Part E – Organisation Supplied Information

(please complete and submit with your response)

Contract Number CN0440

Cleaning Services –
Lower Murray Water Service Region
 Part E – Principal Supplied Information

1. INTRODUCTION

This Part E – Principal Supplied Information seeks to inform potential tenderers of the risks that will
exist and allow them to make the appropriate allowances should the wish to submit a tender.

2. HAZARD IDENTIFICATION LIST

Hazards identified by LMW Hazards identified by LMW

Hazard Relevant Hazard Relevant

YES NO YES NO
1. Traffic Hazard ☐ ☒ 17. Fatigue ☒ ☐
2. Manual Handling ☒ ☐ 18. Compressed air risks ☐ ☒
3. Electricity ☒ ☐ 19. Using Lifting devices ☐ ☒
4. Mobile Plant ☒ ☐ 20. Using Fork trucks ☐ ☒
5. Trenching / Excavation ☐ ☒ 21. Dust Hazard ☐ ☒
6. Stationery Plant ☐ ☒ 22. Temperature Hazards ☐ ☒
7. Working under power lines ☐ ☒ 23. Damage to sewer plant / pipes ☐ ☒
8. Use of scaffolds ☐ ☒ 24. Damage to water plant / pipes ☐ ☒
9. Hot work ☐ ☒ 25. Water contamination ☐ ☒
10. Noise hazards >85db ☐ ☒ 26. Ground Contamination ☐ ☒
11. Dangerous goods ☐ ☒ 27. Town water contamination ☐ ☒
12. Hazardous Substances ☒ ☐ 28. Sewage Spill ☐ ☒
13. Chemical spill ☐ ☒ 29. Damage to native vegetation ☐ ☒
14. Height works >2m ☐ ☒ 30. Sewer contamination ☐ ☒
15. Confined spaces ☐ ☒ 31. Biological hazard ☐ ☒
16. Asbestos removal ☐ ☒ 32. Working alone ☒ ☐

Name __________________________

Signature _______________________

Title ___________________________

Date ___________________________

[END OF PRINCIPAL SUPPLIED INFORMATION]

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CN0440 - Cleaning Services – Lower Murray Water Service Region