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Generic Shire Council

< < Insert councs name & ogo n the headers


and councs document number and ssue date n the footers > >
Ste Specfc
Safety Management Pan
for Servces for the RTA under the
RMCC
<<Generc Shre Counc>>,
<<Long Street>>,
<<Generc>>,
NSW <<2345>>
Prnted copes of ths document are uncontroed
Generic Shire Council: Site Specific Safety Management Plan
Note to RTA Team:
Text hghghted n grey s an MSWord fed and shoud not be changed or
deeted wthout carefu thought.
Note to Council Documenter:
Text shown thus <<yeow>> has to be changed to sut your Counc.
Text hghghted n bue shoud be read and then removed before pubcaton.
Text hghghted n grey s an MSWord fed and shoud not be changed or
deeted.
Text thus was, n |uy 2008, an hypernk to a document on one of the NSW
Governments webstes. If the hypernk becomes broken, the documents
shoud be accessbe through
http://www.nsw.gov.au/popuar_st.asp?KW=Home+Pages+NSW
This Plan is not complete until Council has developed Safe or!
Method Statements relevant to its delivery of the Services and
inserted them in Appendi" #$ Appendi" M%%&&&
Delete this page and this

Page 'rea! (efore


pu(lication&
Page 2 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

A(out this release
Document
Number:
<<GSC: SSSMP: RTA: RMCC>>Edton 1 / Revson 0
Tte: Ste Specfc Safety Management Pan
Author: <<XXXX>>
Ed 1 / Rev 0 1 October 2008 <<New Plan OR Replaces Doc. No. OR .>> <<Engneerng Drector>>
Issue Date Revision Description Authorised by
Management Revie)
Ths Pan w be revewed wth the Safety Incdent Pan and n accordance wth
Secton 24.
Planned
Revie)
Date
Scope Revie) 'y Revie) Record
Ref no& Date
October 200! "eneral #anager$ <<Engneerng
Drector>> and <<%a&et' #anage(ent
Rep>>
October 2010
October 2011
*ndorsement of Site Specific Safety Management
Plan
______________________________ / /
Genera Manager Date
______________________________ / /
<<Engneerng Drector>> Date
______________________________
<<XXX>>>
/ /
Date
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 3 of 68
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Generic Shire Council: Site Specific Safety Management Plan
Ta(le of Contents
About ths reease........................................................................................3
Management Revew...................................................................................3
Endorsement of Ste Specfc Safety Management Pan...............................3
1.Overvew...................................................................................................6
2.Management of the Ste Specfc Safety Management Pan......................8
3.OH&S Responsbtes...............................................................................9
4.Tmeness n OH&S.................................................................................17
5.OH&S Consutaton.................................................................................17
6.Incdent Management.............................................................................18
7.Ste Safety Rues.....................................................................................19
8.Frst Ad...................................................................................................19
9.Fre Protecton.........................................................................................19
10.Acoho and Drugs ................................................................................20
11.Empoyee Factes and Waste Contro.................................................20
12.Rsk Management.................................................................................21
13.Safe Work Method Statements.............................................................21
14.Engagement of Subcontractors............................................................22
15.Heath & Safety Tranng.......................................................................22
16.Heath and Safety Inspectons..............................................................24
17.Day Truck and Pant Inspecton...........................................................25
18.Pant and Equpment Operators Lcenses............................................25
19.Pre-hre or Routne Pant and Truck Audt.............................................25
20.Manua Handng...................................................................................26
21.Persona Protectve Equpment (PPE)....................................................26
22.Non-Compance and Correctve Acton................................................27
23.OH&S Reportng....................................................................................27
24.Revewng ths Ste Specfc Safety Management Pan..........................27
Appendx ASafety Rues Menu...................................................................29
Appendx BSafety Rsk Management Process............................................33
Appendx CHod Ponts...............................................................................39
Appendx DWork ste Safety Inspecton Checkst......................................40
Page 4 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Appendx ETruck Pre-Start Inspecton & Defect Report.............................47
Appendx FPant Pre-Start Inspecton & Defect Report..............................49
Appendx GWeeky Fre Extgusher Inspecton & Defect Report...............51
Appendx HRecord of OH&S Inducton ......................................................52
Appendx IIncdent / Accdent Report.........................................................54
Appendx |Hazardous Substances Regster................................................55
Appendx K<<Generc>> Shre Counc Drug & Acoho Pocy.................56
Appendx L SWMS for .....................................................................57
Appendx MSWMS for.......................................................57
Appendx NSWMS for.......................................................57
Appendx OSWMS for.......................................................57
Appendx PSWMS for........................................................57
Appendx O<<Generc SC>> OH&S Monthy Report.................................58
Appendx RSafety Incdent Pan.................................................................59
Appendx SNomnated Safety Management Representatve.....................67
Last page of SSSMP....................................................................................68
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 5 of 68
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Generic Shire Council: Site Specific Safety Management Plan
+& ,vervie)
Scope of this Plan
Ths document defnes the occupatona heath and safety processes and
practces<<Generc Shre Counc>> w observe durng the Road Mantenance
Counc Contracts ("RMCC") term.
Ths Pan s part of Councs RMCC Contract Management System. It shoud be
read n con|uncton wth Councs Contract Management Pan ("CMP") whch
provdes the framework of the system.
It addresses RTA G21M Occupatona Heath and Safety (Mantenance Contracts)
and Chapter 5 of the Construction Agency Coordination Committees OH&S
Management Systems Guidelines ("CACC Ch 5")
It ncudes Councs Safety Incdent Pan at Appendx R.
To correspond wth RTA Specfcaton G21M, the word "ste" n ths Pan means
the Network. In the other Pans, "ste" s used n ts norma sense.
Servces whch are a) addtona to those above and b) whch have dfferent
OH&S rsks or hazards w be addressed by addtona Ste Specfc Safety Pans
and Safe Work Method Statements.
Council-s ,./S ,(0ectives
Councs OH&S ob|ectves wth respect to the RMCC are to:
Ensure the heath and safety of Councs empoyees, subcontractors and
agents, a road users, the genera pubc and RTA personne who may be
on work stes,
Compy wth, and ensure Councs empoyees, subcontractors and agents
compy wth, any Acts, Reguatons, oca aws and by-aws, Codes of
Practce, Austraan Standards and RTA pocy and procedures whch are n
any way appcabe to ths contract or the performance of servces under
ths Contract. And, where approprate, use the same documentaton as the
RTA,
Ensure Councs ste specfc safety management pan and safe work
method statements are deveoped and mpemented n accordance wth:
RTA Specfcaton G21M
the NSW Government OH&S Management System Gudenes 4th
Edton, |une 2004 or ater edtons f amended,
a the dutes of an empoyer and occuper as specfed n the
Occupatona Heath and Safety Act (2000) and ts assocated reguaton
and
any other Acts, reguatons, oca aws and by-aws, Codes of Practce,
Austraan Standards and RTAs pocy, practce and procedures whch
are n any way appcabe to the RMCC or the performance of Servces
under the RMCC and
Mantan trust, good fath and cooperaton between Counc and the RTA.
Page 6 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Councs ob|ectves w be met through good eadershp, commtment and
contnua tranng.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 7 of 68
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Generic Shire Council: Site Specific Safety Management Plan
Purposes of Council-s Site Specific Safety Management Plan
The purposes of Councs Ste Specfc Safety Management Pan ("SSSMP") are
to:
Defne Councs management of OH&S when deverng the RMCC Servces,
Provde gudance to Counc staff on Councs obgatons under the RMCC
and
Assure the RTA that Counc s fufng ts obgatons regardng the RMCC,
Defne the responsbtes of the Safety Management Representatve under
the RMCC (the responsbtes and authortes of other postons are set
down n the Contract Management Pan and other functona pans) and
Set down the frequency and responsbtes for management revew of ths
Pan,
Practice of Safety Management
Counc w:
Assess rsks and pan work actvtes to emnate or contro foreseeabe
hazards or rsks,
Compy wth reevant OH&S, workpace n|ury management and workers
compensaton egsaton and reguatons,
Estabsh measurabe ob|ectves and targets for contnuous mprovement,
Consut wth empoyees and subcontractors and dssemnate OH&S
nformaton,
Make ths SSSMP avaabe to a empoyees.
Make avaabe reevant parts to subcontractors workng at the ste durng
constructon/mantenance actvtes ,
Mantan the workpace n a safe condton,
Mantan pant and equpment n a safe condton,
Provde approprate nstructon and tranng for empoyees and
subcontractors to assst them n avodng unsafe stuatons, unsafe work
practces and the use of defectve equpment,
Provde adequate factes for outdoor staff and
Provde suffcent resources to acheve a the above.
1& Management of the Site Specific Safety
Management Plan
Counc has warranted that t w provde peope, materas, resources and
systems to propery perform the Servces.
Counc and the RTA requre the peope to be competent, experenced and
quafed to carry out the Servces.
Page 8 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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2& ,./S Responsi(ilities
The prncpe responsbtes and authortes of Counc staff wth respect to OH&S
are:
General Manager
The Genera Manager has responsbtes under the NSW Occupational Health and
Saety Act !"###$ and Occupational Health and Saety %egulation "##& to ensure the
heath, safety and wefare of a Counc empoyees, vstors and contractors n ts
workpaces. The RMCC Contract sets out specfc responsbtes under the
contract.
Accordngy, the Genera Manager w co-sgn ths SSSMP and a Counc Safe
Work Method Statements.
The Genera Managers responsbtes reman wth hm / her, however, the
Genera Manager has deegated authorty and concomtant responsbty as
shown overeaf:
<<The Genera Manager can deegate the authortes and concomtant
responsbtes sted beow as s approprate to Councs organsaton.
Every responsbty must be aocated to ether a) a poston shown beow or b) to
a poston Counc nserts beow and nto the Organsaton Chart.
If any responsbtes are mssng from the Pan submtted to the RTA the Pan w
be non-conformng>>.
Notes:
1. The quafcatons, experence and name of Councs Nomnated Safety
Management Representatve (who has prmary responsbty for ensurng
the Safety Management Pan s fuy mpemented for the Servces under
the contract) are set out n
Appendx S.
2. The reatonshps between roes shown overeaf are set out n the
Organsaton Chart n Councs Contract Management Pan.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 9 of 68
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Overall responsibility
for health and safety
management for the
RMCC
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Ens)re *or+place n,)r' (anage(ent as re-)red b' t.e *or+/over 0)t.ort'
Delver /o)ncl1s %%%#P to t.e R20 &or ts approval wt.n 34 da's o& t.e sgnng o& t.e R#//
Reg)lar sa&et' revews$ perodc sa&et' a)dts and (ontorng co(plance wt. /o)ncl1s %te %pec&c %a&et' #anage(ent Plan
0)t.orse$ w.en approprate$ an' specal s+lls 5eg electrcal6 re-)red to cond)ct 0)dts and *or+ ste %a&et' 7nspectons
Ens)re t.at t.e desgn o& wor+s addresses sa&et' bot. d)rng t.e wor+ and w.en t.e wor+s are n )se
Deter(ne t.e O89% re-)re(ents &or t.e selecton o& s)bcontractors and s)pplers
Ens)re bot. /o)ncl1s and s)bcontractors1 plant and e-)p(ent (eet reg)lator' standards and t.e re-)re(ents o& R20 "21# 0nne:)re ;
Provde .ealt. and sa&et' reso)rces$ servces and &acltes on wor+ stes to co(pl' wt. t.e /ode o& Practce
0pprove sa&et' traners ens)rng<
1. 2.ose delverng O89% nd)cton tranng nvolvng general nd)cton and wor+ actvt' nd)cton .old a 2ranng and 0ssess(ent
/ert&cate 77.
2. 2.ose developng co)rses &or O89% 7nd)cton tranng .old a *or+place 2raner 2ranng and 0ssess(ent /ert&cate 7= and
3. 2.e +eepng o& records o& t.e -)al&catons o& traners.
Ens)re O89% tranng ta+es place as re-)red b' t.s Plan
Enco)rage t.e actve nvolve(ent o& all sta&& n t.e (anage(ent o& O89%
Ens)re correctve/preventve acton not&catons concernng .ealt. and sa&et' are rased w.en approprate and are closed o)t be&ore t.e
process or e-)p(ent s )sed agan
Ens)re a 8old Pont s rased ((edatel' )pon an' process w.c. res)lts n<
1. an ncdent or accdent w.c. re-)res *or+/over be not&ed$
2. a Notce o& >ne &ro( *or+/over$
3. a ?ost 2(e 7ncdent or
@. an' dangero)s occ)rrence and
and release t onl' a&ter revewng wt. t.e R20 Representatve t.e conse-)ent (od&ed rs+ controls
Ens)re O89% Records are +ept n accordance wt. /o)ncls Records #anage(ent Plan
Not&' to t.e R20 n wrtng t.e na(e$ -)al&catons and e:perence o& t.e %a&et' #anage(ent Representatve
2@ .o)rs / da' contact &or %a&et' 7ncdents on t.e Networ+ A 8e/s.e can be contacted 2@ .o)rs a da' at t.e n)(ber s.own n 0ppend: R.
Page 10 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Manage hazards and
risks in construction
activities and ork
areas!
Oversee systems!
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Proc)re$ w.en approprate$ an' specal s+lls 5eg electrcal6 re-)red to cond)ct 0)dts and *or+ ste %a&et' 7nspectons
0)t.orse and coAsgn %*#%
7(ple(ent e(ergenc' proced)res
Ens)re *or+ %te %a&et' /.ec+lsts 5see 0ppend: D6 are appled and acted )pon wee+l' and %*#% are &ollowed wt. /0Rs beng rased
w.en re-)red. %ee 0ppend: / o& t.e B)alt' #anage(ent Plan and R20 "21# /la)se @.8
Revew sa&et' control (eas)res w.le wor+ s n progress to ens)re t.at constr)cton .aCards or rs+s are ade-)atel' addressed
0ddress sa&et' noncon&or(ances as t.e' arse
Ens)re <<t.e "angers>> .ave approprate O89% nstr)cton and tranng to s)pervse constr)cton wor+ and +now t.er responsbltes
0rrange t.e s)ppl' and nstallaton or )se o& protectve clot.ng and e-)p(ent 5DPPEE6$ &re e:tng)s.ers$ warnng sgns A all to 0)stralan
%tandards$
0rrangng tranng
Obtanng sa&e wor+ per(ts & needed$ &or e:a(ple t.ose &or /on&ned %pace Entr'
0rrangng t.e nstallaton o& ade-)ate abl)ton &acltes &or o)tdoor sta&&
2@ .o)rs / da' contact &or %a&et' 7ncdents on t.e Networ+ A 8e/s.e can be contacted 2@ .o)rs a da' at t.e n)(ber s.own n 0ppend: R.
P)rc.ase and arrange &or a &rst ad +t to be placed n a pro(nent accessble poston on eac. wor+ ste &or treatng (nor n,)res. 50s
re-)red b' t.e O89% Reg)latons A see *or+/over p)blcaton First Aid in the Workplace - Guide.6 .
0rrangng O89% nd)cton &or personnel &ro( all servce provders on t.e constr)cton wor+ stes 5see 0ppend: 86. <</o)ncl (a' ws. to
co(bne O89%$ Envron(ental and ot.er co(petenc' nd)cton tranng nto one sesson$ one &or( and one card per e(plo'ee>>
>acltatng cons)ltaton between all servce provders on wor+ stes 5and t.er e(plo'ees6
Provdng a cop' o& /o)ncl1s %te %pec&c %a&et' #anage(ent Plan$ %a&et' R)les and %a&e *or+ #et.od %tate(ents to all applcable servce
provders be&ore t.e' begn wor+
Prod)cng t.e %a&et' Per&or(ance Report 50ppend: B6
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 11 of 68
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Making orkplaces safe
Checking safety of "lant and
#$uipment
Checking %afety of &rucks
&aking fire precautions
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0ppl'ng .aCard and rs+ controls n constr)cton actvtes and wor+ areas
Ens)rng wor+ ste personnel 5ncl)dng s)bcontractors and vstors6 are appropratel' traned n$ nd)cted n and co(pl' wt.$ sa&e wor+
proced)res F see 0ppend: ? %*#% &or $ 0ppend: # $..$ 0ppend: ..
0dvsng <</ontract #anager>> o& an' sa&et' tranng needed
%a&et' assess(ent o& s)bcontractors and t.er plant and e-)p(ent
%ettng )p wor+ ste &acltes
%ettng )p sa&et' warnng sgns
Restrctng access to wor+ stes b' )na)t.orsed persons and not&'ng vstors o& sa&et' preca)tons to be observed on wor+ stes
0rrangng nstallaton o& &re e:tng)s.ers$ w.en re-)red
7ss)ng protectve clot.ng to e(plo'ees$ as re-)red
*ee+l' wor+ ste sa&et' nspectons$ e-)p(ent sa&et' and e:tng)s.er c.ec+s )sng 0ppend: D $ 0ppend: E$ 0ppend: > and 0ppend: "
2a+ng &re preventon (eas)res eg clearng &la((able (ateral be&ore slas.ng or gradng and ens)rng co(plance wt. &re restrctons
B)arantnng$ sgnpostng or taggng )nsa&e wor+ areas$ (aterals$ plant or e-)p(ent
8oldng tool bo: (eetngs be&ore wor+ eac. da' wt. all wor+ ste people to dsc)ss t.e O89% ss)es t.e da'1s wor+ wll brng
%torage arrange(ents &or general (aterals and .aCardo)s s)bstances
/.ec+ng t.e &rst ad bo: wee+l' and restoc+ng t as re-)red
7nvestgatng ncdents wt. <</o)ncl 7nsert Poston5s6 eg Engneerng Drector and %a&et' #anage(ent Representatve>>$
7ntatng noncon&or(ance reports or correctve/preventve acton not&caton 5)sng t.e &or( n 0ppend: E o& t.e B)alt' #anage(ent Plan 6
w.en sa&et' proble(s are dent&ed
7((edate response to sa&et' ncdents and t.e reportng o& t.e(
Geepng a regster o& .aCardo)s s)bstances on wor+ stes$ ncl)dng t.ose )sed b' all servce provders 5see 0ppend: ;
/ond)ctng a .aCard assess(ent on an' .aCardo)s s)bstances proposed to be bro)g.t onto t.e wor+ stes 5ncl)dng an' specal protecton
and .andlng re-)red6
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Geepng sa&et' records n accordance wt. /o)ncl1s Records #anage(ent Plan
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 13 of 68
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#nsuring that Council's %ite
%pecific %afety Management
"lan is fully implemented for
the %ervices under the
RMCC
(eep Council management
informed of all issues
relevant to the O)*%
%ystem!
%afety induction and
training
+e a point of contact ithin
Council hen an incident or
accident occurs
Hac+)p 2@ .o)rs / da' contact &or %a&et' 7ncdents on t.e Networ+ A 8e/s.e can be contacted 2@ .o)rs a da' at t.e n)(ber s.own n
0ppend: R.
8e / s.e s partc)larl' responsble &or co(()ncatng wt. t.e R20 Representatve on all O89% related ss)es.
8aCard/rs+ assess(ent o& constr)cton actvtes and wor+ areas 5see 0ppend: H.1 0ssess(ent o& t.e Rs+$ 0ppend: H.2. Rs+
0ssess(ent /alc)lator$ 0ppend: H.3. 8aCard 0ssess(ent and Rs+ /ontrol *or+ %.eet6
Preparng sa&e wor+ (et.od state(ents 5w.en re-)red6 n cons)ltaton wt. <</o)ncl 7nsert Poston eg Engneerng Drector>> 5see
0ppend: H..@6
Developng ste spec&c E(ergenc' Proced)res
Obtanng %te %pec&c %a&et' #anage(ent Plans and %a&e *or+ #et.od %tate(ents 5or e-)valent6 &ro( s)bcontractors and deter(nng
.ow /o)ncl wll (ontor sa&et' per&or(ance o& s)bcontractors
Ens)rng t.at wor+ ste personnel$ ncl)dng t.ose o& s)bcontractors$ .ave approprate O89% -)al&catons &or constr)cton actvtes and t.at
t.e' are +ept )pAtoAdate.
%ettngA )p O89% re&erence lbrar' at wor+ stes
%ettngA )p notce boards
0rrangng electon o& wor+ ste O89% representatves$ w.en approprate
?ason wt. *or+/over$ & re-)red
7(ple(entng a plan &or t.e reg)lar crc)laton O89% n&or(aton to pro(ote O89% awareness and )nderstandng
Geepng a regster o& .aCardo)s s)bstances on wor+ stes$ ncl)dng t.ose )sed b' all servce provders 5see 0ppend: ;6
/ond)ctng a .aCard assess(ent on an' .aCardo)s s)bstances proposed to be bro)g.t onto t.e wor+ stes 5ncl)dng an' specal protecton
and .andlng re-)red
Geepng sa&et' records n accordance wt. /o)ncl1s Records #anage(ent Plan
Page 14 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Page 16 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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7& Timeliness in ,./S
Counc ams to meet ts tme reated obgatons. Among them for OH&S are:
Rasng a Hod Pont and notfyng the RTA Representatve mmedatey,
and then n wrtng n deta wthn three days, of any of the foowng on
RMCC Servces:
OH&S Lost-Tme ncdent,
Any ncdent, accdent or n|ury entang notfyng WorkCover,
Notce of fne by WorkCover,
Lost tme ncdent, or any dangerous occurrence.
Reportng the correctve acton wthn three days. See RTA G21M Cause
4.9.2.
Immedatey removng from the work stes and Servces any non-compant
pant. See RTA G21M Cause 4.8.2 (h)
Conductng heath and safety nspectons at east weeky to dentfy
hazards assocated wth Servces performed under the RMCC. Ths ncuded
Servces done by subcontractors. See RTA G21M Cause 4.8.1.
Conductng Traffc Contro Inspectons and Audts n accordance wth RTA
Traffc Contro at Work Stes Manua Secton 6.1 usng the forms n
Appendx E of the manua. Where requred, Counc w use the Sampe
Inspecton / Audt Checksts from Annexure M of the RTAs Safety mode
documents.
Ten workng days before the proposed commencement of any Servce on
ste submttng any subcontractors OH&S revews and SWMSs (uness
Counc has prevousy submtted them and they are unchanged)
RTA G21M Cause 4.3.
Ten Busness Days before commencement of the Contract Term,
submttng, for the RTA's approva, a Traffc Management Pan. See RTA
G11 Cause 2.2.
Except as provded for n RTA G11, appyng n wrtng at east two weeks
before nstang a Reguatory Traffc Contro Devce. See RTA G10 Cause
1.4.
Revewng monthy the Rsk Assessment and Rsk Contro Pan (or earer f
there has been an n|ury, f the work s to be changed or f s thought to be
nvad). See G21M Cause 4.6.1.
Any other Safety Reports sted n the CEMP Appendx H.5 under "OH&S".
8& ,./S Consultation
Counc s commtted to mantanng sound OH&S consutatve arrangements wth
ts staff, the RTA and vstors to the work stes. To ths end, Counc refers to the
requrements of the NSW OH&S Consutaton Code of Practce. OH&S
representatves w be eected for the RMCC and w be brefed as to outcomes
of each work ste management team meetng and consuted wth at approprate
ntervas
<<An OH&S commttee /OH&S Commttees>> w be estabshed accordng to
OH&S egsaton and take nto account factors such as hours of work, number
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 17 of 68
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and groupng of empoyees, sub-contractors and servce provders, geographca
ocaton, specfc occupatona hazards etc.
A peope actng as ether an OH&S representatve or OH&S Commttee deegate
w be traned n the WorkCover Consutaton Tranng Course as requred by
egsaton. Approprate records w be mantaned by the <<Safety Management
Representatve>> to confrm ths tranng.
If a safety ssue arses n deverng RMCC Servces empoyees are requred to
notfy the <<Ganger>> or <<Contract Manager>> n the frst nstance. If
management does not respond to empoyee concerns n a reasonabe tme,
empoyees are entted to refer the ssue to the OH&S Commttee or the
<<Engneerng Drector>> for nvestgaton.
9& :ncident Management
Safety :ncident Plan
Counc has prepared a Safety Incdent Pan.
It deas wth accdents on the Network and safety ncdents durng the Servces. It
forms Appendx R. A fow chart whch summarses the Pan s at .
Response Time
Counc provde propery equpped and manned responses to safety Incdents and
Accdents on the Network and to requests for assstance from emergency
servces wthn the response tmes set out n the RMCC documents.
Reporting and Corrective Action
The management representatve caed out to the ncdent/accdent w ensure:
The Incdent/Accdent Report (see Appendx I) s competed and
The Hod Pont set down n the <<Engneerng Drectors>> responsbtes
s rased.
Any ncdent/accdent whch resuts n a ost tme n|ury ("LTI") w be reported
verbay to Councs <<Engneerng Drector>> wthn 24 hours. A copy of the
Incdent/Accdent Report w be emaed of faxed to the<<Engneerng
Drector>> wthn seven days of the ncdent/accdent.
The hazard contro and rsk management process set down n Secton 12 w then
be apped to determne whether ths Ste Specfc Safety Management Pan and /
or the SWMSs need amendment.
Process Held: Any process for which a Corrective Action request has been
issued as the result of an incident, accident or injury. .
Submission: CAR close out with the RTA Representative
Release: RTA Representative considers documentation submitted.
RTA
Hold Point
G21M CL. 4.8.!
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;& Site Safety Rules
Ste Safety Rues forms are n Appendx A.
Each workste or actvty w mpement and dspay Ste Safety Rues
Every Counc empoyee, subcontractor, RTA empoyee or agent, supper and
vstor to each RMCC work ste w be requred to compy wth the Ste Safety
Rues. A copy of these rues w be gven to everyone durng nducton to the
work ste. The rues w aso be dspayed at the ste offces and n the crb rooms.
<& =irst Aid
Frst ad kts w be nstaed at convenent ocatons n the work ste. Kts w aso
be avaabe n a Counc vehces.
A worker who hods a Senor Frst Ad Certfcate (or equvaent) w be
desgnated as the work ste Frst Ad Offcer when approprate. The Frst Ad
Offcer w:
carry out any frst ad treatments that are requred and
record detas of a frst ad treatments.
Purchase, nstaaton and restockng are deat wth at Secton 3.
>& =ire Protection
*?uipment
Fre fghtng equpment w consst of the foowng:
mnmum of one 9 kg mut-cass dry chemca extngusher for each work
ste budng
n areas where fues or other fammabe quds are stored and handed
both Foam and 9 kg chemca extngushes w be provded
for areas wth eectrca nstaatons a dry chemca CO2 w be provded
extngushes w be ocated and sgn posted accordng to AS2444(1995)
Vehces w be ftted wth a 1 kg dry chemca extngusher. Mobe pant
w be ftted wth a 2 kg dry chemca extngusher.
Fre extngushers w be vsuay checked by the <<Ganger>> on a weeky bass
usng Appendx G.
An accredted person w carry out the mandatory extngusher checks.
=ire prevention
Fammabe matera stores w be sutaby pacarded and sgn posted.
Good housekeepng practces w be enforced to prevent the bud up of
fammabe matera.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 19 of 68
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Fre breaks w be estabshed around work ste compounds to reduce threat from
bushfres. In these zones and around compound budngs grass cover w be
reguary cut to reduce rsk.
No fres w to be t when fre restrctons are n force.
Work crew fres for by bong and cookng w be n carefuy chosen, ceared
spaces.
Restrctons on scrapng and sashng w be observed.
*mergency evacuation
If evacuaton s necessary ths w be ordered by the <<Contract Manager,
Ganger>>, or by the next avaabe management representatve.
If evacuaton s ordered, everyone w move qucky, but n an ordery manner, to
the desgnated assemby pont. The <<Ganger>> w conduct a ro ca to
ensure everybody s accounted for. No one w return to the work ste unt an a
cear order has been ssued by the management representatve n charge.
Everyone that enters the work ste w be nformed of the emergency evacuaton
procedure and desgnated assemby pont at the work ste nducton tranng.
The <<Engneerng Drector>> w determne a schedue for the testng of the
emergency procedures. Ths must be consstent wth the producton
requrements of the work ste, but be hed at east on a sx monthy bass. The
outcomes of ths testng w be examned and mprovements made to the
procedures, f requred.
+@& Alcohol and Drugs
Counc w adopt the pocy shown at Appendx K partcuary
No one under the nfuence of acoho and /or drugs w be permtted to
work,
Acoho or ct drugs w not be consumed durng workng hours,
Peope adversey affected by acoho or drugs w be drected to eave
Counc premses and work stes.
Counc staff wth acoho or drug dependences w be asssted n seekng
treatment.
++& *mployee =acilities and aste Control
The <<Contract Manger>> w arrange the provson of empoyee factes for
each pro|ect work ste whch compy wth the Code of Practce and are adequate
for the number of personne usng them at each stage of the pro|ect.
The <<Ganger>> w arrange for waste and refuse to be stored n sutabe
contaners at the work ste and to be dsposed of reguary n order to mantan
the work ste n a hygenc, cean and tdy condton.
Page 20 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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+1& Ris! Management
Counc w ensure that a hazards assocated wth each work actvty are
dentfed, the assocated rsks assessed and measures for emnatng or
mnmsng and montorng the rsk are deveoped, documented and
mpemented.
The OH&S rsk management methodoogy adopted by Counc s detaed n the
rsk management procedure. Ths procedure s documented n Appendx B.
+2& Safe or! Method Statements
A work actvtes assessed as havng OHS rsks requre the preparaton and
mpementaton of Safe Work Method Statements ("SWMS"). These SWMS w be
deveoped n consutaton wth the personne who w be nvoved wth the work.
A SWMS w be documented, authorsed by the <<Engneerng Drector>> and
promugated usng the proforma shown at d Safe Work Methods Statement .
The SWMS that are ncuded n Appendx L to Appendx << >> are reevant to
the range of Servces that w be carred out under the RMCC. These SWMS have
been deveoped n consutaton wth Counc empoyees and represent the safest
and most practca way of carryng out the work actvty.
Process Held: Delivery of any Services under the RCC.
Submission: Conduct ha!ard identification, ris" assessment and control analysis
and have appropriate ha!ard controls in place. Submit all
documentation includin# necessary S$S.
Release: RTA Representative considers documentation submitted.
RTA
Hold Point
G21M CL .2
The same rsk management process and documentaton w be conducted durng
the RMCC f the nature of any work sgnfcanty changes, f the condtons n
whch any work s beng carred out change or f speca works are undertaken.
Process Held: Delivery of any different Services or if conditions chan#e.
Submission: Conduct ha!ard identification, ris" assessment and control analysis
and have appropriate ha!ard controls in place. Submit S$S to
RTA.
Release: RTA Representative considers documentation submitted.
RTA
Hold Point
G21M CL .2
It s the responsbty of the Engneerng Drector to ensure that the contro
measures adopted are montored n both ther mpementaton and aso for ther
contnung adequacy for the actvty. It s aso the responsbty of those
undertakng the Servces to nform management f suggested contros are
napproprate and the responsbty of those supervsng the Servces to montor
the mpementaton of the contro measures.
Annexure B.0.a shows Councs Incdent (Systems Faure) Investgaton Form.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 21 of 68
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+7& *ngagement of Su(contractors
'efore engagement:
Before engagng any subcontractor Counc w:
1. Document and keep copes of the dutes of that subcontractor,
2. Document and keep copes of the dutes Counc w retan,
3. Audt that subcontractors Rsk Assessment, Ste Specfc Safety
Management Pan and/or SWMS to ensure they compy wth G21M and
OHS Reguaton 2001, Cause 224. Keep copes of these.
4. Induct that subcontractors personne n accordance wth Cause 15 Heath
& Safety Tranng,
5. For wet pant hre examne a operators censes and certfcates n
accordance wth Secton 18 and carry out pant / truck nspecton n
accordance wth Secton 17.
During engagement:
Inspect, montor and document the performance of each subcontractors to
ensure compance wth the requrements of Cause 227 of the NSW OH&S
Reguaton, 2001.
Ths ncudes conductng heath and safety nspectons at the frequency shown n
Secton 4 to dentfy hazards assocated wth Servces performed under the RMCC
Process Held: %resence of any subcontractor on a wor"site.
Submission: Record of steps &. to '. above to the RTA
Release: RTA Representative considers documentation submitted.
RTA
Hold Point
G21M CL 4.
In the event that subcontractors are found to be not workng to the requrements
of the Ste Specfc Safety Pan or sSWMSs Counc w mmedatey ssue a CAR
wth a Hod Pont whch stops the noncompant process unt the CAR s cosed
out.
Process Held: Subcontractor(s noncompliant process.
Submission: Close out of CAR to ))*n#ineerin# Director++
Release: ))*n#ineerin# Director++ considers documentation submitted.
Council
Hold Point
+8& .ealth / Safety Training
+8&+ RMCC Safety induction
A Counc and subcontractors personne w attend an RMCC Safety Inducton
Meetng pror to the RMCC begnnng. The <<Counc Insert Poston(s) eg
Engneerng Drector and Safety Management Representatve>> w arrange and
conduct ths meetng. <<Counc w combne Envronmenta and other
competency tranng wth Safety Inducton>>.
Topcs covered at ths meetng w be at east the foowng:
1. Councs and RTAs ob|ectves n the RMCC,
2. Scope of the RMCC,
3. Organsaton and Responsbtes especay Work ste Management,
Page 22 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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4. Lcense requrements,
5. Work ste ayout,
6. Safety Rues,
7. Incdent Management names and phone numbers and nstructons to ca
mmedatey by <<Mobe phone / rado>>,
8. Traffc Hazards,
9. Genera Hazards present at the work stes: mobe pant, workng at heght,
manua handng etc
10.The Safe Work Methods and other measures adopted to respond to the
hazards.
11.Persona Protectve Equpment (PPE) ncudng sun protecton,
12.Emergency procedures ncudng emergency evacuaton,
13.Fre Preventon,
14.Locaton of fre extngushers,
15.Identty of frst aders,
16.Hazardous materas ocaton and contro,
17.Locaton of frst ad kts and
18.A remnder of the responsbty to act sensby and care for everyones
safety.
Any other reevant heath and safety ssues whch become apparent durng the
RMCC w be ncuded n ths work ste nducton.
Each person attendng ths meetng w:
be obged to sgn the attendance record as proof that they have attended
a work ste nducton brefng (Appendx H) and
be ssued wth a work ste OH&S nducton card. The card w be dated and
carry Councs name. It must be shows upon request whe the person s on
the work ste.
Counc may combne the OH&S, Ouaty and Envronmenta and other
competency tranng Records of Induction nto one record and smary
combne the correspondng cards nto one card.
Any Counc and subcontractor personne who commence work durng RMCC w
undergo the same work ste nducton tranng. Ths w be provded by
the<<Counc Insert Poston eg Councs Contract Manager or Safety
Management Representatve>>.
Counc and subcontractor personne w be permtted onto the work stes ony f
they have been "Safety Inducted", sgned the OH&S Inducton Record and been
ssued wth a card.
Vstors to work stes w be escorted throughout and w be nducted by the
<<Counc Insert Poston eg Ganger>> who w cover at east topcs 6 to 18.
above.
Process Held: %resence of any Council or subcontractor person on a wor" site.
Submission: Safety ,nduction of that person, a record of it on Record of -./S
,nduction 0 see Appendi1 .2and a wor" site -./S induction card.
Release: ))3an#er++ considers documentation submitted.
Council
Hold Point
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 23 of 68
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+8&1 General ,.S induction training
A Counc and subcontract empoyees workng on the RMCC work stes w be
requred to hod Genera OHS Inducton Constructon certfcates and have
attended work actvty based safety tranng. Records of ths tranng w be hed
by the <<Counc Insert Poston eg Safety Management Representatve>> at
Councs offces at <<Long St, Generc>>. These records can be vewed there.
Process Held: Any person wor"in# on the RCC.
Submission: 3eneral construction wor" health and safety and wor" activity
based safety trainin#
Release: ))Safety ana#ement Representative++ considers documentation
submitted.
Council
Hold Point
+8&2 Competency (ased training and assessment
Counc has a tranng and assessment program for ts empoyees. .. Empoyees
sk eves are assessed aganst the standards of competency requred and
remeda tranng s provded where necessary.
+8&7 Annual revie) of safety training
Councs safety tranng provders and currcua w be revewed and updated at
east annuay to ensure that the heath and safety ssues covered reman
reevant to changng crcumstances on the work ste.
+8&8 Safety Trainers- and Training Developers- ?ualifications
Traners deverng Heath and Safety Tranng nducton tranng nvovng
genera nducton w be WorkCover NSW accredted and those deverng work
actvty nductons w hod a Devery & Factaton quafcaton or equvaent -
competences requred, TAADEL401B, 404B & 403B.
Those empoyed to deveop courses for OHS&R Inducton tranng w hod a
Certfcate IV TAA 40104 quafcaton or equvaent.
+8&9 Safety training records
Records of safety tranng conducted, annua revews of safety tranng and of the
quafcatons of traner w be mantaned n accordance wth Councs Records
Management Pan.
+9& .ealth and Safety :nspections
Counc w conduct heath and safety nspectons weeky to dentfy hazards
assocated wth Servces performed under the RMCC.
Inspecton of Servces w ncude Servces performed by subcontractors and w
verfy they are compyng wth the actvtes SWMSs, as per Cause 227 of the
NSW OHS Reguaton 2001. Records of the nspectons are to be kept n
accordance wth Councs Record Management Pan.
A hgh standard of housekeepng w be mantaned on ste wth a areas kept
cean and tdy wth reguar coecton and remova of rubbsh.
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Appendx D shows Councs Work ste Safety Inspecton Checkst.
Foowng the nspecton Counc act on rsks dentfed by the nspecton n
accordance wth Secton 22 to emnate or reduce the hazards dentfed.
+;& Daily Truc! and Plant :nspection
Pant operators and truck drvers w carry out a start-up check before usng the
pant or truck each day and record the check on ether Appendx E or Appendx F
as approprate- these are Identfed Records. Unsafe pant w not be operated.
The <<Ganger>> w coect and check these forms for each pant tem / truck
at the end of each week then forward them to the <<Contract Manager>> who
w examne them and then store them n accordance wth Councs Record
Management System.
Pant w carry mnmum compusory sgnage as requred by RTA Specfcaton
G21M.
Process Held: Daily use of plant.
Submission: %lant ,nspection and a record of it in the form of Appendi1 * or
Appendi1 4.
Release: -perator 5 Driver considers documentation submitted.
Council
Hold Point
+<& Plant and *?uipment ,perators- #icenses
Ony operators (whether Counc or Contractors) wth approprate censes or
certfcates are aowed to operate pant and equpment on Counc work stes.
Learners w be supervsed by an appropratey quafed operator and w
mantan and carry a ogbook.
A regster of certfcated operators s kept by the <Safety Management
Representatve>>.
Process Held: %erson operatin# plant.
Submission: 6erification of relevant license or certificate and its entry in
Re#ister.
Release: ))3an#er++ considers documentation submitted.
Council
Hold Point
+>& PreAhire or Routine Plant and Truc! Audit
Before any pant or truck tem s used on RMCC Servces, Counc w ensure that
t s nspected by a competent person to ensure
It s safe and wthout rsk to heath and safety when propery used and
Is compant wth the Pant Requrements sted at RTA G21M Annexure
G21M/|.
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Counc w aow nspecton at any tme by the RTA of any pant or equpment
whch Counc uses for RMCC Servces for compance wth the pant requrements
defned n RTA G21M Cause 4.8.2 and Annexure G21M/|.
1@& Manual .andling
Counc w dentfy and assess manua handng rsks n deverng the Servces.
Counc w adopt the Rsk Assessment methodoogy outned n Secton 12.
The assessment w ncude the:
Lftng Requrements - what s the weght and sze of each tem to be fted,
can personne gan drect access to the tem wthout stretchng, s the ft
above chest hgh, how far does tem need to be carred, s the carry on
eve ground or up/down a sope or steps, are there any obstructons.
Lftng Capacty - sk, strength, heath and experence of each person
undertakng manua handng, whether any persona protectve cothng s
needed, effect of weather condtons, potenta for fatgue, and avaabty
of mechanca ads.
1+& Personal Protective *?uipment 3PP*4
A Counc outsde staff w wear and use the persona protectve equpment
("PPE") approprate to the task whe deverng the Servces. Subcontractors w
not be aowed to dever any Servces uness ther personne are cothed and
protected n accordance wth standards, egsaton and RTA G10 Cause 4.3.
PPE w be supped to Counc empoyees and w meet the requrements of
standards, egsaton and RTA G10 Cause 4.3.
Mandatory:
Wde brmmed hat or,
Safety hemet as approprate,
Safety footwear
Unfaded hgh vsbty fuorescent cothng, or fuorescent safety vest, or
fuorescent wet weather cothng whch compes wth Austraan Standard
AS/NZS 1906.4 and RTA Traffc Contro at Work Stes Manua.
Mandatory A must (e )orn if instructed to do so or if mandatory (lueA
)hite signage sho)s it must (e )orn:
Eye protecton,
Ear protecton,
Hand protecton,
Respratory protecton,
Long seeved shrts,
Sun screen
Trousers or Knee ength shorts,
Safety boots wth non-sp soes and stee toes,
Page 26 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Confned Spaces equpment.
Counc notes that WorkCover can ssue substanta on-the-spot fnes to both
ndvduas and ther supervsors for non-compance.
11& NonACompliance and Corrective Action
OH&S non conformances, for exampe those arsng from:
Audt and Surveance conducted by ether Counc or the RTA,
Incdent, accdent or n|ury ,
Appcaton of the OH&S Checkst,
Appcaton of the Rsk Management process,
Safety or heath ssues beng encountered on work stes,
Annua Revew of Safety Tranng,
Safety assessment of subcontractors and ther pant and equpment
Notce of fne by WorkCover,
w be deat wth:
By appyng the processes set down n the Ouaty Management Pan at
12.3 and 12.4,
Accordng to the responsbtes set down n Secton 3 of ths SSSMP,
Wthn the tmes and n the manner down n Secton 4 Tmeness n OH&S,
In the manner and observng the Hod Ponts set down n Sectons:
6 Incdent Management and
14 Engagement of Subcontractors.
12& ,./S Reporting
If requred by the RTA Representatve, Counc w provde nformaton to the RTA
on a monthy bass n conformty wth Appendx O <<Generc SC>> OH&S
Monthy Report. See RTA G21M Cause 5.
When requested by the RTA Representatve, Counc w provde reports on any
safety nspectons, audts or assessments undertaken durng the course of the
contract.
17& Revie)ing this Site Specific Safety Management
Plan
The panned target dates (or frequences) at whch the SSSMP w be sub|ect to
forma revew and the personne who w partcpate n the revew are dentfed
n the tabe at Management Revew at the begnnng of ths pan. Councs
<<Safety Management Representatve>w mantan records of any revew.
The revew w ensure the SSSMP s approprate and s beng mpemented
effectvey. Changes may arse from a change of scope, Counc nterna audts,
RTA audts, RTA comments or from opportuntes for mprovement.
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Generic Shire Council: Site Specific Safety Management Plan
The Pan w then be updated to refect any changes whch have occurred.
The revsed document and the nput whch ed to the revsons w be revewed
by Councs Genera Manager, approved by hm/her and then forwarded to the
RTA Representatve for hs/her record.
Page 28 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

Appendi" A Safety Rules Menu
&his appendi, comprises a minimum set of safety rules hich ill be evaluated and adapted for use herever the
%ervices for the RMCC are being carried out!
&hese rules ill be prominently displayed!
&he checklist belo ill be used to assess the need for- or circumstances here the folloing safety rules ill be
adopted! It ill be used in con.unction ith the R&A's /eneric )azards checklist hich Council ill obtain from the
R&A ebsite Contractors Health and Saety 'normation page(
I%%0# Check
Induction and Ancillary
Work site1Depot Inductions
All staff and subcontractors must be inducted to the site1depot on initial commencement and folloing any
significant changes to site1depot management arrangements!
All visitors must be inducted to the site1depot on arrival and advised of site safety rules applicable to their
activity hile on site- hazardous ork activities occurring at the site1depot and arrangements for first aid and
emergencies!
Only staff that has completed general safety induction- ork activity safety induction and ork site2specific
induction is permitted to ork on a construction site!
%afe Work Method %tatements
A safe ork method statement 3%WM%4 must be prepared for ork activities that have a medium or high risk
rating and must be developed in consultation ith staff that perform the ork!
)ousekeeping
)igh standards of housekeeping is the responsibility of all staff to ensure5
access and egress is maintained at all times- especially to emergency safety e$uipment including
fire e,tinguishers- eyeash stations- emergency shoers- first aid and emergency e,its
the absence of combustible materials from ork areas
the absence of trip or slip hazards and obstacles in travel paths
safe storage of materials and supplies!
Incident Reporting
Report all near misses and incidents that occur in the ork zone to your immediate supervisor and to
66Council Insert77
Alcohol and Drugs
Alcohol or illicit drugs are not to be consumed before or during orking hours!
"ersons adversely affected by alcohol or drugs ill be directed to leave Council premises and RMCC ork
sites!
Council staff ith alcohol or drug dependencies ill be assisted in seeking treatment!
%afety Aareness
8ollo safety rules as safe ork methods- safety signs and instructions!
Report hazards to your supervisor or O)*% representative!
9ever engage in horse play or practical .okes!
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 29 of 68
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I%%0# Check
&raffic- :ehicle and "lant
&raffic Control
&raffic control is to be set up and taken don in accordance ith approved traffic control plans!
&raffic and :ehicle Movements
&ravel paths for general traffic and ork site vehicle movements must be clearly marked!
%eparate pedestrian travel paths should be marked in high traffic areas!
&emporary changes to traffic movement must be advised to all staff prior to the commencement of changed
conditions 3or similar4 especially here ma.or or arterial roads may be a cause of increased risk!
Mobile "lant
Work must not be carried out ithin ; metres of mobile plant ithout a risk assessment and alternative
controls such as an observer! Consideration must be given to the area around the mobile plant that may be
affected by flying debris or other unintended impacts from the operation of the plant!
All self2propelled plant- trucks and- here applicable- trailers must have reversing alarms < use of observers
should be considered for reversing plant on orksites and near pedestrian traffic!
+eare of reversing trucks and plant! =isten for reversing alarms!
+eare of overhead1underground poer lines- other utilities and lo branches hen operating mobile plant!
"lant and #$uipment
"lant and e$uipment must only be used for the purpose it is intended and in accordance ith the
manufacturers instructions!
"lant operators and truck drivers are to complete the daily pre2start inspection checklist for all mobile plant
and trucks!
Only licensed truck drivers are to be used to drive trucks!
Only trained and appropriately $ualified plant operators or trainees under supervision are to be used to
operate plant!
When entering1e,iting trucks or plant use the steps and handrails provided and have three points of contact
at all times!
"lant operators are to ear a seatbelt here Rollover protection 3RO"%4 is fitted!
"lant is to be parked on level ground and separated by a minimum of ; metres!
9ever operate plant or e$uipment- hich is tagged as being dangerous or out of service- has its guards
removed or is otherise defective!
Any defect identified shall be reported to the ork site supervisor on the 8leet Items Defect Report +ook!
=oading and unloading plant
When loading1unloading plant- the plant operator1float driver is to ear a seatbelt if RO"% is fitted!
=oad1unload plant on level ground using an observer!
In et conditions- check surface conditions to be driven on before loading!
Page 30 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

I%%0# Check
"ersonal protection
Personal protectve e-)p(ent 5PPE6 wll be worn n t.e &ollowng crc)(stances.
*.ere sgnage re-)res ts )se
*.ere a ste rs+ assess(ent or %*#% dent&es a rs+ t.at necesstates ts )se.
Ot.er consderatons &or spec&c PPE re-)re(ents are lsted below.
#ye "rotection
#ye protection must be orn henever5
operating plant or e$uipment here there is a risk of flying ob.ects or debris
hen orking in dusty conditions- or
near trees or vegetation ith a risk of protrusions contacting the eye!
0: protection should be provided for outdoor ork!
)and "rotection
%afety gloves suitable to the task must be orn hen handling any materials here there is a risk of cuts-
abrasions- splinters or chemical e,posure!
)ead "rotection
%afety helmets must be orn here5
there is a possibility that a person may be struck on the head by a falling ob.ect
a person may strike their head against a fi,ed or protruding ob.ect
accidental head contact may be made ith electrical hazards- or
orking ithin >!? times the length of a moving 3traversing4 boom!
)earing "rotection
)earing protection must be orn in the vicinity of plant or e$uipment that- hen operating- makes it
necessary to raise your voice to talk to a person > metre aay from you!
Areas here this plant operates must be signposted 3including on the plant itself4 to advise hearing
protection is re$uired!
)igh :isibility Clothing
Approved fluorescent yello safety clothing are to be orn by Council staff during daylight hours henever
orking in the vicinity of traffic or mobile plant!
@ello1hite overalls ith reflective striping or day1night vests are to be orn at night!
%afety 8ootear
Approved safety footear is re$uired henever5
orking on a road construction or maintenance site
operating construction plant or orking in the vicinity of such plant
herever there is a risk of heavy ob.ects falling!
=ace2up safety boots are recommended for better ankle support!
#lastic2sided boots or safety shoes must not be orn hile orking ith hot products including bitumen
products!
%un "rotection
%un protection is re$uired hen orking outdoors!
+road2brimmed hats- long sleeved shirts and 0: protection cream must be orn!
+rims for safety helmets must be orn here a safety helmet is re$uired!
%afety glasses ith 0: protection must be orn!
A supply of drinking ater must be available on ork site! %taff must take fre$uent drink breaks on hot days!
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 31 of 68
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I%%0# Check
)azard Management
#lectrical #$uipment
All electrical e$uipment must be regularly inspected and tagged!
Work on live electrical installations is prohibited e,cept for the purpose of testing or in emergency situations
folloing a risk assessment and approval by a manager!
Manual )andling
Manual handling is to be eliminated herever possible!
Wherever possible- use mechanical devices to lift heavy or akard items!
&eam lifting should only be used here mechanical lifting is absolutely not practical!
=ist tasks at your ork site1depot here manual handling is prohibited!
Mobile "hones
Mobile phones must not be used by persons hile
on foot in the vicinity of mobile plant- or
on a ork site using e,plosives!
Only hands2free mobile phone devices may be used by persons driving CO09CI= vehicles and only for short
duration calls!
Working at )eights
Where there is the potential for a person or ob.ect to fall from a height greater than A metres- no ork is to be
carried out ithout fall protection or fall arrest systems in place! 8all arrest systems must be used here
secure- fenced ork areas cannot be provided!
=adders must be inspected for faults prior to use! &hey are to be used primarily as a means of access!
Only short2term tasks may be carried out from a ladder using the third top rung and ensuring that three points
of contact are maintained at all times!
0se of )azardous %ubstances
)azardous substances must not be used ithout reference to the material safety data sheet 3M%D%4 to ensure
that use is in accordance ith the manufacturers instructions taking particular account of recommendations
for5
"recautions for use- especially re$uirements for ventilation and personal protection e$uipment-
)ealth effects including short and long term effects and risks associated ith inhalation- ingestion and skin
or eye contact
8irst aid and emergency re$uirements!
Material %afety Data %heets must be readily accessible to users!
All containers of hazardous substances including decanted containers must be labelled and carry the
minimum set of risk phrases!
Working in the vicinity of public utilities
All underground- above ground and overhead utilities must be identified and every effort made to have
services disconnected prior to ork commencing here there is a risk of contact!
All services must be clearly marked using a colour2coded system on plans used on ork site!
All underground services must be located using detection e$uipment and hand digging techni$ues if
necessary!
When orking under poer lines- minimum clearance distances are to be observed! Where this is not
possible- a $ualified safety observer is to be appointed!
Only plant operators and truck drivers ith current Plant and Crane Electrical Safety $ualifications are to ork
ithin minimum clearances!
Page 32 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

Appendi" ' Safety Ris! Management Process
Councs Rsk Identfcaton, Assessment, Contro and Management procedure s set out n a
to Annexure B.0.a beow.
Where any of the foowng actvtes are performed under the RMCC Counc w gve
specfc and detaed consderaton to them n preparng SWMSs:
All highAris! construction )or!$ as listed in Chapter <$ ,.S Regulation 1@@+$
Clause 1@> construction )or!:
nvovng structura ateratons whch requre temporary support,
at a heght above 3 metres,
nvovng excavaton to a depth greater than 1.5 metres,
n tunnes,
nvovng the use of exposves,
near traffc or mobe pant,
n or around gas or eectrca nstaatons,
over or ad|acent to water where there s a rsk of drownng
.igh ris! haBards or sources of haBards re?uiring particular attention in ,.S
systems include 3See Chap ; NS ,.S Regulation also4:
Manua handng
Use, nstaaton, nspecton and/or repar of pant and equpment
Workng at heghts
Workng n confned spaces, ncudng dentfyng and sgn postng of confned spaces
Vehce movement on ste
Hazardous substances and dangerous goods
Eectrca work
Traffc contro
Underground uttes
Overhead uttes
Nose
Lead processes and ead rsk work
Asbestos
Confned Spaces
Cranes and Png Rgs
Bastng
Abrasve bastng
Spray pantng
Wedng
Pre stressng
Post tensonng
Counc aso notes the hazards assocated wth hot btumen and treats them appropratey.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC
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Generic Shire Council: Site Specific Safety Management Plan
a& Assessment of the Ris!
2.e rs+ o& a .aCard s related to t.e severt' o& a sngle ncdent$ and t.e &re-)enc' and
d)raton o& e:pos)re. 0lso$ t.e (ore .aCards t.at 'o) dent&' t.e greater t.e rs+.
STEP 1: 2o assess rs+$ consder t.e &ollowng<
)OW =I(#=@ )OW +AD
8ow (an' t(es n a da'/wee+ s
t.e tas+/actvt' per&or(edI
8ow (an' people wo)ld be
e:posedI
8ow long s t.e e:pos)reI
0re engneerng controls preventng
e:pos)reI
Does t.e la'o)t and condton o& t.e
wor+place a&&ect e:pos)reI
0re abnor(al condtons reasonabl'
&oreseeable$ res)ltng n a greater
e:pos)reI
*.at are t.e res)lts o& an'
bologcal or at(osp.erc
(ontorngI
Do wor+ers .ave t.e approprate
s+lls and +nowledge to per&or(
t.er tas+sI
Do c)rrent wor+ practces e:pose
wor+ers to a .aCardI
0re t.ere ot.er contrb)tng &actorsI
*.at are t.e conse-)ences o&
e:pos)re n t.e s.ort ter(I
*.at are t.e conse-)ences o&
e:pos)re n t.e long ter(I
*.at s t.e .stor' o& n,)res
related to e:pos)re o& t.at .aCardI
8ow close s t.e wor+er to t.e
.aCardI
*.at s t.e energ' level o& t.e
.aCard 5e weg.t$ voltage$ vol)(e$
a(plt)de$ .eg.t above gro)nd$
concentraton$ aggressve state6I
7& t.e s)bstance s .aCardo)s$ w.at
are t.e .ealt. e&&ects assocated
wt.<
o ngestng tJ
o n.alng t$ or
o absorbng t t.ro)g. t.e s+n or
t.e e'es.
STEP 25 Kse t.e rs+ assess(ent calc)lator to rate t.e rs+ to an ndvd)al sta&& (e(ber or
gro)p dong wor+ t.at nvolves t.e dent&ed .aCards. 2.e ratng t.en &or(s t.e bass &or
w.at level o& acton s re-)red.
(& Ris! Assessment Calculator
?7GE?78OOD A
8O* ?7GE?L 7% 72 2O 80PPEN 0ND 8O* O>2ENI
/ON%EBKEN/E% F
8O* H0D 7% 72
?7GE?L 2O HEI
=ery ?ikely
could
happen at
any time
=?
?ikely
could
happen
some time
?
Knlikely
could
happen- but
rare
K
=ery Knlikely
could happen-
but probably
never ill
=K
#,treme 2 (ill or
cause permanent
disability or ill health
G
1 1
2
3
Ma.or < =ong term
illness or serious
In.ury
%
1
2
3 @
Moderate < Medical
attention and several
days off ork
#
2
3 @
4
Minor < 8irst aid
needed
>
3 @
4 M
&here ill be times hen risk assessments ill need to be revieed5
When a hazard is identifiedB
When a risk assessment is no longer validB
When in.ury or illness results from e,posure to a hazard- and
When a significant change is proposed in the place of ork- or in
ork practices or procedures!
STEP : /o(plete t.e wor+s.eet overlea& to develop e&&ectve control (eas)res. Re&er to
0ppend: 0 n selectng control (eas)res.
Page 34 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Write (or attach)
these safety
controls on your
SWMS
Generic Shire Council: Site Specific Safety Management Plan

c& .aBard Assessment and Ris! Control or! Sheet
Activity/Project
E!a"ple: #itu"en sprayin$ durin$ su""er
Hazards
How
severe?
How
likely?
Risk rating What can be done to lessen the risk
E!a"ple: %ot &eather M VL Pro'ide cool &ater( &ear loose clothin$ &ith lon$ slee'es( rest in the shade
Date< CCCC/CCCC/CCCC %)pervsor1s sgnat)re< CCCCCCCCCCCCCCCCCCCC
%gnat)res o& people nvolved n t.e rs+ assess(ent< CCCCCCCCCCCCCCCCCCCC
CCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCC
CCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCC
CCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCC
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 35 of 68
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)* S+ )AT* ,G
> < )i gh r i skJ ((ed at e act on s r e-) r ed
A < %i gni f i cant r i skJ (por t ant t o do so(et . ng abo)t t . s
.aCar d as soon as poss bl e
;2 D < Medi um r i skB r s+ cont r ol (eas)r es ar e r e-) r ed
?2 E < =o r i skB (anage b' r o)t ne pr oced)r es
Generic Shire Council: Site Specific Safety Management Plan
d& Safe or! Methods Statement
=ocation5 I approve the use of this %afe Work Method %tatement5
9ame5
"osition5
%ignature5
Date5
=ocal Reference 9o5
3%WM%4 Activity /uide3s4 used5
Description of Activity5 Work %ite1"ro.ect Depot5
Critical %teps in this Activity5 "otential )azards5 %afety Controls5
&raining Re$uired to Complete Activity5 =ist Codes of "ractice- =egislation- %tandards
hich apply to this Activity5
Page 36 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

1. ?st tranng re-)red eg >rst 0d$ 2ra&&c /ontrol.
A! &raining details are located on5
"ro.ect file5
tick bo,
&raining Data +ase
tick bo,
Other 3specify4 tick bo,
=ist "lant1#$uipment1"ersonal "rotective #$uipment re$uired for
this Activity5
=ist #$uipment Maintenance Checks re$uired for this
Activity5
#ngineering Certificates 1"ermits1Approvals
re$uired for this Activity
eg road clos!re" !tility sh!tdown" Work#over
noti$ication" de%olition licence&
&ype Reference1Document
"erson3s4 Responsible for %upervising1Inspecting %ervices5
Person5s6 responsble &or s)pervsng t.e %ervces$ nspectng and approvng wor+ areas$ wor+ (et.ods$ protectve (eas)res$ plant e-)p(ent and power tools
9+ ?st o& -)al&catons/e:perence s .eld on local &les
9ame5 .......................................................................... "osition5 &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& %ignature5 ..............................................................
9ame5 .......................................................................... "osition5 .................................................................................................... %ignature5 ..............................................................
8or list of names and signatures of staff instructed in this %WM% see local training records!
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 37 of 68
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Generic Shire Council: Site Specific Safety Management Plan
Page 38 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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a& :ncident 3Systems =ailure4 :nvestigation =orm
RESULT OF INCIDENT/ACCIDENT
Injury, Property Damage
STEP
1
Describe the exact injury
or property damage
Incident/Injury Report No.
Person Initiating Original Report
Date o! In"estigation Date o! Injury/Incident
INCIDENT/CONTACT
#all, struc$, caught. O"erexertion. %ontact &ith etc.
' Describe ho& In"estigating Persons
RECOMMENDATIONS/ACTIONS RESP.
PERSON
DUE
DATE
IMMEDIATE CAUSE
O! Incident/(ccident
) Describe the immediate
cause
BASIC CAUSES (Contributing factor!
*uper"isory per!ormance, tas$ !actors, e+uipment/materials,
ha,ardous substances, en"ironmental, design !actors, personal etc.
- Describe basic
contributing !actors
S"STEM FAILURE
.hat is there in the system o! &or$ that &as meant to pre"ent the
occurrence/
0 Describe
Generic Shire Council: Site Specific Safety Management Plan

Appendi" C .old Points
Reference
R&A Doc FClause 9oG
R&A or
Council
)old "oint
"rocess )eld %ubmission Details
R20 "21# 53.26 R20 /o((ence(ent o& %ervces
%)b(t wt. 34 da's o& acceptance /o)ncl1s
%te %pec&c %a&et' #anage(ent Plan &or R20
0pproval
"21# 5@.8.36 and
%%%#P /la)se @
R20
0n' process w.c. led to a %a&et'
7ncdent or /0R
/0R close o)t wt. R20 Representatve
G21M (3.2) R20
Delver' o& an' %ER=7/E% n
orgnal R#// doc)(ents
8aCard dent&caton$ rs+ assess(ent and
control anal'ss and .ave approprate .aCard
controls n place ncl %*#% to R20
G21M (3.2) R20
Delver' o& an' %ER=7/E% ot.er
t.an above wt. d&&erent rs+s or
orgnal %ER=7/E% )nder
d&&erent rs+ condtons.
8aCard dent&caton$ rs+ assess(ent and
control anal'ss and .ave approprate .aCard
controls n place ncl %*#% to R20
G21M (4.3) R20
Presence o& an' s)bcontractor on
a wor+ste
0)dt s)bcontractors %%%#P 9 %*#%
7nd)ct s)bcontractor1s personnel
E:a(ne operator1s lcenses and cert&cates
7nspect plant
%et down t.e O89% responsbltes /o)ncl wll
retan
%et down an O89% s)rvellance progra(
%)b(t records o& t.e above to R20
&his %%%M"
%ection5
1@ /o)ncl
%)bcontractor1s nonco(plant
process
/losed o)t o& /0R to <<Engneerng
Drector>>
14.1 /o)ncl
Presence o& an' person on a
wor+ste
%a&et' 7nd)cton o& t.at person and a record o&
t on Record o& O89% 7nd)cton to <<"anger>>
14.2 /o)ncl 0n' person wor+ng on t.e R#//
"eneral constr)cton wor+ .ealt. and sa&et'
and wor+ actvt' based sa&et' tranng to
<<%a&et' #anage(ent Representatve>>
18 /o)ncl Operaton o& an' plant
<<"anger1s>> 0pproval o& Operator1s
-)al&catons to operate and t.er entr' nto
Regster
1N /o)ncl
Kse o& an' plant ncl t.at o&
s)bcontractors
Dal' Plant 7nspecton and a record o& t n Plant
Dal' 7nspecton 9 De&ect Report b'
<<"anger>>
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC
Page 39 of 68
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Generic Shire Council: Site Specific Safety Management Plan
Appendi" D or! site Safety :nspection Chec!list
This chec"list is a #uide only. ,t will be used to the e1tent that it is appropriate to the RCC.
-ther wor" site7specific chec"lists will be developed for the purposes of completin# physical inspections.
55Generic Shire Council66
General .ealth and Safety Physical :nspection Chec!list for RMCC
Contract
Tte: .........................................................................................................................
...........
Contract No: .........................................................................
Contractor: ...............................................................................................................
.....
Workste Locaton: ........................................................
Date: ...................................
Persons carryng out
nspecton: .................................................................................
:ndicate in the follo)ing manner:
Accepta(le Not Accepta(le N/A Not Applica(le N/C Not
Chec!ed
1. Healt" and Sa#et$ S$stems
1.1 O89% polc' dspla'ed
1.2 0ccdent report boo+
1.3 7nd)cton records
1.@ 7n,)r' (anage(ent polc' avalable
1.4 *or+place nspecton records
1.M E(ergenc' proced)res n place
1.N 2ranng records
1.8 Doc)(ented sa&e wor+ proced)res
1.! Protectve clot.ng 9 e-)p(ent records
1.10 #%D% avalable
1.11 8ealt. 9 sa&et' s'ste(s (an)al
1.12 #anage(ent sa&et' representatve apponted
1.13 /ontract rs+ assess(ent avalable
1.1@ /ontract ste spec&c .ealt. 9 sa&et' s'ste( avalable
2. House%ee&in'
2.1 *or+ areas &ree &ro( r)bbs. 9 obstr)ctons
2.2 /lear access and egress n t.e wor+place
2.3 %)r&aces sa&e and s)table
2.@ >ree &ro( slp/trp .aCards
2.4 >loor openngs covered
2.M %toc+/(ateral stored sa&el'
Page 40 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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07%?E%
2.N Knobstr)cted and clearl' de&ned
2.8 0de-)ate lg.tng
2.! =son at corners
2.10 *de eno)g.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 41 of 68
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Generic Shire Council: Site Specific Safety Management Plan
. (lectrical
3.1 No bro+en pl)gs$ soc+ets$ swtc.es
3.2 No &ra'ed or de&ectve leads
3.3 Power tools n good condton
3.@ No wor+ near e:posed lve electrcal e-)p(ent
3.4 2ools and leads nspected and tagged
3.M No straned leads
3.N No cableAtrp .aCards
3.8 %wtc.es/crc)ts dent&ed
3.! ?oc+Ao)t proced)res/danger tags n place
3.10 Eart. lea+age s'ste(s )sed
3.11 %tart/stop swtc.es clearl' dent&ed
3.12 %wtc.boards sec)red
3.13 0pproprate &re &g.tng e-)p(ent
4. Mobile Plant and ()ui&ment
@.1 Plant and e-)p(ent n good condton
@.2 Dal' sa&et' nspecton proced)res/c.ec+lsts
@.3 >a)lt reportng/rect&caton s'ste( )sed
@.@ Operators traned and lcensed
@.4 *arnng and nstr)ctons dspla'ed
@.M *arnng lg.ts operatonal
@.N Reversng alar( operatonal
@.8 %ats&actor' operatng practces
@.! >re e:tng)s.er
@.10 2'res sats&actor'
@.11 %*? o& l&tng or carr'ng e-)p(ent dspla'ed
@.12 /ert&cates o& co(petenc' sg.ted
@.13 2ranee log boo+s n )se
@.1@ Plant +e's and )nattended plant +ept sec)re
*. Mac"iner$ and +or%benc"es
4.1 0de-)ate wor+ space
4.2 /lean and td'
4.3 >ree &ro( e:cess ol and grease
4.@ 0de-)atel' g)arded
4.4 *arnngs or nstr)ctons dspla'ed
4.M E(ergenc' stops appropratel' placed and clearl' dent&able
4.N Operated sa&el' and correctl'
*ORGHEN/8E%
4.8 /lear o& r)bbs.
4.! 2ools n proper place
4.10 D)c+boards or &loor (ats provded
,. Ha-ardous Substances
M.1 /.e(cal regster developed
M.2 %tored appropratel'
M.3 /ontaners labelled correctl'
M.@ 0de-)ate ventlaton/e:.a)st s'ste(s
Page 42 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
Prnted copes of ths document are uncontroed
M.4 Protectve clot.ng/e-)p(ent avalable/)sed
M.M %ats&actor' personal .'gene practces
M.N *aste dsposal proced)res
M.8 #ateral sa&et' data s.eets avalable
M.! /.e(cal .andlng proced)res &ollowed
M.10 0pproprate e(ergenc'/&rst ad e-)p(ent A s.ower$ e'e bat.$ e:tng)s.ers
M.11 80O/8E# sgnng dspla'ed
.. +eldin'
N.1 Onl' traned personnel per(tted to weld
N.2 "as bottles sec)rel' &:ed to trolle'
N.3 *eldng &)(es well ventlated
N.@ >re e:tng)s.er near wor+ area
N.4 Onl' &lnt g)ns )sed to lg.t torc.
N.M >las. bac+ spar+ arresters &tted
N.N =son screens )sed &or electrc weldng
N.8 ?P" bottles wt.n 10 'ear sta(p
N.! PPE provded and worn
N.10 8ot *or+ per(t s'ste( )sed
8. (/ca0ations
8.1 %.orng n place and n so)nd condton &or all trenc.es (ore t.an 1.4(
8.2 E:cavaton well sec)red
8.3 %gnage dspla'ed
8.@ Han+s battered correctl' and spol awa' &ro( edge
8.4 %)&&cent clear areas and sa&e access aro)nd e:cavaton
8.M %eparate access and egress ponts &ro( e:cavaton
8.N %a&e wor+ proced)re n place
1. Pre0ention o# 2alls
!.1 0ll wor+ plat&or(s .ave sec)re .andrals$ g)ardng or &ence panels
!.2 >all arrest s'ste(s (antaned and )sed as re-)red
!.3 8arness and lan'ard or belts provded
!.@ 0ll &loor penetratons covered or barrcaded
!.4 Knsa&e areas sgnposted and &enced
!.M %a&e wor+ proced)re n place
13. Stairs4 ste&s and landin's
10.1 No worn or bro+en steps$ r)ngs or st'les
10.2 8andrals n good repar
10.3 /lear o& obstr)ctons
10.@ 0de-)ate lg.tng
10.4 E(ergenc' lg.tng
10.M NonAslp treat(ents/treads n good condton
10.N Gc+ plates w.ere re-)red
10.8 /lear o& debrs and splls
10.! Ksed correctl'
11. Ladders
11.1 ?adders n good condton
11.2 ?adders not )sed to s)pport plan+s &or wor+ng plat&or(s
11.3 /orrect angle to str)ct)re 1<@
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 43 of 68
Prnted copes of ths document are uncontroed
Generic Shire Council: Site Specific Safety Management Plan
11.@ E:tended 1.0 (etre above top landng
11.4 %trag.t or e:tenson ladders sec)rel' &:ed at top
11.M #etal ladders not )sed near lve e:posed electrcal e-)p(ent
12. Sca##oldin'
12.1 E(plo'ees traned and records (antaned
12.2 %ca&&old desgn co(ples wt. 0% 14NM and s cert&ed
12.3 %a&e and s)table access and egress to sca&&old
12.@ 8andover cert&cates recorded
12.4 Records o& nspectons (antaned
12.M Repar and (antenance detals .eld on wor+ ste
1. Personal Protection
13.1 E(plo'ees provded wt. PPE
13.2 E(plo'ees traned n t.e )se o& PPE
13.3 PPE beng worn b' e(plo'ees
13.@ Reg)lar (antenance c.ec+s per&or(ed on PPE
13.4 %)n crea( and s)nglasses provded
13.M /orrect sgnage at access ponts
13.N 8ard .at areas correctl' sgn posted
13.8 8ard .ats avalable to vstors on wor+ ste
13.! 8ard .ats are wt.n t.e l&e span set o)t b' 0% 1800
14. Sa#et$ Clot"in'
1@.1 %a&et' &ootwear approprate to t.e ,ob s worn
1@.2 8g. vsblt' clot.ng s worn
1@.3 /lot.ng s n good condton
1*. Manual Handlin'
14.1 #ec.ancal ads provded and )sed
14.2 %a&e wor+ proced)res n place
14.3 #an)al .andlng rs+ assess(ent per&or(ed
14.@ #an)al .andlng controls (ple(ented
1,. +or%&lace (r'onomics
1M.1 *or+staton and seatng desgn acceptable
1M.2 Ergono(c &actors consdered n wor+ la'o)t and tas+ desgn
1M.3 Kse o& e:cessve &orce and repettve (ove(ents (n(sed
1M.@ 0pproprate tranng provded
1.. Material Handlin' and Stora'e
1N.1 /onstr)cton ste storage areas establs.ed
1N.1 %tac+s stable
1N.2 8eg.ts correct
1N.3 %)&&cent space &or (ovng stoc+
1N.@ #ateral stored n rac+s/bns
1N.4 %.elves &ree o& r)bbs.
1N.M 0ccess aro)nd stac+s and rac+s clear
1N.N Dr)(s c.ec+ed
1N.8 Pallets n good repar
1N.! 8eaver te(s stored low
1N.10 No danger o& &allng ob,ects
Page 44 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
Prnted copes of ths document are uncontroed
1N.11 No s.arp edges
1N.12 %a&e (eans o& accessng .g. s.elves
1N.13 Rac+s clear o& lg.ts/sprn+lers
1N.1@ H)ndng and contan(ent provded and operatonal
18. Con#ined S&aces
18.1 Rs+ assess(ent )nderta+en
18.2 /o(()ncaton and resc)e plan n place
18.3 %a&et' e-)p(ent n good wor+ng condton
18.@ %)table tranng provded to e(plo'ees
18.4 /on&ned %pace per(t )sed
18.M 0ll con&ned spaces dent&ed and appropratel' sgnposted
11. Tra##ic Control
1!.1 0pproprate tra&&c control plan avalable
1!.2 2.e plan s correctl' (ple(ented
1!.3 %gnage and devces erected accordng to t.e tra&&c control plan
1!.@ 2ra&&c controllers traned and t.er tc+ets sg.ted
1!.4 8g. vsblt' clot.ng s worn
1!.M 0ll sde road access to wor+ste controlled
1!.N Dal' records o& sgn arrange(ents +ept
23. Lasers and 5on6destructi0e Testin' ()ui&ment
20.1 Operator .as approprate operator lcence
20.2 %gnage dspla'ed
20.3 E-)p(ent not )sed n a (anner to endanger ot.er persons
21. 7emolition
21.1 Rs+ assess(ent )nderta+en n advance
21.2 0ccess prevented to de(olton area
21.3 Over.ead protecton n place
21.@ Protecton o& general p)blc
21.4 %a&e wor+ proced)re n place
21.M /o(pl' wt. *or+/over de(olton lcensng re-)re(ents
22. Public Protection
22.1 0pproprate barrcades$ &encng$ .oardng$ gantr' sec)re and n place
22.2 %gnage n place
22.3 %)table lg.tng &or p)blc access
22.@ >ootpat.s clean and &ree &ro( debrs
22.4 D)st and nose controls n place
22.M *or+ ste access controlled
22.N 2ra&&c control proced)res n place
22.8 P)blc co(plants actoned
2. Amenities
23.1 *as.roo(s clean
23.2 2olets clean
23.3 ?oc+ers clean
23.@ #eal roo(s clean and td'
23.4 R)bbs. bns avalable A covered
23.M Drn+ng water s)ppled
23.N 0(entes co(pl' wt. /onstr)cton 50(entes and 2ranng6 Reg)laton 1!!8
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 45 of 68
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Generic Shire Council: Site Specific Safety Management Plan
24. 2irst Aid
2@.1 /abnets and contents clean and orderl'
2@.2 %toc+s (eet re-)re(ents
2@.3 >rst aders na(es dspla'ed
2@.@ >rst aders locaton and p.one n)(bers
2@.4 B)al&ed &rst ader5s6
2@.M Record o& treat(ent and o& s)pples dspensed
2*. Li'"tin'
24.1 0de-)ate and &ree &ro( glare
24.2 ?g.tng clean and e&&cent
24.3 *ndows clean
24.@ No &lc+erng or noperable lg.ts
24.4 E(ergenc' lg.tng s'ste(
2,. 2ire Control
2M.1 E:tng)s.ers n place
2M.2 >re &g.tng e-)p(ent servced/tagged
2M.3 0pproprate sgnng o& e:tng)s.ers
2M.@ E:tng)s.ers approprate to .aCard
2M.4 E(ergenc' e:t sgnage
2M.M E:t doors easl' opened &ro( nsde
2M.N E:t pat. wa's clear o& obstr)cton
2M.8 0lar(/co(()ncaton s'ste( A ade-)ate
2M.! %(o+ng/na+ed &la(e restrctons observed
2M.10 #n()( -)anttes o& &la((ables at wor+staton
2M.11 >la((able storage proced)res
2M.12 E(ergenc' personnel dent&ed and traned
2M.13 E(ergenc' proced)res doc)(ented A ss)ed
2M.1@ E(ergenc' telep.one n)(bers dspla'ed
2M.14 0lar(s tested
2M.1M 2ral evac)atons cond)cted
2M.1N Personnel traned n )se o& &re &g.tng e-)p(ent
ACT:,N A=T*R :NSP*CT:,N
Observations 3O+%4
Corrective Action Re$uests 3CAR4
%igned5 !!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! "osition5 !!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Date5 !! 1 !! 1 !!
Page 46 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
Prnted copes of ths document are uncontroed
Appendi" * Truc! PreAStart :nspection / Defect Report
55Generic Shire Council66 Truc! PreAstart :nspection
7t s t.e responsblt' o& t.e drver to ens)re t.s c.ec+lst s co(pleted aganst 2r)c+ and Plant Re-)re(ents obtaned &ro( t.e R20
7nternet ste be&ore t.e tr)c+ s operated.
0n' &a)lts /de&ects are to be reported and an assess(ent (ade as to w.et.er t.e tr)c+ s sa&e to operate or t.e &a)lt needs rect&caton pror
to operaton. 7& do)bt e:sts t.e ss)e s to be re&erred to t.e <<"enerc %/ nsert eg "anger or /ontract #anager>>.
*ORGP?0/E/%72E ?O/027ON *EEG HE"7NN7N" #OND0L< / ../ ..
#0GE 9$
#ODE?
20RE "=#
RE"7%2R027ON NO
%
2RK/G2R07?ER5%6..
G7?O#E2RE%
02 HE"7NN7N" O> *EEG<
/ON2R0/2OR1%
P?0N2I
LE% / NO /ON2R0/2OR
I&#M MO9 &0#% W#D &)0R 8RI %A& %09
-ri'er:
Drver1s na(e
?cense No<
/orrect class o& c)rrent lcenceI
/onstr)cton 9 /o)ncl O89% cardsI
Drver s &t to drve
P?E0%E #0RG HOPE%
>OR OG P >OR >0K?2L N0 >OR NO2 0PP?7/0H?E
Safety:
Ne)tral start 5a)to onl'6
%ervce bra+es F ncl ar s'ste(
Par+ bra+es
%eat belts
Reversng alar(
Reversng ca(era
Electrcal .aCard plate
#ac.ner' g)ards
Hod' sa&et' prop5s6
0ll regstraton plates and c)rrent labels
*pers
8eadlg.ts
2)rn sgnals 5tr)c+ 9 traler6
Hra+e ?g.ts 9 Re&lectors
Rear (ar+er plates
#rrors
0(ber beacon
8orn
General
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 47 of 68
Prnted copes of ths document are uncontroed
Generic Shire Council: Site Specific Safety Management Plan
?ea+s
/oolng s'ste(s
E:.a)st s'ste( 5lea+s and s(o+e6
2rans(sson 9&nal drve
8'dra)lcs
/.asss / &ra(e
%)spenson / 0:les
*.eels A t'res$ loose n)ts$ wear$
%teerng
2algate 9 bod'
/ontrols
2)rntable
Electrcal s'ste(
%(o+e
2owbar
2arp
0n' r)st not e:cessve I
/abn A controls$ swtc.es$ loose ob,ects$
wndscreens$ vsblt'$ seat &)ncton$ td'
/o(()ncatons
%ec)rt'
>re e:tng)s.er$ ?oad capact' plates$ sgns
<<Contract Managers>> random check: Name.............Date:
..............
Truc! =aultCDefect Report Record
To be used to report any faut or defect dentfed durng day truck nspecton or durng
operatons.
Reported by Poston: Kometres
Reported to: Poston
Date:..... / ..... /
......
Reported how?
Defect or Faut detas:
.................................
....
.................................
.........
Rado
Forwarde
d
In person
Phone Mobe :nitials
Page 48 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
Prnted copes of ths document are uncontroed
Appendi" = Plant PreAStart :nspection / Defect Report
55Generic Shire Council66 Plant PreAstart :nspection
7t s t.e responsblt' o& t.e operator to ens)re t.s c.ec+lst s co(pleted aganst D2r)c+ and Plant Re-)re(entsE obtaned &ro( t.e R20
7nternet ste be&ore t.e plant s operated.
0n' &a)lts /de&ects are to be reported and an assess(ent (ade as to w.et.er t.e plant s sa&e to operate or t.e &a)lt needs rect&caton pror
to operaton. 7& do)bt e:sts t.e ss)e s to be re&erred to t.e <<"enerc %/ nsert eg "anger or /ontract #anager>>.
*ORGP?0/E/%72E ?O/027ON *EEG HE"7NN7N" #OND0L< / ../ ..
2LPE$ #0GE
9$ #ODE?
PER#72 or RE"O NoEPP7RE%<.
LE0R #0DE 9 8OKR%
/ON2R0/2OR1%
P?0N2I
LE% / NO /ON2R0/2OR
I&#M MO9 &0#% W#D &)0R 8RI %A& %09
.perator:
Drver1s na(e
2c+et No<
/orrect class o& tc+etI
/onstr)cton 9 /o)ncl O89% cardsI
Operator s &t to operate
P?E0%E #0RG HOPE%
>OR OG P >OR >0K?2L N0 >OR NO2 0PP?7/0H?E
Safety:
Ne)tral start
%ervce bra+es
Par+ bra+es
E(ergenc' stop devces
Reversng or travel alar(
%eat belts
/o(p)lsor' sgns
B)c+ .tc.
#ac.ner' g)ards
*pers
8eadlg.ts
Hra+e ?g.ts 9 Re&lectors
2)rn sgnals
/learance lg.ts
Re&lectve tape
0(ber beacon
#rrors
8orn
Rego plates and c)rrent label
General
*ndows
Engne
?ea+s
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 49 of 68
Prnted copes of ths document are uncontroed
Generic Shire Council: Site Specific Safety Management Plan
/oolng s'ste(s
E:.a)st s'ste( and s(o+e
2rans(sson 9&nal drve
8'dra)lcs
/.asss / &ra(e
%)spenson / 0:les
*.eels A t'res$ loose n)ts$ wear$
%teerng
2rac+s / dr)(s
/ontrols
0rtc)laton ,onts
Electrcal s'ste(
%(o+e
ROP% / >OP%
Reversng ca(era
Plant sec)rt'
/abn A controls$ swtc.es$ loose ob,ects$
seat &)ncton$ td'
?&tng s'ste(
0ttac.(ents / gro)nd tools
>re e:tng)s.er$ ?oad capact' plates$ sgns
Nose level at cabn
Nose level at N (etres
<<Contract Managers>> random check: Name.............Date:
..............
Plant =aultCDefect Report Record
To be used to report any faut or defect dentfed durng day pant nspecton or durng
operatons.
Reported by Poston: Kometres
Reported to: Poston
Date:..... / ..... /
......
Reported how?
Defect or Faut detas:
.................................
....
.................................
.........
Rado
Forwarde
d
In person
Phone Mobe :nitials
Page 50 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
Prnted copes of ths document are uncontroed
Appendi" G ee!ly =ire *"tiguisher :nspection / Defect
Report
55Generic Shire Council66 =ire *"tinguisher :nspection
7t s t.e responsblt' o& t.e <<"anger>> to ens)re t.s c.ec+lst s co(pleted and sent to t.e <<%a&et' Representatve>> eac. wee+. 0n'
&a)lts /de&ects are to be reported.
*ORGP?0/E/%72E ?O/027ON
<<"0N"ER1%>> N0#E<%7"N02KRE<..
P?E0%E #0RG HOPE%
>OR OG P >OR >0K?2L
%I&# =OCA&IO9 "R#%#9& &@"#
090%#D 1
&A/ I9&AC&
I9 DA&#
/A0/#
I9 /R##9
:#)IC=# OR "=A9& ID#9&I8ICA&IO9
<<Contract Managers>> random check: Name.............Date:
..............
*"tinguisher =aultCDefect Report Record
To be used to report any faut or defect dentfed weeky nspecton or durng operatons.
Reported by Poston:
Date:..... / ..... /
......
Reported to: Poston
Reported how?
Defect or Faut detas:
.................................
....
.................................
.........
Rado
Forwarde
d
In person
Phone Mobe :nitials
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 51 of 68
Prnted copes of ths document are uncontroed
Generic Shire Council: Site Specific Safety Management Plan
Appendi" . Record of ,./S :nduction
55Generic66 Shire Council RMCC ,./S :nduction Training Report
=orm
#or$ it% ...................................................................................... Dat%& ............................ PREPARED B"&.........................................................
O'(S In)uction Training
Na*% of P%ron Train%) Initials 9ame of Contractor 3If not Council4 +%n%ra,
#or$ it%
S-%cific
7 attest t.at t.e e(plo'ees na(ed above .ave attended nd)cton tranng w.c. co(ples wt. t.e re-)re(ents o& t.e #ha'ter (" Part (& o$ the )*W +H,* Reg!lation --.&
Page 52 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

Train%r na*%& ...........................................Counci, E*-,o.%% No..................Train%r ignatur%& .............................Dat%& ............................
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 53 of 68
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Generic Shire Council: Site Specific Safety Management Plan
Appendi" : :ncident C Accident Report
<<INSERT HERE Generc Shre Councs
ACCIDENT / INCIDENT REPORTING FORM - possby deveoped by Councs Workers Compensaton Insurance Broker
and /or
FLOWCHART ncudng a Hod Pont to satsfy RTA Specfcaton G21M Cause 4.9 >>
Page 54 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

Appendi" D .aBardous Su(stances Register
55Generic Shire Council66 .aBardous Su(stances Register
or! site: EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE Date first entry recorded EEEEEEEEEEEEEEEE
Sheet No& EEEEEE of EEEEEEEE
Hazardous
Yes / No
+
Substance
1
Product Name
2
Manufacture
7
Sze
8
Ouantty
9 MSDS
;
Labe
<
1. 8aCardo)s 7ndcate Les or No & t.e s)bstance s class&ed as a 8aCardo)s %)bstance.
2. %)bstance ?st all s)bstances w.c. e:st n t.e wor+place.5e.g. .'dra)lc ol$ ?.P.gas$ radator coolant$ etc6
3. Prod)ct Na(e Provde trade na(e co((onl' )sed &or t.e s)bstance. 5e.g. 8'spn 0* %@M$ ?P"$ 2ec 40$ etc.6
@. #an)&act)re 7ndcate (an)&act)reQs na(e$ address$ etc.
4. %Ce 7ndcate t.e pac+agng sCe o& t.e s)bstances. Kse a new lne &or eac. d&&erent pac+agng sCe. 5e.g. 20 ?tre dr)($ 20 Gg tn$ @00 g can6
M. B)antt' 7ndcate total -)antt' o& (ateral nor(all' +ept at t.e locaton 5)se (a:()( &g)re6. 5e.g. 1 dr)($ 3 tns$ 8 cans6
N. #ateral %a&et' Data %.eet 2c+ & avalable$ leave blan+ & not avalable.
8. ?abel 2c+ & present and legble$ leave blan+ & not
!. Rs+ assess(ent cond)cted &or ts ntended )se on ste.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 55 of 68
Prnted copes of ths document are uncontroed
Generic Shire Council: Site Specific Safety Management Plan
Appendi" F 55Generic66 Shire Council Drug / Alcohol
Policy&
55Generic66 Shire Council Drug / Alcohol
Policy&
66&his is the R&A's "olicy in its entirety! Council's may ish to modify the yello highlighted parts!77
1. Counc staff member havng probems wth acoho and/or other drugs that affects
ther work:
1May eect to take sck eave, recreaton eave, ong servce eave or eave wthout
pay whe attendng treatment and
11Must undertake and contnue wth recommended treatment to mantan the
protecton of ths pocy from dscpnary acton.
2. A person whose work performance or behavour s mpared by drugs or acoho w
be consdered a rsk to the heath and safety of themseves and others.
3. A person reasonaby suspected to be mpared by drugs or acoho w be drected to
eave the workpace unt the commencement of the next workng day and that
person s unmpared by drugs or acoho.
4. A Counc staff member drected to eave the workpace for the reason set out n
cause 3 above, w not be pad for the remander of that day.
5. The mmedate supervsor (or f not, another avaabe supervsor) w make the
decson on a persons mparment. A staff safety representatve, (or f not, another
staff representatve) w verfy ths decson. Counc staff fufng responsbtes
under ths cause must have competed the responsbe person tranng course
before actng under ths pocy.
6. On the frst and second occasons, the person w, on ther return to duty, be
counseed on ther behavour, receve a wrtten warnng and be gven nformaton on
the avaabty of treatment/counseng. If there s a thrd breach n any snge perod
of 12 months dscpnary proceedngs w commence - ths may resut n dsmssa.
7. Warnngs ssued for breaches of ths pocy w apse after 12 months.
8. Lawfu use of prescrpton medcnes under medca supervson w be treated
separatey under ths pocy where advce s provded to the reevant supervsor.
9. No Counc staff member w be vctmsed or dscrmnated aganst by the
ntroducton of ths pocy. Any Counc staff member may appea a decson made
under ths pocy n accordance wth the appeas mechansm set out n Councs
Procedures for the Drug and Alcohol Policy.
Page 56 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

Appendi" # SMS for %%%%%
<< Council Insert SWMSs in this and subsequent appendices>>
Appendi" M SMS for%%%%%%%%%%%%
Appendi" N SMS for%%%%%%%%%%%%
Appendi" , SMS for%%%%%%%%%%%%
Appendi" P SMS for%%%%%%%%%%%%
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 57 of 68
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Generic Shire Council: Site Specific Safety Management Plan
Appendi" G 55Generic SC66 ,./S Monthly Report
// Generic SC00 .%1S 2onthly )EP.)T on the )2CC
/ontract Na(e<.................................................................. #ont.<...............................................................
/ontract N)(ber<............................................................... Prepared b'<.....................................................
/o)ncl or /ontractor I<........................................................ Date<.................................................................
.%1S Perfor"ance *ndicators Workforce
7ndcator /)rrent #ont. Detals /)rrent #ont.
N)(ber o& lost t(e n,)res N)(ber o& e(plo'ees
*or+ng da's lost d)e to n,)r' Person .o)rs e:pos)re
N)(ber o& &rst ad treat(ents
N)(ber o& .aCard nspectons cond)cted
Status of 3ost Ti"e *n4uries This 2onthl
Na(e 7n,)r' / Date o&
7ncdent
Da's
?ost
Ret)rn to *or+
>orecast 0ct)al
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Status of Property -a"a$e
7te( / Da(age 2'pe / Date o&
7ncdent
Da's Down
2(e
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....
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./...../....
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.%1S Correcti'e Actions
2'pe O89% /orrectve 0cton / Rs+ /lass %tat)s
Open /losed
........................................................
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.%1S Audits and *nspections WorkCo'er Acti'ity
O)tco(es / 0ctvt' /
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....
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...................................................................................
.....
...
)isk Assess"ent )e'ie&ed for ade5uacy: or 6
For this "onth7s &ork For ne!t "onth7s
Co""ents on .%1S Perfor"ance
/o)ncl Representatve<......................................../o((ents<................................................................................................
..................................................................................................................................................................................................
...............................................................................................................................................................................................
R20 Representatve<............................................/o((ents<.................................................................................................
.................................................................................................................................................................................................
C = data code for fed (avaabe from RTA)
Page 58 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

Appendi" R Safety :ncident Plan
a& Preface
Scope of this Plan
Ths Safety Incdent Pan ("SIP") sets down Councs management of accdents
on the Network and safety ncdents durng the Servces.
It deas wth:
Beng prepared for ncdents and accdents and
Respondng to and managng them.
It is part of Councils Site Specific Safety Manageent !lan and copleents
Councils "n#ironental "ergency !lan$ It should be read %ith the$
It responds to RTA OA specfcaton G21M Cause 4.9.
Principle
In the event of an safety ncdent or accdent the frst consderaton s the safety
of Counc and RTA personne and the pubc. Foowng the safety of the staff
and the pubc the next consderaton s the mnmsaton of damage to the
envronment.
Purposes of this Plan
Ths Pan ams to make staff aware of the requrements for the tmey pannng
and safe response to ncdents and accdents.
(& Council-s Fey Response Personnel
<<Counc Insert Poston(s) eg Engneerng Drector >> w be the frst pont of
contact when an safety ncdent or accdent occurs. He, or hs backup, can be
contacted 24 hours a day.
Back up for the<<Counc Insert Poston(s) eg Engneerng Drector >> w be
provded by the <<eg Safety Management Representatve>> and <<eg
Councs Contract Manager>>.
In the event of Counc fndng or beng notfed of an safety ncdent or accdent
on the Network or n the Servces to whch Counc s requred to respond any of
the above w mobse Councs emergency peope and ther equpment and
ensure the reevant Procedure, Communcaton Strategy and Reportng s beng
foowed.
At stes (ncudng the ste offce), the <<Ganger>> s responsbe for the
mmedate response to safety ncdents and the reportng of them.
In other offces the <<drect supervsor on duty or Ste Safety
Representatve>> s responsbe for the mmedate response to safety ncdents
and the reportng of them.
The names and contact numbers for these peope w be gven to a staff and
contractors at ther nducton.
They w aso be dspayed n the ste offces and crb rooms together wth the
numbers of emergency servces (eg. ambuance, fre brgade, sp cean-up
servces).
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 59 of 68
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Generic Shire Council: Site Specific Safety Management Plan
A copy of the Safety Incdent Procedure and Communcaton Strategy w be
kept n every Counc vehce.
Page 60 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

c& *mergency *vacuation
The tempate for Councs Emergency Evacuaton procedures s shown at g.
Ste specfc procedures are posted n a workpaces and copes are carred n
every Counc vehce.
d& =ollo)Aup Action
1. Send any staff exposed to hazardous materas, ncudng smoke or fumes,
to heath authortes to assess any effect upon ther heath,
2. Restore Emergency Equpment to orgna state,
3. Advse the <<Safety Management Representatve>> of any
mprovements to ths Pan
e& Reporting and :nvestigation
Foow the reportng procedure set down n the Ste Specfc Safety Management
Pan.
f& Safety :ncident Procedure$ Communications Strategy
and :mmediate Reporting
Councs procedure s shown at h.
It s posted n a workpaces and a copy s carred n every Counc vehce.
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 61 of 68
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Generic Shire Council: Site Specific Safety Management Plan
g& *mergency *vacuation Plan
EMER+ENC" PLAN FOR& ?ocaton222222222222222..222..
R*S,HRC*S:
#mergency #,its
........
Assembly point is5
....
8irst Aider is5
"hone< ...
8irst Aid (it5
Any Council vehicle H %ite %hed H.
8ire #,tinguishers5
Any Council vehicle H Any mobile plant H %ite %hed H....
#yeash station5
........
#mergency shoer5
........
Material %afety
Data %heets
Any Council truck H %ite shed H AD hour number H
....
PR,C*DHR* in the event of 'om( Threat$ =ire$ *"plosion$ *arth?ua!e$
Gas #ea!$ Ma0or Spill etc
SHP*RI:S,R ,N DAJ:
1. Ensure a staff and vstors move qucky and sensby to the nomnated
assemby pont not stoppng or detourng for any reason,
2. Ensure a staff and vstors are accounted for at the assemby area,
3. Ensure Frst Ader s gvng Frst Ad to the eve of hs /her tranng,
4. Da 000 or ( 112 for mobe phones),
5. Nomnate emergency servce(s) requred: Ambuance, Fre Brgade, Poce,
6. Provde:
9ame of Organisation5 66 /eneric %hire Council77!
9ature of emergency
Road 9ame5
=ocality5
(ilometres 9 1 % 1 # 1 W of nearest ton
3appro,4 OR 9earest cross street
%tate number of people trapped or in.ured
%tate number people missing
If a spill5 Iuantity- Chemical- 09 number
and )azchem Code
Other problems eg 8ire- Risk of 8ire-
8allen poer lines- 8lood
Page 62 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

Do not leave the assembly area or re2enter the building1.obsite until instructed that it is safe and the JAll ClearK
has been given by the chief fire officer1police officer in charge of operations!
Once the LLL1>>A call is completed and all people are safe- call Council's AD hour number
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 63 of 68
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Generic Shire Council: Site Specific Safety Management Plan
h& Procedure for Accidents or Safety :ncidents on the
Net)or!
ACC:D*NT ,R SA=*TJ :NC:D*NT
=,R A## *M*RG*NC:*S R*GH:R:NG P,#:C*$ AM'H#ANC* ,R =:R* 'R:GAD*
R:NG:
000
,R =R,M D:G:TA# P.,N*S R:NG
112
:= N, P.,N*S AR* AIA:#A'#* ATT*MPT C,NTACT ,N T,AAJ RAD:,&
PR,C*DHR*:
+& :f significant SP:## Hse *nvironmental *mergency Procedure
3copy in all Council vehicles&
1& Ma!e Safe from Traffic& Stop traffic if necessary& 'e sure to
facilitate access for emergency vehicles
2& Give immediate =irst Aid and e"tinguish any fire&
7& Assess the situation$ call @@@ or ++1 and tell the operator:
9ame of Organisation5 66 /eneric %hire Council77!
9ature of emergency
Road 9ame5
=ocality5
(ilometres 9 1 % 1 # 1 W of nearest ton
3appro,4 OR 9earest cross street
%tate number of people trapped or in.ured
%tate number people missing
If a spill5 Iuantity- Chemical- 09 number
and )azchem Code
Other problems eg 8ire- Risk of 8ire-
8allen poer lines- 8lood- Weather
8& hile )aiting for *mergency Services:
Contnue frst ad f approprate.
9& hen *mergency Services arrive$ they )ill ta!e control
Gve them detas of the ncdent & any further actons you have
taken and
Assst as drected wth traffc contro etc.
;& Call Council-s 17 hour num(er and inform them&
Page 64 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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Generic Shire Council: Site Specific Safety Management Plan

<& As soon as practica(le report on the :ncident using Council-s
Accident C :ncident Report 3See Site Specific Safety Management
Plan Appendices4&
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 65 of 68
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9
@
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AD )R CO9&AC&
3
Generic Shire Council: Site Specific Safety Management Plan
i& Summary of Accident C :ncident Procedure /
Communications Strategy
Page 66 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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9
.9TS*-E STAFF
Generic Shire Council

Appendi" S Nominated Safety Management
Representative
As at <<Insert date>> Councs Nomnated Safety Management Representatves
detas are:
Surname: %%%%%%%%%%%%&&%%%%%%%%%&& =irst name: %%%%%%%%%&%%%%%%&
%%%%%%&&
,ffice Kphone: %%%%%%%%%&%%&&%%%%%%% Mo(ile: %%%%%%%%%%&%%&&%%%%&&
%%%%%%%&&
Relevant Gualifications:
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
Relevant e"perience:
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
%%%%%%%%%%%%%%%%%&%%%%%%%%%%%%%&&%%%%%%%%%&&
Signed: %%%%%%%%%%%%%%%%%%%%%%%%%%%%Position: <<Engneerng
Drector>>
Signed: %%%%%%%%%%%%%%%%%%%%%%%%%%%%Safety Management
Representative
Ed 1 / Rev 0 GSC: SSSMP: RTA: RMCC Page 67 of 68
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Generic Shire Council: Site Specific Safety Management Plan
Last page of SSSMP
Page 68 of 68 GSC: SSSMP: RTA: RMCC Ed 1 / Rev 0
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