Workcover Contractor Statement

Principal - Subcontractor Workcover Contractor statement

Principal

  • Name of Principal

  • Contact

  • Other contact: name and position

  • ABN

  • Telephone: 1300 654 000

  • Type of Company: Incorporated National Company

  • I declare that the subcontractor detailed below:

    Is not engaged as an employee;
    Is free to delegate work to whomever the subcontractor chooses;
    Is free to engage labour to assist in the performance of contracts given by this organization to the subcontractor;
    Is paid on the basis of results;
    Is responsible for its own costs, including rectification of any work deemed to be faulty, whether carried out by the subcontractor or any employee or agent of the subcontractor;
    Is free to advertise the business widely and enter into work contracts with whomever the subcontractor so pleases;
    Is responsible for supplying its own tools of trade including vehicles, plant and all power tools;
    Is being engaged on the basis that the subcontractor is a legitimate business operating independently of the business of this organization.

  • Signed on behalf of A.H.Beard Group

  • Dated

Subcontractor

  • Business Name of Subcontractor

  • Trading Name (if applicable)

  • Contact

  • ABN

  • Telephone

  • Type of Entity

  • Licences held/work permits.

  • I, as the appointed subcontractor, declare that:

    · As a subcontractor, I / we are genuinely conducting a legitimate business independent of the business of the abovementioned principal;
    · As a subcontractor I am responsible for ensuring that all appropriate taxes, insurances and wages are paid in a timely matter;
    · As a subcontractor I am free to perform work for any other business or directly for a consumer, and that I do in fact perform such work as part of my business operations;
    · As a subcontractor, I acknowledge that I am free to engage and utilize labour or other subcontractors when performing work for the above named principal;
    · I have negotiated agreed commercial rates which take into account my responsibility to rectify any faulty or defective work at my own expense should this occur;
    · As a subcontractor, I determine my own hours of work;
    · As a subcontractor, I supply my own tools, equipment and plant necessary for the completion of contract work performed by me;
    · As a subcontractor, I supply all necessary incidentals to ensure completion of the job, including timber, nails, tape and the like;
    · As a subcontractor, I am responsible for arranging and financing my own insurance arrangements as a genuine independent business;
    · As a subcontractor, I am responsible for my own financial arrangements in relation to purchase or lease of equipment and plant;
    · I declare that I am responsible for my own superannuation arrangements.

  • · I advertise my business on a needs basis through the following media:

  • Signed

  • On Behalf of

  • Date

Contractor information

INSURANCE INFORMATION – CONTRACTORS

  • The following information, supported with currency certificates for all forms of insurance
    is to be provided to the principal contractor prior to commencing contracted work. The Certificate of Insurance is to specifically state that the policy cover is in accordance with the appropriate State Law.

  • CONTRACTOR NAME:

  • ADDRESS:

  • CONTRACTOR'S REPRESENTATIVE:

WORKERS COMPENSATION

  • Name of Insured:

  • Insurer:

  • Period of Insurance:

  • Policy Number:

  • Common Law Limit:

PUBLIC / PRODUCTS LIABILITY (A H Beard notes as a Principal)

  • Name of Insured:

  • Insurer:

  • Period of Insurance:

  • Policy Number:

  • Limit of Indemnity: ($5,000,000 minimum)

  • Deductible:

MOTOR VEHICLE INSURANCE (Comprehensive and / or Third Party Property Damage)

  • Name of Insured:

  • Insurer:

  • Period of Insurance:

  • Policy Number:

  • *Sum Insured: ($5,000,000 minimum)

  • Deductible:

PROFESSIONAL INDEMNITY (where applicable)

  • Name of Insured:

  • Insurer:

  • Period of Insurance:

  • Policy Number:

  • *Sum Insured: ($5,000,000 minimum)

  • Deductible:

  • * Depends on exposure and type and scale of project

Signature

  • Signature of Subcontractor

  • Date

Induction

Induction information

6. General

6.1. Introduction

  • The following conditions for work as subcontractors to A H Beard Pty Ltd have been drawn up with the aim of ensuring that work is carried out as safely as possible.

    Failure to observe these rules and procedures will be regarded as serious matters. The Company has the right to ban from the site any person who fails to comply with regulations and in the interest of the safety of all, will not hesitate to do so.

    A H Beard Pty Ltd, the Contractor and all workers have a legal obligation under the Workplace Health & Safety Act 2011, to ensure the health and welfare of all persons at a place of work.

    All persons working within an area desiginated as a construction zone will be required to hold a “Green Card”

    All contractors and their workers are required to have their training \ competency cards with them at all times and copies of these will be taken at the commencement of the project.

6.2. Site Access

  • 6.2.1. Refer to the specific requirements of the client and the site

    6.2.2. Vehicle Parking - Refer to the specific requirements of the client and the site

6.3 Reporting to Responsible Person

  • Before gaining access to the site the Contractor must first report to the site
    reception area in the main building and sign in. The receptionist or nominated person on duty will call the required person to meet with the Contractor at reception.

    The following people can only give contractors who are to perform work within the facility access:

    (i) State Branch Managers
    (ii) State Operations Managers
    (iii) State Safety Officers

6.4. Safety Requirements

6.4.1Smoking

  • Refer to site specific policy. Smoking only permitted in the designated area

    Unauthorised smoking or use of any unauthorised spark producing or electrical device is regarded as a serious breach of regulations.

6.4.2. Safety Signs

  • Contractor’s workers on site must be capable of understanding written safety sign instructions and must comply with them.

6.4.3.Alcohol and Drugs

  • Alcohol and Drugs (other than legally prescribed drugs) are banned. Offenders including those reasonably suspected of offending this rule will be required to leave the site immediately.

6.4.4.Statutory Compliance

  • Contractors, their sub-contractors and all their respective workers shall at all times comply with the requirements of all Acts of Parliament Statutes, Ordinances, Regulations and by Laws Governing the Safety, Safe Working Practices and Occupational Health including the Workplace Health & Safety Act.

    Not withstanding any medical facilities which may be available on site, Contractors and Sub-Contractors shall provide a minimum requirement medical facilities and First Aid personnel as required by Law and shall not rely on any other existing site facilities.

6.5 Working on Site

6.5.1. Reporting

  • All Contractors are to report to site reception to sign in the visitor’s register and receive a temporary identification badge that is to be displayed at all times. At the completion of the job, Contractors are to leave via site reception and sign out and hand back the identification badge.

6.5.2. Permitted Areas

  • Contractors will be restricted to areas of the site directly connected with the contact or as required providing reasonable and proper access.

6.5.3. Restricted Areas

  • Permission to enter any area other than those nominated can be given by
    the Manager or his nominee.

6.5.4. Safety Equipment

  • Contractors working on site must be properly attired in work clothing suitable for use within the designated area for work. All safety signs must be observed, this includes:

    (i) Safety work boots
    (ii) Safety glasses
    (iii) Hearing protection
    (iv) Hard hat
    (vi) As specified by the site

6.6. Housekeeping

  • Good housekeeping must be maintained in all allocated areas. Contractors must also prevent accumulation of litter in all allocated areas. Contractors must also prevent accumulation of litter in other areas. Work areas, stairways, passages, switchboard access, fire fighting equipment and all access way and exists must be kept clear at all times. Housekeeping and rubbish removal will be the Contractor’s responsibility.

6.7. Hazardous Materials

6.7.1. Basic Information

  • Basic information on hazards involved in handling materials in the immediate work area must be obtained before working in that area. If you are using any chemicals whilst onsite you are required to notify and provide copies of all relevant SDS’s (Safety Data Sheet) to the person inducting you.

6.8. Site Evacuation Procedure

  • Site emergencies could be:

    - Fire
    - Chemical spill
    - Environmental spill
    - Bomb threat
    - Drill

    Upon given the instruction to evacuate, turn off your equipment and proceed to the evacuation points as sign posted. Remain in this area until the Emergency Controller informs you it is safe to return to your work area. First Aid/Fire Fighting Teams have special functions to carry out in regards to the emergency procedures.

6.9. Fire Fighting Equipment

  • Fire Fighting Systems are identified by the colour “red”. These systems must not be used for any reason other than fire fighting. In addition, each welding or cutting operation must be protected by Fire Fighting Equipment as detailed in the work permit. In the event of fire, the Project Manager is to be informed immediately.

6.10. Accidents

  • Contractors must advise the Project Manager or nearest responsible person immediately of any accidents, incidents or near miss involving his personnel. In the absence of a Contract Worker’s Supervisor, the Contractor’s worker concerned must report any accident, incident or near miss to the site Manager.

6.11. Animals

  • No domestic animals or pets of any description are permitted on the site.

6.12. Environmental Matters

  • Contractors and Sub-Contractors and their Employers are to make themselves fully aware of all environmental controls and constraints and are to operate at all times in a responsible manner. Particular attention is to be paid to the proper handling of wastes and to the avoidance of pollution, both within the site and in relation to disposal off site. Strict adherence shall be paid to noise and air and water pollution controls. Offending workers may be required to leave the site at the company’s discretion. All contravention’s of controls and good practice are to be reported immediately to the Company Representative together with full written details of circumstances.

6.13. Queries

  • Ignorance cannot be accepted as a reason for breach of rules. If in doubt, enquires further details from your Project Manager, or the responsible company Officer. Always…..on the side of safety.

7. DOCUMENTATION:

  • Ø Contractor’s Agreement Check List.
    Ø Hot work checklist
    Ø Work method statement – part 1
    Ø Work method statement – part 2

8. RECORDS:

  • Completed Contractors Agreement:

    Failure to agree and abide by the above rules may result in suspension of contract.

    Your agreement to these conditions is signified by your signature below:

Hot Work Permit

HOT WORK PERMIT REQUIREMENTS

  • 1. This procedure will apply to all contractors who perform any tasks as contractors \ subcontactors to A H Beard Pty Ltd and is to be observed without exception.

    2. It should be noted that A H Beard Pty Ltd has a legal obligation under the Workplace Health and Safety Act 2011, to ensure the health and welfare of all persons working within this site. This includes Contractors as well as workers.

    3. After the Project Manager has chosen a particular Contractor to carry out a task, a copy of a ‘Contractor Agreement’ is to be completed by the Contractor and a copy sent to the Manager for future reference.

    4. It is the responsibility of the Project Manager to conduct the Contractor Induction using the ‘Contractor Agreement’ and ‘Contractor Induction’ Checklist.

    5. Contractors will not be permitted to conduct work of any description unless the action detailed in paragraph 4 has been completed.

HOT WORK

  • 6. There will be occasions when there is a requirement to conduct works involving welding, open flames or spark producing plant or equipment on site where fires or explosions could take place. The following information is provided to ensure that there are adequate precautions taken to ensure that work is carried out in a safe manner to protect personnel, equipment and machinery.

Definitions

  • The following definitions apply:

    a)Flame or hot work refers to the use of any tool or instrument which causes flame or incendiary sparks to be produced such as welding, oxy cutting, heating with a welding torch, or grinding steel, but does not apply to regular work in designated maintenance areas;

    b) Where work is to be carried out in a confined space, a separate permit must be obtained for entry in addition to obtaining a permit for carrying out flame or hot work;

    c) The Site is designated as a “Permit area” with the exception of the Engineering/ Maintenance workshop. Before hot work can be performed within the site, a Permit must be processed to ensure that the area will be as free as possible from fire hazards and that proper precautions have been taken to isolate any equipment.

    7. All permits required for the site are to be signed by authorised officers .

    8. In the absence of the Project Manager, the following appointments are authorised to approved tasks requiring hot work and sign a ‘Hot Work’ Permit:

    a) Chief Engineer or equilivent

Responsibilities

  • 9. The Project Manager and W.H.& S Officer are to jointly inspect the area, ensure appropriate fire extinguishers are present, check that all fire and safe working precautions have been taken before signing the Safety Procedure ‘Hot Work Permit’.

Contractors

  • 10. The Project Manager is to maintain liaison with the Contractor as follows:

    a) Contractor will be required to outline the procedure they propose to follow, stating where and when the work is to be done;
    b) The Project Manager is to maintain regular contact with the Contractor and arrange for the issue of a Safety Procedure ‘Hot Work Permit’ which will state the approximate duration of work;
    c) Check the area at least daily and arrange for the re-issue of any permits for extensions of time provided there has been no change in any conditions.
    d) On completion of the task, the Contractor is to advise the Project Manager that the job is completed and that he is about to leave the site.

    12. Ensure that he/she inspect all tanks, drums or containers which have contained chemicals or flammable liquids before any flame or hot work is performed.

Forms Used

  • 13. The form attached, ‘HOT WORK – CUTTING AND WELDING PERMIT’ is to be used.

Procedure

  • 14. Any person required to carry out flame or hot work is to obtain a Safety Procedure ‘Hot Work Permit’ before carrying out any such work. The Project Manager is to :

    a) Inspect the area and determine the necessary precautions to be taken to prevent a fire, accident or injury;
    b) Arrange for necessary fire and/or safe working conditions and clear the area to make it safe;
    c) Ensure that appropriate stand-by fire extinguishers or other equipment are present and assign a fire watcher where necessary;
    d) Where necessary, instruct the persons who are to perform the stand-by fire watch;
    e) Inspect any hazardous areas and containers;
    f) Organise two copies of the ‘Hot Work Permit’. One copy is to remain with the Contractor and the other copy is to be sent to the W.H.& S Officer for filing.
    g) Remove from the area or cover any tins of solvent being used for at least 30 metres from the welding area;
    h) Ensure that protective covers or shields are used to confine sparks or hot slag when welding or cutting in hazardous areas; and
    i) Ensure wetting down of surrounding areas is achieved if necessary to prevent fire.

On Competition of Work

  • 15. The Contractor carrying out the work is to, on completion, is to check the area and return his/her copy of the permit to the Project Manager or other responsible officer.

    16. The Project Manager or responsible officer is to check the area when the work is completed and:

    a) Ensure that any fire extinguishers used are replaced and designated for recharging;
    b) Ensure that fire extinguishers taken from any nearby points are replaced;
    c) Re-check the area during the following hours to ensure there are no smouldering fires and sign off the ‘Hot Work Permit’ then acknowledge the same.
    d) Lodge a copy of the permits to the W.H.&S Officer as soon as possible;
    e) Notify following shift supervisor of work performed and request subsequent checks to ensure no smouldering fires remain.

Enclosures:

  • Enclosures:
    1. Contractor Agreement/Induction
    2. Entry Permit for Contractors
    3. ‘Hot work – Cutting and Welding Permit’
    4. Contractors Induction Checklist

HOT WORK – CUTTING AND WELDING PERMIT.

  • This Permit must be used for ALL Cutting, Welding & other Hot Work performed outside a dedicated workshop area. The Permit must be displayed at the work site & returned upon completion of work.

  • Permit number

Application for hot work

  • Name

  • Phone

  • Location of work

  • Description of work

  • Please list equipment being used and last test date.

  • Equipment
  • Model & make?

  • Date last tested?

  • Tool has been checked and is fit for use (AHB to check)

  • Permit begins

  • Permit expires

Emergency information

  • If a fire occurs call

  • Nearest fire alarm

AUTHORISATION BY RESPONSIBLE PERSON

  • The above work is authorised to proceed subject to the following action being taken prior to work starting and procedures being maintained for the duration of the work. Each item is to be checked by the Responsible person prior to work starting for each period (delete & initial if & where Not Applicable):

  • Authorised by

Please check off prior to commencement of hot work

  • 1. Fire Sprinklers and/or Thermal Detectors must be confirmed as operational (where installed).

  • 2. Smoke Detectors must be isolated in the work area and Impairment Procedures followed.

  • 3. Fire equipment to be provided as follows:

  • · Fire Hose Reel:

  • · Fire Extinguisher:

  • 4. Barricades, warning signs & spark/flash screens must be provided.

  • 5. Work area, trenches, pits, etc. must be clear of flammable liquids, gases, or vapours.

  • 6. Combustible materials located within 10 m must be removed or protected with non-combustible curtains, metal guards or flame proof covers (not ordinary tarpaulins).

  • 7. All floor & wall openings within 10 m must be covered to prevent transmission of sparks.

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

  • 9. If a fire watch is required, has it been organised? Is this person familiar with fire precaution procedures?

  • 10. Atmospheric testing

  • %LEL

  • % oxygen

  • Tester signature

  • 11. Special conditions

WORK COMPLETED & AREA SAFE

  • The work area has been inspected by the responsible person 30 minutes after completion of work:

Roof entry and work permit

Roof entry & work permit

  • Contractor business name

  • Date

  • People entering the roof

  • Worker
  • Full name and signature

  • NOTE:
    ANY WORK WITHIN 2 METRES OF ROOF EDGE WHERE PERSON COULD FALL MORE THAN 2 METRES REQUIRES USE OF A SECURED SAFETY HARNESS – AS PER WORKCOVER CODE OF PRACTICE “SAFE WORK ON ROOFS - PART 1 COMMERCIAL AND INDUSTRIAL BUILDINGS - 1 October 2009” - CLAUSE 5.5

  • Work to be carried out

  • Estimated time required

  • Roof access approved by

  • Roof access secured by

  • Comments

  • Once the work is completed and signed off this form must be filed with the method statement and a copy forwarded to the W.H.& S co-ordinator and kept for 6 months.

Confined Space permit

Confined space entry permit

  • Note: this permit does not authorise hot works

  • Confined space to be worked in:

  • Details of work to be preformed:

Safety precautions

  • The following must be observed before entry:-

  • Air receiver

  • Ø Inlet & Outlet valves closed and locked out

  • Ø Safety watch provided

  • Ø Warning notices / tags in place

  • Ø Compressor off and locked out

  • Oven

  • Ø Gas valves closed and locked out

  • Ø Safety watch provided

  • Ø Warning signs / tags in place

  • Ø Electric mains off and locked out

  • Water tanks

  • Ø Water inlet valve closed and locked out

  • Ø Safety watch provided

  • Ø Warning signs / tags in place

  • Ø Life line available

Products / Tools authorised to be taken in :

  • All tools must be: low voltage, intrinsically safe, ELCB protected

  • Tools
  • Make and model?

  • Last tested?

  • Special Precautions:

Persons authorised to enter

  • I have read, understood and will comply with this permit.

  • Please list workers who have read and will comply with this permit

  • Worker
  • Please enter full name and sign

  • All persons signing in must have signed out prior to re-starting any equipment.

  • I have checked the area concerned and all persons are out and all tools and rubbish have been removed.

  • Please enter your full name and sign

AUTHORISATION

  • The confined space as described above has been examined by me and in my opinion is in a safe condition for the work to be done provided the precautions set out above are fully observed.

  • Please enter your full name and sign

Safe work method

Work Method Statement

  • Contractor

  • Project

  • Job

  • Procedure (break it down step by step)

  • Step
  • Info

  • Possible hazards & controls

  • Hazard
  • Hazard Description

  • Control description

  • Personal qualifications and experience

  • Qualification
  • Qualification description

  • Experience description

  • Personnel duties and responsibilities

  • Duty
  • Description

  • Training required to complete work

  • Training
  • Description

  • Engineering details/Certificates/Workcover Approvals:

  • Details
  • Description

  • Codes of practice, regulations, act, standards or guidelines referred to

  • Legislation
  • Description

  • Plant/equipment

  • New
  • Description

  • Maintenance checks:

  • Checks
  • Description

  • Safe work method read and understood by workers?

  • Worker
  • Full name and signature

Office use only

  • Signed off

  • Job number

  • Job accepted? If no please provide reason.

Contractor induction checklist

Contractor checklist and questionnaire

  • Please ensure all sections have been explained and covered

  • Workplace Health and Safety policy

  • Contractor responsibility statement

  • Site Safety Rules

  • Specific work area hazards and their controls

  • Incident reporting

  • Hazard reporting

  • Emergency procedures

  • Introduction to job supervisor

  • Introduction to the first aider/s

  • Workplace PPE and clothing requirements

  • Once induction is completed please answer the following questions.

  • Do I need a permit to preform hot work?

  • Can we use power tools that haven't been checked?

  • Does a confined space permit allow me to preform hot work?

  • Do all workers need to be inducted?

  • Am I required to follow all A.H.Beard site safety rules while onsite?

  • Am I required to sign the visitor book on arrival?

  • Can I preform work without submitting a safe work method statement?

  • Does A.H.Beard have a WHS policy?

  • Do I need to be a registered business to preform work at A.H.Beard?

  • If I break any rules on site is it true I may be asked to leave?

  • I agree that I have been taken through the above information

  • Witness

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