Site Specific Safety Plan (SSSP)

• Site conducted

• Conducted on

  Date

• Prepared by

• Project name

• Summary of works this SSSP relates to

PCBU 1 (Client)

• Company name

• Main onsite contact name & phone number

PCBU 2 (Tetro Ltd)

• Person in charge of the workplace name & phone number

• First aider name & phone number

Contractors

• PCBU name

• PCBU scope of work

• PCBU representative name & phone number

• A Site-Specific Safety Plan (SSSP) is an agreement between businesses working on a specific site that determines how health and safety will be managed. An understood and well implemented SSSP ensures relevant site information, hazards and risks are regularly checked and monitored.
  
  This SSSP is a live document, and therefore must be continually updated during the project, to ensure it reflects changes to site hazards. When the SSSP is implemented correctly, regularly updated and safety is monitored, all businesses involved comply with New Zealand's Health and Safety at Work Act 2015.
  
  Tetro LTD have prepared, and will continue to monitor and adapt this SSSP throughout the course of the project.

• Site Project Manager -
  • Attend all health and safety and toolbox meetings.
  • Provide day-to-day leadership.
  • Promote high standards of health and safety.
  • Lead the team to ensure everyone is kept healthy and safe.
  • Listen to and address any health and safety concerns raised by the Site Supervisor

• Site Project Manager Name & Contact Number

• Site Supervisor -
  • Attend all health and safety and toolbox meetings.
  • Be aware and responsible for the health and safety of those working under their supervision, and those who may be affected by relevant activities.
  • Provide assistance and supervision to ensure appropriate risk assessment, accident, incident and near miss procedures are adhered to.
  • Ensure adequate procedures are in place to meet legislative requirements.
  • Ensure all work is undertaken by workers who are able and qualified to do so.
  • Ensure all workers are wearing correct PPE at all times.
  • Perform hazard identification and risk assessments in accordance with the processes detailed in this SSSP.
  • Ensure all employees, contractors and everyone affected by operations are safe at all times.
  • Listen to and address any health and safety concerns raised by employees and contractors.

• Site Supervisor Name & Contact Number

• Risks to health and safety arise from people being exposed to hazards (anything that can cause harm). Risk has two components – the likelihood that it will occur and the consequences (degree of harm) if it happens. Tetro LTD manages risk in line with the Health and Safety at Work Act 2015.
  
  Hazard management is a three-step process.
  Step One: Hazard Identification.
  Step Two: Risk Assessment.
  Step Three: Control of Hazards / Risks.
  

• Hazard Identification
  Risk management involves identifying hazards and dealing to those which pose the highest risk first. It is important that workers are involved in the process of identifying hazards, as they have a day-to-day working knowledge of the site, which is invaluable.
  
  Hazards should be considered within the following areas:
  • Physical (e.g. noise, vibration)
  • Biological (e.g. bacterial infections)
  • Chemical (e.g. asbestos, lead)
  • Ergonomic (e.g. manual handling)
  • Psychosocial (including bullying, tight deadlines and other stress factors)
  
  As hazards occur from general work processes and from the work itself, previous accident, incident and near miss reports are to be considered while identifying new hazards.

• Risk Assessment
  Once the hazards have been identified, a risk assessment will be undertaken on each hazard. Risk assessment enables Tetro LTD to identify which hazards need to be minimised or eliminated.
  
  The first step is to try to eliminate the risk so far as is reasonably practicable.
  This can be done by removing the source of the harm. Although, this is not always possible. Hazards are a part of day-to-day work on a construction site, and therefore hazards must be minimised instead. Full Risk Assessment documents are kept in the site file.

• Controlling Risks
  Once all hazards have been assessed, control methods and measures need to be put in place. Workers need to be made aware of the potential risks, what the control measures to manage the risks are and why it’s important to use them, and how to apply them.

Notifiable Works

• Tetro are required to provide at least 24 hours notice to WorkSafe of particularly hazardous work. Please check if the work is considered particularly hazardous on the following WorkSafe link. https://www.worksafe.govt.nz/notifications/report-scheduled-or-completed-work/hazardous-work/

• Are you undertaking notifiable work?

  Yes

  No

• Has 24hours notice been supplied to WorkSafe via their online form?

  Yes

  No

• Stop work and contact Tetro Management

Methodology and Risk Assessment

• Significant hazards, including critical risks, applicable to the project

  Select Driving Working at height Slips, trips and falls Working on client premises Using mobile plant (EWP) Working from scaffolding Working on a rooftop Radiation (RF) Manual handling Weather Electrical (shock, short circuit, fire, static, loss of power) Noise Chemical (toxic, flammable, corrosive) Ergonomics (strain, sprains, human error) Fatigue Fire Mechanical (failure, stuck between objects) Struck by objects Other

  • Driving
  • Working at height
  • Slips, trips and falls
  • Working on client premises
  • Using mobile plant (EWP)
  • Working from scaffolding
  • Working on a rooftop
  • Radiation (RF)
  • Manual handling
  • Weather
  • Electrical (shock, short circuit, fire, static, loss of power)
  • Noise
  • Chemical (toxic, flammable, corrosive)
  • Ergonomics (strain, sprains, human error)
  • Fatigue
  • Fire
  • Mechanical (failure, stuck between objects)
  • Struck by objects
  • Other

• Other, please list

• All high risk work must be covered under a SWMS, and uploaded to this SSSP

• Before any high risk work is completed, a SWMS is to be completed . Please refer to the SWMS template on SafetyCulture and complete accordingly.

Tetro SWMS Upload

• Please upload any Tetro SWMS for this job

  Media

• Contractor SWMS are to be requested and held on file.

Contractor SWMS Upload

• Contractor company name

• SWMS upload

  Media

• Incidents, accidents and near misses which occur onsite, must be reported and subsequently investigated. All incidents, accidents and near misses are to be reported to the Site Supervisor, who must then complete an incident, accident or near miss form via SafetyCulture.
  
  Serious harm, significant near miss or any notifiable events are to be reported to WorkSafe New Zealand in line with Tetro incident reporting processes. The incident scene is to be preserved in line with legislative requirements until clearance from WorkSafe, the Police if applicable, and subsequently Tetro Management has been issued.

• Does PCBU 1 have an emergency plan and/or incident reporting procedures that need to be considered?

  Yes

  No

• Please confirm you have received a copy of, and understand, PCBU 1's procedures

  Yes

  No

• Tetro Group emergency response plan. Please select which emergencies need to be considered

  Select Incident, accident or near miss Fire Earthquake Flooding Fall from height Bomb Threat Other

  • Incident, accident or near miss
  • Fire
  • Earthquake
  • Flooding
  • Fall from height
  • Bomb Threat
  • Other

• Fire

• Earthquake

• Flooding

• Bomb Threat

• Fall from height

• Incident reporting and investigation process

• Confirm the Emergency Evacuation Point on this site

• Provide a photo or marked up drawing of the Emergency Evacuation Point

  Media

• Confirm the nearest medical centre to site

• Provide information on how to access the closest medical centre

  Media

• Please select all mandatory PPE while working on site

  Select Long sleeve high vis shirt Long pants Helmet Safety boots Gloves Ear protection Harness RF monitor Respiratory mask Wet weather high vis gear Sunblock Other

  • Long sleeve high vis shirt
  • Long pants
  • Helmet
  • Safety boots
  • Gloves
  • Ear protection
  • Harness
  • RF monitor
  • Respiratory mask
  • Wet weather high vis gear
  • Sunblock
  • Other

• Other, please list

• Please select the required training that personnel on site must hold

  Select NZQA 23229 NZQA 15757 NZQA 17025 Rope Access First Aid RF / EMF Awareness Client specific H&S induction Hazardous subtances MEWP / EWP Other

  • NZQA 23229
  • NZQA 15757
  • NZQA 17025
  • Rope Access
  • First Aid
  • RF / EMF Awareness
  • Client specific H&S induction
  • Hazardous subtances
  • MEWP / EWP
  • Other

• Other, please list

• Attach a training matrix to supply proof of training

  Media

Communication

• Select the communication method/s which will be used to ensure all workers on site are aware of the health and safety information?

  Select Pre-start briefing Progress meeting Team / management meetings Site hazard board SSSP kept on site SWMS kept on site Other

  • Pre-start briefing
  • Progress meeting
  • Team / management meetings
  • Site hazard board
  • SSSP kept on site
  • SWMS kept on site
  • Other

• Other, please advise

• Other frequency

  Daily

  Weekly

  As required

• Pre-start frequency

  Select Daily Weekly As required

  • Daily
  • Weekly
  • As required

• Progress meeting frequency

  Select Daily Weekly As required

  • Daily
  • Weekly
  • As required

• Team / management meeting frequency

  Select Daily Weekly As required

  • Daily
  • Weekly
  • As required

Inspection and audit

• Select the method/s which will be used to maintain a safe working environment

  Select Site inspections Training and competency review Documentation records

  • Site inspections
  • Training and competency review
  • Documentation records

• Site inspection frequency

  Daily

  Weekly

  As required

• Onsite inspection to be uploaded as completed

• Assign a competent team member to conduct an inspection, focusing on:
  New or changed hazards.
  Safe operation of equipment and machinery.
  Correct use of PPE.
  Housekeeping (e.g., debris removal, tidy work areas).
  Weather conditions affecting safety (if outdoors).
  Discuss findings during the pre-start and update the site risk register as needed.

• Training and competency review frequency

  Daily

  Weekly

  As required

• Review training and competency register against tasks team members are completing

• Documentation review frequency

  Daily

  Weekly

  As required

• Check all records are up to date and available to correct parties

• Refer to the Site Specific Hazard & Risk Register template on SafetyCulture and complete accordingly. Upload the initial register, and upon completion of the project, upload the latest version to account for changes made.

• Initial risk register

  Media

• Final risk register (upon completion of the project)

  Media

Please ensure all members of the team read, understand and sign this SSSP

• Job Role

• Signature

  Sign