SWMS - NEW SERVICE INSTALLATIONS Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 1 of 15 pages Safe Work Method Statement New Service Installations Principal Contractor (PC) APT AM Holdings Pty. Ltd. [ABN] 95124754383 APA Group Level 19, HSBC Building 580 George Street Sydney NSW 2000 State Representative : Subcontractor [Company Name] [ABN] [Address] [Key Contact Name] [Key Contact Phone No.] Approving Authority John Ferguson Group Executive Networks Phone 02 9693 0057 Signature and Date Sign: ……… See approval Form APAND00044……………………………… Date: ……07……/02……………/2014………… Project Reference and Work Description SAFE WORK METHOD STATEMENT ACTIVITY New Service Installations Provided to PC : High Risk Construction Work No Work Location /Address AS Per Scheduled Work locations Site Responsible Person Identified on the onsite JHEA Personnel consulted Billy McNeil, Robin Gray, Chris Stewart, Mark Johnston,
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SWMS - NEW SERVICE INSTALLATIONS
Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 1 of 15 pages
Safe Work Method Statement New Service Installations
Principal Contractor (PC)
APT AM Holdings Pty. Ltd.
[ABN] 95124754383
APA Group Level 19, HSBC Building 580 George Street Sydney NSW 2000 State Representative :
Subcontractor [Company Name]
[ABN]
[Address]
[Key Contact Name]
[Key Contact Phone No.]
Approving Authority
John Ferguson Group Executive Networks
Phone 02 9693 0057
Signature and Date
Sign: ……… See approval Form APAND00044………………………………
Date: ……07……/02……………/2014…………
Project Reference and Work Description
SAFE WORK METHOD STATEMENT ACTIVITY
New Service Installations
Provided to PC :
High Risk Construction Work
No
Work Location /Address
AS Per Scheduled Work locations Site Responsible Person
Identified on the onsite JHEA
Personnel consulted
Billy McNeil, Robin Gray, Chris Stewart, Mark Johnston,
SWMS - NEW SERVICE INSTALLATIONS
Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 2 of 15 pages
SITE / WORK REQUIREMENTS
Required Supervision
Responsible onsite supervisor
Permit to Work & other Approval Requirements
All works deemed to be hazardous a permit to work shall be considered for control e.g.: Hot work, Deep excavation, Confined Space, Hot tap etc.
Required Qualifications
APA Field Operative/Service Layer / Labor Must hold current:
License motor vehicle/truck/plant
Qualification plant operator
Skill Gas industry operations specific authorizations
Ref Safety Data Sheet (SDS) Register on Crew Truck
Workplace Health, Safety and Environment Plan
NA
Emergency Procedures and Equipment
Seat Belts
All vehicles on site to have twin flashing lights per TMP
Reversing warning
First Aid Kit (on site)
Spill kit
Self-Contained Breathing Apparatus SCBA
SWMS - NEW SERVICE INSTALLATIONS
Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 3 of 15 pages
PPE
Personal Protective Equipment (PPE)
Mandatory
High Visibility
Mandatory
Steel Toe Caps
Mandatory
for all construction
activities
& as required
Mandatory
Long pant & sleeves
Mandatory
Safety Glasses
Gloves As required
Based on JHEA Risk Assessment
Ear protection As required
Based on JHEA Risk Assessment
Face mask / SCBA Gear As
defined by Mandatory PPE Requirements
Matrix &
Based on JHEA Risk Assessment
PPE Other Protective Clothing – Must meet and be used as per APA Operations Field Book Procedure 5206
REFERENCES ASSOCIATED DOCUMENTS
Work Health & Safety Act 2011
Work Health & Safety Regulations 2011
Victorian Occupational HS&E Act 2004
Victorian HS&E Regulations 2007
Work Health & Safety Plant Code of Practice
Work Health & Safety Risk Management Code of Practice
Work Health & Safety Noise Code of Practice
Worksafe Victoria Plant Code of Practice
First Aid COP 2004
AS 1742.3:2009 Manual of Uniform Traffic Control Devices
AS 4645 Gas Distribution networks maintenance
As 4130 Polyethylene Pipes for Pressure Applications
APA JHEA
APA traffic management check/plan Book
Gas Mains and Services Procedure manual or APA Operations Field Book
Safeguard
Mandatory PPE Requirements Matrix
Incident reporting
SWMS - NEW SERVICE INSTALLATIONS
Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 4 of 15 pages
Step No.
What are the tasks involved?
in order of job sequence
Hazards/risks What can happen and how can it
happen?
Raw Risk Controls to be implemented to reduce risks What will be done to ensure zero harm?
Residual Risk
Person responsible Who will make sure it
happens?
Break the job down into steps. Each step should accomplish some major task and be in a logical sequence
Specify the potential hazards associated with each step and risks to health, safety and the environment. Examine each to find possibilities that could lead to an incident.
Assess the raw risk without controls
Describe the measures to be implemented to eliminate or control the risks. Describe how these measures are to be implemented, monitored and reviewed.
Assess the residual risk with controls
Specify Person(s) Responsible
1. Site Set Up
Unauthorized access on site/irate customer.
Trips and falls during site walk due to uneven ground or items lying around.
Traffic Incident (pedestrians / vehicles) – During set down and parking on site this includes pedestrians.
Environmental impact – failure or leak while setting down equipment and or product.
The set down of plant (Mob on site) - unloading equipment and materials.
Damage / Failure / leak of plant and equipment including other utility services
High 20
Notify all landowners affected by works
Tool Box Meeting
Ensure correct approved permits are on site i.e. Council / Police & Road Manager Permits,
Identify to all workers and public the boundaries of the worksite
Individual JHEA
Traffic Control Plan / Permits In accordance with state requirements. Department of Main Roads as required Refer to SWMS APAND00008 Work on or adjacent to roadway.
Accredited Traffic Controllers where required by permits
Implement sediment control
Low 8 Responsible site supervisor
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Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 5 of 15 pages
measures as per APA Gas Mains and Services Procedures
Set down area to be pre-identified and managed by crew leader/Traffic Controllers
Use of Truck and Plant Pre start Check List
All sediment controls to be in place prior to excavating
Spill kit on site
Fire Extinguisher on site
2. Selection of meter position
Fire / explosion
Gas in buildings
Striking by vehicles
Gas escape
Moderate 16
Follow APA Gas Mains and services Procedure # 5612
Hazardous Areas identified
Moderate 14
Responsible site supervisor
3. Locate all Services
Damage to other utilities, broken services, damage to poles, pits and the like.
Work within private sites may result in damages to underground services not contained on the DBYD information
Uncontrolled product loss / damage –Gas, water and sewer.
Electrocution – damage to
High 20
Have current DBYD on site
Locate and Mark out all utilities - Refer to APA Gas Mains and services Procedure #5905
When working inside private sites, request the land-owner/ principal contractor to provide information on underground services
Use of Use of non-destructive digging
Moderate 15
Responsible site supervisor
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Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 6 of 15 pages
known and unknown assets.
Disruption to utility services and traffic infrastructure.
Disruption to traffic, buses, trains and pedestrians.
Disruption to the public movement, shut down of footpaths and traffic lights result pedestrian confusion.
Competent use of location equipment
Competent in plan reading
Use of Hand excavation as required before using plant.
Use of correct tools for excavation (right tool right job)
Correct use of PPE – e.g. electrically insulated gloves / hearing protection –,Refer to Protective Clothing – Must meet and be used as per APA Gas Mains and services Procedure
Use approved / appropriate, Traffic Control Plans and Traffic Controllers to manage site traffic around excavation area.
4. Excavating/Boring
Damage to other utilities, broken services, damage to poles, pits and the like.
Damage to properties- damages to underground services not contained on the DBYD information.
Truck movement / loading – traffic hazards, delays to passing motorists.
Reversing plant risk of an incident with the public and site staff, Consider the difference between night and
High 20
Use of Wet Vac as required when saw cutting.
Use of plant as per manufacturer’s specification.
Use of reversing beeper on truck / plant.
Use of a spotter to ensure appropriate clearances maintained from other utilities
PPE’s - Protective Clothing – Must meet and be used as per APA Gas
Moderate 15
Responsible site supervisor
SWMS - NEW SERVICE INSTALLATIONS
Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 7 of 15 pages
day works.
Overhead power strike / lines pulled down.
Personnel struck, hit and run over by plant / public vehicle.
Electrocution – damage to known and unknown assets.
Disruption to utility services and traffic infrastructure.
Disruption to traffic, buses, trains and pedestrians.
Disruption to the public movement, shut down of footpaths and traffic lights resulting in pedestrian confusion.
Weather condition (wet site, slippery site)
Trench may collapse – engulfment resulting in death
Excavation greater than 1.5 metres deep
Mains and services Procedure
Only spotter and required personnel to be present within the sight of the operator.
Use of plant only by qualified persons.
Excavation according to APA Gas Mains and services Procedure
Use approved / appropriate, Traffic Control Plans and Traffic Controllers to manage site traffic around excavation area.
Excavation greater than 1.5 meters - Use and adherence to the APA Gas Mains and Services Procedure
Refer to SWMS APAND00011for - Excavating and Working in Trench more than 1.5m in depth Including Backfill
Refer to SWMS APAND00006 High Risk Moving Plant
Use of blade on bucket to excavate when applicable.
Check Weather forecast for the day
Bench and batter trench as per APA Gas Mains & Services
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Procedure # 5904
5.
Installing Service upstand and laying pipe
Separation to other utilities
Manual handling
Entrapment of person working in trench
Struck by overhead plant
Trips and falls due to loose equipment and materials
Moderate 15
APA Gas Mains and services Procedure # 5601
Personnel trained in correct manual handling techniques
Spotter to convey communication between plant operator and person in trench
Person in trench not to be present under suspended load or working within boom clearance zone
Follow APA Gas Mains and Services Procedure
General housekeeping and stock pile material /spoil as per APA’s Gas Mains & Service procedure #5902
Low 11 Responsible site supervisor
6. Preparation for Connection
to gas main
Uncontrolled gas escape or fire caused by failure of tapping tee
Electrocution
High 20
PPE’s - Protective Clothing – Must meet and be used as per APA Gas Mains and services Procedure
Fire extinguisher upwind in safe location
Removal of ignition sources
Personnel trained in and follow APA Gas Mains and service
Moderate 14
Responsible site supervisor
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Procedure #5601
Neon Tester, cross bonding leads or wet rags to be utilised when working on the main.
Use of Gas Detector to continuously monitor working environment.
7. Testing of service
Pressurized plant
Pipe or fitting failure
Noise
Incorrect test pressure
Moderate 16
Fitting and plant to be compatible with pressure of test As per APA Gas Mains and services Procedure #5516
Provision and use of PPE - Ref Protective Clothing – Must meet and be used as per APA Gas Mains and Services Procedures #5206
Complete Pressure Test Records as per APA Gas Mains and Services Procedures #5516
Moderate 14
Responsible site supervisor
8. Tapping of main
Fire
Gas release to atmosphere work area.
Gassing of employee
High 22
Personnel to wear fire-retardant overalls, flash hoods & Gloves as required. Refer to APA Gas Mains and Services Procedures#5206
SCBA – ready for use.
Fire extinguisher upwind in safe location
Moderate 18
Responsible site supervisor
SWMS - NEW SERVICE INSTALLATIONS
Document: APAND000012 Version: 2.01 Date: 07/02/2014 Date created: 18/07/2012 Review by: 21/12/2016 Page 10 of 15 pages
Training of personnel In the event of an uncontrolled gas release.
Intrinsically safe plant only in trench
Check to ensure no ignition sources.
Drill, Tap and Stop Off As per APA Gas Mains and Services Procedure #5601
Use of Gas Detector to continuously monitor working environment.
9. Purging of services
Explosive air gas mix in service
Hazardous area Class 1 Zone 2
Not adhering to procedures
Fire
Foreign objects exiting pipe
Gas in atmosphere entering buildings
Ignition sources
High 22
Control purge through approved flare stack/vent – Ref APA Gas Mains and Services Procedures
All PPE as specified in Mandatory PPE Requirements Matrix
SCBA/Two gas masks and flash hoods shall be readily available where there is limited ventilation or as required.
Fire extinguisher upwind in safe location
Approved gas detector where required
Moderate 18
Responsible site supervisor
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Refer direct purging procedure #5514
10.
Installing New Meter / Regulator
Incorrect pressures
Ignition sources
Moderate 12
APA Gas Mains and Services Procedures #3102
Ref to Maximo Work Order / Meter position sheet / Plan
Meter basics training
Low 8 Responsible site supervisor
11. Backfill of Excavation
Vehicle striking individual during backfill operations Bob Cat, Back Hoe Trucks.
Individual hit by plant moving equipment removing shoring boxes and the likes.
Machinery falling into excavation during back filling operations.
Future failure of trench – collapse of completed trench resulting in pedestrian / motor vehicle and bike incident.
High 20
Refer to SWMS APAND00006 High Risk Moving Plant
Use of Reverse beeper and flashing light on all plant / trucks
Use of appropriate PPE - Ref Protective Clothing – Must meet and be used as per APA Gas Mains and Services Procedures
Spotter to assist with moving plant
Qualified plant operator to operate all moving plant
Use of barriers where required
Use of Traffic Controller for moving plant, if required
Use of correct specification backfill materials.
Only required personnel within boom clearance zone
Moderate 15
Responsible site supervisor
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No one to be on the blind side of the plant.
Compaction to Council/Road managers & APA requirements
12. Site clean up
Fail to adequately remove all spoil / stockpile materials resulting in contaminated water entering waterways
Movement of spoil away from site in a Fire Ant area (where applicable, not in compliance with legislation.
Moderate 12
Site supervisor performs site inspection prior to leaving site, where applicable
All sediment controls to be in place prior to leaving site
Low 9 Responsible site supervisor
13. As constructed drawings
Loss of information on asset location and inability to supply DBYD
Damage to asset
Low 5
Complete as constructed service card as per APA Gas Mains and Services Procedures, where applicable & within prescribed timeframes.
All documents archived
Negligible 3
Responsible site supervisor
14.
Deviation from this Safe Work Method Statement
Miscommunication by all parties onsite.
High
20
STOP all work activities
Ensure task and equipment is made safe
Hold tool box meeting and record and adjust
Complete JHEA for variations from work method – obtain approval from site representative.
Authorised by supervisor or HSE Advisor
Sign off on changes prior to the
Moderate
15
Site responsible supervisor
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recommencement of work
Declaration by contractors and workers - I have been given the opportunity to comment on the content of this Safe Work Method Statement (SWMS). - I have read and understand how I am to carry out the activities listed in this SWMS. - I have been supplied with the personal protective equipment identified on this SWMS and I have been given training in the safe use of this equipment. - I have read and understand the requirements set out in the material safety data sheets for the hazardous substances identified in this SWMS - I have been supplied with appropriate certified equipment, tools & training in its safe use.
Consultation & Review Sign Off Analysis of Training / Skills or Competencies Required
Training / Skill / Competency Required to Complete the Work Safely
Gen
eral
Ind
ust
ry
Ind
uct
ion
Pro
ject
Sp
ecif
ic
Ind
uct
ion
[ Li
st o
ther
s]
A = All employees are required to hold. % of personnel required to hold
A A
Number of personnel required to hold
Name Position Signature Date Training / Skill / Competency held by employee – tick () – evidence must
be available
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RISK RANKING ACTION REQUIRED
Extreme Activity must not commence. Reduce risk to at least moderate or to
ALARP through additional controls.
High Reduce risk to at least moderate or to ALARP through additional controls.
Activity must not commence without Management approval
Moderate Work can proceed once supervisor has confirmed process has been
adequately followed and risk controls identified and implemented
CONSEQUENCE
Degree of Potential Harm
HSE First Aid Treatment only with the
ability to return to work immediately
External Medical Treatment but
excluding hospitalisation with the ability to return to work next shift /
day
Injury or illness requiring
hospitalisation and resulting in the
inability to return to work the next shift /
day (LTI)
Permanent partial disability
Fatality or life threatening injuries or permanent total
disability
Multiple Fatalities
Environment Limited effect of low significance to
Short-term temporary
Prolonged but reversible
Uncontrolled, long term but reversible
Uncontrolled, long term but reversible
Uncontained, long term serious
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Low or Negligible Work can proceed once risk controls
identified and implemented
minimal area impairment to localised area
impairment to localised area and
does not affect ecosystem function
impairment to localised area and
does not affect ecosystem function
environmental impairment of
ecosystem function
environmental degradation OR
permanent impairment to
ecosystem function.
LIK
ELIH
OO
D
Po
ssib
ility
, Pro
bab
ility
, Fre
qu
en
cy o
f ex
po
sure
,
His
tori
cal e
vid
ence
Description Descriptor Insignificant Minor Medium Significant Major Catastrophic
Is currently occurring, or will almost definitely occur
Frequent Low (7)
Moderate (13)
High (21)
Extreme (31)
Extreme (33)
Extreme (36)
Can be expected to occur in most circumstances
Likely Low (6)
Moderate (12)
High (20)
High (24)
Extreme (32)
Extreme (35)
Can be expected to occur in certain circumstances
Occasional Low (5)
Low (10)
Moderate (16)
High (23)
High (27)
Extreme (34)
May occur in certain circumstances
Possible Negligible
(3) Low (9)
Moderate (15)
High (22)
High (26)
High (30)
Not expected to occur but may occur in abnormal circumstances
Unlikely Negligible
(2) Low (8)
Moderate (14)
Moderate (18)
High (25)
High (29)
Conceivable but only in exceptional circumstances
Rare Negligible
(1) Negligible
(4) Low (11)
Moderate (17)
Moderate (19)
High (28)
Note 1: Risk should be rated according their potential and most credible consequences. Note 2: The number presented in each risk box represents a unique identifier for tracing a likelihood / consequence combinations (where required) and serves no other purpose. Note 3: Refer to APA HSE GP 06.01 Risk Management Overview for full explanation of likelihood, consequence and risk descriptors.