Job Safety Analysis Process Flowchart - DOC by hbh20091

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                 Health & Safety Manual


TABLE OF CONTENTS                                        2


FORMS LIST                                               4

1.0    INTRODUCTION                                      5

2.0    SAFETY POLICY                                     6

3.0    ROLES AND RESPONSIBILITIES                        7

4.0    DOCUMENT CONTROL                                  10

5.0    JOB SAFETY ANALYSIS                               12

6.0    RISK MANAGEMENT                                   17

7.0    HAZARD IDENTIFICATION                             20

8.0    SKILLS AND COMPETENCIES                           23

9.0    OHS INDUCTION TRAINING                            27


11.0   HAZARD REPORTING                                  31

12.0   LIGHT VEHICLES                                    35


14.0   EMERGENCY RESPONSE                                42

15.0   SAFETY & SECURITY TRAINING - Workforce Handbook   42


17.0   AUDIT CHECKLIST                                   52

                               Health & Safety Manual

This H&S package has been designed and developed to work systematically & manage workplace
health and safety at the events surrounding and associated with major events. This will allow the
major event Local Organising Committee (LOC) to maintain better control over contractors and/or their
sub-contractors and deliver measurable outcomes against current safety Legislation.

This document provides a systematic approach for to comply with the absolute duties and obligations
found under the Health & Safety in Employment Act and other relevant Legislation, Regulations and
Codes of Practice. The purpose of this document package is to take each regions specific safety plan
to an auditable and user friendly level.

The H&S system is designed to compliment all existing Safety Management or Injury Prevention
Systems. It is not intended to replace an existing safety management or injury prevention system at
any stadia, hotels or other sites being used for the competition.

The major event LOC has duties in law in terms of Occupational Health & Safety. These duties
include Sections 16 & 18 of the HSE Act (1992), which state that ―any person who is in control of any
place of work (covered by the HSE Act and its Regulations) must take ―all practicable steps” to
ensure contractors and sub contractors engaged for gain or reward (by the person in control of the
workplace), or any of that contractors or sub contractors employees are not harmed by hazards in or
arising from the place of work‖. This includes in the vicinity of their work.
The Act defines a volunteer as: (a) means a person who—
(i) does not expect to be rewarded for work to be performed as a volunteer; and
(ii) receives no reward for work performed as a volunteer
Section 3C of the Health & Safety Act (1992) states that Volunteers who undertake work that would
normally be done by an employee shall be treated as an employee for the purposes of this Act.

The forms contained herein clearly establish a minimum and auditable standard for the
management of Occupational Health & Safety.

Where there is a safety management system exceeds the requirements of this System, then the forms
and other documentation provided by such a system will be accepted by the VOC; so long as they
exceed the Occupational Health & Safety requirements outlined in this System, and are compatible
with systems an/or site specific contract requirements.

                                           Health & Safety Manual

Form     No. of Pages     Title                                    Page No
F01-01        1           Distribution List (Document Control)          11
F02-01        2           Job Safety Analysis (J.S.A.)                  15
F03-01        1           Risk Management                               19
F04-01        1           Risk Assessment/ Hazard Identification        21
F04-02        1           VOC Hazard Identification                     22
F05-01        1           Skills/ Competency Assessment                 24
F05-02        1           Training Attendance                           25
F06-01        1           Induction Register                            28
F07-01        1           Rehabilitation/Acc                            30
F08-01        1           Hazard Report                                 35
F09-01        1           Vehicle Identification Register               37
F09-02        1           Vehicle Inspection Report                     38
F10-01        1           Personal Protective Equipment Record          41
F11-01        1           Record of Safety & Security Training          43
F12-01        1           Register of Injury                            47
F12-02        3           Accident Investigation Report                 49
F13-01        1           Audit Checklist                               53

                        Health & Safety Manual

1.0 Introduction
This document sets out the safety management strategy to be adopted by the major event LOC and relates to
all contract/ work on all sites related to and being used for and surrounding the event managed by the LOC

This document and subsequent additions will be made available to the LOC Area General
Managers for auditing purposes and presentation to the various councils/bodies involved.
1.       LOC Region          :         ______________________________________________________
         Address:                      ______________________________________________________
                             Contact Phone: _____________________ Fax: ______________________

2.       Venue Organising Committee (VOC), (area) …………………………………………
          will provide (Safety Officer details)……………………………. as
         the person on site responsible for supervision of the Scope of Works and its safety.
3.       Our peak number of employees and volunteers and volunteers utilised or on site
         will be ………………………………………………...
4.       The major event LOC does intend to subcontract part of the works.
5.       Person responsible for providing site specific Hazard Information to LOC Safety & Security
         Manager (Safety Officer details)…………………………………………….
6.       Total numbers of staff in LOC organisation (current) ………………………….

Scope of Works: Brief explanation of work activity to be conducted:

                                               Health & Safety Manual

2.0 Safety Policy

At The major event LOC Our Occupational Health & Safety Policy is based on a
belief that the well-being of people employed at work, or people affected by our work, is a major
priority and must be considered during all work performed on our behalf.

                                     HEALTH AND SAFETY POLICY
People are our most important asset and their health and safety is our greatest responsibility.
The public shall be given equal priority to that of our employees and volunteers.

The objectives of our Safety Policy are:

       To achieve an accident free workplace, by complying with all relevant health and safety Acts,
        Regulations and Codes of Practice.
       To make health & safety an integral part of every managerial and supervisory position.
       To ensure health & safety is considered in all planning and work activities.
       To involve our employees and volunteers and volunteers in the decision making processes
        through regular communication, consultation and training.
       To provide a continuous program of education and learning to ensure that our employees and
        volunteers work in the safest possible manner.
       To identify and control all potential hazards in the workplace through hazard identification and
        risk analysis.
       To ensure all potential accident/incidents are controlled and prevented.
       To provide effective injury management and rehabilitation for all employees and volunteers.

The success of our health & safety management is dependent on:

1.      Pro-active planning of all work activities with due consideration given to implementing OH&S
        controls that are suitable to each given situation, including emergencies.
2.      Understanding the total work process and associated OH&S risks.
3.      Ensuring the work team is totally committed to achieving our objectives.
4.      Ensuring that open and honest communication exists between management and all
        employees and volunteers.
5.      Internal and Third Party compliance auditing and monitoring, to prove that we ―Walk the Talk‖

The responsibility for safety shall be adopted as an integral part of everyday work, therefore it is vital that
every employee shares in the commitment to eliminate unsafe acts and conditions by thinking safely and
acting safely at all times.
This Health and Safety Policy shall become effective from ---------------/--------------/----------------

DIRECTORS NAME: ………………………….signature………………………………………………

                                           Health & Safety Manual

3.0      Roles and Responsibilities

Roles and Responsibilities Defined

The major event LOC shall provide the following key personnel on site as
appropriate to the Contract. Their roles and responsibilities regarding safety on site are outlined below.


                               Operations Manager

  VOC GM Manager                                                           LOC Safety &
                                                                         Security Manager

          VOC                                                               LOC Site Safety
    Site Supervisor                                                            Officer

    Employees and

                                        Health & Safety Manual

WORKPLACE MANAGER – Security & Safety Manager LOC

(Name)............. is responsible for safety on the sites and duties include:
-     implementing the organisation`s Occupational Health & Safety Policy and associated programmes
-     using the principals or the hierarchy of hazard controls (Best to Worst guide in the H&S System)
       in all design, fabrication and construction activities to minimise the risk to all personnel
      in the workplace;
-     carrying out a site review with the Security & Safety Managers project team to assist
      in the identification of further risk reduction control measures;
-     participating in the planning and risk assessment stages of site activities;
-     stimulating a high level of safety awareness at all times;
-     identifying safety training needs:
-     leading by example;
-     ensuring safe equipment and plant is provided and maintained.;
-     insisting on correct and safe work practices at all times;
-     assisting in the identification and preparation of safe work procedures;
-     reviewing safety reports and inspections and initiating rectification where necessary;
-     participating in accident/ incident investigations;
-     participating in safety meetings and safety programmes;
-     monitoring compliance with safe work methods (controls);
-     oversee effective Rehabilitation or return to work programmes;
-     reporting Serious Harm in the prescribed format to OSH Service and the Contract Principal;
-     reporting all Notifiable Work to OSH Service and the contract Principal;

SITE SUPERVISOR - Area Security & Safety Manager VOC

(Name) ……………. ……………………………..Is responsible for safety on the Site and duties include:
-    implementing the organisation Occupational Health Safety and Rehabilitation procedures;
-    observing all OH&S requirements and Statutory rules and regulations;
-    ensuring that all works are conducted in a manner safe and without risk to employees and
     volunteers health and safety;
-    planning to do all work safely;
-    providing advice and assistance on OH&S to all employees and volunteers;
-    participating in the planning and risk assessment stages of site activities;
-    ensuring current OH&S and other relevant legislative requirements are met in the workplace;
-    identifying OH&S training programs in advance and allow for employee/s identified as requiring
     training to attend the training;
-    actioning safety reports and carrying out workplace inspections;
-    preparing and participating in safety meetings and safety programmes;
-    facilitating the preparation of Work Method Statements and Job Safety Analysis for the trade;
-    insisting on and ensuring safe work practices at all times;
-    investigating hazard reports and ensuring that corrective actions are undertaken;
-    conducting project safety inductions, Safety & Security Trainings and daily team briefings;
-    participating in accident/incident investigations;
-    leading by example and promoting OH&S at every opportunity;
-    supervising and ensuring compliance with safe work procedures;
-    providing suitable employment to assist rehabilitation initiatives;
-    stimulating a high level of safety awareness at all times.
-    Monitoring and providing immediate feedback on subcontractors safety practices/performance

                                          Health & Safety Manual


(Name) …………………… …………………………is responsible for safety on the site and duties include:

-    assisting the Site Supervisor to develop and implement the Occupational Health, Safety
     and Rehabilitation procedures;
-    communicating safety performance to the Site Manager;
-    providing advice and assistance on OH&S to all employees and volunteers;
-    participating in the planning and risk assessment stages of site activities;
-    monitoring OH&S legislative requirements for the trades and subcontractors involved on site;
-    monitoring compliance with safe work procedures;
-    co-ordinating rehabilitation for injured employees and volunteers;
-    reviewing safety reports and inspections;
-    preparing and participating in safety meetings and programs;
-    facilitating Safety & Security Trainings on a regular basis;
-    insisting on correct and safe practices at all times;
-    preparing and conducting project safety inductions;
-    investigating and developing new OH&S initiatives for the trades;
-    conducting accident/ incident investigations and completing documentation reports;
-    leading by example and promoting OH&S at every opportunity;
-    stimulating a high level of safety awareness at all times;
-    communicating with the Site Manager on matters relating to health and safety;
-    facilitating the maintenance of all records as required under the SAFE;
-    participating in regular workplace inspections and ensure that any improvements resulting from
      such an inspection are actioned in the required time frame;
-    ensuring any recommended remedial actions after a workplace incident or accident are

                                     Health & Safety Manual

4.0 Document Control
Issue, Revision and Review

The major event LOC is responsible for:

      Completing the H&S System, and providing a full copy to the Project Manager or Safety and
       Security Manager before event commencement in the VOC.
      Maintaining an up-to-date version of the H&S System . A record of the Version number will
       be kept on the Distribution List Form 01-01. All obsolete versions will be destroyed.
      Providing an updated copy to the Project Manager whenever changes occur.
      Maintaining a register of people to whom the H&S System is issued, using the Distribution
       List table below.
      Issuing a completed H&S System to all those registered, ensuring their sub-contractors are
       aware of its contents and their responsibilities to the Principal.
      Ensuring revisions are distributed to all registered people.
      Reviewing the H&S System at intervals of not more than one month to ensure it is
       maintained and kept current.

Distribution List
       Controlled copies of this H&S System have been issued to the holders nominated as per Form
       01-01 (on Page 11).

H&S System - Annual Review
       H&S System will be reviewed by the Health & Safety Management ( Safety and Security LOC)
       on an annual basis or as legislative requirements demand. Any Forms updated within the 12-
       month period will be supplied to VOC.

                                         Health & Safety Manual

                   DISTRIBUTION LIST

 No.   Issued to   Position           Issue   Version   System
                                       Date   Number

                    Health & Safety Manual

5.0 Job Safety Analysis


Job Safety Analysis (JSA) is the process of identifying potential hazards, assessing their risk and
recording how to eliminate isolate or minimise the risk to worker safety (controls). Where potential
hazards are identified as Significant (Class A or Class B), Job Safety Analysis shall be completed
using the step-by-step guide over the page. The first step in this process is the development of a
Work Method Statement (WMS) which briefly describes the entire work activity (example attached).
Broadly defined job steps will be used and general hazards identified. The JSA will demonstrate The
major event LOC’s. understanding of the risks (particularly Class A & B risks) involved in the work and
typical controls used.

Prior to commencement of event work at the VOC the JSA will be updated to reflect the way the job
will actually be done on the specific site and how safety will be controlled – a site specific JSA.

The JSA form – F02-01 provides a record to demonstrate compliance to current Occupational Health
and Safety Legislation. The person responsible for implementing a particular action to eliminate or
minimise the risk of the potential hazard on site is nominated on the JSA. This will ensure
responsibility for risk control is allocated and can be followed up.

Evaluation of the JSA

Job Safety Analysis will be evaluated on how well Significant (Class A and Class B) hazards have
been identified for the work activity to be undertaken and whether the suggested controls, wherever
possible, eliminate the potential hazard, isolate it or minimise the risk of injury.

Controls should be as high as practical in the “Best to Worst” guide shown below.

                1.    Eliminate the hazard completely
  Best               e.g. remove items from the area or select different area for employees and
 Control              volunteers to utilise.

                2.    Isolate people from the hazard
                     e.g. guards on entry points
                     e.g. use effective barriers and edge protection.
                     e.g. enclose noisy machinery.

                3.   Minimise by:
                A.   Use an engineered control
                    e.g use a machine to lift heavy objects.
                    e.g. use barrier controls to assist patron movement

                B. Change work practices
                 e.g. training in lifting techniques.
                 e.g. training in dealing with patrons

 Worst          C. Provide Personal Protective Equipment (PPE) in all cases, this must be seen
 Control           as the last line of defence in the effective control of workplace hazards and the
                   least preferred option.
                 e.g. High visibility jackets in car-park areas

                                         Health & Safety Manual

Job Safety Analysis Step by Step
Does the JSA provide:

1.   The name of the organisation - The major event LOC
2.   A description of the work activity or task to be undertaken.
3.   The date the JSA was developed.
4.   The name and signature of the person who developed the JSA.
5.   The project name/ number and the name of the Principal service provider/contractor
6.   The job steps involved in doing the work.
7.   Potential hazards associated with the work and its job steps which are Class A & B risks.
8.   The controls that will be put in place to eliminate, isolate or minimise the potential hazards
9.   Controls as high as practicable on the ―Best to Worst‖ control guide.
10. The name of the person(s) responsible for ensuring that the control(s) is in place.

Selection and Use

    Job Safety Analysis will be completed and signed by an appropriately qualified person(s)
     representing The major event LOC who is competent in the work activity to be undertaken.
    Job Safety Analysis shall be reviewed and signed by the LOC General Manager or Safety and
     Security Manager as representatives on the site.

    Employees and volunteers shall review the JSA and sign (Safety & Security Training F16-01) at
     delivery at the various site briefings confirming that they understand and are willing to implement
     the controls required to carry out the work safely.
    Work shall not proceed until the above three criteria are achieved.

                                         Health & Safety Manual

Work Method Statement (WMS) – Example
A Work Method Statement (WMS) is a brief overview of the work activity to be undertaken that
describes the processes of equipment to be used and how the job is managed.

From this, a Job Safety Analysis (JSA) can be created that breaks the task down into simple steps or
segments where hazards can be identified and controls planned.

If the Job or Process involves machinery or a process that is repeated the same way each time, then a
Safe Operational Procedure (SOP) can be developed and training provided to that standard on a
consistent basis.

Examples of WMS
We utilise volunteers to carry out the role of Stewards and Hosts at the venues.
These personnel direct patrons within certain areas to their seating and towards food and beverage
areas and toilets.
The Stewards are expected to check and validate the accreditation of persons wishing to cross from
one zone to another. Persons with the incorrect accreditation will be verbally denied entry.
Where an issue arises with a patron or person arguing the validation of their accreditation a security
guard or team leader will be summonsed to sort the matter out.

The method of checking accreditation is by visual inspection. All steward/patron interaction will be

All accreditation issues will be directed back to accreditation for the issue of the correct accreditation.
No persons shall be allowed entry utilising incorrect accreditation.

                                         Health & Safety Manual

                                                                                                                                       Page 1 of 2

                                                          JOB SAFETY ANALYSIS
  Organisation Name: ___________________________________________                Project Name/No: ___________________________________
Work Activity/Task: ___________________________________________ Principal Employees/volunteers:: ____________________________________
              Date: ___________________________________________
     Prepared by: ___________________________________________                                           NOTE: Sign off to be provided at Safety &
Security Training
                                Job Step                   Potential Hazard                                                       Person Who Will
  Item                                                                               (What are you going to do to make the job as
                       (Break the job down into steps)      (What can harm you)
                                                                                                                                    Ensure This
                                                                                                  safe as possible)

Reviewed by: ________________________________          ______________________________        ______________________________           ________

               Principal Employees/volunteers Representative                     Position                        Signature                     Date


                                                                                                                                     Page 2 of 2
                                                     JOB SAFETY ANALYSIS

                            Job Step                     Potential Hazard                      Controls                       Person Who Will
                   (Break the job down into steps)       (What can harm you)   (What are you going to do to make the job as
                                                                                                                                Ensure This
                                                                                            safe as possible)                    Happens

Reviewed by: ______________________________ ______________________________     _______________________________                  ___________
              Principal Employee/volunteer Representative      Position                         Signature                                 Date


 6.0     Risk Management


 Occupational Health and Safety Legislation requires anyone in control of the workplace to identify the
 potential hazards of the proposed work, assess the risks involved to determine the level of
 significance of the hazard both actual and potential. Controls must then be developed to eliminate,
 isolate or minimise the associated risks of harm/ injury to employees and volunteers or others.

 Identify Hazards

 To help find all actual and potential hazards, the job shall be broken down into activities, which follow
 the sequence or construction. These activities are included in the Job Safety Analysis, which is a list
 of job procedures and other work-related practices provided to the Employee or Volunteer. The WMS
 details how the Scope of Work shall be carried out.

 For each of the work activities and associated job steps identified,

 The major event LOC shall identify potential hazards.

 To assist this process, resources such as the following shall be used:

            OSH Service Guidelines and trade based Codes of Practice and other publications e.g.
             safety alerts; and Approved Codes of Practice.
            Hazard Profiles for specific trade groups;
            Workplace experience; and
            Consultation (e.g. Safety & Security Trainings) with workers/ employees and volunteers
             experience in the task to be undertaken.

 Assess Risk

 For each potential workplace hazard identified a Risk Class will be determined by referring to the
 categories below. The attached Risk Management Form (F03-01) shall be used to determine the
 requirement for management of the risks identified.

Class A (High Risk)             1. Does the hazard have the potential to kill, or permanently
                                disable you? (Serious Harm)

Class B (medium Risk)           2. Does the hazard have the potential to cause a serious injury, or
                                illness, which will temporarily disable you or result in a Lost Time
                                Injury (LTI)? (Serious Harm)

Class C (Lower Risk)            3. Does the hazard have the potential to cause a minor injury,
                                which would not disable you, but may result in first aid treatment?


Selection and Use

    Where identified, all Class (A & B) Significant Hazards and associated risk shall be recorded on
     a detailed Job Safety Analysis (JSA) record F02-01. The employee or volunteer manager is to
     ensure that all hazards introduced or created by them are communicated to the Safety & Security
     Manager VOC. Class C risks shall be minimised as far as possible and recorded in the current
     hazard register. They shall not be recorded on the JSA.

    A risk Class shall be used to determine the level of controls required to eliminate, isolate or
     minimise a potential hazard.

    The higher the Risk Class the more extensive the controls to be provided.

    Control – take all practicable steps to eliminate the hazard if unable to do that, take all practicable
     steps to isolate before considering minimising the risk of injury.

                                         IDENTIFY HAZARDS
                                     -Process must be systematic and effective

                                   What is the consequence in terms of injury
                                  should the hazard cause harm
                                             (worst case scenario)

         CLASS A                                     CLASS B                                       CLASS C
         HAZARD                                      HAZARD                                        HAZARD
     Consequence:                              Consequence:                               Consequence:
    Death, serious harm,                         Injury or illness                                Injury or illness
     injury, permanent                         requiring time away                                 requiring First
          disability                                from work                                      Aid treatment

                                          Corrective Action

    CLASS A HAZARD                          CLASS B HAZARD                            CLASS C HAZARD

        Absolute Priority
     These are Significant                   These are Significant                      Hazard Controlled
             Hazards:                              Hazards
     Area sealed off, hazard                                                              -          eliminated
      isolated from all staff,                 Hazard Controlled                              -       isolated
       visitors, contractors,                                                             -          minimised
                                                 -       eliminated
    The primary focus must be                        -    isolated
    to eliminate these hazards.                  -       minimised                   Hazard controlled within 7
     They shall be controlled              Hazard controlled within 7
       within 24-48 hours                            days



                                                        RISK MANAGEMENT

Organisation: _____________________________     Project: _______________________________________           Date: ______________
                                                                         Job Safety Analysis is
                                                                      required for any activity that
 Major Work Activity     Potential Hazards Identified      Activity      is a Significant Hazard -     JSA No. & Date Produced
                                for the Activity            Risk           Class A or B Risk
                                                            Score          YES               NO


7.0     Hazard Identification

A Hazard Identification Record F04-01 (See example next page) or similar recording system is an
important evaluation tool that assists you in keeping track of the hazard identification processes in your workplace. It considers all identified hazards. It will help you to
identify recurring substandard practices
and conditions to identify areas where appropriate control measures are yet to be implemented, and to identify information and training requirements.

7.1 Hazard Log
It is a requirement that all provide copies of the VOC Operations and Volunteer Managers
JSA and hazard registers, so that these can be included and further analysed in the Major
Contract Hazard Log. These are to be provided at the job planning stage and NOT just ON THE
DAY of commencing work. Ideally the hazards will be discussed at pre event briefings, so that
each contractor can share their scope of works and identify the hazards they will bring on to site
and/or create. This will enable inductions, briefings and work method statements to be
completed and communicated to all those involved.


HAZARD IDENTIFICATION RECORD                      (LOG)                                                    F04-01

Log Sheet Number: _________________        Work Place: ___________________________         Completed by: __________________

 Hazard                                      Risk                                         Person
 Report                                  Assessment                                    Responsible for   Projected   Actual
 No. &    Hazard Location/ Description   Hazard Class       Control Measures and       Implementing      Completion Completion
  Date                                   & Likelihood     Corrective Action required     Control           Date       Date
                                           (A-B-C)                                      Measures

                                                                                                         Page No._____________


                                  VOC SITE - HAZARD IDENTIFICATION
VOC: Auckland           Hamilton          Wellington  Christchurch    (F04-02)
Area being Assessed (VOC office, Venue, etc…) ………………………………………….
Personnel utilised:            Employees                         Volunteers
Equipment being used           Yes                               No

Work Activity         Potential Hazards Identified for   Can Hazard be:      Remedy
                      activity                                 Eliminated
                                                               Isolated
                                                               Minimised
Car park attendance   Hit by moving car                  Minimised           Training, issue PEP


8.0     Skills and Competencies
The major event LOC shall ensure that its employees and volunteers are adequately trained to a level of competency sufficient to ensure their
health and safety when at work.

The major event LOC shall undertake a skills/ competency assessment of all employees and volunteers prior to the commencement of work
on the nominated site. The assessment will be recorded on form F05-01. Where skill deficiencies are detected appropriate training shall be provided before
work commences so that employees and volunteers can perform their designated duties safely. This also applies to subcontractors, temporary and contract
labour hire personnel, not under the VOC direct contractual control.

Selection and Use
   The F05-01 register shall be provided to the appropriate the VOC Manager, for on-site review.

   Workers shall be selected for specific tasks based on their level of skill and competency to undertake the work safely.

   Workers shall have the necessary licences and tickets to carry out their job/ task(s).






                                  SKILLS / COMPETENCY ASSESSMENT REGISTER
Organisation: ____________________________ Project: ____________________________________________ Date: ____________
                  Skills, Competencies and       Work to be Undertaken Any Deficiencies in Skills What Additional Training
Employee Name             Experience                                     & Competencies           Is Required Before Work
                                                    on This Project
                 (eg. Tickets/ qualifications)                                                        Can Commence
                ______________ yrs experience                                                     Training Needs:

                                                                                                  Date Completed: ______
                ______________ yrs experience                                                     Training Needs:

                                                                                                  Date Completed: ______
                ______________ yrs experience                                                     Training Needs:

                                                                                                  Date Completed: ______
                ______________ yrs experience                                                     Training Needs:

                                                                                                  Date Completed: ______
                ______________ yrs experience                                                     Training Needs:

                                                                                                  Date Completed: ______
                ______________ yrs experience                                                     Training Needs:

                                                                                                  Date Completed: ______



                                                Training Attendance Register
Organisation:         ________________________________________________________________________________________________
Course Name: __________________________ Course Location: ___________________________________ Date: _____________

    Name of Participant(s)       Job Position              Training Type                            Signature
                  Training Provider                           Names of Trainers               Length of Course (Hours)


9.0     OHS Induction Training

The VOC shall ensure that persons carrying out the nominated work have relevant training including
Occupational Health and Safety (OHS) Induction
Training. Workers will not carry out work until they have received the minimum requirements for OHS
induction training:

         1. Industry (general) induction
         2. Work Activity OHS Induction; and
         3. Site Specific OHS Induction.

Selection and Use

      All workers shall participate in (as a minimum) these three OHS induction training programmes
       prior to any work commencing on-site and a record shall be kept of the induction training
       provided on F06-01.

      All employee or volunteer managers shall have on site, their hazard ID and control sheets,
       appropriate to the daily work being carried out.


                                                           INDUCTION REGISTER
Organisation: __________________________________ Project: _________________________________________ Date:
       Name         Description   Card No/ Reg. No              Date of Course                  Duration        Conducted by   Employee
                     1, 2 or 3                                                                                     Name        Signature

KEY:                              1 – Industry (general)      2 – Work Activity Induction   3 – Site Specific
                                  Induction                                                 Induction


10.0 Workers Compensation and Rehabilitation
THE MAJOR EVENT LOC has provided Workers Compensation Insurance for all employees and
volunteers and other persons deemed to be employees and volunteers under the Injury Prevention
Rehabilitation and Compensation Act 2001 and it’s subsequent amendments.          This legislation is
administered by the Accident Compensation Corporation (ACC). The trade and occupation of each
employee on site will be recorded.       A record of the insurance will be provided on form F07-01,
together with an attached current copy of the policy certificate details issued by the insurer (ACC).
Where more than 20 persons are employed, a nominated Rehabilitation Co-ordinator shall be
appointed and listed on form F07-01.

All details relating to workplace insurance (ACC programmes etc) shall be recorded on Form F07-01
plus the name of any third party administrator (TPA) or case management specialist engaged by the
contractor or subcontractor. A copy of the latest ACC claims history record will be required to
substantiate the contractors / subcontractors injury statistics.

Employees and volunteers of the Contractor or subcontractor who are injured at work shall be
rehabilitated quickly and safely back to full duties.

THE MAJOR EVENT VOC shall provide a copy of all rehabilitation plans to THE MAJOR EVENT LOC.

(Name and Position)…………………………………………… shall be responsible for managing the
rehabilitation plan on site.
Contractor or Subcontractors, employees and volunteers injured on previous
contracts shall not complete their rehabilitation (this includes light / alternative
duties) on this contract without the prior approval of the LOC Operations

The Workplace Safety Management Practices Programme (WSMP) or the ACC Accredited Employer
Partnership Programme.




Organisation:                Name:


Person Responsible for       Name:        ____________________________________________
Processing Claims:
                             Phone No:    __________________ Mobile No: _______________


                             Address:     ___________________________________________
Insurer and or ACC

                             Phone No:    __________________

                             Policy No:   __________________ Expiry Date: _____________

NOTE: Copies of your current Workers Compensation policy (ACC) and current claims history
record must be attached.


Name of Rehabilitation       Name:      ______________________________________________
                             Phone No: ______________________ Mobile No: _____________

Insurer, Third Party
Administrator or ACC:        Contact: ______________________________________________
                             Phone No: ________________________
                             Policy No: ________________________


11.0 Hazard Reporting

THE MAJOR EVENT VOC shall encourage all employees and volunteers to report hazards
immediately. The supervisor on site shall investigate all reported hazards and document corrective
actions. Corrective actions will be signed off when completed. The procedure and responsibilities for
reporting hazards are outlined on the following flowchart. The supervisor shall complete a Hazard
Report Form (F08-01) where hazards cannot be corrected immediately.

FIFA VOC shall issue a Hazard Report Form to all supervisory personnel and safety committee
representatives. Forms for use by employees and volunteers shall be placed in the appropriate
reserve area shed and lunch rooms. These are to monitored and reviewed regularly and as a
minimum weekly at each match.


When a hazard is identified in the workplace, a Risk Class will be assigned immediately using the
categories outlined in the Hazard Identification and Risk Assessment section of the Manual (Section
Seven). The Risk Class (A, B or C) will determine the appropriate level of response required to
protect the health and safety of workers, i.e. immediate 24 - 48 hours, within 7 days, within 7-14 days
and so on.

Corrective Actions

      The Hazard Report shall be signed by the inspection team leader and presented to
        THE MAJOR EVENT VOC supervisor if he/ she is not part of the team.
      The above mentioned supervisor shall sign off the report when satisfied that all items on the
       report have been satisfactorily actioned. Copies of the signed reports shall be recorded in this



Employee identifies             Can the
     hazard                    hazard be              YES – do it.           Hazard Controlled
                               controlled                                     report in Hazard
                             immediately?                                     Register and Log

                                                  Controls Required?
                                  NO                 Area closed for         Employee notifies
                                                  immediate rectification?
                           Determine the Risk                                 supervisor and
                                                   Temporary control
                              Class A-B-C                                    completes Hazard
                                                   measure needed
                                                                             Report Form 08-01

 Supervisor signs off      Manager confirms            Supervisor                 Supervisor
 and enters details in     corrective action in       implements                  establishes
     the Hazard                  place.             corrective action        corrective action and
  Register and Log         Hazard Controlled                                       deadline.


                                                             HAZARD REPORT                                                         F08-01
Organisation:  ___________________________________________ Project: _______________________________________ Date:
Submitted by: __________________________________ Signature: _________________________ ___ Submitted to: ______________

The following hazard has been identified in relation to your work:

Risk Level:             Class A (High)              Class B (Medium)            Class C (Low)


To be completed by Supervisor

Action Required:

By Whom: ______________________ By When: A .              Within 24-48 hrs B.      Within 7 days C.      Within 7-14 days

Corrective Action
Completed By: _____________________________            Time: _______________     Date: _______________     Signature: ______________________
Confirmed By:      _____________________________                                                           Signature: ______________________


12.0 Light Vehicles

Vehicles can be hazardous to workplace safety. In order to comply with Occupational Health and
Safety Legislation THE MAJOR EVENT VOC shall carry out an inspection of light motor vehicles upon
receiving them from the supplier. The inspection shall be documented on the appropriate form F13-01
to F13-04 (or their equivalent) and made available to the driver when commencing work on site.

An Assessment
An assessment has been made by THE MAJOR EVENT LOC and .... (supplier) on the most suitable
vehicles for the job at hand.

When identifying potential hazards, consideration shall be given to all aspects of the vehicle including
design, work environment, operational conditions, abnormal conditions, and ergonomic principals.

Selection and Use
 Where plant and equipment is hired the same requirement for Occupational Health and Safety
   as those required on site shall be specified by THE MAJOR EVENT LOC/VOC to the Hire
   Organisation as a condition of the Hire Agreement,
 No item of plant and equipment shall be brought on site without a current service/
   maintenance record, registration and warrant of fitness.


                                    LIGHT VEHICLE ID REGISTER                                                        F09-01

                THE MAJOR EVENT VOC______________________________ AREA:
                _________________________________ Date: _____________

                The vehicle listed below will be brought onto site and/or operated under our control.

                                                                                                           Date      Date of
    Type              Make           Reg No.        Purpose         Inspected by            Person
                                                                                                         Of supply   return
(car/minivan)                                                           Who               responsible
                                                                   (prior to daily use)   for Security


VEHICLE INSPECTION REPORT (On arrival)                        F09-02
Location: ___________________________                                 Date: __________
 Owner: _______________                  Registration No: ____________
  Make: _______________                  Model: ____________
The following items are minimum requirements:
      Current Registration?                                                 Yes         No
     Current WOF?                                                           Yes         No
     Certificate of Fitness (rentals)                                       Yes          No
     Tyres inflated evenly (visual)?                                        Yes         No
     No visible damage?                                                     Yes         No
     Spare tyre within      (inflated)                                      Yes         No

                                                  Action to be Undertaken/ Comments
                                                             Tick if Correct
     No current Registration                     Check with supplier – do not use unless
     No current WOF                              a/a
     No Certificate of Fitness                   a/a
     Flat tyre                                   Check before use
     Visible damage                              Report to supplier - discretionary use if not
                                                 critical of effecting WOF
     No spare tyre/flat                          Report to supplier or re-inflate


13.0 Personal Protective Equipment (PPE)

Where other means of protection are not practical THE MAJOR EVENT VOC shall supply clothing or
equipment designed to protect parts or all of the body. This equipment may include gloves, hearing
protection, high visibility garments, breathing apparatus, thermal wear, eye protection, sun cream,
safety belts and harnesses.


During the development of control measures for Job Safety Analysis, the ―Best to Worst‖ guide to
controls outlined in the Job Safety Analysis section of this manual shall be used to help minimise
reliance on PPE (Section Five).

Selection and Use
 THE MAJOR EVENT VOC shall ensure all items of PPE are manufactured, used and maintained in
   accordance with the relevant Australian/New Zealand Standard. Proof of Australian/New Zealand
   Standard compliance will be provided, e.g. labelling.
 All issues of PPE to each individual shall be recorded on form F14-01 (one for each individual).
 Each employee will be instructed and / or trained in the correct use of each PPE item prior to use.


             PERSONAL PROTECTIVE EQUIPMENT ISSUE RECORD                                                     F10-01
Employee Name: ____________________________________    Occupation: _____________________________________
       Project: ____________________________________        Date: _____________________________________
                                                                                     Signature of Recipient
           PPE Item                Date or Issue/         Name of Recipient       I have received the listed PPE with
                                   Replacement                                   appropriate instruction/ training in its
                                                                                              correct use.


14.0 Emergency Response

Emergency Response
 All employees and volunteers shall be made aware of the emergency procedures and this
      awareness shall be documented on Form 16-01 (Safety & Security Training).
 All personnel shall be made aware of the site –specific emergency procedure and emergency
      service contact phone numbers shall be supplied (Workforce handbook).

15.0 Safety & Security Training – Workforce Handbook


Occupational Health and Safety Legislation requires the identification of Actual         and Potential
workplace hazards, the assessment of the risk of the hazard and the development of controls to
eliminate, isolate of minimise the risk. To assist in hazard identification and the development of
THE MAJOR EVENT employees and volunteers shall attend a Safety & Security Training conducted
FIFA VOC in their respective areas in October 2008 prior to the commencement of the event.

All Safety & Security Trainings shall be recorded on form F16-01 and signed off by participants. Any
corrective action shall be followed up and signed off by the nominated person.


THE MAJOR EVENT LOC recognise the involvement of workers as essential in identifying potential
hazards that can be eliminated, isolated or minimised before injuries occur. Safety & Security
Trainings shall be used to help Supervisors manage safety, to provide a forum for workers to have
their say about safety issues and to help ensure safety awareness is maintained throughout the event.
Where required specific safety issues shall be raised, accidents reviewed, Job Safety Analysis
developed and presented for evaluation and familiarisation or safety alerts discussed.

Safety & Security Trainings will be used to induct workers into and “sign off” their
understanding of the controls provided in Job Safety Analysis for the specific work in which they will
be involved.



Workplace:           ________________________________ Date:___________
Supervisor/ Presenter: ________________________________
Subject:             ___________________________        Duration: __________

                               Persons Present
   Print Name            Signature         Print Name          Signature

Comments & Points Raised

                                                   Action Complete
     Corrective Action         Action By
                                                 Sign Off          Date


16.0 First Aid and Accident investigation
THE MAJOR EVENT VOC will rely on the provision of First-Aid services by the event venue
Where that venue agrees to provide First-Aid services.
Where employees and volunteers are utilised without a defined reporting area then the FIFA VOC will
provide First Aid equipment and assistance at selected identified sites.
The following minimum requirements will be undertaken and personnel provided.

                                   Type of Kit          Type of Certificate Required
 Place of work         First-     Kit Kit Kit             First-aid         Occupational
   and no. of           aid       A    B      C          Certificate          First-aid
persons on the         room                                                  Certificate
For Construction or
100 or more                                                                       
25-99                                                        
24 or less                                                    

First Aid Personnel and Location of First-aid
At least two first aid personal should be provided for the off-venue employee and volunteers

A = Basic First Aid kit, is required to be held at the reporting base or other suitable site (meal and/or
rest area) selected by the Operations Manager or Volunteer co-ordinator VOC in discussion with the
Safety and Security Officer.

The senior qualified First-aid person on site is: Name) ……………………………………………………..
The selected site for the First-aid box/room is ……………………………………………

Where employees and volunteers are working at the venue then the first aid Box/room location shall
be identified as above. Where the facility (venue) is taking over or sharing the First Aid responsibility
then this arrangement shall be documented and carefully explained to all employees and volunteers
during the Safety and Security Training. (Form 16-01).

All injuries will be reported to the appropriate First Aid Officer and a THE MAJOR EVENT VOC
representative on site the same day or earliest at the start of next shift.              Injuries will be
recorded in the Site Injury Register and on form F17-01 or its equivalent.


Records will be kept for a minimum of 5 years by Football New Zealand. Where the injury results in an
absence from the workplace of 1 day or one full shift or more, the injury and its circumstances will be
reported to the Safety & Security Manager, ACC or the Third Party claims Administrator, using the
appropriate form.
All incidences of serious harm shall be reported to the Department of Labour Health and Safety
Services (OSH) and to the principal as soon as reasonably possible after the accident. Generally this
shall be within the hour or immediately after the injured person is safe.

A report form complying with the Dept of Labour (OSH) Prescribed matters Regulations (section 23)
shall be used to record all instances of serious harm. A copy must be given to the Principals and Head
Contractors management representatives.


THE MAJOR EVENT VOC Safety and Security Coordinator will investigate all serious harm accidents
within 24-hours. Investigation will be recorded on Accident Investigation form F17-02 or its equivalent.

Accidents shall be recorded by (Name & Position)…………………………………………………………
Accidents shall be investigated by Safety & Security Coordinator VOC
Accidents resulting in serious harm as per Schedule One of the Health and Safety in
Employment Act) shall be reported to Dept. of Labour (OSH) service by:

(Name & Position)……………………………………………………………………………………………….


Definition of Serious Harm

                                        Schedule 1                                             Section
                                      Serious harm                                                 2(4)
1     Any of the following conditions that amounts to or results in permanent loss of bodily function,
      or temporary severe loss of bodily function: respiratory disease, noise-induced hearing loss,
      neurological disease, cancer, dermatalogical disease, communicable disease,
      musculoskeletal disease, illness caused by exposure to infected material, decompression
      sickness, poisoning, vision impairment, chemical or hot-metal burn of eye, penetrating wound
      of eye, bone fracture, laceration, crushing.

2     Amputation of body part.

3     Burns requiring referral to a specialist medical practitioner or specialist outpatient clinic.
      Clause 3 was amended, as from 18 September 2004, by section 175(1) Health Practitioners
      Competence Assurance Act 2003 (2003 No 48) by omitting the word ―registered‖. See
      sections 178 to 227 of that Act as to the transitional provisions.

4     Loss of consciousness from lack of oxygen.

5     Loss of consciousness, or acute illness requiring treatment by a medical practitioner, from
      absorption, inhalation, or ingestion, of any substance.
      Clause 5 was amended, as from 18 September 2004, by section 175(1) Health Practitioners
      Competence Assurance Act 2003 (2003 No 48) by omitting the word ―registered‖. See
      sections 178 to 227 of that Act as to the transitional provisions.

6     Any harm that causes the person harmed to be hospitalised for a period of 48 hours or more
      commencing within 7 days of the harm's occurrence.


                                                      REGISTER OF INJURY                                                  F12-01
Details of Injured Person
NAME:                       Surname: ____________________      Given Name(s): __________________              Sex (M/F): __________
        Address: _____________________________________               Suburb: __________________              Post Code: __________
                                 City: ____________________                     __________________       Contact Phone: __________
EMPLOYER:            Business Name: ____________________
        Address: _____________________________________               Suburb: __________________              Post Code: __________
                                 City: ____________________                                             Business Phone: __________

Accident/ Incident Details
Description of Events:
                Date of Injury: ___________ Time of Injury: ___________ am/pm
           Task/ operation undertaken at the time of injury: ______________________________________________________
         Physical location (area) where the injury occurred: ______________________________________________________
        Type of injury (eg. Bruise, cut, fracture, grit in eye): ______________________________________________________
                Part of body injured (eg. Arm, torso, head): ______________________________________________________
                         Cause of Injury (what happened): ______________________________________________________
                             Treatment given/ Action taken: ______________________________________________________
Person Completing in Form
        Surname: __________________ Given Name(s): _________________________            Signature: ___________________
        Date:      __________________               Time: _______________ am/pm
Did the person cease work?                                    Yes       No
Has a referral for further treatment been issued?             Yes       No


Accident Investigation Report                                                                            F12-02
NOTE:                  A separate form should be completed for each person injured.
                       This investigation is aimed at identifying causes, not attributing blame.
                       All investigating personnel should be trained in investigation techniques.
Reference No. ________________Injury                       Damage       Near Miss

1.     Project: __________________________________________________________________

2.     Personal Details

                       Surname                                        First Name                          Other Initials

       Date of Birth                                        Gender
                          Day         Month        Year                M/F     Preferred Language        Contact No.

3.     Occupation/Job Title & Details
                                                                       When begun this
          Description of occupation or job title                       Occupation/job         Day     Month        Year

     Main tasks performed                                              Training provided:            Induction.
                                                                                                     Trade/task specific.
                                                                                                     Both of the above.
                                                                                                     None of the above.

4. Time & Date of Damage / Accident / Near Miss                       Time & Date Report Received
                                Day      Month         Year           am/pm             Day    Month        Year

5. Accident Results
         Fatal                        Hospital inpatient      Doctor only
         First aid only               Property damage         Nil (injury/damage)

Nature of injury, disease or damage:
_________________________________________________________________                                  Nature Code


Location of injury, disease or damage:
__________________________________________________________________                      Nature Code
6. Outcome (Questions to be answered, as information becomes available)
Rehabilitation                Date of Resumption
      Not Required            Short-term alternate duties

      Required                Long -term alternate duties

                              Normal duties
                                                            Day   Month       Year
                      Total number of days lost.
                      OSH Department of Labour report completed and sent.
                      Organisation investigation undertaken.

7. Description of Incident (include any particular chemical, product, process equipment involved)
   What was the worker doing at the time?________________________________________
                     Name/s of witnesses                          Signature of worker                 Date:

                 Mechanism of injury Code

How exactly was the injury, disease or damage sustained?
                                                     Breakdown agency Code

What happened? (undesired event)


Reconstruct the sequence of events that led to the undesired event.
 1.                                                      4.
 2.                                                      5.
 3.                                                      6.

List contributing factors
                       Name                          Position                         Signature
Date investigation conducted:
                                             Day     Month        Year
**** Attach detailed investigation report for all Serious Harm Injuries

9. Corrective Action Undertaken: ________________________________________________

 Estimated Cost of Incident: $                           Estimated Cost of Correction: $

10. Project Manager’s Comments: (manager, employer or Contractor to sign and date)

 Signature:                                              Date:

11. Safety Engineers Comments: (sign and date)

 Signature:                                              Date:


17.0 Audit Checklist
THE MAJOR EVENT LOC will provide a completed copy of this Manual to enable verification
against the requirements of Occupational Health and Safety in terms of the Health & Safety in
Employment Act. For the purposes of verification, a current copy of the completed Manual and
ACC work injury claims record, will be checked using the method outlined below and made
available to the local SQE Advisor. They will verify the standard of completion of information in all
relevant sections. In addition a further update of the manual must be made annually and rechecked
to keep the subcontractor information up to date. This manual is also to be used, in addition to the
site safety plan, for monthly evidence based performance monitoring of the subcontractor. NCR`s
shall be raised for ALL non conformance.


Audit checklist                                                                      F13-01
No                    Item                    Y/N                    Y/N                    Y/N                 Average
                                                         Date               Date                       Date
                                             Score                  Score                  Score
1       Introduction
2       Policy
3       Roles & Responsibilities
4       Document Control
5       Job Safety Analysis
6       Risk Management
7       Hazard Identification
8       Skills & Competencies
9       OSH Induction Training
10      Workers Compensation &
11      Hazard Reporting
12      Light Vehicles
13      Personal Protective
14      Emergency Response
15      Safety & Security Training
16      First Aid and Accident
17      Audit Checklist
Score Legend (optional)

5 Best Practice
4 Continuous Improvement                                            Checked By: ________________________
3 Above Standard
2 Minimum Standard                                                  Date: ___________________
1 No Compliance
0 Not Acceptable

     Note* If the ACC injury claims record is above 20% of staff injured score 1. Below 20% score 2. Below 10% score 3.


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