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ABN:
PART 2: RESOURCES
Relevant Legislation/Codes WH&S Act 2011 & Regulations 2011, Environmental Protection Act and Regulations
Practice:
Training Required: Site induction (as required), SWMS induction,
Equipment Used: Water blaster or similar/ Gun / hoses, compressor, vacuum cleaner, buffing machine, heat gun, air tools
PPE Required: High Vis tops, safety glasses, ear protection and masks as needed
Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 2 of 5
ABN:
02
03
04
05
PART 6: SAFETY AND ENVIRONMENTAL ANALYSIS AND DETERMINATION OF WORK METHODS Client:
Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 3 of 5
ABN:
Risk Rating
Process Steps
Residual
Potential Hazard/s Hazard Control Measures Action by
List the steps needed to do the job in
Risk
Step Against each step list potential hazards For each hazard identify control measures to eliminate or control the risk of Person responsible for
the sequence to be done. Specify
No plant, equipment and materials to be
that could cause injury, health impacts injury, health impacts and/or environmental harm. Identify licencing, Monitoring and Reviewing
and/or environmental harm. training and competency requirements for work crew. effectiveness of controls
used.
1 Arrive at site Slips, trips, and falls 2 Go directly to site office. Ensure site specific induction. 5 ALL PERSONNEL
Verify competency evidence and SWMS training sign off.
2 Performing general water Spray could get blown into eyes Shut down water blaster at handle before moving or walking
blasting activities and onto other workers 2 5 ALL PERSONNEL
Performing general water Noise and personal injuries such Personnel are competent in operating water blaster.
blasting activities as cuts, strains, sprains 2 Keep hands away from water blaster nozzle when 5
turned on. ALL PERSONNEL
Ensure operator is wearing appropriate PPE (i.e. Ear
plugs, eye protection, steel cap boots and deflective
shield when necessary).
3
Moving water blaster pumping Personal injury, slips, trips, falls 2 Use fellow worker to help relocate water blaster to the next 5
unit working area. Use sound manual lifting and handling ALL PERSONNEL
Manual Handling Strains technique. Bend knees, not back, lift with your legs
Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 4 of 5
ABN:
CONSEQUENCES
How severely could someone get hurt? Do something about these risks
1 High
Kill or cause Long term Medical First aid immediately
permanent illness or attention and needed
How likely is it that someone will get hurt?
Likely
1 2 3 4
3, 4, These risks may not need immediate
Unlikely Low
5 or 6 attention
2 3 4 5
Very
Unlikely 3 4 5 6
To obtain the level of risk score:
Cross reference the Likelihood & Consequence - The higher the risks score the greater priority to control the hazard.
Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 5 of 5
ABN:
PART 8: RECORD OF CONSULTATION AND INDUCTION INTO SAFE WORK METHOD STATEMENT
I am fully aware of, understand and agree to abide by my obligations under the Work Health and Safety Act 2011 and Environmental Protection Act.
As an employee and /or worker, I understand and agree to follow the procedures in the attached Safe Work Method Statement.
As a PCBU, Subcontractor and/or ABN holder, I understand and agree to fully adopt and follow the procedures in the attached SWMS.
Ref # Family Name First Name Job Description Signature Date of Induction
(Trade/Classification) Induction Verified By
01
02
03
04
05
Observation Log 01 02 03 04 05 06
Initial:
Date:
Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed