Safe Work Method Statement - Distribution activities - COVID-19

• Project Number

• Location
  Address

• Network

  AusNet

  United Energy

  Citipower/PowerCor

  Jemena

  Other

• Feeder number

• Conducted on

  Date
Task

• Task Description

• Is the task Rail work related?

  Yes

  No

• 'All works are to comply with the VicTrack Network Protection Plan TS-SP-015'

• PPE to be Utilised

  Select Uniform Footwear High Vis Rail High Vis (orange) Eyewear Fall Arrest Gloves Hearing Dust Mask Hard Hat Other

  • Uniform
  • Footwear
  • High Vis
  • Rail High Vis (orange)
  • Eyewear
  • Fall Arrest
  • Gloves
  • Hearing
  • Dust Mask
  • Hard Hat
  • Other

• List other PPE required

• Prepared by

  Select

1. HRCW on or adjacent to roadways or railways used by road or rail traffic

• Working adjacent to road or rail in the vicinity of traffic

  Select Applicable Not Applicable, working off road

  • Applicable
  • Not Applicable, working off road

Hazard/Risks

• Vehicle / Rail Traffic / mobile plant movement

  Select Implement site traffic management plan (TMP) prior to undertaking works. (Per.Traffic field guide rural/urban) Revised speed limit

  • Implement site traffic management plan (TMP) prior to undertaking works. (Per.Traffic field guide rural/urban)
  • Revised speed limit

• VERIFICATION - TMP no:

• VERIFICATION - Worksite compliant with TMP

  Yes

  No

  N/A

Hazard/Risks

• Personnel, contractors & the general public being struck by vehicles

  Select Warning lights on mobile plant Evacuation area away from carriage way Sound the horn to alert persons in the vicinity of the impending movement of a vehicle Vehicle 360 degree check of surroundings

  • Warning lights on mobile plant
  • Evacuation area away from carriage way
  • Sound the horn to alert persons in the vicinity of the impending movement of a vehicle
  • Vehicle 360 degree check of surroundings

• VERIFICATION - Warning lights on all plant/vehicles

  Yes

  No

  N/A

• VERIFICATION - Where is the nominated evacuation location/area

• Plant and Equipment being struck by vehicles

  Select Discuss and document works to be completed and works method Spotters must be assigned for vehicle movement where practicable

  • Discuss and document works to be completed and works method
  • Spotters must be assigned for vehicle movement where practicable

• Fires (grass)

  Select Be aware of vehicle exhaust “burn off” level (if fitted) before entering dry or long grass. Fire mitigation equipment

  • Be aware of vehicle exhaust “burn off” level (if fitted) before entering dry or long grass.
  • Fire mitigation equipment

• Members of the public or animals distracting and or threatening Prasinus personnel’s safety

  Select Remain in vehicle until Animal/Public have left the job site request for assistance from PES Supervisor personnel and or Police Use care when driving on private property – seek appropriate authority/ permission as required Not Applicable

  • Remain in vehicle until Animal/Public have left the job site request for assistance from PES Supervisor personnel and or Police
  • Use care when driving on private property – seek appropriate authority/ permission as required
  • Not Applicable

• Uneven/slippery ground or surfaces causing slip, trip, fall hazards

  Select Where practicable keep to firm level ground Ensure correct PPE footwear is worn

  • Where practicable keep to firm level ground
  • Ensure correct PPE footwear is worn

• Environmental Damage

  Select Off road conditions – avoid unnecessary damage to native flora and fauna and use care and check route for hidden obstacles eg tree Stumps, holes, fence wire etc and/or off-road conditions Not Applicable

  • Off road conditions – avoid unnecessary damage to native flora and fauna and use care and check route for hidden obstacles eg tree Stumps, holes, fence wire etc and/or off-road conditions
  • Not Applicable

• Are there other hazards present?

  Yes

  No
Other Hazards

• Additional Hazards / Risks:

• Additional controls and implementation:

• Photos

  Media

2. HRCW at workplaces where there is any movement of powered mobile plant

• Plant set up and operation

  Applicable

  Not Applicable

• Select all that apply:

  Select EWP - Insulated EWP - Uninsulated Peru Crane Excavator Rock Drill NDD Other

  • EWP - Insulated
  • EWP - Uninsulated
  • Peru
  • Crane
  • Excavator
  • Rock Drill
  • NDD
  • Other

• List other plant

Hazard/Risks

• Plant and equipment failure

  Select Complete crane checklist (where applicable) Pre-start checks Checklist/logbook, crane checklist performed on all plant onsite (by authorised plant operator). Spill kit

  • Complete crane checklist (where applicable)
  • Pre-start checks Checklist/logbook, crane checklist performed on all plant onsite (by authorised plant operator).
  • Spill kit

• VERIFICATION - Plant pre-start completed

  Yes

  No

• VERIFICATION - Logbook Completed

  Yes

  No

• VERIFICATION - Crane checklist completed

  Yes

  No

  N/A

• • Electrical shock from plant • Flash over between mobile plant

  Select Earth plant using priority earthing system (PER Green book P2. 2.1.4) De-energize all assets when using uninsulated EWP Refer Section 5 HRCW on or near energised electrical installations or services Not Applicable

  • Earth plant using priority earthing system (PER Green book P2. 2.1.4)
  • De-energize all assets when using uninsulated EWP
  • Refer Section 5 HRCW on or near energised electrical installations or services
  • Not Applicable

• VERIFICATION - Earth required

  Select Pole earth Guy rod / Earth pin Earth chain

  • Pole earth
  • Guy rod / Earth pin
  • Earth chain

• VERIFICATION - Permit #

• Personnel struck by plant

  Select Safety Observer/Spotter assigned for vehicle movement where practicable Sound the horn to alert persons in the vicinity of the impending movements of a vehicle Vehicle 360 degree check of surroundings

  • Safety Observer/Spotter assigned for vehicle movement where practicable
  • Sound the horn to alert persons in the vicinity of the impending movements of a vehicle
  • Vehicle 360 degree check of surroundings

• Vehicle Roll Away

  Select Plant wheels chocked Hand brake applied

  • Plant wheels chocked
  • Hand brake applied

• Unstable/ uneven/ slippery ground conditions

  Select Plant set up within manufacturer specifications – ground slope, and wind conditions considered Check and inspect ground conditions to ensure ground conditions are solid and as level as practicable

  • Plant set up within manufacturer specifications – ground slope, and wind conditions considered
  • Check and inspect ground conditions to ensure ground conditions are solid and as level as practicable

• Plant collapse/ roll over

  Select Suspension lockouts to be engaged were applicable. Stabiliser legs deployed (where fitted) and dunnage used to level vehicle to manufacturers requirements for safe operation

  • Suspension lockouts to be engaged were applicable.
  • Stabiliser legs deployed (where fitted) and dunnage used to level vehicle to manufacturers requirements for safe operation

• Crush injuries

  Select Personnel to keep clear of pinch/crush points when the mobile plant is set up and in operation.

  • Personnel to keep clear of pinch/crush points when the mobile plant is set up and in operation.

• Uncontrolled release of suspended load

  Select Operator to ensure plant is operated in Safe Working Load (SWL) SWL load chart visible and reviewed by plant operator prior to any lift Authorised dogman to confirm lifting equipment is in good working order, correct attachment points used, and load is secure before lifting Select plant / lifting equipment with appropriate Safe Workload (SWL) within test date Not Applicable

  • Operator to ensure plant is operated in Safe Working Load (SWL)
  • SWL load chart visible and reviewed by plant operator prior to any lift
  • Authorised dogman to confirm lifting equipment is in good working order, correct attachment points used, and load is secure before lifting
  • Select plant / lifting equipment with appropriate Safe Workload (SWL) within test date
  • Not Applicable

• • Working beneath suspended loads • Dropped objects

  Select Nominated person to monitor lift/s No person to work below a suspended load Not Applicable

  • Nominated person to monitor lift/s
  • No person to work below a suspended load
  • Not Applicable

• • Struck by object/ uncontrolled load • Mobile Plant Operating at height

  Select Delineate (physical barriers) exclusion zones for aloft work & lifting object Tag lines to be used to control loads being lifted Refer Section 3 HRCW where there is a risk of a person falling more than two metres

  • Delineate (physical barriers) exclusion zones for aloft work & lifting object
  • Tag lines to be used to control loads being lifted
  • Refer Section 3 HRCW where there is a risk of a person falling more than two metres

• Contacting Conductors

  Select Refer Section 5 HRCW on or near energised electrical installations or services

  • Refer Section 5 HRCW on or near energised electrical installations or services

• Are there other hazards/risks present?

  Yes

  No
Other Hazards

• Additional Hazards / Risks:

• Additional controls and implementation:

• Photos

  Media

3. HRCW where there is a risk of a person falling more than two metres

• Working above 2 metres

  Applicable

  Not Applicable

• Select all that apply

  Select EWP PERU Ladder

  • EWP
  • PERU
  • Ladder

Hazard/Risks

• Fall from mobile plant or ladder

  Select Prevention of Falls Regulations Hierarchy of Controls; Elimination, Passive fall prevention devices, Work positioning systems, Fall injury prevention system and ladders or administrative controls Pole straps, harnesses and lanyard Ladders at 4:1 ration footed and tied at head 3 points of contact during ascent and decent including the entering/exiting of EWP baskets Where a ladder is used to gain access to a roof, work platform or landing, the top of the ladder shall extend above the level roof by a distance of at least 1m. The ladder shall be footed by an assistant during ascent and descent unless secured

  • Prevention of Falls Regulations Hierarchy of Controls; Elimination, Passive fall prevention devices, Work positioning systems, Fall injury prevention system and ladders or administrative controls
  • Pole straps, harnesses and lanyard
  • Ladders at 4:1 ration footed and tied at head
  • 3 points of contact during ascent and decent including the entering/exiting of EWP baskets
  • Where a ladder is used to gain access to a roof, work platform or landing, the top of the ladder shall extend above the level roof by a distance of at least 1m. The ladder shall be footed by an assistant during ascent and descent unless secured

• VERIFICATION - Pole strap/Harness/Lanyards checked prior to use (within inspection date)

  Yes

  No

• Pole collapse

  Select Safe to climb test in accordance with field worker handbook 4.4 Refer to network procedures for unserviceable pole requirements Not Applicable

  • Safe to climb test in accordance with field worker handbook 4.4
  • Refer to network procedures for unserviceable pole requirements
  • Not Applicable

• VERIFICATION - Safe to climb test performed

  Yes

  N/A

• Equipment/Plant failure

  Select Observe equipment/plant load rating Rescue techniques Plant inspected prior to use, as per requirements eg: logbooks, prestarts Equipment inspected prior to use

  • Observe equipment/plant load rating
  • Rescue techniques
  • Plant inspected prior to use, as per requirements eg: logbooks, prestarts
  • Equipment inspected prior to use

• VERIFICATION - Ladders checked prior to use (within inspection date)

  Yes

  No

  N/A

• Dropped objects

  Select Delineate (using physical barriers) exclusion zones for aloft work and lifting plant Use positive restraints/lashing, holding straps, pole bags

  • Delineate (using physical barriers) exclusion zones for aloft work and lifting plant
  • Use positive restraints/lashing, holding straps, pole bags

• VERIFICATION - Exclusion zone has been delineated

  Yes

  N/A

• VERIFICATION - Exclusion zone area in metres

  Select 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 Other

  • 1
  • 1.5
  • 2
  • 2.5
  • 3
  • 3.5
  • 4
  • 4.5
  • 5
  • 5.5
  • 6
  • 6.5
  • 7
  • 7.5
  • 8
  • 8.5
  • 9
  • 9.5
  • 10
  • 10.5
  • 11
  • 11.5
  • 12
  • Other

• VERIFICATION - What is the area in metres

• VERIFICATION - What method of exclusion zone delineation

  Flagging Tape

  Cones

• Reason Why

• VERIFICATION - EWP has X-arm holding straps fitted and being used

  Yes

  No

  N/A

• Are there other Hazards/Risks

  Yes

  No
Other Hazards

• Additional Hazards/Risks:

• Additional controls and implementation:

• Photos

  Media

4. HRCW at workplace where structural alterations that require temporary support to prevent collapse

• Working on or adjacent to a Pole/Structure

  Applicable

  Not Applicable

• Select all that apply

  Select Adjacent Working on

  • Adjacent
  • Working on

Hazard/Risk

• • Hardware failure • Unplanned outage • Public Injury

  Select Visual inspection of hardware prior to commencement Inspection of all assets including adjacent poles/structures Confirm hardware/structure weights prior to commencement Confirm work method to be utilised Correct tools, equipment selected for tasks. SWL suitable to task. Weight transfer/alterations have been considered Refer Section 5 HRCW on or near energised electrical installations or services All Weight transfer/alterations have been considered

  • Visual inspection of hardware prior to commencement
  • Inspection of all assets including adjacent poles/structures
  • Confirm hardware/structure weights prior to commencement
  • Confirm work method to be utilised
  • Correct tools, equipment selected for tasks. SWL suitable to task.
  • Weight transfer/alterations have been considered
  • Refer Section 5 HRCW on or near energised electrical installations or services
  • All Weight transfer/alterations have been considered

• VERIFICATION - Structure(s) has been assessed prior to being removed

  Yes

  N/A

• Personal injury (Manual handling)

  Select All weight transfer/alternations have been considered Lifting aids/supports utilised

  • All weight transfer/alternations have been considered
  • Lifting aids/supports utilised

• Persons/vehicles struck by collapsing pole/structure

  Select Delineate exclusion zone around pole/structure. Only required vehicles to be within the exclusion zone of pole/structure Support pole/structure using approved method

  • Delineate exclusion zone around pole/structure.
  • Only required vehicles to be within the exclusion zone of pole/structure
  • Support pole/structure using approved method

• VERIFICATION - Exclusion zone has been delineated

  Yes

  N/A

• VERIFICATION - Exclusion zone area in meters

  Select 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 Other

  • 1
  • 1.5
  • 2
  • 2.5
  • 3
  • 3.5
  • 4
  • 4.5
  • 5
  • 5.5
  • 6
  • 6.5
  • 7
  • 7.5
  • 8
  • 8.5
  • 9
  • 9.5
  • 10
  • 10.5
  • 11
  • 11.5
  • 12
  • Other

• VERIFICATION - Exclusion zone area in meters

• VERIFICATION - What method of exclusion zone delineation being used - Barrier type:

  Select Flagging Tape Cones

  • Flagging Tape
  • Cones

• Reason Why

• VERIFICATION - Support Method

  Select PERU Pole Support Structures

  • PERU
  • Pole Support Structures

• Are there other hazards/risks

  Yes

  No
Other Hazards

• Additional Hazards/Risks

• Additional controls and implementation

• Photos

  Media

5. HRCW on or near energised electrical installations or services

5a. Working adjacent to LV and HV electrical installations

• Working adjacent to LV and HV electrical installations

  Applicable

  Not Applicable

Hazard/Risk

• - Uncontrolled contact with live assets - Electrocution - Wrong circuit - Unplanned outage - Hardware failure - Death, Injury - Injury to public

  Select Confirm work methods with work party Confirm Network and location Identify voltage of electrical circuits Appoint Safety Observer (clearly identifiable) Visually inspect apparatus prior to access / operating Pole top rescue kit Maintain Safe Approach Distances

  • Confirm work methods with work party
  • Confirm Network and location
  • Identify voltage of electrical circuits
  • Appoint Safety Observer (clearly identifiable)
  • Visually inspect apparatus prior to access / operating
  • Pole top rescue kit
  • Maintain Safe Approach Distances

• Are there other hazards/risks

  Yes

  No
Other Hazards/Risks

• Additional Hazards/Risks

• Additional controls and implementation

• Photos

  Media

5b. LV - Working on (live) or near electrical installation

• LV - Working on (live) or near electrical installation

  Applicable

  Not Applicable

Hazard/Risk

• - Electrocution - Wrong circuit - Unplanned outage - Hardware failure - Death, Injury - Injury to public

  Select De-energise LV electrical circuit LV Circuit is to remain energised

  • De-energise LV electrical circuit
  • LV Circuit is to remain energised

• De-energise Site controls required to be implemented

  Select All relevant LV Operating equipment within test date and visual inspection and cleaned before use Visually inspect apparatus prior to access / operating Trailing / Fixed earths Safe to earth test Operational earths/bonders to be installed and noted on EAP Worksite earths/bonders to be installed and noted on EAP Fit barriers and mats on all sources of supply within reach: (VESI Handbook S.4.1.b.) Catenary / Stay / LV Conductors / Aerial earths

  • All relevant LV Operating equipment within test date and visual inspection and cleaned before use
  • Visually inspect apparatus prior to access / operating
  • Trailing / Fixed earths
  • Safe to earth test
  • Operational earths/bonders to be installed and noted on EAP
  • Worksite earths/bonders to be installed and noted on EAP
  • Fit barriers and mats on all sources of supply within reach: (VESI Handbook S.4.1.b.) Catenary / Stay / LV Conductors / Aerial earths

• LV circuit is to remain energised site controls required to be implemented

  Select Fit barriers and mats on all sources of supply within reach: Catenary / Stay / LV Conductors / Aerial earths Live LV working techniques and requirements All LV Operating and construction equipment within test date and visual inspection and cleaned before use Follow NEMS Visually inspect apparatus prior to access / operating Insulated/In date ladders to be used in a live environment Pole top rescue kit. LV gloves and outers (inflation test prior to use) Appoint Safety Observer (clearly identifiable)

  • Fit barriers and mats on all sources of supply within reach: Catenary / Stay / LV Conductors / Aerial earths
  • Live LV working techniques and requirements
  • All LV Operating and construction equipment within test date and visual inspection and cleaned before use
  • Follow NEMS
  • Visually inspect apparatus prior to access / operating
  • Insulated/In date ladders to be used in a live environment
  • Pole top rescue kit.
  • LV gloves and outers (inflation test prior to use)
  • Appoint Safety Observer (clearly identifiable)

• VERIFICATION - All operating equipment, including insulated mats, covers and PPE have been inspected prior to use and in test date

  Yes

  No

• Site controls required to be implemented

  Select Confirm work methods with work party Confirm Network and location Network Access Authority Identify voltage of electrical circuits Use positive restraints to prevent conductor moving into/onto other circuits Maintain Safe Approach Distances

  • Confirm work methods with work party
  • Confirm Network and location
  • Network Access Authority
  • Identify voltage of electrical circuits
  • Use positive restraints to prevent conductor moving into/onto other circuits
  • Maintain Safe Approach Distances

• VERIFICATION - EAP/LVIBS/SFT/PTW/SILV Number

  Select EAP LVIBS SFT PTW SILV Live Line Sequence Not Applicable

  • EAP
  • LVIBS
  • SFT
  • PTW
  • SILV
  • Live Line Sequence
  • Not Applicable

• VERIFICATION - What is the number

• Are there other hazards/risks

  Yes

  No
Other Hazards/Risks

• Additional Hazards/Risks

• Additional controls and implementation

• Photos

  Media

5c. HV working on or near electrical installation HV

• HV working on or near electrical installation HV

  Applicable

  Not Applicable

Hazard/Risk

• - Electrocution - Wrong circuit - Unplanned outage - Hardware failure - Death, Injury - Injury to public

  Select De-energise HV electrical circuit HV Circuit is to remain energised

  • De-energise HV electrical circuit
  • HV Circuit is to remain energised

• Site Controls required to be implemented

  Select Confirm work methods with work party Confirm Network and location Network Access Authority Identify voltage of electrical circuits Positively identify location and correct circuit Visually inspect apparatus prior to access/operating Fit barriers and mats on all sources of supply within reach: Catenary / Stay / HV Conductor / Aerial earths Use positive restraints to prevent conductor moving into/onto other circuits

  • Confirm work methods with work party
  • Confirm Network and location
  • Network Access Authority
  • Identify voltage of electrical circuits
  • Positively identify location and correct circuit
  • Visually inspect apparatus prior to access/operating
  • Fit barriers and mats on all sources of supply within reach: Catenary / Stay / HV Conductor / Aerial earths
  • Use positive restraints to prevent conductor moving into/onto other circuits

• VERIFICATION - EAP/LVIBS/SFT/PTW/SILV/Live Line Sequence Number

  Select EAP LVIBS SFT PTW SILV Live Line Sequence Not Applicable

  • EAP
  • LVIBS
  • SFT
  • PTW
  • SILV
  • Live Line Sequence
  • Not Applicable

• VERIFICATION - Enter the number

• VERIFICATION - Are insulated mats and covers required

  Yes

  No

• VERIFICATION - Have they been applied

  Yes

  No

• VERIFICATION - Live Line Sequence / Auto Reclose (HV only)

  Yes

  No

  N/A

• De-energise HV electrical circuit Site controls required to be implemented

  Select All relevant HV Operating equipment within test date and visual inspection and cleaned before use Trailing/Fixed earths Safe to earth test Operational earths/bonders to be installed in accordance with Green Book and Network operational Manuals and noted on EAP Worksite earths/bonders to be installed and noted on EAP All work party made aware of permit conditions and have signed accordingly Prior to energisation – Ensure all works have been completed

  • All relevant HV Operating equipment within test date and visual inspection and cleaned before use
  • Trailing/Fixed earths
  • Safe to earth test
  • Operational earths/bonders to be installed in accordance with Green Book and Network operational Manuals and noted on EAP
  • Worksite earths/bonders to be installed and noted on EAP
  • All work party made aware of permit conditions and have signed accordingly
  • Prior to energisation – Ensure all works have been completed

• VERIFICATION - Ensure all personnel are clear of the line

  Yes

  No

• VERIFICATION - All personnel have signed off applicable permits

  Yes

  No

• VERIFICATION - All controls met in accordance with Green Book and Network operational requirements

  Yes

  No

• HV Circuit is to remain energised site controls required to be implemented

  Select Confirm the works required can be completed using HV Live techniques and work methods. If not, the works are to be reviewed for alternative methods Suppression, restoration of auto reclose for live apparatus Live HV working techniques and requirements as per specific Network owner requirements Glove and Barrier EWP – tested and within date to be used Gloves, sleeves, barriers and/or specific tools and other approved tooling to be used in accordance with live line manual Inspection of all assets including adjacent poles/structures Confirm SAD / MAD for work activity and maintain Maintain Safe Approach Distances Check clearances to adjacent live assets Worker shall ensure they are not making a second point of contact Follow NEMS Appoint Safety Observer (clearly identifiable)

  • Confirm the works required can be completed using HV Live techniques and work methods. If not, the works are to be reviewed for alternative methods
  • Suppression, restoration of auto reclose for live apparatus
  • Live HV working techniques and requirements as per specific Network owner requirements
  • Glove and Barrier EWP – tested and within date to be used
  • Gloves, sleeves, barriers and/or specific tools and other approved tooling to be used in accordance with live line manual
  • Inspection of all assets including adjacent poles/structures
  • Confirm SAD / MAD for work activity and maintain
  • Maintain Safe Approach Distances
  • Check clearances to adjacent live assets
  • Worker shall ensure they are not making a second point of contact
  • Follow NEMS
  • Appoint Safety Observer (clearly identifiable)

• VERIFICATION - All operating equipment and PPE have been inspected prior to use and in test date

  Yes

  No

• Are there other hazards present

  Yes

  No
Other Hazards/Risks

• Additional Hazards/Risks

• Additional Controls and implementation

• Photos

  Media

6. HRCW involving a trench or shaft if the excavated depth is more than 1.5 metres

• Excavating/backfilling of trench/shaft

  Applicable

  Not Applicable

• Select all that apply

  Select Pole Hole Trench

  • Pole Hole
  • Trench

Hazard/Risk

• - Underground assets damage - Striking underground assets

  Select Dial Before You Dig Information to be reviewed and UG assets to be proven prior to the commencement of any excavations. WMT-CMGT-011 Excavation Checklist has been reviewed UG asset owner requirements have been identified, reviewed and addressed. Approval for excavation works has been finalised. For UG Gas assets – refer Section 7 HRCW on or near pressurized gas distribution mains or piping Network access authorities for excavation in electrical enclosures (i.e. stations/sub stations) Confirm correct work location prior to undertaking work Safety Observer used where excavation is undertaken Expose assets within 500mm of pole hole Isolation of services where they are likely to be disturbed or will be replaced during work If UG assets are damaged - All works are to cease. The identified damage is reported to the supervisor.

  • Dial Before You Dig Information to be reviewed and UG assets to be proven prior to the commencement of any excavations.
  • WMT-CMGT-011 Excavation Checklist has been reviewed
  • UG asset owner requirements have been identified, reviewed and addressed. Approval for excavation works has been finalised.
  • For UG Gas assets – refer Section 7 HRCW on or near pressurized gas distribution mains or piping
  • Network access authorities for excavation in electrical enclosures (i.e. stations/sub stations)
  • Confirm correct work location prior to undertaking work
  • Safety Observer used where excavation is undertaken
  • Expose assets within 500mm of pole hole
  • Isolation of services where they are likely to be disturbed or will be replaced during work
  • If UG assets are damaged - All works are to cease. The identified damage is reported to the supervisor.

• VERIFICATION - DBYD sequence number

• VERIFICATION - Date on DBYD enquiry/request

  Date

• VERIFICATION - Assets confirmed and proved

  Yes

  N/A

• VERIFICATION - Method of non-invasive excavation

  Select Pot-holing Hand prove NDD

  • Pot-holing
  • Hand prove
  • NDD

• Trench/Pole Hole excavation collapse

  Select Ensure that excavated spoils and stacked material (Tools, etc.) are at least 0.5m away from the edge of excavation work Benching and Shoring of trench excavations greater than 1.5m in depth Safety observer is to continually monitor the excavated hole to ensure its stability (no risk of collapse) Safety observer is to take control of the open excavation, ensure there is no risk of collapse and manage the competent person measuring the excavation depth. Personnel are to keep clear of the excavation edge.

  • Ensure that excavated spoils and stacked material (Tools, etc.) are at least 0.5m away from the edge of excavation work
  • Benching and Shoring of trench excavations greater than 1.5m in depth
  • Safety observer is to continually monitor the excavated hole to ensure its stability (no risk of collapse)
  • Safety observer is to take control of the open excavation, ensure there is no risk of collapse and manage the competent person measuring the excavation depth. Personnel are to keep clear of the excavation edge.

• VERIFICATION - Excavation has been benched/shored

  Yes

  N/A

• VERIFICATION - Open Excavation Safety Observer(s)

  Select

• Name

• People proximity to excavation equipment

  Select Nominated Safety observer used to prevent personnel and public entering the exclusion zone Nominated safety observer will adopt any controls necessary to minimise any risk associated and install/erect barricades around a trench/hole unless – it is not practicable to do so; only minimal designated workers are in the immediate area are being managed by the safety observer; Another form of barricade exists Exclusion zone delineated around excavation

  • Nominated Safety observer used to prevent personnel and public entering the exclusion zone
  • Nominated safety observer will adopt any controls necessary to minimise any risk associated and install/erect barricades around a trench/hole unless – it is not practicable to do so; only minimal designated workers are in the immediate area are being managed by the safety observer; Another form of barricade exists
  • Exclusion zone delineated around excavation

• VERIFICATION - Designated entry/exit into trench

  Yes

  N/A

• - Falls into shafts/trenches - Plant and equipment falling into open excavation

  Select Designated entry / exit point into trenches Personnel are not to enter any open hole/shaft excavations Single person checks hole depth avoiding unstable ground. Visual and verbal contact to be maintained with the excavation safety observer and the plant operator Barricades/covers and fencing where trenches/shafts are left exposed and unattended Flashing lights and signage for fencing (night works) Should the open excavation not be backfilled or have a pole installed immediately, the open excavation is to be monitored and managed by the safety observer. All the work party are to be advised of the open excavation. Consideration to be given to barricading – should it be required When backfilling by manual means, all personnel are to keep clear of the excavation edge

  • Designated entry / exit point into trenches
  • Personnel are not to enter any open hole/shaft excavations
  • Single person checks hole depth avoiding unstable ground. Visual and verbal contact to be maintained with the excavation safety observer and the plant operator
  • Barricades/covers and fencing where trenches/shafts are left exposed and unattended
  • Flashing lights and signage for fencing (night works)
  • Should the open excavation not be backfilled or have a pole installed immediately, the open excavation is to be monitored and managed by the safety observer. All the work party are to be advised of the open excavation. Consideration to be given to barricading – should it be required
  • When backfilling by manual means, all personnel are to keep clear of the excavation edge

• Entanglement in auger and plant

  Select Personnel to keep clear of machinery whilst the machine is in operation Prior to measuring hold depth – peru auger (or excavator) to be moved clear of the hole, stopped from operating and auger or bucket resting on the ground.

  • Personnel to keep clear of machinery whilst the machine is in operation
  • Prior to measuring hold depth – peru auger (or excavator) to be moved clear of the hole, stopped from operating and auger or bucket resting on the ground.

• Dust inhalation Concrete etc

  Select P2 mask for dust to be worn Personnel to stand up wind while pouring concrete into hole

  • P2 mask for dust to be worn
  • Personnel to stand up wind while pouring concrete into hole

• VERIFICATION - P2 Masks available and worn on site

  Yes

  No

• - Electrocution - Unplanned power outage

  Select Refer Section 5 - HRCW on or near energised electrical installations or services Refer Section 2 - HRCW at workplaces where there is any movement of powered mobile plant

  • Refer Section 5 - HRCW on or near energised electrical installations or services
  • Refer Section 2 - HRCW at workplaces where there is any movement of powered mobile plant

• - Environmental damage - Weather

  Select Contain all excavated silt/spoil. Remove excess as soon as practicable Adjust management of the excavation are with consideration to changing weather conditions (eg wet weather) Ensure excavated spoil cannot enter any open water ways and/or drains.

  • Contain all excavated silt/spoil. Remove excess as soon as practicable
  • Adjust management of the excavation are with consideration to changing weather conditions (eg wet weather)
  • Ensure excavated spoil cannot enter any open water ways and/or drains.

• Are there any other Hazards/Risks

  Yes

  No
Other Hazards

• Additional Hazards/Risks

• Additional controls and implementation

• Photos

  Media

7. HRCW on or near pressurized gas distribution mains or piping

• Working near pressurized gas mains

  Applicable

  Not Applicable

• Select Gas asset type

  Transmission

  Mains

  Service

Hazards/Risks

• Movement of powered mobile plant

  Applicable

  Not Applicable

• Refer Section 2 HRCW at workplaces where there is any movement of powered mobile plant.

• - U.G. asset damage - Striking U.G. assets - Death/injury - Fire - Interruption to Supply

  Select Identify the asset owner and relevant contact numbers UG gas assets are to be located and exposed using appropriate methods of excavation

  • Identify the asset owner and relevant contact numbers
  • UG gas assets are to be located and exposed using appropriate methods of excavation

• VERIFICATION - Asset Owner

• VERIFICATION - Asset owner on site

  Yes

  No

• VERIFICATION - Name

• VERIFICATION - Emergency Call number

• Emergency Call 000 and Mobiles Call 112

• Why is the asset owner not on site

• VERIFICATION - Allowable Excavation method required to locate the asset

  Select Hand dig Non Destructive Mechanical Boring

  • Hand dig
  • Non Destructive
  • Mechanical
  • Boring

• VERIFICATION - Gas assets located

  Yes

  No

• Minimum clearance

  Crossing

  Parallel

  Adjacent

• VERIFICATION - Clearance in millimetres

• VERIFICATION - Excavation Method required

  Select Hand dig Non Destructive Mechanical Boring

  • Hand dig
  • Non Destructive
  • Mechanical
  • Boring

• Refer Section 6 HCRW involving trench or shaft if the excavated depth is more than 1.5 metres

• Refer to gas provider as listed on MOCS, type and specific excavation requirements

• Gas Leaks

  Select Applicable Not Applicable

  • Applicable
  • Not Applicable

• In the event of a gas leak Site Controls required to be implemented

  Select All work is to cease immediately All personnel are to clear the immediate area Plant and equipment are to be turned off Barricade the area to prevent public or personnel entering Contact the relevant gas authority Contact the Prasinus supervisor

  • All work is to cease immediately
  • All personnel are to clear the immediate area
  • Plant and equipment are to be turned off
  • Barricade the area to prevent public or personnel entering
  • Contact the relevant gas authority
  • Contact the Prasinus supervisor

• Are there any other Hazards/Risks

  Yes

  No
Other Hazards

• Additional Hazards/Risks

• Additional controls and implementation

• Photos

  Media

Additional HRCW Activities

• A SWMS must be prepared if proposed works involve any additional HRCW activities not listed above and that work poses a risk to the health and safety of any person. Where additional HRCW activities are required, work must cease and SWMS is to be generated.

  Applicable

  Not Applicable

• Select all HRCW that applies

  Select Demolition works Use of explosives Tilt-up or precast concrete Involving a tunnel Disturbance of asbestos On or near chemical, fuel or refrigerant lines Confined Space Telecommunications towers In an area that may have a contaminated or flammable atmosphere Where there are artificial extremes of temperature In or near to water or other liquids where there is a risk of drowning Other

  • Demolition works
  • Use of explosives
  • Tilt-up or precast concrete
  • Involving a tunnel
  • Disturbance of asbestos
  • On or near chemical, fuel or refrigerant lines
  • Confined Space
  • Telecommunications towers
  • In an area that may have a contaminated or flammable atmosphere
  • Where there are artificial extremes of temperature
  • In or near to water or other liquids where there is a risk of drowning
  • Other

• Specify Other

Tasks involved

• What are the tasks involved? List the work tasks in logical order.

• What are the hazards / risks? What aspects of the work could harm workers or the public?

• What are the control measures? Describe what will be done to make the activity as safe as possible.

Job Status Review

• When a job stops and re-starts the work party must perform a safety review to identify any further hazards or risks which change as a result answering “YES” to questions below.
  
  Where additional hazards or risks are identified they must be recorded on the job site SWMS and communicated to all personnel onsite.

• Has the work scope changed since the initial review?

  Yes

  No

• What has changed?

• What can go wrong?

• What do we need to do?

• Are we satisfied with the controls implemented?

  Yes

  No

• Why not?

• Has the environmental conditions changed?

  Yes

  No

• What has changed?

• What can go wrong?

• What do we need to do?

• Are we satisfied with the controls implemented?

  Yes

  No

• Why not?

• Has anyone identified any further hazards / risks?

  Yes

  No

• List the hazards/risks

• What can go wrong?

• What do we need to do?

• Are we satisfied with the controls implemented?

  Yes

  No

• Why not?

Safety Observer

• Name and Signature

  Sign

• What is your duty as Safety Observer?

  Select Observing Plant being used Observing working on adjacent to LV and HV electrical installations HV Circuit to remain energised Excavation backfilling and trench shaft works Monitor crane lifts Other

  • Observing Plant being used
  • Observing working on adjacent to LV and HV electrical installations
  • HV Circuit to remain energised
  • Excavation backfilling and trench shaft works
  • Monitor crane lifts
  • Other

• List your Safety Observer duties

Sign Off

• We the undersigned have participated in a worksite discussion using this SWMS and have reviewed the job identified hazards and agree to implement the control measures. All undersigned agree they are fit for work, have the appropriate training and equipment to perform their duties.
  
  Each crew member and contractor to print name and initial:

• Work Party Leader

  Sign
Staff Sign

• Name and Signature

  Sign
Apprentice/Mentor

• Apprentice

  Sign

• Mentor

  Sign
Traffic control

• Name and Signature

  Sign
Visitor

• Name and Signature

  Sign
SubContractors

• Company, Name and Signature

  Sign

Job Completed Time

• Job Completed Time

  Date