Page 1 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved S AFE W ORK M ETHOD S TATEMENT (SWMS) P ART 1 A CTIVITY : Traffic Management SWMS #: 3. 41 B USINESS N AME : F IRST N ATIONS T RAFFIC M ANAGEMENT PTY LTD – ABN 96 637 119 094 S PECIFIC ACTIVITY : T RAFFIC M ANAGEMENT FOR GENERIC ACTIVITIES B USINESS A DDRESS : 45/314 B URLIEGH CONNECTION R D BURLIEGH HEADS B USINESS C ONTACT : P ETER O ’ BRIEN P HONE #: 1300 313 311 SWMS A PPROVED BY : E MPLOYER / PCBU / D IRECTOR / OWNER. N AME : P ETER O’B RIEN S IGNATURE : D ATE : 11/ 11 /202 5 P ERSON / S RESPONSIBLE FOR ENSURING COMPLIANCE WITH SWMS: T IM T IMOTEO P ERSON / S RESPONSIBLE F OR REVIEWING THE SWMS: T IM T IMOTEO R ELEVANT WORKERS CONSULTED IN THE DEVELOPMENT , APPROVAL AND COMMUNICATION OF THIS SWMS. A LL P ERSONS INVOLVED IN THE TASK MUST HAVE THIS SWMS COMMUNICATED TO THEM BEFORE WORK COMMENCES N AME S IGNATURE D ATE Daily Tool Box Talks will be undertaken to identify, control and communicate additional site hazards. P ETER O’B RIEN 11/0 1 /202 6 Work must cease immediately if an incident or near miss occurs. SWMS must be amended in consultation with relevant persons. T IM T IMOTEO 11/0 1 /202 6 Amendments must be approved by Tim Timoteo and communicated to all affected workers before work resumes. SWMS must be made available for inspection or review as required by WHS legislation. Record of SWMS must be kept as required by WHS legislation (until job is complete or for 2 years if involved in a notifiable incident). Page 2 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved T HIS WORK ACTIVITY INVOLVES THE FOLLOWING “H IGH R ISK C ONSTRUCTION W ORK ” ☐ Confined Spaces ☐ Mobile Plant ☐ Demolition ☐ Asbestos ☐ Using explosives ☐ Diving work ☐ Artificial extremes of temperature ☐ Tilt up or pre - cast concrete ☐ Pressurised gas distribution mains or piping chemical, fuel or refrigerant lines energised electrical installations or servic es ☐ Structures or buildings involving structural alterations or repairs that require temporary support to prevent collapse ☐ Involves a risk of a person falling more than 2m, including work on telecommunications towers ☐ Working at depths greater than 1.5 Metres, including tunnels or mines ☐ Work in an area that may have a contaminated or flammable atmosphere ☑ Work carried out adjacent to a road, railway or shipping lane, traffic corridor ☐ In or near water or other liquid that involves risk of drowning L IKELIHOOD I NSIGNIFICANT M INOR M ODERATE M AJOR C ATASTROPHIC S CORE A CTION HIERARCHY OF CONTROLS M OST E FFECTIVE A LMOST CERTAIN 3 H IGH 3 H IGH 4 A CUTE 4 A CUTE 4 A CUTE L IKELY 2 M ODERATE 3 H IGH 3 H IGH 4 A CUTE 4 A CUTE 4A A CUTE DO NOT PROCEED. P OSSIBLE 1 L OW 2 M ODERATE 3 H IGH 4 A CUTE 4 A CUTE 3H H IGH Review before commencing work. U NLIKELY 1 L OW 1 L OW 2 M ODERATE 3 H IGH 4 A CUTE 2M M ODERATE Maintain control measures. R ARE 1 L OW 1 L OW 2 M ODERATE 3 H IGH 3 H IGH 1L L OW Record and monitor. L EAST E FFECTIVE P ERSONAL P ROTECTIVE E QUIPMENT (PPE): E NSURE ALL PPE MEETS RELEVANT A USTRALIAN S TANDARDS I NSPECT , AND REPLACE PPE AS NEEDED Page 3 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved “M ANDATORY ” “T ASK S PECIFIC ” “A S R EQUIRED ” F OOT P ROTECTION H EARING P ROTECTION H IGH V ISIBILITY H EAD P ROTECTION E YE P ROTECTION F ACE P ROTECTION H AND P ROTECTION P ROTECTIVE C LOTHING B REATHING P ROTECTION S UN P ROTECTION FALL A RREST Rings, watches, jewellery that may become entangled in machines must not be worn. Long and loose hair must be tied back. ☑ ☑ ☑ ☑ ☑ ☐ ☑ ☑ ☑ ☑ ☐ ☑ AS 1319 - 1994 S AFETY SIGNS FOR THE OCCUPATIONAL ENVIRONMENT REPRODUCED WITH PERMISSION FROM SAI G LOBAL UNDER LICENCE 1210 - C 062. S TANDARDS MAY BE PURCHASED AT HTTP :// WWW SAIGLOBAL COM J OB S TEP P OTENTIAL H AZARD / S IR C ONTROL M EASURES TO R EDUCE R ISK RR R ESPONSIBLE P ERSON I NHERENT R ISK - RATING (IR) R ESIDUAL R ISK - RATING (RR) 1. Planning & preparation Thallon Rd Brightview Lack of consultation may lead to potential outcomes for personal injury, property damage &/or environmental incident. 3H • Liaise with Principal Contractor to establish the following on - site systems and procedures are in place and take note of: o Health and Safety rules o Induction for all workers – site specific and toolbox meetings o Supervisory arrangements o Workers are appraised for required competencies & for any pre - existing medical conditions if working in remote or isolated locations o Communication arrangements o PPE required o Site plans o Traffic Management Plan (TMP) o Exclusion Zones o Risk Assessments, SWMS & JSA’s o Injury reporting procedures o Hazard reporting procedures. 2M Traffic Controller/Te am Leader Night works 3H • Use Spotters as required to ensure vehicles / equipment / materials and workers do not breach exclusion zones • Plant, equipment, vehicles and people will cast shadows, and allowance must be made to install and/or move portable lighting to reduce dark zones as required. • Luminous (fluoro ) triangles/bollards to be positioned to assist with traffic management and worker zones wherever possible. For example, mark out the perimeter of the load/unload area to help guide drivers and to warn workers on the ground of moving vehicles. • Adequate amount of traffic controllers to be working for each different scenario of night works 2M Traffic Controller/Te am Leader Page 4 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved • Client representative or nominated person to be on site for full shift for supervision • All traffic management to be erected as per the approved TMP Environmental conditions 3H • Cold: o Ensure workers to have adequate warm drinks o Access to warm shelter during breaks • Heat: o Sun brim on hard hat o Safety glasses - UV Rated o Use 30+ sunscreen on exposed skin areas • Appropriate protective clothing • Wear hand protection • Wear non - slip footwear (slippery surfaces etc.) • Adequate breaks • Check weather conditions – do not work in extreme conditions 2M Working with powered mobile plant and equipment 3H • Vehicles to comply with all site specific inductions • Ensure all mobile machinery and plant is provided with: 2M o Manufacturers operating instructions o Daily inspection checklist o Log book o All hand tools are free of damage maintained o Work crew are carrying spare PPE o Do not enter plant exclusion zone o Traffic controllers and Plant operators to establish sufficient communications before starting work 2. Training and Capabilities Lack of training or the assessment of capability may lead to personal injury, property damage &/or environmental incident. 3H • All persons involved in Traffic Management on site are required to be trained in Traffic Control measures as prescribed in AS 1742 series. Reference to additional or specific state requirements should be referred to the appropriate Roads Authority • All associated workers should be trained / instructed on the TMP • The Traffic Control using a Stop/Slow Bat Statement of Attainment RIIWHS205D (or equivalent) is current and the traffic controllers holds a current Construction industry induction (white card) or equivalent. Team leaders and traffic controllers where applicable to hold current Implement Traffic Management Plan: RIIWHS30 2D. Workers to hold RIW card on required projects. • Competency based training; workers/employees undertaking remote or isolated work are to be trained in the management of the associated risks including the procedures adopted for: o Managing remote site conditions o Emergency response 2M Traffic Controller/Te am Leader Page 5 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved o Regular/emergency communications o The operation of plant and equipment associated with the task, including safety & communication devices o Coping with the onset of extreme temperatures and inclement weather ● Refresher Training shall be undertaken at the recommended once every 3 years ● Check workers are in fit condition to work i.e. no signs of fatigue, alcohol or drugs. ● Traffic Controllers should always have a copy of their traffic management ticket available. Whether it be the physical copy or a photo 3. Conduct Risk Assessment Lack of a clear assessment may lead to personal injury, property damage &/or environmental incident. 4A Risk Assessment step 1 • Identify all hazards. Assess site. Consider: o What type of work is to be performed? o Will the work be undertaken during day / night / peak? o How close will workers be from the roadside? o Will any form of permission be required to undertake work? o Expected work duration: ▪ Long Term - day/night operations – site may be left unattended ▪ Mobile Works - vehicles continually moving at much lower speed, obstructing/partially obstructing lanes ▪ Short Term - Usually limited to 1 persons shift and person in attendance ▪ Very Short Term - less than 5 minutes. ▪ Team leader to complete and return a daily safety inspection inclusive of TGS checks. 2M Traffic Controller/Te am Leader Risk Assessment Step 2 • Conduct risk assessment based on the identified hazards. Using the Traffic Management Plan Checklist (supplied in this SWMS) , consider the likelihood of an incident occurring for each hazard and the likely consequences of the incident. • Take into account when developing the Traffic Management Plan (TMP): o Overall strategy for the management of traffic including phases of work if applicable o Arrangement of traffic control signs and devices for each stage of the work o Emergency access – for both workers and emergency vehicles o Any unusual hazards (e.g. nearby shop / school / bus stops / crossings etc.) Page 6 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved o Use of alternative routes as required o Roles/responsibilities o Safe passage for pedestrians, cyclists etc. o Allow for over - sized vehicles o Detail duration and time (day/night) o Communication requirements o Type of traffic control equipment to be used (signs / barriers / detours / traffic controllers /high visibility clothing). Risk Assessment step 3 • Use the most effective method to eliminate the risk. If this is not possible, then reduce (minimise) the risk by working down the hierarchy of controls (Page 2). Using more than one of these controls in combination is usually necessary. The selected contro ls must be: o Fit for purpose; and o Suitable for the nature and duration of the work; and o Installed, set up and used correctly; and o Monitored for effectiveness. 4. Develop site - specific traffic management plan Inadequate TMP 4A • Develop TMP in alignment with requirements of AS 1742 series • Include barricades, warning signs, bollards, high visibility clothing etc. • Ensure traffic management plan applicable to type of work. Examples are as follows: o Freeway 100km/h, worksite between 1.2m and 9m = High Risk. Traffic control devices required (such as vehicle - mounted attenuators, lane closure adjacent to road works, reduced speed signs, flashing lights o Local traffic road 60km/h, worksite 1.2m = High Risk. See above controls o Works within 1.2m of any road = High Risk o Works further than 9m = Low risk. Lesser controls may be required • For short term/mobile works, ensure following: o Advanced warning signs (i.e. “worker symbolic signs”) sufficient distance before works o Transition area (such as lane tapers – merging into a single lane), place cones approximately 2 times the approaching speed limit (in metres). Example: Road speed is 80km/h, tapering should begin at least 160m. Cones must be placed in conspicuous location, evenly spaced – not more than 4m apart and at suitable diagonal into lane o Clearance area (where speed limit is more than 60km/h). Approx. 20 - 30m – no parked vehicles, plant or workers. 2M Traffic Controller/Te am Leader Page 7 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved Speed 4A • Ensure suitable speed restrictions as required. Examples for short term works: o Between 1.2m - 3m of a local road, speed limit of 60km/h and barrier in place – no speed restrictions required. Where no barrier in place – reduce speed to 40km/h o For a freeway where a barrier is in place (within 1.2m - 3m), reduce speed to 80km/h. Without barrier = 40km/h o Between 9 - 12m, no barrier = 80km/h on freeway o 12m+ = no speed restrictions. 2M Decreased visibility for motorists / public 4A • Ensure all signs are placed in conspicuous areas where motorists can easily read them • Ensure all relevant workers wear suitable Hi visibility/reflective vest • All signs are easy to read and road users can easily navigate their way through the work zone o Port abooms, e - stops and shadow vehicles in place 2M Unauthorised public access 4A Sites where public may be present • Provide and maintain suitable access/egress for pedestrians where required. Include: o Physical barriers to ensure persons do not enter within 5m of work site o Caution signs o Portabooms, e - stops and shadow vehicles • Establish a clearance zone for work area (Examples: bollards, caution signs, tape etc.) Ensure safe travel path when re - directing pedestrians. Keep pedestrians and vehicles separated. 2M 5. Arrival & assessment of on - site conditions Contact with traffic 4A • Check constantly for changing hazards while working and monitor work position at all times. Ensure: o High visibility clothing worn at all times: ▪ Day works: Class D/F ▪ Night works: Class N/R ▪ Combination of day/night: Class D/N o Do not enter established “no go zones” for pedestrians o Utilise Arrow Boards and flashing beacons on work vehicles to increase visibility to traffic o Safety/warning signs, Spotters, traffic barriers etc. must be obeyed as required o Follow traffic management plan requirements. 2M Traffic Controller/Te am Leader Page 8 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved NOTE: Some traffic management plans may say that pedestrians have right - of - way. Never assume this. Make visual and verbal contact with plant operator as required. Personal injury, property damage &/or environmental incident. 3H • Assess conditions at site on arrival. Ensure: o Ensure site - specific induction is undertaken (include location of amenities, first aid facilities, emergency plans and evacuation points, incident reporting, communication, contact persons etc.) o Work site is exactly as detailed in Terms of Agreement or contract o Assess mobile phone reception immediately upon arrival (alternative emergency communications procedures in place if no reception available) o Suitable access for all equipment required o Suitable space for operation of equipment. 2M 6. Establish safe work zone (site set - up) Contact with traffic 3H • Refer to controls in step 5 • Park working vehicle in allocated parking or as close as possible to proposed work zone to avoid travelling across roads when delivery working equipment • Comply with roadside laws and permits • Vehicle stopped in safe - level position. Consider environmental factors: o Park out of line of traffic (ensure far enough from road to be safe) o Consider sun in oncoming driver eyes o Vehicle is not positioned on crest or bend of road o Make allowance for low visibility (Night - time, fog, rain) • Turn vehicle hazard lights on • Put reflective hi vis safety vest on before commencing operations • Ensure there is adequate clearance between barrier and work area. • Check blind spots before opening Vehicle door 2M Traffic Controller/Te am Leader Hazardous manual tasks - muscular stress / musculoskeletal disorder (MSD) 3H • Unload and erect any barriers & signage: o Ensure transport vehicle and ramps are suitable (i.e. within SWL) o Assess ground conditions at loading / unloading site o When loading / unloading equipment, ask for assistance, avoid twisting and keep your back straight 2M Page 9 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved o Manual handling procedures should be followed including: keeping a stable position while lifting, firm grip on load, hold load close to body, use good posture (slight bend in back, using hips and knees to lift load), avoid twisting or leaning while carryin g load, keep your head up while shifting the load, utilise smooth movement - do not jerk or snatch the load, do not lift or hand more than can easily be managed o Two - person lift as required o Ensure materials/equipment is as close to the work area as possible. o Gloves can be worn to reduce wear and rubbing on hands while moving signs/legs/bases/equipment o Where possible bollard bases should be 6kg or lighter o Signage vehicle should be kept clean and in working order so equipment does not get caught/stuck and become difficult to remove o Utilise shorter carrying distances where possible. If safe move signage vehicle around the site to make distances shorter Uneven or Slippery Surfaces 3H • Check for pits, gradients, uneven terrain • Check covers are in place over/around any openings prior to commencing work. 2M 7. Working roadside Contact with traffic 4A Refer to controls in step 5 o Ensure, where barriers are present that workers do not go beyond barriers o Traffic controllers, ensure: o Speed limit of < 6 0km/h is maintained where a traffic controller is present o F acing traffic but just outside the path of vehicles 1.2m from live traffic with predetermined escape path. Do not stand on the carriageway until approaching traffic has stopped o Stand facing the traffic, DO NOT turn your back to traffic o Where there are multiple controllers and they do not have line - of - sight to each other, radio contact/intermediate communicators must be used o Give clear instructions to road users o Always have a clear escape path o The controller is easily seen by approaching traffic and not obscured by signage etc. o When working next to live trams TC’s may need to use whistles to work workers that a tram coming 2M Traffic Controller/Te am Leader Aggressive persons 3H • Workers / employees: 2M Page 10 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved o Are to cease operations if they encounter anyone who makes them feel uncomfortable or that is acting suspiciously and report back to the supervisor o Should always work in teams and should not work alone at any time during the activity. Unauthorised access from public 4A • Maintain exclusion zone as required • Maintain a safe working distance from public when using tools or equipment • If the exclusion zone is breached cease work immediately. 2M Hazardous manual tasks - MSD 3H • Traffic controllers: o Stop/Slow Bats are clean and in good condition o Maintain good posture o Avoid prolonged sitting/standing o Regular breaks: ▪ Traffic controllers should be relieved from duty after not more than two hours, for a period of rest or other duties of at least 15 minutes • Maintain a comfortable work rate / pace, avoid overreaching, awkward or stooped positions • When lifting heavy items, bend your knees and crouch down, then lift it by straightening your legs. To avoid back injury do not bend over to pick up a heavy item. 2M Contact with reptiles, spiders and insects 3H • Carefully inspect the work area to locate any signs of bees, wasps, or other potential animal hazards • Visually inspect where you are working • Check the immediate surroundings before sitting/kneeling or squatting • Ensure adequate lighting at all times • Make noise • Do not approach a snake (dead or alive). • Never put your hands or feet somewhere where you can’t see them 2M Uneven or Slippery Surfaces 3H • Be aware of ground condition including changes in level 2M Page 11 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved • Wear appropriate thick soled covered footwear • Do not leave tools, Stop/Slow Bats etc. on ground or across paths (tripping hazard). Store appropriately when not in use • Do not place a tool in long grass where it is hidden and where people could trip over it • Lean long handled tools against something where possible. If you have to lay it down, place it away from where people might walk • Keeping the work site clear of related debris. • Clean up tools and any waste ensuring the site is left in clean and tidy condition • Clean debris and ensure rubbish removed from area. 8. End of shift Uneven or Slippery Surfaces 3H • Clean up tools and any waste ensuring the site is left in clean and tidy condition • Clean debris and ensure rubbish removed from area. 2M Traffic Controller/Te am Leader Faulty / missing equipment 3H • All tools and equipment is check for operational readiness for next work site. Tag out anything that requires maintenance. 2M Public safety 3H • If acceptable, remove barricades, contact supervisor and return as agreed 2M T RAFFIC M ANAGEMENT P LAN C HECKLIST Organisation Name: Date: Location: Completed by: Names of Health and Safety Representatives / Employees / Workers involved: K EY : Y ES ‘Y’ N O ‘N’ N OT A PPLICABLE ‘N/A’ Page 12 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved P OTENTIAL H AZARD C IRCLE R ESPONSE C OMMENTS I NFORMATION , TRAINING , INSTRUCTION Is/will a Construction TMP be in place for this site? Y N N/A Will the plan be available for all visitors, employees / workers and contractors on site? Y N N/A Is there a process in place for checking licences , qualifications and fitness for work when engaging drivers, operators or contractors Y N N/A Is there a process in place for managing the activities of visiting drivers/operators? Y N N/A Is there a process in place for employees / workers including contractors to know and understand the traffic rules, safety policies and procedures for the workplace on the day? E.g. induction, toolbox talks? Y N N/A P ARKING Are there designated parking areas for employees / workers and visitors outside of the work area? Y N N/A Is the parking area clearly marked for visitors? Y N N/A Is the parking area clearly signed? Y N N/A Is there a safe route for visitors to access the site office/work area? Y N N/A Does the route from the parking area have clearly signed crossing points where a pedestrian pathway crosses a traffic pathway? Y N N/A Are pedestrian walkways clearly marked? Y N N/A E LEVATED W ORK P LATFORMS Protected from potential impact/ barricaded while in use? Y N N/A Used on suitable ground surface (flat, solid, even no backfill)? Y N N/A Sufficient clearance from overhead electric lines and other obstructions? Y N N/A Only trained, licenced operators to use EWP? Y N N/A S IGNS / W ARNING D EVICES Is there a safe system of work developed to stop loads being carried where clear vision is impaired e.g. SWMS Y N N/A Do employees / workers, plant operators and pedestrians at the workplace wear high - visibility or reflective clothing? Y N N/A Will a trained person be appointed to control maneuvers on site? Y N N/A Are sufficient communications in place e.g. radio, line of sight hand signals? Y N N/A Page 13 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved Will all mobile plant have flashing lights, reversing alarms? Y N N/A Are there appropriate speed limit signs? Y N N/A Are there warning signs of powered mobile plant hazards? Y N N/A Are there appropriate site safety signs - PPE - First Aid - location of site office - other hazards? Y N N/A Are there appropriate and clear loading zone signs? Y N N/A Are there speed - controlling devices in place to restrict vehicle speed on site? E.g. speed bumps? Y N N/A V EHICLES AND POWERED M OBILE PLANT Is there a system for reporting faults/defects on vehicles and powered mobile plant? Y N N/A Do drivers/operators carry out basic pre - start safety checks before using vehicles? Y N N/A Is mobile plant appropriate for the tasks to be done? Y N N/A Does the site require rumble pads/wheel washers to be used before exiting site? Y N N/A Are there blind corners or low visibility areas on site? Y N N/A Is there any slopes/ grades or drop offs that may cause a vehicle/plant to lose control? Y N N/A Are there any actual or possible environmental conditions that may increase risk? e.g. wet weather, fog, ice? Y N N/A Are there procedures/signs available for changes in conditions that may affect a drivers/operator’s vision, or ability to control a vehicle? Y N N/A R OAD T RAFFIC CONTROL PLANS Is road traffic control necessary? Y N N/A If road traffic controls are necessary, will a Road Traffic Control Plan (RTCP) be developed to manage traffic movements? Y N N/A Will the RTCP be developed as per Australian Standard AS 1742 series and/or permit conditions? ( a RTCP can only be prepared by a person who suitably trained and qualified) Y N N/A Will Road Traffic Control be set up and controlled by suitably trained and qualified personnel? Y N N/A OVERHEAD ELECTRICAL HAZARDS Has information from the relevant Regulators been obtained for No Go Zones and permitted clearance distances? Y N N/A Are all relevant employees / workers (and affected Duty Holders) trained in the No Go Zones and clearances? Y N N/A Can power to the electrical lines be isolated for the duration of the works? Y N N/A Page 14 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved Have dedicated SWMS been developed in consultation with relevant persons for all tasks conducted near overhead electrical lines? Y N N/A Has the electrical line owner been informed of the nature and duration of the work? Note: any permits or special restrictions that may apply. Y N N/A Has written permission from the line owner been obtained? Y N N/A Will a dedicated and trained Spotter be utilised for the duration of the work? Y N N/A Has the following been determined? ✓ ✗ (a) Location/s of electrical lines and electrical installations (transformers are often mounted lower than wires). ☐ (d) Minimum clearance zones. Condition of the installations. ☐ (g) Measurements from ground to installation (transformers, conductors, and any sag / sway in sections of the lines). ☐ (b) Type of installations (lines, conductors, transformers, Single Wire Earth Return (SWER), communications cables). ☐ (e) Voltage. ☐ (h) Presence of insulation. ☐ (c) Maximum range of plant or machinery being used near the electrical installation (design envelope). ☐ (f) If there is doubt about any of these matters, contact with the installation owner will be made. ☐ (i) Contact details: List risk controls that will be implemented for the duration of the work: ✓ ✗ Relocate cables / conductors. ☐ Signs / clearance indicators. ☐ Other? ☐ Height limits on plant / equipment . ☐ Visual markers. ☐ Specify: Equipment with reduced design envelopes. ☐ Dedicated Spotters. ☐ Are all employees / workers trained about the nature of the hazards (including arcing and touch potential)? Y N N/A Have employees / workers been trained in correct emergency response in the event of contact with overhead electric lines and installations? Y N N/A Page 15 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved E MERGENCY R ESPONSE - C ALL 000 IMMEDIATELY If work is to be conducted on a construction site (or a site controlled by another Employer / PCBU) follow the site - specific Emergency Management Plan. Ensure: • Adequate numbers of first aid trained staff are on site • First aiders are trained and competent in managing injuries until emergency services arrive • All rescue equipment is in good condition, available for use and in close proximity to the work site. Ensure workers have access to: • First aid kit/supplies • First Aid trained personnel familiar with Resuscitation and emergency response for electric shock • M/SDS • Communication devices (check mobile phones will have service in area) • Suitable fire protection equipment. R EVIEW N O 1 2 3 4 5 6 7 8 9 10 N AME : I NITIAL : D ATE : P LANT /T OOLS /E QUIPMENT L IST FOR THE JOB Traffic Control Ute Stop Slow Bats Flashing Arrow Board Vehicle Mounted Attenuator Bollards/Cones Signage Relevant Legislation & Codes of Practice 1. e. Act & Regulations AS 1742.3 – 2009 Codes Workers’ Compensation and Rehabilitation Act 2003 (QLD) Work Health and Safety Act 2011 (QLD) Environment Protection Act 1970 (VIC) Occupational Helath And Safety Act 2004 (VIC) Occupational Health And Safety Regulations 2017 (VIC) Workplace Relations Act 1996 (Cwlth) Road Management Act 2004 Code of Practice (revised edition August 2010) Page 16 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved S AFE W ORK M ETHOD S TATEMENT (SWMS) P ART 2 This SWMS has been developed in consultation and cooperation with employee/workers and relevant Employer/Persons Conducting Business or Undertaking (PCBU). I have read the above SWMS and I understand its contents. I confirm that I have the skills and training, including relevant certification to conduct the task as described. I agree to comply with safety requirements within this SWMS including risk control measures, safe work instructions and PPE described. O VERALL R ISK R ATING AFTER C ONTROLS □ 1 L OW ☑ 2 M ODERATE □ 3 H IGH □ 4 A CUTE W ORKERS ’ N AME J OB R OLE / P OSITION L ICENCES , COMPETENCIES & QUALIFICATIONS (add as applicable) D ATE S IGNATURE T YPE / D ESCRIPTION C LASS N UMBER Construction Card Construction Card Construction Card Construction Card Construction Card Construction Card Construction Card Construction Card Construction Card Construction Card Page 17 of 17 DOCUMENT #: FNTM SWMS - TC/0 3 VERSION #: 3.41 AUTHORISED BY: PETER O ’ BRIEN REVI SION #: 2 ISSUE DATE: 11/09/2024 REVISION DATE: 31/12/20 2 4 © SafetyCulture All Rights Reserved