Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
WHS Responsibilities
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The level of detail required in a WHS Management Plan will depend on how complex the workplace is and the specific hazards that exist as a result of the work activities that will take place and site conditions which may include traffic management, the movement of plant around the workplace, steep sloping sites or water charged ground.
Other worksite hazards you need to consider are falls from height, working near water such as dams or streams, creeks and rivers and the number of contractors who may be on site at any given time.
Use this template to work through the potential hazards and to develop and document the procedures you will employ to manage all WHS related issues on your site. -
Principal Contractor (enter qualifications and contact details below)
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The Owner Builder is the Principal Contractor an is considered the PCBU He/she is the primary contact in respect to all Work Health and Safety issues relating to this site.
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The Owner Builder is responsible for the implementation, monitoring and review of this WHS Management Plan and shall make it available to all workers engaged in construction works and relevant stakeholders.
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The Owner Builder has ensured all appropriate and required Site Safety signage is displayed in applicable prominent positions and maintains them visible and legible.
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The Owner Builder is responsible for the collection, review and retention of all required Safe Work Method Statements (SWMS) as prepared by the contractors undertaking High Risk Construction Work activities.
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The Owner Builder is responsible for site inspections and for ensuring works are conducted in accordance with SWMS and Site Rules.
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The Owner Builder is responsible for ensuring all workers on the site have complete General Construction Induction Training and for recording associated White Card details.
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Enter additional specific responsibilities of the Principal Contractor in respect to this site.
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First Aider (enter qualifications and contact details below)
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The First Aider identified above is responsible for the provision of initial response to accidents and incidents that affect the site. This includes rendering to the extent possible the site and its resident workforce safe from further or continued harm, providing aid to the injured, contacting relevant emergency services and assisting the Principal Contractor in the mobilisation of required emergency procedures and plans as detailed in this document.
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First Aider identified above is responsible for the installation and maintenance of the First Aid Kit which is to contain required First Aid items appropriate to the size and complexity of the project, including consideration of any site specific hazards and associated risks.
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Enter additional specific responsibilities of the First Aider in respect to this site.
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Sub Contractors and Workers including the following providers of goods and services have a WHS Responsibility (enter identifying details of major suppliers and contractors below)
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Sub Contractors and Workers on the site have a responsibility to ensure SWMS are prepared and provided to the Owner Builder as required.
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Sub Contractors and Workers on the site have a responsibility to ensure works are conducted in accordance with the provisions of relevant SWMS.
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Sub Contractors and Workers on the site have a responsibility to ensure all works and activities are conducted in accordance with the Site Safety Rules.
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Sub Contractors and Workers on the site have a responsibility to ensure the general work health and safety of themselves and all other persons affected by the construction works.
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Sub Contractors and Workers on the site have a responsibility to ensure appropriate Personal Protective Equipment is correctly worn and maintained.
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Sub Contractors and Workers on the site have a responsibility to report to the Owner Builder all incidents, accidents, hazards and near misses which have the potential to cause injury to persons or damage to the environment.
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Sub Contractors and Workers on the site have a responsibility to provide to the Owner Builder details of their General Construction Induction Training including details of their White Card.
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Enter additional specific responsibilities of Sub Contractors and Suppliers in respect to this site.
WHS Consultation and Communications
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An important part of this WHS Management Plan includes the communications plan or methods, processes and procedures used to convey health and safety information to all relevant stakeholders.
Work through the checklist below and ensure you have established effective procedures for developing, receiving and sharing WHS information. -
All relevant stakeholders including contractors are provided a pre commencement briefing on the WHS Management Plan.
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All relevant stakeholders including contractors are provided a copy of the WHS Management Plan or instructed how to access the Plan electronically.
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The Owner Builder has established a Register of Contact Details for all stakeholders including postal and email addresses to facilitate the timely distribution of WHS related safety information to all stakeholders. This information may include changes to workplace hazards or site conditions that have the potential to change risk ate the construction site.
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The Owner Builder has established a method of consulting with all stakeholders in a manner that allows for a coordinated approach to managing the WHS of the site.
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Enter details on specific processes, contact and information exchange that you have established to assist you in implementing this WHS Management Plan.
WHS Managing Incidents
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The Owner Builder needs to consider all types of WHS incidents and accidents that may occur on their work site.
This WHS Management Plan documents the actions to be taken in the event of an incident, accident or near miss.
Injuries, accidents and incidents are typically defined by each of the relevant State or Territory Authorities who govern and administer the applicable Work Health and Safety legislation.
Use this checklist to assist in identifying and documenting the procedures appropriate to the management of accidents incidents and near misses on you site.
We would suggest that where it is readily available, you utilise it as a reference prompt when handling WHS situations. -
The Owner Builder has a documented Emergency Evacuation and Response Plan prepared, tested and available for the site. The plan includes, contact details for emergency services, evacuation and muster points, a method for accounting for all workers onsite in the event of an evacuation and a warning system such as agreed alarms or alerts to initiate a required evacuation.
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Details of Emergency Response and Evacuation actions
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The Construction project is based in Queensland
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If you have an notifiable incident in Queensland, call 1300 362 138
https://ols.workcoverqld.com.au/ols/public/incident/registration.wc -
The Construction project is based in New South Wales
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If a notifiable incident occurs, you must notify us immediately on 13 10 50 as an urgent investigation may be needed. The incident site must be preserved until an Inspector attends (or the inspector or regulator directs otherwise).
A "notifiable incident" under the work health and safety legislation relates to:
the death of a person
a serious injury or illness of a person
a potentially dangerous incident
Significant penalties apply if you fail to notify an incident.
http://www.safework.nsw.gov.au/health-and-safety/Report-an-incident-or-injury -
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Site Specific Training is required for this site
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Enter details of Site Specific Training that is required and identify the location of the associated training records.
Common Construction Workplace Hazards
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The following construction hazards have been identified on this site
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Plant and Equipment
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Control Methods employed to mitigate against risks associated with plant and equipment include:
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Electrical hazards
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Control Methods employed to mitigate against risks associated with electrical hazards include:
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Hazardous Substances
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Control Methods employed to mitigate against risks associated with Hazardous Substances include:
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Asbestos
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Control Methods employed to mitigate against risks associated with Hazardous Substances include:
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Confined Spaces
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Control Methods employed to mitigate against risks associated with Confined Spaces include:
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Working at Heights
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Control Methods employed to mitigate against risks associated with Working at Heights include:
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Falling Objects
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Control Methods employed to mitigate against risks associated with Falling Objects include:
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Trenches and Excavations
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Control Methods employed to mitigate against risks associated with Trenches and Excavations include:
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Manual Tasks
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Control Methods employed to mitigate against risks associated with Manual Tasks include:
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Underground Services
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Control Methods employed to mitigate against risks associated with Underground Services include:
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Noise
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Control Methods employed to mitigate against risks associated Noise include:
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Projections
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Control Methods employed to mitigate against risks associated with Projections include:
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Ultra Violet Radiation
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Control Methods employed to mitigate against risks associated Projections include:
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Waste Materials
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Control Methods employed to mitigate against risks associated with Waste Materials include:
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Unguarded Machinery
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Control Methods employed to mitigate against risks associated with Unguarded Machinery include:
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Drugs and Alcohol
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Control Methods employed to mitigate against risks associated with the use of Drugs and Alcohol include:
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Heat and Fatigue
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Control Methods employed to mitigate against risks associated with Heat and Fatigue include:
WHS Safe Work Method Statements
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Safe Work Method Statements (SWMS) are required for all High Risk Construction Work.
Works covered by a SWMS, MUST be carried out in accordance with the provisions of the SWMS and any instructions contained therein.
All SWMS required for works on this site are retained and kept available for inspection for the duration of the works carried out. All revisions and versions of the SWMS are maintained.
Should a notifiable incident occur in relation to the High Risk Work covered by an SWMS, then that SWMS and all versions of same shall be kept for a period of 2 years.
The Owner Builder is responsible for the collection, maintenance and review of all SWMS, and for ensuring works are carried our in accordance with the relevant SWMS.
The checklist below indicates that the particular High Risk Work Activity is to be conducted on the site.
Details of the work, the controls and the person undertaking the works are provided as required. -
Work that involves the risk of falling more than 2 metres
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that involves the demolition of an element that is load bearing or otherwise related to the physical integrity of the structure.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that involves or is likely to involve the disturbance of asbestos containing materials.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that involves structural alterations or repairs that require temporary support to prevent collapse.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out in or near a confined space.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out in an area that may have a contaminated or flammable atmosphere.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out on pressurised gas distribution mains or piping.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out on energised electrical equipment.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that involves tilt up or pre cast concrete.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out adjacent a road. railway line or shipping channel.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out in an area where there are artificial extremes of temperature.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out in an area where there is moving mobile plant.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
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Work that is carried out in an area that may have a contaminated or flammable atmosphere.
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Enter details of the SWMS, who it was prepared by, date last amended and date last reviewed, Completion of these details indicates acceptance of the SWMS by yourself as the Owner Builder.
WHS Site Safety Rules
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Following are the General Site Safety Rules that apply to this project.
The Principal Contractor (Owner Builder) is to ensure all contractors, workers and visitors to the site understand and acknowledge the rules below;
All contractors must acknowledge receipt and acceptance of the contents of the WHS Management Plan
All persons on site have an obligation to themselves and to others in respect to WHS (Duty of Care)
No access is permitted to the site without first advising and obtaining permission from the Owner Builder (Principal Contractor/PCBU)
Where an area is barricaded or otherwise physically restricted from entry, no person must enter the area unless authorised to do so.
Sub contractors are to have appropriate (stocked and maintained) First Aid kits in their vehicles.
Work areas are to be kept clean, clear and tidy. Rubbish and waste to be placed in designated bins, cages or identified areas of the site.
Timber must be de nailed, nails must be bent over to prevent harm, all end projections must be capped or otherwise protected.
No alcohol or drugs (other than prescription) are to consumed on site.
No one shall enter or engage in work tasks if under the influence of alcohol.
Fighting, bullying, aggressive behaviour or harassment will not be tolerated.
All site amenities are to be respected and left in a clean and hygienic state after use.
WHS Site Emergency Plan
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Duty to prepare an emergency plan
• PCBUs response and all people at the workplace
• testing of the emergency procedures—including the frequency of testing, and
• information, training and instruction to relevant workers in relation to implementing the emergency procedures.
What types of emergencies should be covered?
The types of emergencies to plan for may include fire, explosion, medical emergency, rescues, incidents with hazardous chemicals, bomb threats, armed confrontations and natural disasters.
The emergency plan should be based on a practical assessment of hazards associated with the work activity or workplace, and the possible consequences of an emergency occurring as a result of those hazards. External hazards should also be considered in preparing an emergency plan, for example a chemical storage facility across the road.
In developing the plan, consideration should be given to the application of all relevant laws, including public health laws (for example, workplaces that are also public places) and state or territory disaster plans.
must ensure that an emergency plan is prepared for the workplace, including for workers who may work at multiple workplaces.
What is an emergency plan?
An emergency plan is a written set of instructions that outlines what workers and others at the workplace should do in an emergency. An emergency plan must provide for the following:
• emergency procedures, including: an effective response to an emergency
• evacuation procedures
• notifying emergency service organisations at the earliest opportunity
• medical treatment and assistance, and
• effective communication between the person authorised to coordinate the emergency -
The Site address to which this Emergency Response Plan relates is:
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The text boxes below prompt entries describing how you will coordinate and facilitate the actions required in this Emergency Response Plan. Complete as appropriate to the site indicated.
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First response to any emergency situation will require some form of communication to all site occupants. In the box below, describe how this will be achieved including any accepted or agreed signals and alarms that will be employed:
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Describe below the method of evacuating the site in the event of an emergency. Include details of the location of must points or designated safe areas and the means by which all site occupants will be accounted for:
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Whilst it is acknowledged that no two emergencies will be identical and that to be effective initial response will be appropriate to the events, incidents or accidents, briefly describe those actions most likely to be required to render the site and its occupants safe. Include what checks will be undertaken to ensure the safety and security of persons and assets. eg, disconnect power supply at main switchboard. move injured persons to safe areas, etc
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After initial actions are complete and the site has been made as safe as is reasonably practical, communications will be necessary. Detail in the box below the contact details for emergency services: Fire, Ambulance, Police. Additionally contact details for relevant site stakeholders; PCBU, Principal Contractor, Owner Builder, etc
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If appropriate and possible upload image/images of site, indicating muster points, evacuation routes etc
Owner Builder Declaration as the PCBU or Principal Contractor
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As the owner-builder responsible for the coordination of all activities on this site, I understand that the health, safety and well-being of all persons engaged to work on this site work, and those people affected by work carried out on this site, is paramount and must be considered before any task is undertaken. The safety of the general public affected by the works on the site under my control is given equal priority to that of those physically working on the site. Through implementing this Safety Management System, as far as reasonably practicable, I will: • achieve a safe and incident free workplace • consider WHS in project planning and work activities • involve all site participants in the decision-making process through regular communication and consultation • encourage all site participants to identify and control risks in the workplace • monitor and review the elimination or control of potential risks • enhance where practical, WHS knowledge and practices through example I understand that the success of this Safety Management System is dependant upon: • the commitment of all site participants to working safely using established safe work practices and procedures • planning work activities with due consideration given to WHS • undertaking the risk management process in an effective manner • promoting communication between all site participants. I am committed to maintaining a safe workplace.
