Manual handling of partition components Contractors must be trained in correct manual handling techniques. Team lifting and/or mechanical lifting devices should be used for loads in excess of 20 kgs.

Accumulated waste Accumulated waste (broken components, unusable material etc) must be placed in temporary holding areas so as not to cause trip hazards. Material must be removed from site when practical and in accordance with good house keeping principles.

4. Erect new partitioning Positioning and fixing new component parts Operatives will adopt a systematic approach to the erection and fixing of components and at all times attempt to minimise body stressing activities. Correct manual handling procedures will be followed.

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Portable power tools Portable power tools (including leads) will be tested by a licensed electrician and have appropriate tagging. Protective equipment will be worn by operatives if power tools are at risk of causing injury( hearing impairment, eye damage etc)

Power supply Power supply will be maintained to meet the standards required by the relevant statutory body.

5. General Work from heights All work carried out from heights will be done using approved work platforms.

Hazardous Materials All operatives will read and follow instructions relating to the safe handling and storage of any hazardous substance used in this project.

Excessive Noise Noise created by operatives will be managed so as to cause minimum impact on personnel and SESIH operations. Situations creating lots of noise will be discussed and managed in accordance with SESIHproject management guidelines.

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Work Method Statement (Part 2)

Personal Qualifications and Experience: Personnel, Duties and Responsibilities: Training Required to Complete Work:

Clerk of Works Certificate, Trade Certificate( Plastering) OHS committees course, Building Construction Induction Course. 10 years working in the construction industry.

J Smith: Foreman supervising all aspects of site works. SESIH general Induction & site orientation

Trade Certificate (plastering) Building Construction Induction Training Course. 8 years working in the construction industry

J Jones: Tradesperson erecting partitioning SESIH general Induction & site orientation

Trade Certificate (plastering) Building Construction Induction Training Course. 5 years working in the construction industry.

T Hanks: Tradesperson erecting partitioning SESIH general Induction & site orientation

Building Construction Induction Training Course, 2 years working in the construction industry

A East: Labourer, general duties assisting tradespeople SESIH general Induction & site orientation

Engineering Details/Certificates/WorkCover Approvals:

Plant/Equipment: Ladders and working platforms will conform to Australian standard requirements. Portable power tools will be appropriately guarded and tagged

Maintenance Checks: Site foreman will constantly monitor equipment being used and ensure faulty or damaged items are repaired or replaced

Read and signed by employees:

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Page ........ of .....................

DA No ..................................... Work Method Statement (To be completed by contractor and sub contractor)

Procedure (in steps) Task Allocation

Possible Hazards Risk Level * Safety Controls:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15. Note: Add additional numbered sheets if required. * Risk Level Assessment to be determined in accordance with WorkCover Guidelines

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Page ……… of ………

DA No. ……………..… Work Method Statement (To be completed by contractor and sub contractor) Personal Qualifications & Experience: Personnel, Duties & Responsibilities: Training Required to Complete Work:

Engineering Details/Certificates/WorkCover Approvals: Codes of Practice, Legislation:

Maintenance Checks:

Plant/Equipment:

Contract Requirements:

Read & Signed by All Employees on Site:

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Appendix 4 - Disruption Work Method Statement

Page ......... of ..........

DA No........................... Project: ................................................................................................................................ Site/Location: ...................................................................................................................... Contractor:........................................................................................................................... Sub Contractor:................................................................................................................... Description of Disruption: ........................................................................................................................... .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. ................................………………………………………………………………………………… .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. Proposed Date/ Times: .................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. Contact Schedule Rep’s Name Contact Phone No. Fax Project Manager ................................... ................................. .............................. Consultant ................................... ................................. .............................. Contractor ................................... ................................. .............................. Sub contractor ................................... ................................. ..............................

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Date Submitted:............ Page ......... of ..........

DA No........................... ENDORSEMENT We the undersigned have reviewed the details of the proposed disruption/outage and made an assessment of the proposed work methods, allocation of tasks and risk mitigation methods and endorse the application as follows:

Representatives

Name

Signature

Date

Agree

Reject

Sub contractor

Contractor

Consultant

Project Manager

Engineering Operations Manager

Controller of Premises (Executive Director or Nominee)

Comments (if insufficient space attach a separate numbered page) .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. ..............................................................................................................................................

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Appendix 5 - General Contractor Work Permit

PERMIT NO: Description of Work to be done: Equipment being used by contractor: Name of issuing officer for SESIH Name of person(s) conducting work Signature of issuing officer SESIH Signature of person (s) conducting work Identify specific hazards and subsequent controls that must be implemented TASKS HAZARDS CONTROLS

Detail Equipment Isolations: Methods of Isolation: Electrical: Flow Pneumatic Other: Period of Operation: This permit is valid from hrs. Date Type of permit tag(s): To: hrs. Date Location(s) where work is to be done: Date & time work commenced: Date & time work ceased: Signature of issuing officer: Signature of person(s) conducting work: ____________________________________ _________________________________________

Personal Protective Equipment Required:

Other Permits Required: Confined Space Entry Permit: Hot Work Permit: Electrical Work Permit:

THIS PERMIT MUST BE DISPLAYED AT THE WORKSITE

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Appendix 6 - Hot work permit This Permit must be used for ALL Cutting, Welding & other Hot Work performed out side a dedicated

workshop area. The Permit must be displayed at the work site & returned upon completion of work.

APPLICATION FOR HOT WORK Company/Dept Performing Work:

Contact Name: Phone: __________ bus. Mobile: ____________________________________

Name of officer’s performing the task?

PERMIT BEGINS PERMIT EXPIRES

Date: ___________ Time: am / pm Date: ________________ Time: _______ am / pm EMERGENCY INFORMATION If a fire or any hazardous situation occurs: Phone ..................... in case of Fire, activate nearest fire alarm

AUTHORISATION BY HEALTH EMPLOYER REPRESENTATIVE The above work is authorised to proceed subject to the following action being taken prior to work starting and procedures being maintained for each period (delete & initial if & where Not Applicable) Authorised by Responsible Health Employer Representative:

Name: Signature: ____________ Date: ________________________ PRECAUTIONS THAT MUST BE OBSERVED AND/OR FOLLOW UP BY THE PERSON PERFORMING THE WORK

1. Work area clear of all combustible materials

2. All drains within 5mt are sealed

3. All fire detection and sprinkler systems are operational Yes

Isolated

4. Where necessary Isolate fire alarm by following facility procedures

5. Fire equipment that must be at hand Hose Reel and/or extinguisher deemed necessary for the type of hazard

6. Barricades, warning signs, spark/flash screens must be provided and in place.

7. Power cords and all other leads are not across access ways and other pipelines.

8. Identification & isolation of pipelines containing flammable materials.

9. The hot work area and any adjoining areas must be monitored/patrolled from the start of work until 30minutes after the work is completed and reported (including break periods)

10 Environmental assessment to be undertaken to assess if the work will effect other personnel, Eg. Wind, Air intakes, Fumes being emitted

11. Controls put in place to prevent any/all of the above

12. Type of work being performed

13. Other Special Conditions:

14. Health Employer Representative must be notified immediately should there be any changes to this permit and all work is to cease

WORK COMPLETED & AREA SAFE The work area has been inspected by the Authorised Health Employer Representative 30 minutes after completion of work:

Name: Signature: ____________________________ Date: ____________

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Appendix 7 - Confined Space Entry Permit PERMIT NO 1. Area Name: Location: 2. Validity: This permit is valid from am/pm on to am/pm on 3. Description of work to be undertaken: Is another permit required? Yes No If yes what type Permit No [ ] 4. Name of Authorising Officer:

7. Chemicals to be used in area (Attach MSDS)

5. Isolation required (list all isolation)

8. P.P.E for safe entry (list)

Auth. Officer (sign) _______________________ 6. Safety Atmosphere 9. Precautions (tick when achieved) Oxygen (19.5%-23%) % Warning notices Barricades Flammable Gas (<5% LEL) %LEL Ventilation System (if requ) Hydrogen Sulphide (<10ppm)

ppm Smoking prohibited

Carbon Monoxide (<30ppm) ppm Safety Equip in place Other Toxic Gases ppm Emergency Plan understood by all Time of initial test am/pm Communications in place/operating Monitor while occupied Yes No Other (specify) Auth. Officer (sign) _____________________ Auth. Officer (sign)__________________ 10. Safe Entry

• This confined space is in my opinion safe for entry and work, under the conditions listed on the permit.

• All persons entering the Confined Space have been instructed in the requirements for safe work in the confined Space

Auth. Officer (sign) __________________ time ____ (am/pm) date ___________ 11. Sign Off

• All persons have left the confined space and no further entry is permitted on this permit

• This area is /is not fit to return to service (if not ready for normal service please add comments in section 12)

Auth. Officer (sign) __________________ time ____ (am/pm) date ___________ 12. Comments Signed ________________________________

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Appendix 8 - Electrical Work Permit

PERMIT NO: Name of issuing officer: Name of officer(s) conducting work:

Organisation

Period of Operation: This permit is valid from hrs. Date to hrs. Date Description of work to be done Location(s) where work is to be done

What areas will be affected

Specific hazards and precautions

Type of permit tag (s)

On Commencement On Completion Date and time work commenced: Date and time work ceased:

Signature of issuing officer Signature of issuing officer _______________________________ ___________________________________ _______________________________ __________________________________ Signature of person(s) conducting work: Signature of person(s) conducting work _______________________________ ___________________________________ _______________________________ __________________________________ Post area checks completed Signature of issuing officer _______________________________________________________________________ Date and time

THIS PERMIT MUST BE DISPLAYED AT THE WORKSITE

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Appendix 9 – Corrective Action Report

Project

Date of report

Project description

Target completion date of Project

Contractor

Contractor’s Representative Name:

Signature:

SESIH Representative Name:

Signature:

No. Problem Action Who When Date checked

Overall Outcome of corrective action: satisfactory/unsatisfactory If unsatisfactory, outline SESIH actions:

Contractor

Contractor’s Representative Name:

Signature:

SESIH Representative Name:

Signature:

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Appendix 10 - Table of Definitions

Accident An unplanned undesirable event which may result in injury to people and/or damage to property.

Aerosol A dispersion of solid or liquid particles in air. An aerosol can be variously described as a dust, fume, smoke, spray, mist, or fog.

Audit Checklist Summary of OHS standard or best practices relevant to area or issue being audited.

Australian Standard

Detailed technical documents developed for Standards Australia by expert working parties drawn from industry and government working parties. There are over 400 Australian Standards relevant to OHS. Some of these have been adopted as codes of practice by individual governments.

Building Code of Australia (BCA)

Document of technical standards for the design and construction of buildings. The scope covers structural sufficiency, access and egress, fire safety and health and amenity. BCA has been called up in Legislation in all states and territories.

Biological Hazard

Microorganisms, animals, plants and their biologically active products that can adversely affect safety and health.

Carcinogen An agent capable of producing cancer in either humans or animals.

Chronic Injury Injury resulting from the cumulative effect of repeated exposure to injurious force or forces not sufficient to cause acute injury or resulting from an acute injury which, for whatever reason, does not recover as predicted.

Code of practice Technical document on a health and safety issue approved by a government minister. It provides practical guidance on ways to achieve compliance with OHS legislation.

Common Law

Law deriving from judges decisions based on established legal principles.

Communications The mutual transmission and understanding of ideas and information between people.

Contractor Contractors are persons who are not employees of the SESIH Service but are performing work for the SESIH Service under a contract for the provision of goods and

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services. Criminal Record Check

Process of checking contractor background for criminal offences.

Dangerous Goods

Any material listed in the Australian Code for the Transportation of Dangerous Goods by Road or Rail.

Dial Before You Dig

Phone service provided by Telstra describing location of underground cable infrastructure. Phone number 1100.

Disease Damage to the body that shows up only after a period of time from first exposure to a hazard.

Disinfection A process to eliminate many or all microorganisms, excluding bacterial spores.

Dose Quantity of environmental factor absorbed by a person.

Dose Constraint Health-based dose guideline used for the control of injury of injury or disease arising from acute exposure during an emergency or intervention action.

Dust Solid particle matter of diameter greater than 1mm. Generally formed by the process of disintegration or attrition, eg. crushing, drilling, grinding, sanding.

Duty of Care A principle of common law that requires each person or organisation to have care not to cause harm to other persons.

Emergency A sudden state of danger that will produce or exacerbate injury to people and/or damage to property unless immediate intervention occurs.

Emergency Control Organisation

An organised team, made up of staff from the worksite that coordinates the safe and orderly implementation of the emergency procedures in an emergency.

Emergency Preparedness

Design of workplace buildings, plant and processes to be as safe as reasonable practicable, as well as the existence of and training of persons in emergency procedures.

Emergency Procedures

Best practice guidelines for reacting to an emergency so that persons at risk respond in a prompt, orderly and appropriate way.

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Emergency Warning and Inter- communication system

Provides an audible signal throughout the building to warn occupants of a fire or other emergency situation.

Environmental Monitoring

The collection and analysis of samples from the work environment to assess exposure.

Environmental Protection Authority

Primary NSW public sector organisation responsible for protection of environment organisation.

Exposure Quantity of an environmental agent impinging on a person.

Fire Alarm System

Automatic detection and notification of the presence of fire in a building, which activates the fire indicator panel, fire bell and EWIS.

Fire Prevention Control of one or more of the three factors – fuel, oxygen, ignition source – necessary for a fire.

Fire Protection Provision of effective means for detection, control and extinguishing of fire.

Fume Generally formed by condensation of heated materials or evaporation of mist e.g. fume from furnaces, welding, soldering: smoke from fires; salt nuclei from sea fog.

Hazard Anything (including work practices or procedures) that has the potential to harm the health or safety of a person

Hazardous Chemical

A chemical for which uncontrolled use or exposure is a risk to safety or health. Such chemicals may be described as dangerous goods, poisons, drugs or hazardous substances.

Hazardous Substance

A material listed in NOSCH Australia’s List of designated Substances or in State hazardous substance legislation.

SESIH Responsible Manager

SESIH managers who have control of specific workplaces and who direct and control contractors at the workplace

Injury Physical harm caused to the body by exposure to a hazard

Job Safety Analysis Form (JSI)

Forms supplied by contractors indicating hazards and required controls.

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Lost Time Injury, LTI

An occupational injury where the injured person is not able to work for at least one full work day (or shift) any time after the day the injury occurred.

Learning Management System (LMS)

SESIH internal training records data base.

Material Safety Data Sheet, MSDS

A summary of relevant properties of a hazardous chemical or proprietary products which includes safety, health, storage, handling and emergency information.

Near Miss An incident that does not produce an injury or disease.

Negotiation Discussion and arrangement of terms between persons or groups to achieve a mutually agreed outcome.

Noise Damaging or unwanted sound.

Noise Induced Hearing Loss NSESIL

Loss of hearing due to exposure to excessive noise. The risk is related to the cumulative noise energy received over a lifetime.

Occupational Health and Safety (OHS).

Prevention of disease and injury caused by workplace influences.

OHS Audit Systematic search for hazards in the workplace, problems in work procedures and deficiencies in the OHS management system.

SESIH Contractor Orientation

Process undertaken locally by SESIH managers to familiarize contractors with individual department hazards and safety procedures.

Personal Protective Equipment( PPE)

Equipment worn by workers to reduce effects of occupational safety and health hazards.

Regulation Subordinate legislation passed by parliament to amplify or make explicit specific OHS acts of parliament. Failure to adhere to a regulation is a breach of the Act. NSW currently governed by OHS regulation 2001.

Rehabilitation The process of restoring an injured worker to the fullest physical, psychological, social, vocational and economic function of which they are capable.

Risk The chance of a hazard actually causing injury or disease

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Risk Assessment Judgement as to the likelihood of an agent producing harm to persons under the circumstances of its use.

Risk Management

The identification and assessment of the risks which an organisation is exposed and the selection of the most effective way to protect assets and minimize potential losses.

Safety Freedom from the danger of injury.

Smoke Fume from fires, being composed of carbon containing matter.

SESIH South Eastern Sydney Illawarra Health covering the geographic area from South East Sydney to Ulladulla on the South Coast.

Statute Law/Legislation /Act

Law passed by an act of parliament. Currently NSW workplaces are governed by OHS Act 2000

Workers Compensation Insurance

Mandatory insurance needed by employers for all workers they employ.

WorkCover

NSW state government authority responsible for enforcing laws relating to occupational health and safety, workers compensation, rehabilitation and certification.

Workplace Health Surveillance

Health surveillance aimed at detecting in individual workers the absorption of and/or any adverse health effects from hazards in the workplace environment.

Work Method Statement

Document which lists information about specific works. This includes: identification of relevant risks and controls, operatives training levels and equipment licensing requirements.

Work Permit SESIH documentation which must be completed by contractor and SESIH responsible manager before contractors begin work on HIS sites.

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