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Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 1 of 5

ABN:

PART 1: TASK DETAILS Client:

JOB/TASK: Using Water blaster

PART 2: RESOURCES
Relevant Legislation/Codes WH&S Act 2011 & Regulations 2011, Environmental Protection Act and Regulations
Practice:
Training Required: Site induction (as required), SWMS induction,

Equipment Used: Water blaster or similar/ Gun / hoses, compressor, vacuum cleaner, buffing machine, heat gun, air tools

Materials Used: Water

Substances Used: Petrol, cleaning agents

PPE Required: High Vis tops, safety glasses, ear protection and masks as needed

PART 3: SWMS PROCEDURES


1. The SWMS must be specific to the task to be undertaken including persons involved, equipment and materials.
2. The SWMS must comply with the (company) Safe Work Method Statement requirements.
3. All personnel involved in carrying out the work activity must be consulted in identifying the safety and environmental hazards and determining the appropriate work methods.
4. Ongoing monitoring and review of the effectiveness of the SWMS must be undertaken when any significant changes to the work process or sequence or as a result of an
incident, regardless, reviews are to be undertaken at least annually.
5. A signed record of all persons inducted into this SWMS.
6. Review and determination of the risk rating is undertaken via the risk matrix, and the hierarchy of controls are used to determine the appropriate control measures to be used
i.e. Elimination, Substitution, Isolation, Engineering Controls, Administration Controls & Personal Protective Equipment

PART 4: PREPARATION, REVIEW AND APPROVAL SIGN OFF


REV O Date: Nov./2012 Prepared: John Albury Reviewed: Approved: John Albury
(First
Issue)
REV 1 Date: Prepared: (Sign) Reviewed: (Sign) Approved: (Sign)
/ /
Description of Changes:
REV 2 Date: Prepared: (Sign) Reviewed: (Sign) Approved: (Sign)
/ /
Description of Changes:

Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 2 of 5
ABN:

PART 5: PERSONS / OHS REPRESENTATIVES INVOLVED IN DEVELOPMENT OF SWMS

Ref # Family Name First Name Job Description (Trade/Classification) Signature

02
03
04
05

PART 6: SAFETY AND ENVIRONMENTAL ANALYSIS AND DETERMINATION OF WORK METHODS Client:

Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 3 of 5
ABN:

Risk Rating
Process Steps

Residual
Potential Hazard/s Hazard Control Measures Action by
List the steps needed to do the job in

Risk
Step Against each step list potential hazards For each hazard identify control measures to eliminate or control the risk of Person responsible for
the sequence to be done. Specify
No plant, equipment and materials to be
that could cause injury, health impacts injury, health impacts and/or environmental harm. Identify licencing, Monitoring and Reviewing
and/or environmental harm. training and competency requirements for work crew. effectiveness of controls
used.

1 Arrive at site Slips, trips, and falls 2 Go directly to site office. Ensure site specific induction. 5 ALL PERSONNEL
Verify competency evidence and SWMS training sign off.
2 Performing general water Spray could get blown into eyes Shut down water blaster at handle before moving or walking
blasting activities and onto other workers 2 5 ALL PERSONNEL

Performing general water Noise and personal injuries such Personnel are competent in operating water blaster.
blasting activities as cuts, strains, sprains 2 Keep hands away from water blaster nozzle when 5
turned on. ALL PERSONNEL
Ensure operator is wearing appropriate PPE (i.e. Ear
plugs, eye protection, steel cap boots and deflective
shield when necessary).

3
Moving water blaster pumping Personal injury, slips, trips, falls 2 Use fellow worker to help relocate water blaster to the next 5
unit working area. Use sound manual lifting and handling ALL PERSONNEL
Manual Handling Strains technique. Bend knees, not back, lift with your legs

Preferably machine should be fuelled off site when cool.


Refuelling water blaster Personal injury, burns, scalds, 2 Shut off water blaster and let it sit for 2 mins. Refuel and 5
replace lid. ALL PERSONNEL
4
Put fuel container back where it belongs and at least 3
metres from any other motors or naked flames
Wear gloves, safety glasses and protective clothing

Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 4 of 5
ABN:

PART 7: RISK MATRIX/RISK SCORE ASSESSMENT

CONSEQUENCES
How severely could someone get hurt? Do something about these risks
1 High
Kill or cause Long term Medical First aid immediately
permanent illness or attention and needed
How likely is it that someone will get hurt?

disability serious injury several days


off work
Very Do something about these risks as
2 Medium
Likely 1 1 2 3 soon as possible
LIKELIHOOD

Likely
1 2 3 4
3, 4, These risks may not need immediate
Unlikely Low
5 or 6 attention
2 3 4 5

Very
Unlikely 3 4 5 6
To obtain the level of risk score:
Cross reference the Likelihood & Consequence - The higher the risks score the greater priority to control the hazard.

Prioritising Hazards Risk Description Action


HIGH - A HIGH risk requires immediate action to control the hazard as detailed in the hierarchy of control. Actions taken must be documented on
the risk assessment form including date for completion.
MEDIUM - A MEDIUM risk requires a planned approach to controlling the hazard and applies temporary measure if required. Actions taken must be
documented on the risk assessment form including date for completion.
LOW - A risk identified as LOW may be considered as acceptable and further reduction may not be necessary. However, if the risk can be resolved
quickly and efficiently, control measures should be implemented and recorded.

Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed
Company: Merlin Hi-Tech Water Blasting Workplace Address: Page 5 of 5
ABN:

Name of Person/s Supervising Works:


Print Name: Signature: Date: Print Name: Signature: Date:

PART 8: RECORD OF CONSULTATION AND INDUCTION INTO SAFE WORK METHOD STATEMENT

I am fully aware of, understand and agree to abide by my obligations under the Work Health and Safety Act 2011 and Environmental Protection Act.
As an employee and /or worker, I understand and agree to follow the procedures in the attached Safe Work Method Statement.
As a PCBU, Subcontractor and/or ABN holder, I understand and agree to fully adopt and follow the procedures in the attached SWMS.

Ref # Family Name First Name Job Description Signature Date of Induction
(Trade/Classification) Induction Verified By

01
02
03
04
05

Monitoring & Review of SWMS Use and Effectiveness

Observation Log 01 02 03 04 05 06
Initial:
Date:

Status: Approved By whom: Date: Nov.2012 Rev0 Review Date : Nov.2015 Uncontrolled when printed