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					Uniting Church in Australia
The Synod of NSW and ACT




Workplace Safety Services
A Division of Uniting Resources


 Control of Contractors

Management Model Procedure
                                                               TABLE OF CONTENTS

TITLE ............................................................................................................................................................................ 1
OVERVIEW ................................................................................................................................................................... 1
SCOPE/APPLICATION ................................................................................................................................................ 1
DEFINITIONS ............................................................................................................................................................... 1
RELATED DOCUMENTS/FORMS ............................................................................................................................... 2
REFERENCES & LINKS .............................................................................................................................................. 2
ROLES & RESPONSIBILITIES .................................................................................................................................... 2
PROCEDURE ............................................................................................................................................................... 4
   Preamble ................................................................................................................................................................... 4
   1      Contractor Selection, Appraisal and Control ...................................................................................................... 4
   2      Control of Significant Works – Level 1 Work ...................................................................................................... 5
   3      Control of all other Works, other than Significant Works or Minor Works – Level 2 Work ................................. 6
   4      Control of Minor Works of Low-Risk – Level 3 Work .......................................................................................... 7
   5      Induction ............................................................................................................................................................. 8
   6      Work Permit Clearance Procedure ..................................................................................................................... 9
   7      Before Work Commences .................................................................................................................................. 9
          OBLIGATIONS & LIABILITIES CHECKLIST ....................................................................................................10
   8      On the Job Monitoring ......................................................................................................................................12
FURTHER ASSISTANCE ...........................................................................................................................................12
VERSION CONTROL .................................................................................................................................................12
MODEL PROCEDURE IMPLEMENTATION AUDIT ..................................................................................................12
ATTACHMENTS
CONTRACTOR PRE-SELECTION & CONTRACT PRE-COMMENCEMENT CHECKLIST
CONTRACTOR TENDER INFORMATION
SAFETY INFORMATION HANDOUT (SAMPLE)
CONTRACTOR HANDBOOK
WORK PERMIT / CLEARANCE CERTIFICATE
WORKED EXAMPLE – SAFETY PLAN AND WORK METHOD STATEMENT
PRINCIPAL CONTRACTOR AGREEMENT
SUB-CONTRACTOR STATEMENT FORM
CONFINED SPACE CONTRACTOR DECLARATION
EQUIPMENT SAFETY CHECKLIST
CONTRACTOR HEALTH ASSESSMENT
CONTRACTOR HEALTH ASSESSMENT QUESTIONNAIRE
CONTRACTOR MONTHLY REPORT
SITE OH&S HAZARD REPORT
CONTRACT IN PROGRESS – SITE INSPECTION CHECKLIST




Control of Contractors                                                    Workplace Safety Services
Management Model Procedure: Version 3                                   A Division of Uniting Resources
TITLE
Control of Contractors.

OVERVIEW
This Model Procedure applies to all work carried out under contract by Contractors on workplace premises which
are owned, leased or controlled by any entity of the Uniting Church in Australia Synod of NSW and ACT (the
Synod) and aims to ensure that, prior to performing work on the Synod entity premises:
 OH&S risks are controlled
 competent Contractors are selected, monitored and supplied with sufficient information to ensure that their own
   safety and the safety of their employees is not put at risk by the activities of any Synod entity
 Contractors provide any entity of the Synod with sufficient information to ensure that the safety of Synod
   employees or others is not put at risk by Contractor activities.

The following procedure aims to deliberately align responsibility for controlling Contractor work activity to an
appropriately appointed person (see „Responsibilities‟ below).

Important Note
Responsibility and authority to implement the requirements of this Model Procedure can only be assigned to a
management appointed person who has demonstrated competency in the Synod OH&S Management System Risk
Analysis process.

SCOPE/APPLICATION
This Model Procedure applies to all work carried out under contract by Contractors on premises which are owned,
leased or controlled by any entity of the Synod.

DEFINITIONS
Nominated Manager
Management appointed person operating and controlling premises (as the employer), with overall operational
responsibility for work activity within a workplace on premises owned, leased or controlled by the Synod.

Project Overseer
Management appointed person (either permanent or project based) with overall responsibility for overseeing the
planning and preparation, consultation and communication, implementation and completion of specified
construction developments on premises owned, leased or controlled by the Synod.

Principal Contractor
Any person or company who enters into a contract with another person or company to carry out work for them. In
all circumstances, unless otherwise formally appointed, the „Principal‟ assumes overall responsibility for Contractor
activity on premises owned, leased or controlled by the Synod (important - refer Principal Contractor Agreement).

Contractor
A person not engaged under a contract of employment or paid on the payroll of any entity of the Synod, present on
premises owned, leased or controlled by the Synod for Synod business purposes, or otherwise engaged to
undertake or carryout work under contract, or conduct business on behalf of the Synod. Contractor refers to the
Company, Principal Contractor or Contractor and their employees, agents, consultants, sub contractors and sub
contractor employees.

The Work
Refers to the scope of work specified to be carried out under Contract.

The Contract
Means the Contract awarded to a Contractor in accordance with the Scope of Work, following acceptance of the
Tender.




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Management Model Procedure: Version 3          A Division of Uniting Resources
RELATED DOCUMENTS/FORMS

Contractor Pre-Selection & Contract Pre-Commencement Checklist
Contractor Tender Information
Safety Information Handout (sample)
Contractor Handbook
Work Permit/Clearance Certificate
Worked Example – Safety Plan and Work Method Statement
Principal Contractor Agreement
Sub-Contractor Statement Form
Confined Space Contractor Declaration
Obligations and Liabilities Checklist
Equipment Safety Checklist
Contractor Health Assessment
Contractor Health Assessment Questionnaire
Contractor Monthly Report *
Site OH&S Hazard Report *
Contract in Progress – Site Inspection Checklist *
Model Procedure Implementation Audit
* intended for the discretionary use of the Nominated Manager or Project Overseer

REFERENCES & LINKS

Current Occupational Health and Safety legislation as applicable to NSW & ACT



ROLES & RESPONSIBILITIES
Nominated Manager
The Nominated Manager is primarily responsible for OH&S matters (over which they have or can reasonably be
expected to have control) within a workplace. The Nominated Manager must ensure that the Synod or Contractor
activities do not expose employees, contractors or the general public to unacceptable risk, by ensuring compliance
with all requirements of this Model Procedure. In all circumstances, unless otherwise formally appointed, the
Nominated Manager is deemed Principal Contractor (refer Principal Contractor Agreement).

Project Overseer
The Project Overseer is responsible for overseeing specified construction developments and the requirements of
this Model Procedure. The role includes:
 Pre construction planning/preparation and consultation with all stakeholders.
 Developing and submitting Risk Management plans as required.
 Submission and implementation of any DA or other approval.
 Monitoring and ensuring implementation of Risk Management plans.
 Effective ongoing communication with all stakeholders affected by the construction.
 Monitoring implementation and completion of construction work.
 Post construction preparation for occupation.

Principal Contractor:
The Principal Contractor has overall responsibility for Contractor activity and ensuring compliance with advised
Synod OH&S Management System requirements and all relevant statutory Legislation, Regulations and Codes of
Practice (important - refer Principal Contractor Agreement). In all circumstances, unless otherwise formally
appointed, the Nominated Manager is deemed Principal Contractor.

Contractor:
A Contractor is responsible for ensuring their own safety and the safety of their employees (if an employer) and
others whilst undertaking the work activity for which they are engaged. Contractors engaged to perform work must
comply with advised Synod OH&S Management System requirements and all relevant statutory Legislation,
Regulations and Codes of Practice. Failure to comply shall result in termination of contract.



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Management Model Procedure: Version 3         A Division of Uniting Resources
Determining Responsibility and who is ‘Principal’ and who is a ‘Contractor’:
A Principal is any person or company who enters into a contract with another person or company to carry out work
for them. In all circumstances, unless otherwise formally appointed, the „Principal‟ assumes overall responsibility
for Contractor activity on premises owned, leased or controlled by the Synod (important - refer Principal Contractor
Agreement). In other words (unless otherwise specifically assigned) any Synod employing entity is the „Principal‟
when another person (Contractor) is engaged to conduct work for it.

Obligations of the Principal
As „Principal‟ an employing entity is obligated by law to ensure that:
a) OH&S risks are controlled when work is carried out under contract by Contractors on premises which are
    owned, leased or controlled by the Synod;
b) Competent Contractors are selected, monitored and supplied with sufficient information to ensure that their
    own safety and the safety of their employees is not put at risk by Synod activities;
c) Contractors provide the Synod with sufficient information to ensure that the safety of Synod employees or
    others is not put at risk by Contractor activities.

Therefore prior to assuming responsibility as „Principal‟, the Synod employing entities must seriously consider the
level of risk relating to the proposed work activity and either (if appropriate) formally appoint an appropriately
qualified Principal Contractor (important - refer Principal Contractor Agreement), or alternatively implement the
requirements of this procedure to effectively control OH&S risks.

Liabilities of the Principal
As „Principal‟, an employing entity may be liable:
a) to pay Workers‟ Compensation to a Contractor or a Contractor‟s worker where the Contractor does not have a
    Workers‟ Compensation insurance policy and he/she or his/her worker suffers a workplace injury;
b) for any unpaid premium and subsequent penalties for the period that a Contractor conducts work for the
    Synod, if a Contractor does not have a current Workers‟ Compensation policy or has not paid the correct
    premium;
c) for any unpaid remuneration payable to relevant employees of a Contractor, for work performed during the
    currency period of the contract;
d) for any unpaid payroll tax relevant to the employees of a Contractor;
e) for public liability insurance claims made by a third party against the Contractor whilst that Contractor is
    performing work for the Synod.

When assuming responsibility as „Principal‟, the Synod employing entities must always check that Contractors have
provided evidence of all required insurance cover and remuneration, tax and insurance paid, prior to allowing a
contractor to commence work on Synod premises, as detailed in the following documents:
 Contractor Pre-selection & Contract Pre-Commencement Checklist
 Contractor Tender Information
 Contractor Handbook
 Sub-Contractor Statement Form.




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Management Model Procedure: Version 3         A Division of Uniting Resources
PROCEDURE

Preamble
The general application and implementation of this procedure is underpinned by the fundamental principles of Risk
Management and as such, the procedure categorises contractor risk exposures under three (3) broad areas of risk.
These are:
1. Significant Works – Level 1 Work
2. Work other than Significant Works or Minor Works – Level 2 Work
3. Minor Work of Low Risk – Level 3 Work

This procedure includes consideration relating to the various types of Contractor engagements likely to be
encountered by Synod employing entities, having been defined as:
 Significant works on-site, likely (building construction);
 On-site work other than significant works or minor works, likely (contract / labour hire workers on-site;
   contracted off-site work; contracted business services on-site);
 Minor works on-site of low risk, likely (routine building maintenance, grounds maintenance, gardening or light
   cleaning; equipment servicing or maintenance; repairs and minor modifications; laundry or food suppliers;
   personal care, health, medical or therapy services; small/light on-site deliver or pickup; large/heavy on-site
   delivery or pickup).

The most practical method of managing risks relating to Contractors is to tailor „controls‟ for each type of
contractual arrangement. Whilst Synod employing entities must assist contractors to meet appropriate safety
standards, they must also be prepared to stop work if they are aware that work activity is not safe. When
considering the level of „control‟ required, any assessment of risk must consider the broad range of variables
applicable to the proposed work. Such variables may include:
 the cost, scope, type and duration of work to be undertaken
 hazards involved
 level of risk exposure
 number of Contractors
 the likely time Contractors will be present on Synod premises.
Therefore, „significant works‟ are likely to require more formal risk analysis, structured safety planning and a greater
depth of induction than „minor work‟ with less risk exposure.

1       Contractor Selection, Appraisal and Control
1.1.     Contractors shall be selected on the basis of their qualification, competence, experience and suitability
         relating to the work to be carried out. Towards this end, the Contractor Pre-Selection & Contract Pre-
         Commencement Checklist should be used to assist in appraisal and selection of contractors, with a view to
         developing an approved preferred contractor listing.

1.2.    Based upon the particular risk exposure (eg., protection of the elderly and/or children or prevention of fraud
        and/or money laundering), prior to being allowed unsupervised access to any of the Synod premises, each
        individual Contractor must provide evidence of a valid Police certificate, as required by legislation or as a
        pre-requisite for certain roles and/or functional areas. Thus, specific „policy‟ requirements must be identified
        and referred to in Contractor Tender Information. This would include (but not be limited to) anyone:
         who has unsupervised access to an elderly person in care,
         who has unsupervised access to a child in care,
         with potential access to control the financial flow of funds in or out of any area of finance, banking or
           accounting.

1.3.    All Contractors must provide evidence of all required insurance cover and remuneration, tax and insurance
        paid, prior to commencing work on the Synod premises, as detailed in the following documents:
         Contractor Pre-selection & Contract Pre-Commencement Checklist
         Contractor Tender Information
         Contractor Handbook
         Sub-Contractor Statement Form.

1.4.    If the Nominated Manager intends to engage a „Principal Contractor‟, the Principal Contractor Agreement
        must be completed. In all circumstances, unless otherwise appointed, the Nominated Manager is deemed
        Principal Contractor.

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Management Model Procedure: Version 3           A Division of Uniting Resources
1.5.    Under certain circumstances and dependant upon the particular risk exposures that relate to the work
        scheduled to be undertaken (eg., the nature of hazards to which the contractor could be exposed and the
        period of time that the contractor is likely to be present on the site), it may be deemed necessary for
        Contractors and/or their employees to undertake a Health Assessment (refer to Contractor Handbook and
        Contractor Health Assessment).

1.6.    Site/workplace records of „approved‟ Contractors should be maintained, including competency
        assessments of individual Contractors who have completed induction.

1.7.    OH&S risk is assessed and performance monitored and controlled by the four main elements detailed
        below:

        1. Safety Plan & Work Method Statement
        Prepared and implemented by Contractor, based on Contractor‟s site/workplace specific risk analysis of the
        work to be undertaken. Compliance monitored by Nominated Manager.

        2. Contractor Handbook
        General site/workplace requirements and conditions to be followed by Contractors and their employees.
        Contractors are required to take their employees through the clauses in the Handbook, confirm
        competency of understanding and ensure that they sign-off on the Contractor Declaration at the back of the
        book (before work starts).

        3. Safety Induction
        One of 3 levels, depending on the scope, type and duration of work to be undertaken, hazards involved,
        risk exposure, number of Contractors and the likely length of time Contractors will be on Synod Premises.

        4. Work Permit Clearance Procedure
        On-site arrangements to ensure work requiring special clearance to proceed is carried out safely.

2       Control of Significant Works – Level 1 Work
Significant Works would probably involve a „tender process‟ and is likely to require more than 5 days (either
consecutively or separately within a 3 month period) to complete. However, it should be recognised that the level
of „risk‟ is not based solely on the time required to complete work (refer to „Preamble‟ above).

Typically significant on-site works will involve major building construction and will necessitate access to the
construction zone to be heavily fenced off, with site/workplace access restricted and controlled by the Principal
Contractor. Controls may include:
 establishing OH&S standards and expectations in contract specifications and having OH&S evaluated as part of
   the Tender process
 selecting Contractors on the basis of capacity and willingness to comply with OH&S requirements and their
   suitability for appointment as Principal Contractor;
 requesting a generic Safety Plan and Work Method Statement for the project;
 implementing a monitoring and communication reporting process;
 monitoring conduct of Risk Assessments for all phases of the project;
 the Project Overseer conducting periodic audits to monitor and ensure compliance to the advised Safety Plan
   and Work Method Statement.

2.1     The Nominated Manager shall provide „tender invitation information‟ to each Contract Company invited to
        Tender for a contract, which shall include:
         Scope of Work and Contract
         Contractor Tender Information including-
           General Requirements for Contract Works
           Insurance Schedule
           Model Safety Plan and Sample Work Method Statement
           Contractor Handbook (requirements and conditions for working on site)
           Any other relevant attachments to this Model Procedure

2.2     Tender Information requires Contractors to prepare and submit a Safety Plan with the Tender/Quote, and
        prior to work commencing, the contractor will be required to submit a detailed Work Method Statement
        based on site specific risk analysis of the work involved (see Contractor Tender Information and Worked
        Example – Safety Plan and Work Method Statement).

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Management Model Procedure: Version 3         A Division of Uniting Resources
        The risk analysis should be carried out by the Contractor, with input from the Nominated Manager where
        required. The level of OH&S control required for the job will depend on the outcome of the risk analysis.
        The Nominated Manager should provide the contractor with sufficiently detailed information to facilitate the
        risk analysis (which is likely to involve a site/workplace visit).

2.3     The risk analysis will have identified whether any work requiring special Clearance or authorisation will be
        required (as per 6 below).

2.4     The Nominated Manager shall review quotes, statements and plans received and notify the successful
        Contractor.

2.5     The Nominated Manager shall advise the contractor that OH&S management performance will be
        monitored using the contractor‟s Safety Plan and Work Method Statement, Contractor Handbook and Site
        Inspection Checklist, as appropriate.

2.6     The Nominated Manager shall supply the Contractor with the Contractor Handbook (site requirements and
        conditions) and explain that all employees must be familiarised with the contents and their understanding of
        the contents confirmed before work starts. Thus, Contractors are required to take their employees through
        the clauses in the Handbook, confirm competency of understanding of each person and ensure that
        they individually sign-off on the Contractor Declaration at the back of the book, before work starts.

2.7     The Nominated Manager shall explain to the Contractor the induction requirements applicable to their
        employees (see Section 5 „Induction‟ below), and ensure that appropriate arrangements are in place for the
        relevant induction program to be completed before work commences.

2.8     If required by the Nominated Manager, the contractor shall also submit:
         A register of all tools and equipment to be used during the job and evidence (including date of
            test/check) verifying that items are fit and safe for use (see Equipment Safety Checklist).
         Licences and Certificates to provide evidence that their employees are competent/qualified/authorised
            to carry out the work in question.
         References (and supporting documentation) for similar previous works.

3       Control of all other Works, other than Significant Works or Minor Works – Level 2 Work
This would probably involve on-site work likely to take between 1 and 5 days (either consecutively or separately
within a 3 month period) duration to complete. However, it should be recognised that the level of „risk‟ is not based
solely on the time required to complete work (refer to „Preamble‟ above).

Whilst this type of work is often undertaken by various technically skilled or trade workers, the „potential for harm‟ is
often known and the level of acute risk recognised as high. Therefore, the level of known risk warrants a detailed
analysis of work activity, identification of related hazards, assessment of risks and implementation of appropriate
controls. Controls may include:
 establishing and maintaining an approved contractor list and conducting periodic licence and certification
    checks;
 requesting both generic and site/job specific Safety Plans and Work Method Statements for the type of high risk
    work tasks, both likely to be and scheduled to be undertaken by the Contractor;
 Work Permit Clearance Certification specifying agreed appropriate controls and allocating clear requirements
    and responsibilities for contractors;
 displaying clear signage and instructions at the site/workplace;
 providing supervision as appropriate for the circumstances.




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Management Model Procedure: Version 3           A Division of Uniting Resources
3.1     The Nominated Manager shall provide the Contractor with a copy of the Contractor Handbook and Worked
        Example – Safety Plan and Work Method Statement and explain to the contractor that a risk analysis
        needs to be undertaken relating to the work being considered. The outcome of the risk analysis will then
        dictate the level of OH&S „control‟ required (as at 2.2 above).
3.2     The risk analysis will have identified whether any work requiring special Clearance or authorisation will be
        required (as per 6 below).

3.3     If the job will involve special Clearance or authorisation, it is advisable that the Nominated Manager ask
        the contractor to prepare and submit a Safety Plan and Work Method Statement based on the risk analysis
        (as at 2.2 above).

Note: It is important that the type and number of hazards present, the level of risk exposure, adequacy of existing
controls, number of contractor employees expected to be on site and expected duration of the work involved be
fully considered, before deciding whether to allow work to proceed without a Safety Plan and Work Method
Statement.

If work is allowed to proceed without a Safety Plan and Work Method Statement the Nominated Manager should
(as a minimum) implement 6.2 below and then consider the need to proceed with the implementation of the
requirements as detailed between 2.5 and 2.8 above.

Contract / Labour Hire Workers On-Site
Contract and labour hire casual workers are „deemed‟ employees for the purpose of OH&S and should be subject
to the same safety induction training and supervisions as direct employees. If these workers are only to be
engaged for an extremely limited or short period of time and lengthy induction and training is not a viable option,
then limitations should be placed on the work they perform, consistent with the level of training that they receive.

Contracted Off-Site Work
Controlling all aspects of contracted off-site work can be difficult. However, as Principal, Synod employing entities
must define the scope and the limit of the work that is required to be undertaken; identify the hazards and assess
the risks relating to the particular circumstances of the work to be undertaken; and implement suitable controls
(including provision of supervision in the form of periodic audits). Prior to any work being undertaken, Synod
employing entities must conduct pre-contract / project risk assessments and develop documented Safe Work
Procedures for all routine tasks and processes for managing non-routine tasks.

Contracted Business Services On-Site
In circumstances where a business service is contracted out, a contractor takes full operational control (on behalf of
an employer) of an on-site service, function or facility at a workplace site. Where this occurs, each party (both
employer as Principal and contractor) must be aware of their obligations. The contractor must follow the OH&S
management system of the employer and the employer must monitor the contractor‟s compliance and
performance.

4       Control of Minor Works of Low-Risk – Level 3 Work
This would probably involve work which could be completed in a short period of time (likely to be completed in less
than 1 day), is of „low risk‟ and does not involve Clearance Procedure. However, it should be recognised that the
level of „risk‟ is not based solely on the time required to complete work (refer to „Preamble‟ above).

Typically minor works would include contractors undertaking various routine works including routine building
maintenance, grounds maintenance, gardening or light cleaning; equipment servicing or maintenance; repairs and
minor modifications; laundry or food suppliers; personal care, health, medical or therapy services; small/light on-site
deliver or pickup; large/heavy on-site delivery or pickup at a site/workplace. This type of work is usually undertaken
by various technically skilled or trade workers. Controls may include:
 establishing and maintaining an approved Contractor list and conducting periodic licence and certification
   checks;
 requesting generic Safety Plans and Work Method Statements for the type of routine work tasks the contractors
   are likely to be engaged to undertake;
 providing a „Safety Information Handout‟ and allocating clear responsibilities for contractors;
 displaying clear signage and instructions at the site/workplace;
 providing supervision as appropriate for the circumstances.

Small / Light On-Site Deliveries and Pickups

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Management Model Procedure: Version 3           A Division of Uniting Resources
Minor works can also include a wide variety of small / light on-site deliveries and pickups to and from a
site/workplace. Attendance at the site/workplace is usually brief and often involves different contractors on each
occasion. The risks related to these contractors are generally quite low and it would not be practicable or cost
effective to conduct lengthy induction prior to allowing the contractor access to the site/workplace. However,
boundaries can be defined and can be implemented to instruct contractors by providing:
 clear signage (such as requiring all deliveries and couriers to report to site/workplace reception access control
    point);
 limited entry points to the site/workplace;
 clear travel routes to approved delivery points (eg., using a colour coded path or map);
 scheduling periodic monitoring audits of delivery activities.

If there is a need for contractors to proceed past the workplace reception access control point unattended, Synod
employing entities need to issue short relevant instructions in the form of a „Safety Information Handout‟ on the
specific route to take and priority „do‟s and don‟ts‟ for delivery activities.

Large / Heavy On-Site Deliveries and Pickups
As in the case of small / light on-site deliveries and pickups, large/heavy on-site deliveries or pickups (under the
heading of minor works) often involve different contractors on each occasion, which again makes lengthy induction
not practicable or cost effective. It would however, be appropriate to apply the provisions as for small / light
deliveries or pickups, as well as:
 prominently displaying „conditions of entry instructions‟ at the site/workplace reception access control point, as
   well as at each loading or unloading point;
 upon entry, brief the truck driver on „conditions of entry instructions‟;
 issuing the truck driver with a „Safety Information Handout‟;
 making provision for an appropriate level of supervision for delivery activities.

The Nominated Manager shall ensure that Contractors and their employees receive a site/workplace specific
Safety Information Handout (Sample), relevant to the site/workplace in question.


5       Induction
All Contractors and their employees engaged to work on a Synod site, must receive one of 3 levels of OH&S
Induction before being permitted to start work. Written and spoken English literacy skills will be required to
confirm competency of understanding.

Level 1 Induction

Contractors and their employees undertaking work assessed as „significant works‟, as described at 2 above, must
be fully inducted (a minimum of 1 hour) in accordance with the Synod general OH&S requirements, Contractor
Handbook and other site/work specific requirements. Competency of understanding must be demonstrated in
writing, prior to work commencing. Inductions will be conducted at the expense of the Synod.

Level 2 Induction

Contractors and their employees undertaking work, assessed to fall within the description at 3 above (that does not
involve Clearance Procedure), must be inducted (approximately 20 minutes) in accordance with the Contractor
Handbook and site/workplace specific OH&S requirements (written competency of understanding must be
demonstrated in accordance with Contractor Handbook), prior to work commencing. Inductions will be conducted
at the expense of the Synod.

Level 3 – Induction

Contractors and their employees undertaking „minor work of low risk‟, assessed to fall within the description at 4
above (that does not involve Clearance Procedure), must be provided with a site specific Safety Information
Handout (Sample), relevant to the site/workplace in question.




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Management Model Procedure: Version 3         A Division of Uniting Resources
6       Work Permit Clearance Procedure
6.1     The need for special Clearance and/or authorisation for hazardous tasks will have         been    identified
        during the risk analysis. Special clearances normally apply to the type of work listed below (but may also
        involve other work not specified here):

           Work involving gas, electrical or mechanical         Work at a height above 2 metres, on roofs,
           energy, requiring Isolation/lock out                 scaffolding or ladders
           Hot work involving welding, grinding, cutting or     Excavation or breaking into walls, floors or ceilings
           the introduction of ignition sources
           Confined space entry including entry into            Work involving the use of cranes and/or lifting
           vessels, silos, pits, trenches, pipes, etc           equipment
           Work in the vicinity of underground or overhead      Asbestos removal or the use of hazardous
           power lines                                          substances/chemicals
           Work with the potential to adversely impact on       Civil works and earthmoving
           normal operational activities

6.2     If the work to be done involves any of the above, the Nominated Manager shall ensure that:
         The contractor is aware of site Clearance Procedures and agrees to follow all directions specified in a
             Work Permit/Clearance Certificate.
         Clearance Certification is requested and provided in a timely manner to allow work to progress
          according to schedule and in accordance with safe work practice.
         The Contractor is aware of the need to give adequate written notice when requesting any other special
          written authorisation and that (if appropriate) written authorisation is provided in a timely manner, before
          work is allowed to commence.
         The contractor returns all original Certificates/written authorisations at the end of each work period.


7       Before Work Commences
7.1     The Nominated Manager shall:
         Ensure that the obligations and liabilities outlined in Obligations of the Principal and Liabilities of the
          Principal above are adequately considered and addressed, in accordance with the requirements of this
          procedure. Refer to the following documents prior to commencing work:
           Contractor Pre-Selection & Contract Pre-Commencement Checklist
           Contractor Tender Information
           Contractor Handbook
           Principal Contractor Agreement
           Sub-Contractor Statement Form
           Obligations & Liabilities Checklist
         Ensure that (where there is a requirement for a Police check) each Contractor has a valid Police
          certificate prior to being allowed unsupervised access to any Synod premises.
         Review the „Contractor Declaration‟ and „Competency of Understanding Assessments‟ from the
          Contractor Handbook (in relation to all people likely to be engaged in work on the site/workplace) and
          return these to the Contractor for filing and retention on site/at the workplace.
         Review the Safety Plan/Work Method Statement and Clearance requirements (as applicable) with the
          contractor, clarifying points and addressing any concerns as necessary.
         Ensure that Contractors and their employees have ready access to MSDS for chemicals used on the
          site/workplace by the Synod.
         Ensure that Contractors and their employees have received the appropriate level of induction, in
          accordance with section 5 above.




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Management Model Procedure: Version 3          A Division of Uniting Resources
7.2      The following Obligations & Liabilities Checklist will help to determine to what extent steps have been taken
         to manage risks relating to the obligations and liabilities of the Synod when engaging Contractors:

                              OBLIGATIONS & LIABILITIES CHECKLIST
 If the information contained in documentation provided (referred to below) appears „reasonable‟, then documents
 should be accepted. If you answer „No‟ to any of the relevant questions, you must obtain the appropriate
 documentation from the Contractor.

 STEP 1
 WRITTEN                     Is there a written contract or agreement with the Contractor for the               Yes / No
 AGREEMENTS WITH             provision of work connected to a Synod employing entity?
 CONTRACTORS
 (refer to “Determining      If you answered No to Step 1, you must as a minimum enter into a written
 Responsibility and who      agreement which adequately deals with the obligations and liabilities
 is „Principal‟ and who      outlined in “Determining Responsibility and who is „Principal‟ and who is a
 is a „Contractor‟”          „Contractor‟” above.
 above)
                             If you answered Yes to Step 1, you must check that the written agreement
                             adequately deals with the obligations and liabilities outlined in “Determining
                             Responsibility and who is „Principal‟ and who is a „Contractor‟” above

 STEP 2
 EXEMPTION FROM              Do you use a Contractor for the provision of work connected to the                  Yes / No
 LIABILITIES (outlined       Synod employing entity, where the value of services provided by such
 in Liabilities of the       a Contractor exceeds $5,000 per annum?
 Principal a), b), c) and
 d) above).                  If you answered Yes to Step 2 (complete Sub-Contractor Statement Form)
                             and go to Step 3 (this signed statement relieves the Synod employing entity
                             from liability for the pro rata share of non payments and/or penalties). If you
                             answered No to Step 2, no further action is required (you do not need to
                             complete Sub-Contractor Statement Form). However, you should regularly
                             review the Contractor‟s you use and your answer to this question.

 STEP 3
 PUBLIC LIABILITY            All Contractors should take out their own Public Liability insurance. You
 INSURANCE                   must therefore ensure that the written contract entered into with a
 (refer to “Liabilities of   Contractor includes the following statement:
 the Principal e)”
 above).                     „The Contractor shall take out and keep current at the Contractor‟s cost a
                             public risk insurance policy for a sum not less than $10 million in respect of
                             any liability arising from any act of or omission by the Contractors or any of
                             the Contractor‟s employees during the provision of services. The Synod
                             employing entity shall not be liable to the Contractor for any loss or damage
                             suffered by the Contractor or any third party arising out of the performance
                             of this Contract or otherwise. The Contractor hereby agrees to indemnify
                             the Synod employing entity against any personal injury (including death) or
                             any damage to or loss of any property arising out of any act or omission by
                             the Contractor or the Contractor‟s employees during the provision of the
                             services‟.

                             In relation to Workers‟ Compensation requirements, if the Contractor is a
                             Sole Trader or Partnership that does not employ workers, proceed to Steps
                             4 and 6. If the Contractor is any other contracted entity (including a Sole
                             Trader or Partnership that does employ workers) proceed to Steps 5 and 6.




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Management Model Procedure: Version 3            A Division of Uniting Resources
                           OBLIGATIONS AND LIABILITIES CHECKLIST
 STEP 4
 A CONTRACTED                With regard to Workers‟ Compensation, if the Contractor is a Sole Trader or
 SOLE TRADER OR              Partnership who does not employ workers, it is most likely that they will be
 PARTNERSHIP THAT            deemed an employee of the Synod employing entity and therefore covered
 DOES NOT EMPLOY             by the Synod employing entities Workers‟ Compensation insurance policy.
 WORKERS                     In this circumstance, the Synod employing entity will be liable for the
                             Contractor‟s Workers‟ Compensation claims and the labour content of the
                             contract for which the Contractor was engaged will need to be included in
                             the wages declaration for the relevant Synod employing entity. If the labour
                             content of the contract is not readily identifiable you should include the
                             „market value‟ of the services provided; this is simply the wages that would
                             have been paid if you were to employ someone to provide the services.
                             However, WorkCover NSW also recommends that the Sole Trader or
                             Partnership take out an appropriate Personal Injury insurance or Income
                             Protection insurance to cover them in the event of a workplace injury. You
                             must therefore ensure that the written contract entered into with a
                             Contractor includes the following statement:

                             „The Contractor shall take out and keep current at the Contractor‟s cost a
                             Personal Injury or Income Protection insurance policy with a reputable
                             insurer and otherwise on terms reasonably acceptable to the Synod
                             employing entity (name)‟.

 STEP 5
 CONTRACTORS                 Contractors (other than a Sole Trader or Partnership that do not employ
 (other than a Sole          workers) must always have Workers‟ Compensation insurance. You must
 Trader or Partnership       therefore ensure that the written contract entered into with a Contractor
 that does not employ        includes the following statement:
 workers).
                             „The Contractor shall take out and keep current, at the Contractor‟s cost, a
                             workers compensation policy in respect of any other person engaged by the
                             Contractor to assist in the provision of services who is, or deemed to be (for
                             the purposes of any relevant Workers‟ Compensation legislation) an
                             employee of the Contractor (with an extension unlimited in amount),
                             indemnifying the Contractor and the Synod employing entity against their
                             respective liabilities at common law to such person. Such insurance shall
                             be taken out with a recognised insurer and otherwise be on terms
                             reasonably acceptable to the Synod employing entity (name)‟.

 STEP 6
 DOCUMENTS FROM              You must check that the Contractor has the proper Workers‟ Compensation
 THE CONTRACTOR              and Public Liability insurance and has paid all premiums associated with the
                             Workers‟ Compensation policies before they commence work. In particular
                             the following questions should be addressed in the affirmative:

                             For all Contractors (including Sole Traders and Partnerships that do
                             employ workers:

                              Have you obtained a copy of the Contractor‟s Public Liability Certificate        Yes / No
                               of Currency of Insurance for the amount specified in the written
                               contract? (This is a certificate from a licensed insurer stating that the
                               Contractor holds a current policy). Check that the Public Liability
                               Certificate is current for the entire contract period and for the correct
                               amount (ensure that a replacement Certificate is obtained where the
                               policy expires before the work has been completed).




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Management Model Procedure: Version 3            A Division of Uniting Resources
                           OBLIGATIONS AND LIABILITIES CHECKLIST
 STEP 6 cont…                 Have you obtained a copy of the Contractor‟s Workers‟ Compensation
                               Certificate of Currency? (This is a certificate from a licensed insurer         Yes / No
                               stating that the Contractor holds a current Workers‟ Compensation
                               policy). Check that the Workers‟ Compensation certificate is current
                               (Workers‟ Compensation Certificates of Currency are only valid for four
                               months).

                              Is the Contractor classified in the correct industry? (check that the           Yes / No
                               industry stated on the certificate is the same as, or similar to the work
                               undertaken as part of the contract eg., an electrician providing electrical
                               services should be classified as such and not as Consulting Engineering
                               Services).

                              Are the number of workers identified on the Workers‟ Compensation               Yes / No
                               Certificate of Currency realistic compared with the number of workers
                               performing the work (whether on site or off site)? The certificate should
                               cover the average number of workers the Contractor hires throughout
                               the year (only significant discrepancies should be questioned).

                              Is the amount of wages on the Workers‟ Compensation Certificate of              Yes / No
                               Currency reasonable, in relation to a 12 month period? (eg., if the
                               wages estimate is less than the labour content of the contract you
                               should discuss it with the Contractor).

                             For Sole Traders and Partnerships that do not employ workers:
                             Have you obtained a copy of the Contractor‟s Certificate of Currency of           Yes / No
                             Personal Injury or Income Protection insurance? (This is a certificate from a
                             licensed insurer stating that the Contractor holds a current policy). Check
                             that the Certificate of Currency for Personal Injury or Income Protection
                             insurance is current.


8       On the Job Monitoring
8.1     The Nominated Manager shall monitor the performance of the contractor throughout the job, using the
        contractor‟s Safety Plan/Work Method Statement and Model Procedure, as a reference.

8.2     The Principal Contractor shall be notified of any instance of non-compliance and reminded that repeat
        instances or serious breaches of Safety requirements will result in expulsion from the site/workplace and/or
        termination of contract.

8.3     At a time nearing „practical completion‟ of the work, the Nominated Manager or the Project Overseer
        (whoever is designated with overall responsibility for overseeing completion of the work) must gather and
        retain all related documentation in a secure place for a minimum of 7 years.

FURTHER ASSISTANCE

Contact:                           Workplace Safety Services
Telephone:                         (02) 8267 4242 or (02) 8267 4467
Email Address:                     wss@nsw.uca.org.au

VERSION CONTROL
Procedure:             Control of Contractors: Management Model Procedure                           Version        3
Approved by:           Workplace Safety Services
Creation Date:         27/07/07                                 Last Revised:      31/07/09
Revision Dates:        23/10/08

                        MODEL PROCEDURE IMPLEMENTATION AUDIT
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Management Model Procedure: Version 3            A Division of Uniting Resources
The purpose of this Implementation Audit is to:
1. ensure that all of the appropriate elements of this procedure have been communicated to relevant employees
   and/or other stakeholders and that their competency / understanding has been confirmed.
2. enable Managers to undertake an internal self assessment audit to confirm that the appropriate elements of
   this procedure have been implemented. Should there be any remarks/notes relevant to the audit, these
   should be included at the bottom of the checklist in the space provided.
When completing this checklist, use a tick () to indicate confirmation/compliance.

Management Model Procedure: Control of Contractors

Site/Workplace Name                                                                          Date     /     /

                                                                      Employee/Stakeholder    Model Procedure
                             Key Points
                                                                      Competency Confirmed    Implementation
01    Has the Contractor Pre-Selection & Contract Pre-
      Commencement Checklist been used in the selection of
      all Contractors prior to appointment?
02    Has the Nominated Manager ensured that all relevant
      OH&S matters contained in the Contractor Handbook
      have been specifically included in all contracts and sub-
      contracts?
03    Have all clauses of the Contractor Handbook been read
      by the Contractor and their employees, and understanding
      verified using the Contractor Declaration, prior to
      commencement of work?
04    Has each Contractor provided evidence of a valid Police
      Certificate where required?
05    Where a Principal Contractor is engaged, has the
      Nominated Manager ensured that the Principal Contractor
      Agreement has been completed?
06    Has each Contractor completed the Sub-Contractor
      Statement Form in relation to remuneration, tax and
      insurance paid prior to commencing work on Synod
      premises?
07    Has consideration been given to the need for Contractors
      and their employees to undertake a Health Assessment
      dependent upon the risk exposures and period of time
      likely to be present on site?
08    Have all requirements of the Contractor Health
      Assessment been met?
09    Has a full understanding of and compliance with
      site/workplace record keeping requirements been
      met/verified?
10    Has all Tender Invitation information been provided and
      completed by each Contractor and an approved Safety
      Plan & Work Method Statement been submitted relevant
      to the level of risk?
11    Have Contractors completed and implemented a Risk
      Analysis of all works and provided relevant information
      concerning OH&S implications using the Safety Plan and
      Work Method Statement?
12    Have all Contractors received appropriate OH&S induction
      training/information (one of three levels in accordance with
      Section 5 of this MP) relating to the Synod site/workplace
      as outlined in the Safety Information Handout and/or
      Contractor Handbook (whichever is appropriate)?
13    Have all Contractors demonstrated a written competency
      of understanding of the OH&S Induction Training prior to
      work commencing?
14    Where Level 1 Work is being performed, have appropriate
      controls been used as outlined in 2: Control of Significant
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Management Model Procedure: Version 3          A Division of Uniting Resources
      Works – Level 1 Work?
15    Where Level 2 work is being performed, have appropriate
      controls been used as outlined in “3: Control of All Other
      Works, Other Than Significant Works or Minor Works -
      Level 2 Work”?
16    Where Level 3 work is being performed, have appropriate
      controls been used as outlined in 4: Control of Minor
      Works of Low Risk – Level 3 Work?
17    In accordance with the Work Permit Clearance Procedure,
      are only those Contractors who have been authorised to
      undertake hazardous activities, performing these tasks?
18    Have relevant Work Permit Clearance procedures been
      adhered to, ensuring that work requiring special clearance
      is carried out safely using the Work Permit/Clearance
      Certificate?
19    Has a copy of the Safety Information Handout been
      provided to each Contractor?
20    Has the Nominated Manager ensured that records of all
      information relating to hazards associated with the Synod
      are retained by the Contractor throughout engagement?
21    Do all Contractors register at a nominated location?
22    In accordance with the Equipment Safety Checklist, has a
      list of all equipment to be used by Contractors been
      supplied and made readily available (including MSDS and
      PSDS)?
23    Has the Contractor‟s equipment been inspected prior to
      use?
24    Where sites/workplaces require a higher degree of
      inspection, has the Nominated Manager arranged the
      inspection?
25    Has the Obligations & Liabilities Checklist (refer to 7.2 of
      this MP) been completed to determine obligations and
      liabilities of the Synod prior to engaging Contractors?
26    Does the Nominated Manager regularly monitor the
      activities of Contractors to ensure full compliance with all
      agreements and instructions relating to OH&S using the
      Safety Plan/Work Method Statement and Contract in
      Progress – Site Inspection Checklist?
27    Does the Nominated Manager regularly monitor the
      performance and activities of Contractors to ensure that
      Synod employees or other persons are not exposed to
      unacceptable OH&S risk as a result of such activities?
28    Does the Nominated Manager regularly monitor that
      Synod activities do not expose Contractors and their
      employees to unacceptable OH&S risks?
29    Are the Nominated Manager and Contractor both aware
      that instances of non-compliance or safety breaches may
      result in termination of the contract?
30    Are the activities of Contractors and their employees
      supervised and monitored by the Synod Nominated
      Manager and Contractor Supervisor at all times?
31    Are all parties aware that reporting of all incidents &
      injuries involving the Contractor forms part of the
      contract?

32    Upon completion of work, has the Nominated Manager or
      Project Overseer ensured that all related documentation is
      retained in a secure location at the workplace for a
      minimum of 7 years?


                                           Internal Audit Remarks/Notes

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Management Model Procedure: Version 3          A Division of Uniting Resources
Key Point No     Comments




Completed by:
Name                                            Signature                 Date    /     /




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Management Model Procedure: Version 3   A Division of Uniting Resources
                            CONTRACTOR PRE-SELECTION &
                       CONTRACT PRE-COMMENCEMENT CHECKLIST
Contract Name
Contract Description
Site/Workplace Location
Contract Company Name
Contract Company Address
Contract Company ACN
Description/Nature Of Service Being Provided By Contract Company (Or Principal Contractor) As Per Scope Of
Work




Where applicable, the Contractor is required to demonstrate compliance with requirements by attaching supporting
documentation.

OH&S LEADERSHIP, MANAGEMENT AND ADMINISTRATION                                                   YES    NO     N/A
1   Does the Contractor have a current OH&S Policy, dated and endorsed by their senior
    management?
2   Has Contractor clearly defined, documented and communicated OH&S roles,
    responsibilities and accountabilities to ensure OH&S Policy is implemented?
3   Are OH&S legal requirements clearly understood by Contractor management?
4   Does the Contractor appoint a site Project Manager with overall responsibility for day to
    day operational project management (including OH&S)?
5   Does the Contractor have documented clearly defined OH&S requirements and Standard
    Operating procedures with which employees are required to comply?
6   Are Contractor line managers and their employees appropriately qualified?
7   Can the Contractor provide details of their last 3 clients to confirm satisfactory OH&S
    performance?
8   Does the Contractor have an effective process for managing and controlling the retention
    of all documentation, records and registers for all employees, Sub Contractors and each
    Project undertaken?
9   Can the Contractor demonstrate how they manage performance (including OH&S issues)
    and where appropriate initiate disciplinary action?
10  Does the Contractor have current insurance for :
     Workers‟ Compensation
     Public & Employee Liability (? $ amount)
     Professional Indemnity
     Third Party Vehicle Insurance
    Does the Contractor have a Rehabilitation policy?

HIRING AND PLACEMENT
What OH&S criteria does the Contractor consider during the recruitment and selection of employees and Sub
Contractors?



How does the Contractor assess competency prior to employee and Sub Contractor placement?




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Management Model Procedure: Version 3         A Division of Uniting Resources
                            CONTRACTOR PRE-SELECTION &
                       CONTRACT PRE-COMMENCEMENT CHECKLIST

TRAINING AND INFORMATION                                                                      YES NO    N/A
1    Does the Contractor provide competency based induction / orientation training for all
     recruits and other employees and include General, Work Activity, Location Specific and
     Workplace OH&S requirements?
2    Does the Contractor provide training to ensure that management, supervisory staff and
     employees are competent to perform required work?
3    Does training include appropriate OH&S issues such as :
      OH&S policy, organisation and procedural arrangements?
      Safe systems of work, use of personal protective equipment, clearance
         procedure/permit to work, manual handling and hazardous materials management?
      Emergency procedures, Incident and Injury reporting?
4    Does the Contractor provide training for hazardous tasks (such as Confined Space Entry)
     and issue certificates of competence where appropriate?
5    Does the Contractor review competency and where appropriate, provide refresher
     training at realistic intervals?
6    Are training and competency assessment records for all employees current?
7    Does the Contractor have an effective process for managing and controlling the retention
     of all documentation, records and registers for each Project undertaken, in relation to
     employee and sub Contractor Inductions, Qualifications, Licences, Authorisations,
     Permits, Tickets and Competency Certificates etc?
OH&S CONSULTATION AND COMMUNICATION
1    How does the Contractor consult with employees and Sub Contractors on OH&S and communicate
     requirements and issues?




2    Does the Contractor have OH&S representatives or other consultative processes?
3    Does the Contractor conduct pre-work commencement safety/risk review meetings to
     address the specific day to day safety requirements of the job/work?
4    Do supervisors frequently discuss safety issues with their employees at “tool box talks” or
     “tailgate meetings”?
RISK ANALYSIS
1    Does the Contractor‟s Safety Plan and Work Method Statement cover all required work
     and include employees, Sub Contractors, residents, public, work restrictions, security
     issues, traffic, access, parking, existing buildings, fire detection and egress, demolition,
     utility services, amenities etc?
2    Does the Contractor involve employees in systematically identifying, assessing and
     controlling the hazards and risks relating to work activity for jobs?
3    Are all necessary documented procedural controls (aimed at minimising risk) reviewed
     with employees before work commences?
4    Can the Contractor provide evidence of safe systems of work used to deal with hazards,
     eg
      Confined spaces?
      Working on ladders?
      Work at height?
5    Does the Contractor have suitable procedures for dealing with hazardous substances?
6    Does the Contractor have an effective Clearance Procedure / Permit to Work system to
     cover the full range of work situations that may occur?
7    Does the Contractor have an effective process for managing and controlling the retention
     of all documentation, records and registers for each Project undertaken, in relation to
     employee and sub Contractor Consultation/Communication, Work Permit/Clearance
     Certificate and Safety Plan/Work Method Statement?


                                   CONTRACTOR PRE-SELECTION &
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Management Model Procedure: Version 3           A Division of Uniting Resources
                       CONTRACT PRE-COMMENCEMENT CHECKLIST
INCIDENT AND INJURY REPORTING, INVESTIGATION AND ANALYSIS                                        YES   NO   N/A
1    Does the Contractor have a documented procedure for effectively recording, reporting,
     and investigating all Incidents and Injuries and retaining records?
2    Does the procedure ensure root causes are identified and prompt corrective action is
     recorded and implemented?
3    Is there evidence that employees and Sub Contractors understand their responsibilities in
     relation to Injury and Incident Reporting?
4    Is the Contractor safety performance record over the past three years acceptable?
5    Is there evidence that the Contractor has established a process of injury management
     and rehabilitation of injured employees?
EMERGENCIES
1    Does the Contractor have a documented Emergency Plan able to interface with other site
     occupants?
2    Is there evidence that employees and Sub Contractors understand their roles in
     emergencies and are competent to discharge them?
3    Does the Contractor have a current list of qualified First Aiders able to provide an
     appropriate level of first aid/medical care?
4    Does the Contractor have an effective process for ensuring the provision of an
     appropriate level of on site first aid, emergency equipment and treatment?
5    Does the Contractor have satisfactory arrangements for dealing with emergencies such
     as
      Excavation collapse
      Explosion
      Fall from height
      Fire
      Toxic release
      Electrocution
PERSONAL PROTECTIVE EQUIPMENT
1    Does the Contractor provide PPE for its employees such as:
      Safety footwear
      Overalls
      Hearing protection
      Head Protection
      Eye protection
      Respiratory protection
2    Does the Contractor have effective arrangements for the storage and maintenance of
     PPE?
3    Are Contractor‟s employees instructed in the proper use of PPE?
4    Can the Contractor demonstrate enforcement of the use of PPE?
PLANNED WORKPLACE INSPECTIONS AND AUDITING
1    Does the Contractor have established procedures for systematic inspection of plant,
     equipment and the workplace, including work activity and behaviour?
2    Does the Contractor have satisfactory arrangements to comply with statutory
     requirements for inspection, examination and notification?
3    Can the Contractor demonstrate satisfactory responses to problems identified as a result
     of OH&S inspections?
4    Does the Contractor make arrangements for independent OH&S audits on sites where
     they are engaged?
5    Is there evidence in audit reports that compliance with OH&S system and Standard
     Operating Procedures is reviewed, eg: compliance with Clearance Procedure/ Permit to
     Work system and review of on-site safety performance?
6    Does the Contractor have an effective process for managing and controlling the retention
     of all documentation, records and registers for each Project undertaken (eg. Workplace
     Inspections and Audits)?
                            CONTRACTOR PRE-SELECTION &
                       CONTRACT PRE-COMMENCEMENT CHECKLIST


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Management Model Procedure: Version 3         A Division of Uniting Resources
LEGISLATIVE COMPLIANCE                                                                    YES   NO   N/A
1    Has the Contractor ever been issued with an improvement or prohibition notice?
2    Has the Contractor ever been prosecuted or fined under OH&S Law
3    Does the Contractor conduct Police checks for their employees and Sub-Contractors,
     based upon particular risk exposures?


NOMINATED CONTRACT COMPANY SENIOR REPRESENTATIVE PROVIDING INFORMATION AND
APPOINTED AS CONTRACT LIAISON
Name:
Signature:
Date:



SYNOD NOMINATED MANAGER
Name:
Signature:
Date:




Control of Contractors                         Workplace Safety Services                        Page 4 of 4
Management Model Procedure: Version 3        A Division of Uniting Resources
                              CONTRACTOR TENDER INFORMATION
The following information is intended to provide guidance on preparing Tenders for work to be carried out on
premises owned, leased or controlled by any entity of the Uniting Church in Australia Synod of NSW and ACT (the
Synod). The content is intended for the information of Contractors invited to tender for specific work (as detailed in
the Scope of Works) and outlines requirements aimed at promoting safe working.

1. GENERAL REQUIREMENTS FOR CONTRACT WORKS
a) TENDER SUBMISSION

 The Contractor shall submit for examination a set of Tender documents which conform to the content and
  requirements detailed in all Tender documentation (including Scope of Works). Any area that does not conform
  must be clearly stated, along with the reasons for non-conformance.

 The Contractor shall ensure that all employees are familiarised with the contents of the Contractor Handbook.
  The „Handbook‟ outlines the requirements and conditions for working on Synod sites and Contractors must
  confirm that the contents are understood and accepted by all of their employees. Prior to work commencing (if
  successful at Tender), Contractors are required to confirm competency of understanding of each clause in
  the Handbook by each of their employees, and ensure that they individually sign-off on the „Contractor
  Declaration‟ at the back of the document. Contractors‟ should make appropriate provision for related
  requirements in their Tender submission. Copies of „Competency of Understanding Assessments‟ and
  „Contractor Declarations‟ must be retained, filed on site/at the workplace and be made available for review
  following request by the Nominated Manager.

 The Contractor shall include a Safety Plan (see Contractor Tender Information and Worked Example) in the
  tender documentation to cover all the elements of the work to be carried, as outlined in the Scope of Works.
  Prior to work commencing, the contractor will be required to submit a detailed Work Method Statement (see
  Contractor Tender Information and Worked Example), based on site/workplace specific risk analysis of the
  work involved (this will require a site/workplace visit). The Safety Plan and Work Method Statement will be
  reviewed by the Synod Nominated Manager, who may seek guidance from others to assess whether all
  essential aspects of OH&S Management have been considered and addressed. The Safety Plan and Work
  Method Statement will then be used to monitor Contractor „on the job‟ compliance and safety performance

 The Contractor must be fully licensed (as applicable under State and Federal legislation and Codes of Practice)
  to carry out the work in question. Where applicable, this shall include licensing for removal of Asbestos.

 The Contractor must provide all levels of relevant insurance documentation to cover Public Liability, Workers
  Compensation, Employee Liability and Professional Indemnity (refer attached Schedule of Insurance)

 The Contractor shall list references (and supporting documentation if desired) for similar previous works.

 The Synod Occupational Health and Safety Management System aims to ensure that all work activity is
  carried out in a manner which does not adversely impact upon the health and safety of employees, contractors
  or others. Contractors are required to comply with the requirements of the OH&S Management System and
  relevant statutory Legislation, Regulations and Codes of Practice.

b) CONTRACTOR INDUCTION

All Contractors and their employees engaged to work on a Synod site, must receive one of 3 levels of OH&S
Induction before being permitted to start work, as outlined in Contractor Handbook. Written and spoken English
literacy skills will be required to confirm competency of understanding.




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Management Model Procedure: Version 3          A Division of Uniting Resources
                              CONTRACTOR TENDER INFORMATION
c)   CONTRACTOR HEALTH ASSESSMENT

A Health Assessment may be required for Contractors and/or their employees under certain circumstances and
depending on the nature of hazards to which the contractor could be exposed and the period of time that the
contractor is likely to be present on the site (refer to Contractor Handbook and Contractor Health Assessment).

d) INJURY/INCIDENT REPORTING

All Injuries or Incidents occurring on site/at the workplace which involve Contractors or their employees must be
reported immediately to the Nominated Manager.

e) CLEARANCE TO WORK

Certain work activity will require special authorisation and Clearance procedures to be followed before work
commences, as outlined in Contractor Handbook.

f)   TOOLS & EQUIPMENT

 Although it is the responsibility of the Contractor to maintain tools and equipment in a safe working condition,
  the Nominated Manager reserves the right to inspect any equipment supplied by the Contractor. All equipment
  deemed to be unfit for use, and/or unsafe, shall be removed from the site/workplace at no expense to the
  Synod.

 If requested by the Nominated Manager, the Equipment Safety Checklist shall be completed by the Contractor,
  listing all tools and equipment to be used during the job and showing evidence that safety of items has been
  verified prior to use.

g) INSPECTION OF WORKS

The Nominated Manager reserves the right to carry out inspections during any stage of the contract works.




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Management Model Procedure: Version 3         A Division of Uniting Resources
                              CONTRACTOR TENDER INFORMATION
2. INSURANCE SCHEDULE
a) PUBLIC LIABILITY INSURANCE
The Contractor shall effect and maintain, in full force, insurance approved by any entity of the Synod, jointly in the
names of the Contractor and the Synod. The indemnity shall be in the name of the Synod for an amount not less
than $10,000,000 limit for any one occurrence in respect of:
 Incidents causing death or personal injury to any person; and
 Incidents causing loss or damage to any real or personal property
arising from the performance of work and additional work, and caused by any act or omission of the Contractor, its
employees, consultants, sub-contractors or agents.

b) EMPLOYEE INSURANCE
The Contractor must effect and maintain, in full force, insurance (Workers Compensation) approved by the Synod
for an amount not less than stated, which covers any damage, expenses, loss or liability suffered or incurred by any
person employed by the Contractor, sub-Contractors, consultants and agents, in respect of performances of
services whether arising:
 by virtue of any statute relating to workers‟ or accident compensation or employees‟ liability; or
 at Common law.

c) PROFESSIONAL INDEMNITY
The Contractor must effect and maintain, in full force, professional indemnity insurance approved by the Synod for
the amount not less than $5,000,000.00 arising from a breach of professional duty, whether owed in the contract or
otherwise, caused by any act or omission of the Contractor, its employees, consultants, sub-Contractors or agents.

d) PERIOD OF INSURANCE
 The Contractor shall ensure that insurances referred to in clauses a) and b) are in force prior to the
  commencement of work and maintained effective until the work and any additional work is completed.
 The Contractor must ensure that the insurance referred to in clause c) is in force prior to the commencement of
  work and maintained effective for at least one (1) year after the work and any additional work is completed.

e) EVIDENCE OF POLICIES
The Contractor shall, in respect of the insurances referred to, deposit with the Synod certified copies of the cover
notes, policies and certificates of currency, or other evidence of the insurance (as approved by the Synod) within
(7) seven days of the contract and when requested, to do so from time to time. If the Contractor fails to comply in
producing satisfactory evidence of insurance requirements, the Synod may effect the insurance, and deduct the
cost of the premiums from the Contractor‟s fee.
f)   PROVISION IN THE POLICY
 The Contractor must ensure that the policy of insurance referred to in clause a) provides that all insurance
  agreements and endorsements (with the exception of limits of liability) operate as if there was a separate policy
  of insurance covering the Contractor and the Synod and failure by the Contractor to observe and fulfil the terms
  of the policy does not prejudice the insurance with regard to the Synod.
 The Contractor must ensure that each of the policies of insurance referred to in clauses a), b) and c) contain a
  provision approved by the Synod that requires the insurer to notify the Synod in writing whenever the insurer
  gives the Contractor notice of cancellation or any other notice in respect of the policy.
g) NO EXCLUSIONS WITHOUT APPROVAL
The Contractor shall ensure that no exclusions, endorsements or alterations are made to the insurances referred to
in clauses a), b) and c) without the approval of the Synod.




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Management Model Procedure: Version 3          A Division of Uniting Resources
                              CONTRACTOR TENDER INFORMATION
3. MODEL SAFETY PLAN AND SAMPLE WORK METHOD STATEMENT
A Safety Plan and Work Method Statement must be submitted by the Contractor, to the Synod Nominated Manager,
to include the required information as shown below (see a) and b) below). Any proforma information attached may be
used if required and all information can be provided electronically if requested.

Before completing the Safety Plan and Work Method Statement, the Contractor must analyse the risks associated
with the work to be undertaken (liaising with the Nominated Manager and visiting the site/workplace where
necessary). This is done by asking 3 basic questions:

1. What hazards (potential for harm) will or may be involved in undertaking the work? A hazard is any activity or
   condition (job, process, material, equipment etc.) which could cause harm to people, property or the
   environment).

2. What is the risk following exposure to the hazards. How likely is it that injury or incident could result from
   exposure to each hazard and how severe would the consequences be?

3. What controls are needed to eliminate or minimise the likelihood and consequence (risk) of an injury or incident
   occurring to ensure the safety of people and prevent damage to property?

Note
 The Synod OH&S Management System Risk Analysis process „tools‟ and procedures may be able to assist in
  determining appropriate levels of risk exposure and control measures.
 A and B below outline the elements that should be included in a Safety Plan and Work Method Statement (also
  see Worked Example):

a)   SAFETY PLAN

The Safety Plan should outline the Contractor‟s overall strategy for Managing Safety, relevant to the work in question
and who will be responsible for implementation: ie:

What measures would be employed to manage and control hazards of work involving:

        Demolition, earthmoving, noise, dust, hot work (sparks etc), electrical or mechanical power sources, flow of
        materials, work at height and on roofs, confined space entry, excavation, overhead or underground power
        or services, breaking into walls floors or ceilings, asbestos removal, precast panel erection, structural steel
        erection

        eg., Eliminate, Substitute, Isolate, Engineer Out, Procedural Control, PPE

What measures would be employed to manage and control hazards of work involving the use of:

        Static and mobile plant, mechanical or electrical tools and equipment, heavy lifting equipment, forklifts,
        hoists and crane operation, scaffolding, ladders, hazardous substances or materials

        eg., Eliminate, Substitute, Isolate, Engineer Out, Procedural Control, PPE

What measures would be employed to manage and control:

        Unauthorised entry to work area, construction and excavation sedimentation, housekeeping

How would you ensure the Synod requirements are met in terms of:

        Contractors Handbook (eg., Incident and Injury reporting, Clearance procedures, Emergencies),
        Licensing/qualifications/induction of employees, Hazard communication and Information




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Management Model Procedure: Version 3          A Division of Uniting Resources
                              CONTRACTOR TENDER INFORMATION
b)   WORK METHOD STATEMENT

The Work Method Statement should detail the methodology of how specific work is to be performed safely:

Expected Hours of Work On Site

                                 Day/s                                           Time
                                                         From:                    To:

Expected Contractor Crew size

             On a „normal‟ day:
             Maximum:                    ………… When & Purpose?

Supervision for Site/workplace Works

             Name: (Print)
             Will employees not be           Comments:
             supervised at anytime?
                       Yes/No

General Work Method

        Describe the General Work Method to be used (eg., temporary scaffolding will be used to access the roof and
        we will be using cranes to lift Air Conditioners into place for installation)

Special Considerations

        Describe any special considerations that you would address involving Engineering Certification, Workcover
        approvals or particular Codes of Practice etc

Activities Impacting on NSW Synod Operations

        Describe the type of activities/situations that may impact on Synod operations (if any) and may require
        some form of assistance/cooperation of the Synod Resources. Describe the work involved and expected
        timeframe (eg., On Tuesday our Electrician will need to isolate the main switchboard for approximately 1
        hour so that we can install a new circuit breaker)

             Who/what do you require?
             What work is to be done?
             How long will it take?
             When will it be done?

Plant & Equipment to be used On-site

        List plant and equipment (static, mobile, portable) to be used on-site, plus any particular space/resource
        requirements (eg., we will have a 2m x 3m mobile air compressor requiring 20A 3-phase power and
        mechanical ventilation)

             Item 1 (etc)
             What Equipment?
             (eg Scissor lift, compressor)
             Special requirements
             (size, power, air etc.)




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Management Model Procedure: Version 3          A Division of Uniting Resources
                              CONTRACTOR TENDER INFORMATION

Hazardous Substances or Materials

        Provide details (and location of MSDS) of hazardous substances or materials to be used on site.

             Hazardous Substances or
             materials
             Location of MSDS

Waste Disposal

        List how and where you will be disposing of any wastes produced.
        Note: contractor must keep records (date, volume, type) of solid, liquid & gaseous wastes produced.

             Type of waste                Method of transfer (eg., own          Waste receiving
                                          truck, bin etc)                       company & location
             General Waste
             (eg., Bricks, timber)
             Special Waste
             (eg., Asbestos sheeting,
             grease, chemicals)




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Management Model Procedure: Version 3         A Division of Uniting Resources
                          SAFETY INFORMATION HANDOUT (SAMPLE)

                  CONDITIONS OF ENTRY ONTO NSW & ACT SYNOD PREMISES
                            FOR VISITORS AND CONTRACTORS
We take our Safety responsibilities extremely seriously. Please familiarise yourself with the requirements detailed
below. If, at any time, it is deemed by the Synod of NSW & ACT (the Synod) Nominated Manager that you are in
breach of any requirement, you may be required to leave the premises.

SECURITY
All Visitors and Contractors must complete and sign the Visitors Book at reception on arrival and departure. You
must wear and display the Visitors Badge provided. Unless otherwise authorised, you must be accompanied or
remain in designated areas at all times. You must not open or interfere with entry doors at any time.

SAFETY
Unless specific approval is given, children or animals are not permitted on the premises. You must wear clothing
and footwear that is safe and appropriate for the purpose of your entry to the premises. All persons must behave
and conduct themselves in a manner which does not threaten safety.

CONTRACT WORK
All work activity must be performed safely and with due consideration for the safety of others within the workplace.
Hazards must be identified, assessed and controlled and all work practices implemented consistent with the
requirements of relevant OH&S Legislation, Regulation and Codes of Practice and to recognised trade standards.

VEHICLES ON SITE
You must comply with designated speed limits and you may only park in designated areas and spaces.

SMOKING, ALCOHOL & DRUGS
Smoking is only permitted in designated areas. Alcohol or non prescription Drugs are prohibited. Any person
believed to be under the influence of Alcohol or Drugs will not be permitted to enter the premises.

UNACCEPTABLE BEHAVIOUR
The Synod strives to create a safe, non-threatening and non-intimidating work environment. Therefore, all persons
are required to behave and conduct themselves in a manner which others do not find offensive, abusive, violent or
unacceptable.

INJURY & INCIDENT REPORTING
You must report all injuries, incidents, hazardous situations or conditions immediately.

EMERGENCIES
If you hear the evacuation alarm, you must leave the premises immediately via the nearest emergency exit and
wait in the designated assembly area (see over for site map) until you are advised it is safe to return to the
premises. Follow instructions of employees. Do not use lifts.

Emergency Contact Details: Dial „000‟ - Advise (name) (address) (description of facility)
First Aid Provider Details:
Nearest Medical Centre/Treatment Provider is:




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Management Model Procedure: Version 3          A Division of Uniting Resources
                                        CONTRACTOR HANDBOOK
OVERVIEW
The Uniting Church in Australia Synod of NSW and ACT (the Synod) is committed to ensuring the Health and
Safety of all Employees, Contractors and Visitors, through the implementation of our OH&S Policy and Principles.
The requirements and conditions contained in this Handbook align with the requirements of our Policy and
Principles.

This Handbook is intended for use by Contractors who will be working on sites/workplaces owned, leased or
controlled by the any entity of the Synod and should be applied as a basic guide outlining the requirements and
conditions for working on site/at the workplace. The Handbook is not intended to replace a Contractor‟s Safety
Plan and Work Method Statement which must identify the specific OH&S requirements relevant to the Scope of
Works and how the work will be completed safely. As part of the contract conditions, Contractors or their
employees may also be required to participate in Induction and Health Assessment.

RESPONSIBILITIES
The Synod Nominated Manager shall review each section of the Handbook with the principal Contractor to ensure
understanding and agreement.        Both parties should complete the Declaration at the back to confirm
agreement/acceptance of the requirements and conditions outlined. The Contractor shall also ensure that the
contents of the Handbook have been communicated to, and are understood by, all their employees and Sub
Contractors. The sign-off section shall be detached by the Nominated Manager and retained in the project file for a
minimum of 7 years.

All Contractors are responsible for their safety and that of their employees and sub contractors, and for ensuring
that, whilst undertaking the work activity for which they have been engaged, others are not exposed to
unacceptable risk. Contractors must also ensure that they, their employees and sub contractors:
 understand, and comply with the requirements of this Handbook
 understand written and spoken English in order to receive safety instruction
 are properly trained for the work to be done
 are appropriately, qualified, licensed and insured to carry out the activities required.

Where the Synod requirements are more stringent than those of the relevant Statute, the Synod requirements will
prevail, unless a written authorisation for exemption under Clearance procedures exists.

Contractors and/or their employees may be asked to leave the site if they fail to comply with the requirements of
this handbook, or act irresponsibly or unsafely.

This Handbook should be available to all employees whilst on site.

INSURANCE

Contractors and their employees will only be permitted to carry out work on a Synod site when the Synod
Nominated Manager has been provided with evidence of insurance coverage for:

 Public Liability (minimum $10,000,000; if insured for less than this amount, the Synod Nominated Manager
  must be notified and gain approval before proceeding with the work/contract).
 Workers Compensation.
 Motor Vehicles (third party property damage)




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Management Model Procedure: Version 3         A Division of Uniting Resources
                                        CONTRACTOR HANDBOOK
CONTACT INFORMATION
SYNOD NOMINATED MANAGER                                   NOMINEE IN CASE OF ABSENCE
Name                                                      Name
Telephone                                                 Telephone
Mobile                                                    Mobile
Email Address                                             Email Address

EMERGENCY CONTACTS
Emergency Services                            000
For an outside line from any internal phone   Dial “0”
Nearest medical treatment provider            Name
                                              Number
On Site First Aid Treatment                   Name
                                              Number
Other relevant contact numbers


GENERAL SITE / WORKPLACE REQUIREMENTS AND CONDITIONS
SITE ACCESS

 Access to the site/workplace is permitted between --am to --pm. For access outside these times, refer to the
  Nominated Manager.
 Children (under the age of 14) or animals are not permitted on site/at the workplace, without prior written
  approval.
 Only use recognised entrances and exits.
 Remain in the designated work area, unless otherwise authorised by the Synod Nominated Manager.
 All employees are to sign-in and sign-out in the Visitors‟ Register every day, unless otherwise advised by the
  Nominated Manager.

INDUCTION

All Contractors and their employees engaged to work on a Synod workplace, must receive one of 3 levels of
OH&S Induction before being permitted to start work). Written and spoken English literacy skills will be required to
confirm competency of understanding.

Level 1 Work
Contractors and their employees undertaking work assessed as „significant works‟ (as described in Control of
Contractors Model Procedure), must be fully inducted (a minimum of 1 hour) in accordance with the Synod general
OH&S requirements, Contractor Handbook and other site/workplace specific requirements. Competency of
understanding must be demonstrated in writing, prior to work commencing. Inductions will be conducted at the
expense of the Synod.

Level 2 Work
Contractors and their employees undertaking work, assessed to fall within the description in Control of Contractors
Model Procedure (that does not involve Clearance Procedure), must be inducted (approximately 20 minutes) in
accordance with the Contractor Handbook and site/workplace specific OH&S requirements (written competency of
understanding must be demonstrated in accordance with this Handbook prior to work commencing. Inductions will
be conducted at the expense of the Synod.

Level 3 Work
Contractors and their employees undertaking „minor work of low risk‟ (as described in Control of Contractors Model
Procedure), that does not involve Clearance Procedure, must be provided with a site specific „Safety Information
Handout‟ relevant to the site in question.




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Management Model Procedure: Version 3          A Division of Uniting Resources
                                        CONTRACTOR HANDBOOK
CONTRACTOR HEALTH ASSESSMENTS

Under certain circumstances, a Health Assessment may be required for Contractors and/or their employees
(depending on the nature of hazards to which the contractor could be exposed and the period of time that the
contractor is likely to be present on the site). Where specific Health Assessment considerations apply to a
contractor‟s ability to safely perform required tasks or to undertake specific work, a Health Assessment will be
required as a condition of engagement. This is unlikely to apply to contractors who briefly visit a site/workplace or
carry out work in a non hazardous area eg., installation of minor office equipment or other lower risk activity.
 Following risk analysis, a Health Assessment may be deemed necessary to determine the suitability of contractors
   to be exposed to particular hazards or to determine the presence of a medical condition which may be aggravated
   by site/workplace operations and/or compromise the well being of others at the site/workplace. In such
   circumstances Health Assessments should be performed using the Contractor Health Assessment Questionnaire.
 Individual contractors shall complete the Contractor Health Assessment Questionnaire, seal it in an envelope (to
   ensure confidentiality) and forward it to the Nominated Manager who shall then forward the (unopened) envelope
   to a Workplace Nominated Health Practitioner (WNHP). Where appropriate (in order to maintain medical
   confidentiality) the contractors‟ health assessment questionnaire shall be filed and kept by the examining WNHP.
 Recommendations from the nominated WNHP and any restrictions relating to the Contractor‟s employment shall
   be provided in writing to the nominated representative of the contracting company commissioning the Health
   Assessment or the Nominated Manager (as applicable).

AMENITIES / TELEPHONE

 Refer to the Nominated Manager for use of site/workplace amenities including canteen, toilet/shower facilities
  etc.
 The Synod telephone lines should not be used unless authorised by the Nominated Manager.

POWER SUPPLY

 Arrangements must be made for the use of power supplies before work commences.

VEHICLES

Contractors must:
 Obey public road rules and site traffic signs at all times.
 Only park in areas specified by the Nominated Manager. Drivers parked in unauthorised areas will be asked to
  remove their vehicles.
 Keep within site/workplace speed limits.
 Searches of contractor‟s vehicles upon entering or exiting the site may be authorised by the Nominated
  Manager.

PEDESTRIANS

Contractors must:
 Ensure marked/recognised walkways are used (no shortcuts).
 Walk, and not run.
 Watch out for and give way to vehicles on-site, including fork trucks.

SMOKING

 Contractors must comply with all non-smoking signs
 Smoking is permitted only in designated smoking areas.

ALCOHOL & DRUGS

Contractors must:
 not bring alcohol and non-prescription drugs on-site
 not enter the site / workplace whilst under the influence of alcohol or drugs.




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Management Model Procedure: Version 3          A Division of Uniting Resources
                                        CONTRACTOR HANDBOOK
EMERGENCY RESPONSE

 Upon the evacuation signal, contractors must stop work immediately, shut down any equipment in use and walk
  to the appropriate assembly area as detailed on site Emergency Plan.
 If a fire starts in the work area, a Synod employee/supervisor must be requested to raise the alarm (if not safe
  to use an approved extinguisher).
Contractors must:
 Comply with any instructions given by the Nominated Manager.
 Do not return to work until advised to do so.

REPORTING INCIDENTS & INJURIES

All injuries (including minor ones), property damage, chemical spillages and „near miss‟ type incidents must be
reported to the Nominated Manager or nominee. Reporting of small occurrences helps to reduce the chance of a
more serious incident.

FIRST AID & MEDICAL TREATMENT

Contractors must:
 Refer to the Nominated Manager for permission to use an on-site first aid provider and facilities for treatment of
  minor injuries.
 Refer to the Nominated Manager for an appropriate contact in the event that medical treatment is required, or
  use phone contact number provided.

SAFETY SIGNS & EQUIPMENT

Contractors must:
 obey all safety signs.
 not tamper with or misuse any safety equipment.

HAZARD NOTIFICATION

 Prior to work commencing, all hazards (potential for harm or unsafe conditions) must be identified relating to the
  work being undertaken. Adequate controls must be applied to ensure that Contractors, their employees, or
  other persons on site/at the workplace are protected from injury, and that damage to property is prevented.
 The Nominated Manager must be notified immediately of any hazards/potential hazards that are encountered
  whilst working on site/at the workplace.
 Contractors must remove/protect themselves and their employees from such hazards, and work is not
  recommenced until action has been taken to correct the unsafe situation.

CLEARANCE TO WORK

Certain work activity will normally require special authorisation and Clearance procedures to be followed before
work commences, this may include:

 Work involving, gas, electrical or mechanical energy,       Work at a height above 2 metres, on roofs, scaffolding
 requiring Isolation/lock out                                or ladders
 Hot work involving welding, grinding, cutting or the       Excavation or breaking into walls, floors or ceilings
 introduction of ignition sources
 Confined space entry including entry into vessels,          Work involving the use of cranes and/or lifting
 machinery, silos, pits, trenches, pipes, etc                equipment
 Work in the vicinity of underground or overhead power       Asbestos removal or the use of hazardous
 lines                                                       substances/chemicals
 Work with the potential to adversely impact on normal       Civil works and earthmoving
 operational activities

Clearance to work will involve an assessment of risk to determine the measures required to control the specific
hazards of a job. The Contractor shall liaise with the Nominated Manager to determine whether site Clearance
procedures apply. If so, before signing and accepting a „Clearance to Work‟, the contractor must:

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Management Model Procedure: Version 3          A Division of Uniting Resources
 Identify and discuss the nature and hazards of the work to be performed with the Nominated Manager
  authorising the Clearance.
 Assist in identifying appropriate controls and agree to implement required controls, precautions and instructions
  listed on the Work Permit/Clearance Certificate.
 Explain all controls, precautions and limitations to the people doing the work.
The Contractor shall also:
 Report to the Nominated Manager at the start of work
 Follow all directions given by the Nominated Manager authorised to issue Clearance
 Keep, and return, all original Certificates at the end of each work period.

Any other special authorisation required must be received in writing by the Nominated Manager before work
commences.

Note on Electrical Work: Live electrical work is prohibited, other than for the purpose of (specifically approved)
essential testing or fault finding.

Note on Confined Space Entry:
If Contractors and/or their employees will be required to enter designated Confined spaces during the duration of
the job, the Confined Space Contractor Declaration must be completed by the Principal Contractor and submitted
to the Nominated Manager before work commences.

SECURING WORK AREAS

All work areas must be secured at all times, using safety fencing, barriers and warning signals (as per statutory
requirements), as required. This will include work involving excavations and pits, work at heights, on roofs or work
requiring drop zones.

PERSONAL PROTECTIVE EQUIPMENT

PPE must be supplied and worn to the recognised statutory standard for the work to be undertaken. This includes
wearing suitable clothing, safety footwear, eye and hearing protection, hard hats, breathing apparatus, dust masks,
safety harnesses and fall protection equipment, wet weather gear, visibility vests or shirts etc.

TOOLS, EQUIPMENT AND PLANT SAFETY

General Requirements
 The Nominated Manager may arrange for inspection of contractor supplied tools/equipment/plant by an
  appropriate person, who will prohibit the use of any items which appear to be faulty or dangerous.
 All tools/equipment/plant supplied must be in a safe condition and may only be used in a manner and for the
  purpose intended by the manufacturer.
 Tools or equipment belonging to the Synod may not be used without permission of the Nominated Manager.
 All tools/equipment/plant must be tested and properly certified/licensed as required under relevant statutory
  requirements (e.g. power tools, cranes, lifting gear, etc).
 Certificates/licences must be produced when requested by the Nominated Manager.
 Permission must be obtained from the Nominated Manager prior to storage of any contractor owned
  equipment/tools/materials on site (including gas bottles).
 At all times equipment/tools/materials must be stored safely and neatly in designated areas.
 The Contractor accepts full responsibility for the loss of or damage to any plant, equipment, tools or materials.




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Management Model Procedure: Version 3          A Division of Uniting Resources
Electrical Equipment
 All portable electrical appliances/equipment must be fitted with earth leakage protection devices (Residual
   Current Device) and should display a current inspection/safety tag.
 All electrical tools/equipment/leads must be electrically tested and tagged by an approved certifier.
 Electrical leads must not be draped across floors.

Dangerous Tools
Contractors must:
 only permit properly trained, licensed, authorised and protected personnel to operate Dangerous tools (such as
  explosive power tools, high-pressure water wash, and air tools) and only in accordance with statutory
  requirements.
 obtain approval for the use of such tools from the Nominated Manager prior to commencing work, as Clearance
  requirements may apply.

Compressed Air
 Contractors must obtain permission from the Nominated Manager before connecting to or using any
  compressed air devices on site.

Mobile Equipment
Contractors must:
 provide evidence that employees who will be driving a forklift or similar are appropriately licensed or trained as
  per State regulations.
 not allow employees to ride on mobile equipment not specifically designed for the purpose.

Guarding
 All machine, plant and equipment guarding must be kept in place at all times.
 Removal of guarding may require isolation, lockout and/or tagging and may only occur following authorisation
  via Clearance procedures.
Ladders
 Only non-conductive ladders (such as fibreglass) may be used for electrical work.
 In all circumstances, the head and base of a ladder must be secured to prevent slipping.


HAZARDOUS SUBSTANCES AND MSDS

 Authorisation must be obtained from the Nominated Manager, prior to bringing any hazardous substances
  (including flammables) onto the site/workplace.
 Contractors must ensure the availability of all MSDS relevant to Hazardous Substances used on site/at the
  workplace and that their employees fully understand and comply with all MSDS requirements.
 Unidentified containers of chemicals must not be used on site without prior approval.

HOUSEKEEPING

   Working areas must be kept clean and tidy.
   Suitable arrangements must be made for delivery and storage of materials.
   All contractor-owned or leased tools/equipment must be removed from the site/workplace at the end of the job.
   All spillages must be cleaned up immediately, using suitable clean up and disposal methods.
   Work likely to generate dust must be properly controlled.
   All walkways/driveways must be kept clear of obstructions, including electrical leads.




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Management Model Procedure: Version 3          A Division of Uniting Resources
WASTE TREATEMENT

 Only licensed transporters/depots may be used (as per statutory requirements) for off site/workplace disposal of
  all wastes.
 Authorisation must be obtained from the Nominated Manager before disposing of wastes on the Synod
  premises.

EMISSIONS

Contractors must not:
 Release any refrigerants/hazardous gases.
 Burn any open fires.
 Discharge any liquids other than potable water to any storm drain/sewer.
 Place or wash any solids into any storm drain/sewer.
 Dispose of any liquids/solids (except domestic waste) in any toilet/urinal.

Contractors must:
 Report accidental spills immediately to the Nominated Manager.
 Contain and clean up all liquid spills using suitable methods, and report to the Nominated Manager.
 Always minimise noise levels, and obey statutory requirements for noise emissions.


                         Always refer to the Nominated Manager if there is any doubt
                regarding any requirement, condition or procedure for working on a Synod site.




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Management Model Procedure: Version 3          A Division of Uniting Resources
                             CONTRACTORS HANDBOOK
              REQUIREMENTS AND CONDITIONS FOR WORKING ON SYNOD SITES



CONTRACTOR DECLARATION


I acknowledge that I have read and understood the Contractors Handbook outlining the requirements and
conditions for working on the Synod sites and that the contents of the Handbook have been communicated to, and
are understood by, all Employees and Sub Contractors likely to be working on the Synod site.

The Contractor and his/her employees agree to abide by the conditions in this Handbook.


Signature of Contractor‟s Representative          ........................................................................


Name of Contractor‟s Representative (print)       ........................................................................


Name of Contractor Company                        ........................................................................

Names and Signatures of other employees and Sub Contractors




Signature of Nominated Manager                    ........................................................................


Location:                                         ........................................................................


Date:                                             …../…../…..




            [Nominated Manager to detach this page & retain in Project/Contract file for 10 years minimum.]




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Management Model Procedure: Version 3           A Division of Uniting Resources
                                        CONTRACTOR HANDBOOK
        COMPETENCY OF UNDERSTANDING ASSESSMENT FOLLOWING INDUCTION
                   BASED ON THE CONTRACTORS‟ HANDBOOK
                   FOR CONTRACTORS AND THEIR EMPLOYEES



Employee Name:                                                                 Site/Workplace:

Please answer the questions below and give this sheet to your Supervisor.

1       Smoking on-site is not permitted, unless in a specially-designated smoking area. True / False

2       Contractors do not need to wear safety footwear.                                                 True / False

3       It‟s OK to take short-cuts through the Synod work areas.                                         True / False

4       Pedestrians have right-of-way over vehicles on site.                                             True / False

5       If you notice a hazard (unsafe condition), you should:

        Not worry about it                 Ignore it                Report it immediately to your Supervisor 

6       The most important reason for warning people in the area that you are about to start work is so that:

        They don‟t disturb you             They don‟t become                 They can work             
                                            exposed to danger                  around you easily

7       You must check to see whether a Work Permit/Clearance Certificate or other special authorisation is
        needed for:
                                                                                 True    False
        Hot Work involving Welding, Cutting, Grinding or Ignition Sources                
        Work involving Gas, Electrical, Mechanical Energy & Isolation                    
        Work at a height above 2 meters, or on Roofs, Scaffolding or Ladders             
        Entry into a Confined Space                                                      
        Excavation or breaking into Walls, Floors or Ceilings                            

8       If you hear a signal to evacuate, you should:

        Shut down equipment              Stay where you are         Go home           Walk quickly to nearest 
        you are using                                                                    Emergency Assembly Area

9       All injuries must be reported immediately. This is:

        to prevent the same thing                   so as not to get into             to slow the job down     
        happening again                              trouble with the boss

10      You don‟t have to report a chemical spill.                                               True / False

11      Noisy tools may be used at anytime.                                                      True / False

                         Finished? Well done!           Now give your answers to your Supervisor.

                                   (to be checked, then filed in project or contract file)




Control of Contractors                              Workplace Safety Services                                    Page 9 of 9
Management Model Procedure: Version 3             A Division of Uniting Resources
                           WORK PERMIT / CLEARANCE CERTIFICATE
SITE/WORKPLACE LOCATION
AREA OF SITE/WORKPLACE LOCATION
DESCRIPTION OF WORK INTENDED

TIME & DATE WORK TO COMMENCE                                                ISSUE TIME & DATE
REQUESTED BY                                                                REQUEST DATE

               To be completed by Contractor carrying out work and approved by Nominated Manager

POTENTIAL HAZARDS/RISKS INVOLVED                                 DETAIL CONTROL MEASURES REQUIRED
Electrical or Mechanical Energy                                   eg: isolation, lockout and tagging
eg., electrical or motive power
Note: Live electrical work is prohibited, other than for
the purpose of (specifically approved) essential testing
or fault finding.
At Height (above 2m), on Roofs, Scaffolding or                    eg: bracing, footwear, harness, crawl boards, roof
Ladders                                                           meshing
eg., weather, lone worker, height, condition of roof
Hot Work Involving any Ignition Sources                           eg: fire fighting; extinguishers standby person;
eg., welding; grinding; cutting; interfacing with                 housekeeping;
explosive/flammable material/gas/liquid
Excavation, Breaking into Walls, Floors, Ceilings                 eg: site plans; isolation of power supply;
eg., plant/equipment to be used, structural issues,               shoring/temporary support
unexposed services/electricity/gas
Confined Space Entry                                              eg: rescue equipment; procedures; atmosphere
eg., flammable, toxic, oxygen deficient atmosphere; or            testing; isolating hazards; stand by person;
the presence electrical/motive power                              breathing apparatus
Overhead or Underground Power Lines
eg., height restrictions, unexposed power lines
Cranes or Lifting Equipment
Interface with Asbestos, Chemicals, Gas
Civil Works and Earthmoving
Other Work with Adverse Operational Impact Potential
Special Precautions Required:



DECLARATION

“I have discussed the above work, hazards and control measures with the person specified below and authorise the
work to proceed on condition that the control measures specified are implemented”.
Nominated Manager:                   Time & Date: Signature:                            Valid until (time & date)


Person Taking Control of Work:                             Persons Handing Back Completed Work:
“I believe that the above control measures will enable     “I certify that the above work is / is not complete and that
the work to be carried out safely and undertake to         the area is / is not safe to operate normally within the
ensure that the control measures are implemented”.         scope of its former intended service /function”.
Name                   Time & Date    Signature            Name                     Time & Date     Signature


“In my opinion, the above area is now fit and safe to resume full operational activities”.
Nominated Manager:                                 Time & Date:                   Signature:




Control of Contractors                            Workplace Safety Services                                    Page 1 of 1
Management Model Procedure: Version 3           A Division of Uniting Resources
                                    WORKED EXAMPLE – SAFETY PLAN AND WORK METHOD STATEMENT

 Date:                                                                  Contractor/Company:
 Principal Contractor:                                                  Prepared by:
 Project/Site/Workplace:                                                Signature:
 Work Activity: Brick laying at …                                       Date Risk Analysis Completed:

                          WORKED EXAMPLE – SAFETY PLAN (People Resources, Plant, Equipment, Tools, Materials, Substances etc)
 Total Number               8                                                  Occupations/             1 x Bricklayer Supervisor, 5 x Bricklayers,
 of Employees                                                                  Trades/Skills            2 x Labourers
 Competency                 Detail experience held by site Supervisor          Training/ Induction       All have completed Construction Industry General OH&S
 Qualifications/            and Employees to be used on site:                  Completed or                Induction (Green Card)
 Certificates/ Licences/    eg., Supervisor has 14 years trade experience.     Required                  All will complete Site Induction (Contractors Handbook)
 Permits/Tickets            Supervisor and 2 Bricklayers hold TAFE                                       All will review Safety Plan & Work Method Statement, prior
                            Certificate 3 in Bricklaying                                                   to commencing work
                                                                                                         Daily Pre-work Toolbox meeting
 Static and Mobile Plant    Detail frequency of maintenance checks.            Equipment/               Detail frequency of maintenance checks.
                            Forklift - checked daily and serviced monthly as   Power Tools              Cordless Drill – checked/tagged monthly
                            per log book.                                                               Ramset Gun – checked/tagged monthly
                            Hoist – Sling/cage and brakes checked daily                                 Pressure cleaner - checked/tagged monthly
                            and serviced monthly as per manufacturer‟s                                  Scaffolding and Ladders – checked & register
                            instructions.                                                               Mixer and Saw – check & register
 PPE                        List all PPE required for tasks.                   Hazardous                List all Substances to be used and location of MSDS (eg.,
                            Hardhats and steel cap boots at all times.         Substances               Site Office)
                            Goggles, hearing protection, dust masks and                                 Hydrochloric acid
                            industrial rubber gloves as required.                                       Blue Circle cement
 Control of Work site       Site specific requirements identified during on-site pre-work commencement Risk Analysis:
                            Work area safety barricade, sedimentation control, signage and dust screening to be in place prior to work commencing. Daily site clean-up.
                            Waste removed in accordance with Council requirements and recorded.
 All Injuries and Incidents to be reported immediately to: Name of on-site/workplace Supervisor




Control of Contractors                                                        Workplace Safety Services                                                       Page 1 of 6
Management Model Procedure: Version 3                                       A Division of Uniting Resources
                                    WORKED EXAMPLE – SAFETY PLAN AND WORK METHOD STATEMENT
WORKED EXAMPLE - WORK METHOD STATEMENT

 Date:                                                                                         Contractor/Company:
 Principal Contractor:                                                                         Prepared by:
 Project/Site/Workplace:                                                                       Signature:
 Work Activity: Brick laying at ….                                                             Date Risk Analysis Completed:

        JOB / STEP                               HAZARD                        RISK RATING                             CONTROLS                                   WHO WILL ENSURE
  Break job down into steps             What‟s the potential for harm           Likelihood/             What are you going to do to make the job safe              CONTROLS ARE
                                                                               Consequence                                                                         IMPLEMENTED
 1. Arrive on site, commence    (a) Inadequate preparation work, planning            1         (a) Prep work - visit site to discuss and understand Scope of
     set up of tools and            and communication.                                             Work, plan/quote job and conduct Risk Analysis. Identify
     equipment                                                                                     and document hazards of job, level of risk and adequate
                                                                                                   controls. Review and discuss Principal contractors
                                                                                                   procedural requirements for working on site
                                (b) Lack of competence                              1          (b) Prior to commencing work, confirm all employees are
                                                                                                   trained and competent to undertake work
                                (c) Exposure to unsafe conditions/acts/             1          (c) Undertake site induction prior to commencing work
                                    substances
                                (d) Potentially changed circumstances/              1          (d) Prior to commencing work, review Risk Analysis - hazards
                                    situation on site.                                             of job, level of risk and adequacy of controls.
 2. Erection of scaffold (if    (a) Bending, lifting and carrying heavy and                    (a) Training all employees in Manual handling techniques.
     required)                      awkward shaped equipment                                       Team lift for all items over 16kg
                                (b) Falling from heights                            1          (b) Guard rail to be in place for all platforms above 1.8m.
                                (c) Scaffold Collapse                               1          (c) Scaffolding over 4m to be erected by certified persons.
                                                                                                   Ensure deck has AS planks x 5 wide. Maximum safe
                                                                                                   working load to be observed at all times
 3. Locate mixer and saw        (a) Bending, lifting and carrying mixer and         1          (a) At least 2 persons to jointly move mixer. Locate mixer close
                                    saw.                                                           to area that bricks are to be laid.
                                (b) Excessive noise                                 1          (b) Hearing protection to be worn whilst operating saw. Saw to
                                                                                                   be located away from work area.
 4. Locate bricks and other     (a) Bending, lifting and carrying bricks and        1          (a) Certified forklift or crane operator to be used to remove
     materials.                     materials                                                      brick pallets from delivery truck. Bricks to be located as
                                                                                                   close as possible to work site. All employees to be trained
                                                                                                   in Manual Handling techniques. Wheelbarrow and hoist to
                                                                                                   be used to move bricks around site. 20 kg bags to be used
                                                                                                   where possible and all bags to be lifted by 2 people and
Control of Contractors                                                                Workplace Safety Services                                                           Page 2 of 6
Management Model Procedure: Version 3                                               A Division of Uniting Resources
        JOB / STEP                               HAZARD                      RISK RATING                             CONTROLS                                     WHO WILL ENSURE
  Break job down into steps             What‟s the potential for harm         Likelihood/             What are you going to do to make the job safe                CONTROLS ARE
                                                                             Consequence                                                                           IMPLEMENTED
                                                                                                 moved by wheelbarrow.
                                (b) Falling bricks                                1          (b) If crane is to be used to move bricks, a competent person is
                                                                                                 to check the quality of the pallets prior to craning.
                                                                                                 Brickguards to be in place on all working platforms. Gap
                                                                                                 between building and scaffold to be no greater than 225mm.

                                (c) Structural collapse of scaffold               1          (c) Ensure working deck has AS planks x 5 wide. Maximum
                                                                                             safe working load to be observed at all times. Handover
                                                                                             certificate to be obtained from scaffolder.
                                (d) Hoist failure                                 1          (d) Hoist handover certificate to be issued following erection.
                                                                                             Ensure only ticketed/log book operators to use hoist. The
                                                                                             hoists SWL is to be clearly displayed at all times. Hoist to be
                                                                                             maintained and operated as per manufacturer‟s instructions.
 5. Mixing cement               Inhaling dust                                     2          Dust masks to be worn whilst opening cement bags and mixing
                                                                                             cement.
 6. Cutting bricks              (a) Contact with saw blade.                       1          (a) Only trained persons to operate saw. Saw to inspected at
                                                                                                 least weekly. Guard to be in place at all times.
                                (b) Foreign body projected into eyes              1          (b) Goggles to be worn by operators using saw.
                                (c) Inhaling dust                                 2          (c) Dust masks to be worn by operators using saw.
                                (d) Excessive noise.                              1          (d) Hearing protection to be worn by operators using saw. Saw
                                                                                                 to be located away from work area.
 7. Laying bricks               (a) Bricks falling from above                     1          (a) Brick guards to be in place on all working platforms.
                                                                                                 Overhead protection to be in place for all edge work
                                                                                                 bordering public thoroughfares.
                                (b) Wall collapse                                 1          (b) Green walls are not to exceed 1.5m or 6 times its thickness
                                                                                                 (whichever is greater). A risk analysis will be undertaken on
                                                                                                 all green walls that may be exposed to inclement weather.
                                (c) Falling from heights                          1          (c) Guard rail to be in place for all platforms above 1.8m in
                                                                                                 height. Overhand work is not to take place unless adequate
                                                                                                 scaffolding is erected on both sides of wall.
 8. Using power tools           (a) Direct or indirect bodily contact with        1          (a) All power tool leads to be checked and tagged monthly.
                                    live electrical conductors.                                  Power leads to be suspended in the air to prevent damage..

                                (b) Foreign body projected into eyes.             1          (b) Goggles to be worn when operating power tools
 9. Using explosive power       Bodily contact with high velocity missiles        1          Only certified persons to operate power tools, with working
     tools                                                                                   area to be barricaded and signed appropriately.
 10. Working with hazardous     Direct bodily contact with hazardous              1          All employees to have access to and be familiar with MSDS
     substances                 substances.                                                  information. Appropriate PPE to be worn when hazardous
                                                                                             substances in use.
 11. Cleaning brickwork         Bodily contact with hydrochloric acid.            2          Area of work activity will be isolated, barricaded and signed. All
                                                                                             cleaning will incorporate hydrochloric acid and water at
Control of Contractors                                                              Workplace Safety Services                                                             Page 3 of 6
Management Model Procedure: Version 3                                             A Division of Uniting Resources
        JOB / STEP                               HAZARD                      RISK RATING                               CONTROLS                             WHO WILL ENSURE
  Break job down into steps             What‟s the potential for harm         Likelihood/               What are you going to do to make the job safe        CONTROLS ARE
                                                                             Consequence                                                                     IMPLEMENTED
                                                                                               appropriate proportions. Appropriate PPE will be worn by
                                                                                               operators during cleaning activities.
 12. Housekeeping               Slips, trips and falls                              2          Site cleanup to be undertaken daily to prevent build up of
                                                                                               debris and clutter. A wheelbarrow will be used to remove
                                                                                               debris.

 Reviewed By:                                                                                Date:


                                                                                  Risk Rating Legend:
                                                     High Risk – does the hazard have the potential to kill or permanently disable ?
                                             Medium Risk – does the hazard have the potential to cause injury which may temporarily disable ?
                                               Low Risk - does the hazard have the potential to cause a minor injury, but will not disable ?




Control of Contractors                                                                Workplace Safety Services                                                     Page 4 of 6
Management Model Procedure: Version 3                                               A Division of Uniting Resources
                                    WORKED EXAMPLE – SAFETY PLAN AND WORK METHOD STATEMENT
TO BE COMPLETED PRIOR TO SITE/WORKPLACE INDUCTION
The following people have been made aware of and understand the hazards, controls and safe working requirements outlined in this Safety Plan and Work Method Statement:

                     Name and Company                                            Trade                                          Signature and Date
                                                             Bricklayer Supervisor
                                                             Bricklayer
                                                             Bricklayer
                                                             Bricklayer
                                                             Bricklayer
                                                             Bricklayer
                                                             Labourer
                                                             Labourer




The Principal Contractor and the above people are to be consulted prior to any changes, additions or deletions to this Safety Plan and Work Method Statement. Consultation
is to occur at a toolbox meeting, as soon as possible after changes are proposed and the date, time and details of discussions are to be recorded below.

           Date and Time                   Proposed Changes                                                  Details of Discussions
        of Toolbox Meeting




Control of Contractors                                                       Workplace Safety Services                                                       Page 5 of 6
Management Model Procedure: Version 3                                      A Division of Uniting Resources
                                    WORKED EXAMPLE – SAFETY PLAN AND WORK METHOD STATEMENT
INDUCTION RECORD

 Reference:                                        Date:                   Project/Site/Workplace:
                                                                           Work Activity: Bricklaying at …
 Contractor/Employer Name:                                                                    Phone Number:
                                                                                              Mobile:
 Employee Name:                                                            Occupation:
 Next of Kin:                                                              Address:
                                                                           Phone:
 Medical Conditions – Please detail any medical conditions that you feel we should know about (eg., diabetes, allergies, prescribed medication etc):


 Induction Conducted:                    Construction Industry General OH&S Induction - Green Card Number:                     Yes        No
                                         Induction (Contractors Handbook):                                                     Yes        No

 Competency Qualifications/ Certificates/ Licences/
 Permits/ Tickets:
 Safety Plan and Work Method Statement read, understood and signed:                        Yes:         No:
                                                                                                        (cannot work on site)
 I understand and agree to comply with the work practices advised during Induction and as documented in the Safety Plan and Work Method Statement. I agree to
 comply with any reasonable instruction given by site/workplace management.
 Employees Signature:                                                                 Date:
 Prepared and Conducted by:                                                               Signature:




Control of Contractors                                                          Workplace Safety Services                                                Page 6 of 6
Management Model Procedure: Version 3                                         A Division of Uniting Resources
                              PRINCIPAL CONTRACTOR AGREEMENT


This Agreement is to be completed when appointing a Principal Contractor and is applicable for all construction
work undertaken at a place of work where:
 the cost of work exceeds $250,000.
 high risk construction work is undertaken (even though the cost does not exceed $250,000), and includes:
    structural alterations requiring temporary support
    work at a height above 3 metres
    excavation to a depth greater than 1.5 metres
    demolition work not requiring a license
    work in tunnels
    use of explosives
    work near traffic or mobile plant
    work in or around gas or electrical installations
    work over or adjacent to water where there is a risk of drowning
 work requires licensed demolition or asbestos removal (irrespective of cost of work).


Contract Name
Contract Description
Site/Workplace Location
Name and Position of Nominated Contract Company Senior Representative Providing Information and Appointed as
Liaison With The Synod
Name:                                                       Position:

Contract Company Name
Contract Company Address
Contract Company ACN
Description/Nature of Service Being Provided by Contract Company (Or Principal Contractor) As per Scope of Work




The above Company is fully aware of the obligations incumbent on a Principal Contractor under OH&S Legislation
and confirms that it is willing, prepared and competently able to undertake the role of Principal Contractor for
construction works as described above.

I certify that all information provided to the Synod is true and correct.

I understand that any false or misleading information provided may be cause for discontinuation of any contract
entered into and make me liable to compensate the Synod for any damages.


Signature of Nominated Contract                                                    Date:
Company Senior Representative:




Control of Contractors                             Workplace Safety Services                              Page 1 of 1
Management Model Procedure: Version 3            A Division of Uniting Resources
                              SUB-CONTRACTOR STATEMENT FORM

                                        Click on the link below to access this form…

          http://www.industrialrelations.nsw.gov.au/pdfs/subcontractor_statement_form.pdf




Control of Contractors                              Workplace Safety Services           Page 1 of 1
Management Model Procedure: Version 3             A Division of Uniting Resources
CONFINED SPACE CONTRACTOR DECLARATION

                                    TRAINING REQUIREMENTS FOR
                        ALL CONTRACTOR PERSONNEL ENTERING CONFINED SPACES
ALL persons entering Confined Spaces shall be trained as per Australian Standards, AS 2865 - 1995.

This incorporates training in the following areas:

   Confined Space Entry Regulations                                                          Use of Safety Equipment
   Confined Space Clearance Certificates                                                     Rescue Drills
   Confined Space Procedures                                                                 Fire Protection
   Emergency Entry & Exit Procedures                                                         Communications
   Hazard Recognition                                                                        Aptitude & Fitness of Trainees
   Respiratory Protection Equipment                                                          Maintaining a Safe Environment
   Lockout & Isolation Procedures                                                            First Aid & CPR Training (by arrangement)



DECLARATION

I (name) , .....................................................................................................................................................................,

of (Company) .....................................................................................................................................,

being a Contractor employed to undertake work for the Synod at

(site/workplace name and address) ..............................................................................................................................

……………………………………………………………………………………………………………...................................,

acknowledge and accept that any entry into equipment or spaces so designated as „Confined Spaces‟ requires all
persons entering those spaces to be trained in accordance with AS 2865 - 1995.

I agree not to allow any person under my control to enter a Confined Space at the ............above named................
site/workplace unless trained accordingly, and will observe all safety practices described on the Work
Permit/Clearance Certificate.

I have knowledge of and can verify that the following people have attended a training course in Confined Spaces
which includes the subjects listed below:




Signed: .........................................................................................................................................

Name (Print) .......................................................                     Date: ................................................


                                                                  Retain in Contract/Project File




Control of Contractors                                                    Workplace Safety Services                                                                Page 2 of 1
Management Model Procedure: Version 3                                   A Division of Uniting Resources
                                         EQUIPMENT SAFETY CHECKLIST

     TO BE COMPLETED BY THE CONTRACTOR, IF REQUESTED BY THE SYNOD NOMINATED MANAGER,

Site Location/Contract Description/Job:                  ………...........................................................................................................

Date........./........../..........   Contractor: ........................................................................................................................


ELECTRIC TOOLS

Description                                          Reg/Serial No.             Maint. Sched./Log Book /                   Comments:
                                                                                Insp. tag sighted:




                                                                                Y/N           Comments
General condition OK?
Leads, earthing, switches OK?
Positioning of welding earth leads checked?
Welder - eye shields & screens provided?


LIFTING EQUIPMENT

Description                                          Reg/Serial No.             Maint. Sched./Log Book /                   Comments:
                                                                                Insp. tag sighted:




                                                                                Y/N           Comments
Equipment & Lifting gear/slings sound?
Safe working load & system appropriate for work?
Safe working load displayed?
Competency of operators (certificates/licences)
checked?
Storage arrangements OK?
Current certificate of mobile cranes done?

PNEUMATIC TOOLS

Description                                          Reg/Serial No.             Maint. Sched./Log Book /                   Comments:
                                                                                Insp. tag sighted:




                                                                                Y/N           Comments
Condition of tools, including retention clips, OK?
Condition of Hoses & Fittings OK?
Compressors - Guarding, Valid Receiver certificate?
Compressor pressure pots - Validity of certificate OK?



Control of Contractors                                           Workplace Safety Services                                                                   Page 1 of 3
Management Model Procedure: Version 3                          A Division of Uniting Resources
                                    EQUIPMENT SAFETY CHECKLIST
SCAFFOLDING

Description                                Reg/Serial No.      Maint. Sched./Log Book /   Comments:
                                                               Insp. tag sighted:




                                                               Y/N       Comments
Condition of materials & fittings OK?
Competency of erectors (certificate OK?)
Ladders are sound, & no rungs missing?
Trestles adequate for the job?
Planks in good condition, bound & not painted?
Welding cages/screens adequate for the job?
Inspection after installation?
Adequate signs - suitability for operational use?

OXY-ACETYLENE EQUIPMENT

Description                                Reg/Serial No.      Maint. Sched./Log Book /   Comments:
                                                               Insp. tag sighted:




                                                               Y/N       Comments
Gas bottles, hoses, fitting carts and lifting bridles OK?
Storage & transportation of bottles checked?
Flash arresters checked?

EXPLOSIVE POWERED TOOLS

Description                                Reg/Serial No.      Maint. Sched./Log Book /   Comments:
                                                               Insp. tag sighted:




                                                               Y/N       Comments
HOT WORK Permit required for work with explosive
powered tools?
Condition of equipment checked?
Operator trained and licensed/certified?
Maintenance routine checked?
Warning notices in accordance with regulations?
Arrangements for all personnel to be kept out of line of
fire?
All personal Protective equipment & clothing worn
correctly?
Condition of structure OK where applied?




Control of Contractors                                Workplace Safety Services                       Page 2 of 3
Management Model Procedure: Version 3               A Division of Uniting Resources
                                           EQUIPMENT SAFETY CHECKLIST
HOT WORK & FLAME HAZARD AREA

Description                                         Reg/Serial No.          Maint. Sched./Log Book /     Comments:
                                                                            Insp. tag sighted:




                                                                            Y/N        Comments
Pneumatic and Flame proof equipment available?
Special clearance for welding required?
Condition of I.C. engines (ignition exhaust) OK?

PETROL & DIESEL-DRIVEN EQUIPMENT

Description                                         Reg/Serial No.          Maint. Sched./Log Book /     Comments:
                                                                            Insp. tag sighted:




                                                                            Y/N        Comments
Spark Arresters checked?
Battery terminals/leads checked?
Exhaust manifold/silencers checked?
Fuel: tank and system checked?

GENERAL

Where required, have all authorities mentioned below been notified and acknowledged?

                                                                            Y/N        Comments
Workcover Authority?
Scaffolding?
Crane-related equipment?
Pressure Vessel Inspectors?
Councils?
Environmental Protection Authority?
Water Board?
Any others?
Any dangers from power lines (overhead,
underground)?

Signed................................................................... Authorised Synod Nominated Manager         Date …../…../…..

Signed................................................................... Contractor‟s Representative                Date …../…../…..

                                           TO BE RETAINED IN CONTRACT/PROJECT FILE




Control of Contractors                                          Workplace Safety Services                                    Page 3 of 3
Management Model Procedure: Version 3                         A Division of Uniting Resources
                               CONTRACTOR HEALTH ASSESSMENT
Contractors Health Assessments shall be performed on contractors in accordance with criteria defined in the
Contractors Health Assessment Questionnaire.

The duty of care for contractors extends to those factors which arise from the Synod’s operations and for which it has
control. It does not apply to hazards created by contractors in undertaking their tasks.

Using a questionnaire, Contractor Health Assessments are performed to determine the presence of a medical
condition which could be aggravated by the Synod’s operations or which may compromise the well-being of others at
the site/workplace.

A Health Assessment for Contractors may also be required as a condition of engagement where specific health
considerations apply to a person’s ability to perform required tasks/undertake specific work.

Contractor Health Assessments will not be required for all contractors. In determining the requirements for Contractor
Health Assessments, consideration should be given to the nature of the hazards to which the Contractor could be
exposed and the period of time that the Contractor will be present on the site/workplace. For example, it is neither
reasonable nor practical to require Health Assessments on Contractors who may briefly visit a site/workplace or work
in a non hazardous areas, eg: installation of minor office equipment.

Where a Contractor Health Assessment is required, the Contracting Company shall develop a pool of labour which
meets the requirements of this procedure.

Each site/workplace shall determine their requirements for Contractor Health Assessments as part of their approach
to Contractor Safety Management. The requirements of the Contractor Health Assessment shall be communicated by
the Site/Workplace Manager to all nominated managers responsible for contractors. Requirements for Health
Assessments shall also be entered into contractors agreements.

Nominated Managers responsible for contractors may include:
 Managers responsible for hiring individual contractors
 A person responsible for processing of contractors on site or at the workplace

Contractor Health Assessments (in most cases) shall consist of completion of a health questionnaire, which will be
supplied to the Contractor/Contract Company by the Nominated Manager responsible for the Contractors. The
Nominated Manager responsible for the Contractor shall advise the Contracting Company of the requirements of this
procedure.

Individual contractors shall complete the questionnaire, seal the questionnaire in an envelope supplied (to ensure
confidentiality) and forward to either the person responsible for the Contractor or authorised contract company
representative, who shall forward the envelope to the relevant Occupational Physician/ Workplace Nominated Health
Practitioner (WNHP).

Where appropriate, the Contractor Health Assessment Advice shall be maintained by the Contracting Company.

Recommendations from Occupational Physician/ WNHP on any restrictions to the contractor’s employment shall be
provided in writing to the Site/Workplace Manager.

Contractors who have completed the Health Assessment Questionnaire during the previous five years shall not be
required to complete a further Health Assessment Questionnaire for subsequent attendance to the site/workplace,
unless legislative requirements stipulate otherwise. The Site/Workplace Manager shall maintain a record of the
names of contractors who have completed Health Assessment Questionnaires or undergone Health Assessments.
Following a period of two months continuous placement at a site/workplace, Contractors shall undergo a full Health
Assessment with the Synod WNHP.




Control of Contractors                           Workplace Safety Services                                  Page 1 of 3
Management Model Procedure: Version 3          A Division of Uniting Resources
                               CONTRACTOR HEALTH ASSESSMENT

All Contractors attending a site/workplace shall be given information on general site/workplace rules, the specific
health and safety hazards in the area in which the Contractor will work and any protective measures required.

Where a Contractor’s exposure to chemical or physical agents arising from the Synod’s operations would fulfil the
criteria for participation in a periodic health assessment program, participation in the program should be offered to the
Contractor.

A WNHP shall be consulted to provide advice on the development of a Contractor Health Assessment program.

Contractor Health Assessments are normally required in the following situations:

Irritant Gases/Vapour/Dust and Mist:
Where there is a risk from exposure to high concentrations of potent respiratory irritants, eg: chlorine, formaldehyde,
ammonia, styrene, hydrogen chloride, phthalic anhydride and highly alkaline dust.

Respiratory Sensitisers:
Where there is a significant risk from exposure to known respiratory sensitisers in the form of a vapour, mist or dust,
ie: phthalic anhydride and diisocynates.

Lead:
When contractors or their employees will be working in areas where exposure to lead may occur (not from their own
use).

Chlorinated Solvent:
When contractors or their employees will be working in areas where exposure to these solvents may occur (not from
their own use).

Noise:
When Contractors or their employees will be working in areas where noise levels are in excess of the exposure limit
(refer to Hearing Conservation MP) (not of their own making), for four weeks out of every eight weeks.

Food Handlers:
Contractors shall be required to comply with Health Assessment requirements for food handlers outlined in the Health
Assessment Model Procedure. This requirement should be inserted in the relevant Contractor’s agreements.




Control of Contractors                            Workplace Safety Services                                    Page 2 of 3
Management Model Procedure: Version 3           A Division of Uniting Resources
                        CONTRACTOR HEALTH ASSESSMENT QUESTIONNAIRE

Name of Person Referring Contractor for Assessment........................................................................................................

Address.............................................................................................................................Phone.........................................

Site/Workplace Location....................................Project .....................................Contracting Co …………..........................



..................................................................... ............................................................. .......................... Male/Female
Contractor Surname (Mr, Ms or other)                                            First Names                                         Date of Birth

...............................................................................................................................................................................................
Home Address                                                                                                                                                     Postcode


PERSONAL HISTORY
Have you ever suffered from any of the following?
                                                                                                                                                                                      
Chest Trouble eg asthma             Any allergy                                                                   Liver trouble eg, hepatitis, jaundice
Bronchitis                          Hay fever                                                                     Diabetes
Wheezing                            Skin trouble eg eczema                                                        Fainting attacks
Persistent Cough                    Dermatitis                                                                    Blackouts
Shortness of Breath                 Other skin conditions                                                         Fits/epilepsy
Palpitations/Murmurs                Ear trouble/deafness                                                          Kidney/bladder or urine trouble
Angina/Chest Pain                   Nervous/mental illness
High Blood Pressure                 Eye problems                                                                  Do you wear contact lenses?                                           Y/N


Are you under the care of a doctor or receiving treatment?                                                     Y/N

Are you taking any medication at present?                                                                      Y/N             If so, please specify

………………………………………………………………………………………………………………………………………….

Have you ever suffered from any other condition you think may be relevant to your work? If so, please comment:

………………………………………………………………………………………………………………………………………….

Further information/comments which may be relevant:

………………………………………………………………………………………………………………………………………….

CONTRACTOR DECLARATION:                                            I declare that the above particulars are true to the best of my knowledge

Signature of Contractor ....................................................................................................                       Date: ......./......../.........


(FOR USE BY OCCUPATIONAL PHYSICIAN/ WORKPLACE NOMINATED HEALTH PRACTITIONER)
ASSESSMENT:       Fit / Consultation required (Delete one)

Note to Doctor:              Please advise the (above) person making the referral:
(1) of any potential workplace exposure, which may be particularly hazardous for this person.
(2) of the outcome of the assessment.
Please retain this form with our medical records and forward invoice to the (above) person making the referral.

Doctor‟s Name and signature: ................................................................................. …….                                  Date: ......../........../..........
Control of Contractors                                                         Workplace Safety Services                                                                       Page 3 of 3
Management Model Procedure: Version 3                                        A Division of Uniting Resources
                                  CONTRACTOR MONTHLY REPORT

                          PRINCIPAL CONTRACTOR MONTHLY REPORT COVERSHEET

Contract Name
Contract Description
Site/Workplace Location
Contract Company Name
Contract Company Address
Contract Company ACN
Description/Nature Of Service Being Provided By Contract Company (Or Principal Contractor) As Per Scope Of
Work




Synod Project Overseer/Nominated Manager Completing Inspection
Name:                                                     Position:
For Month of:                           Date of Report                           % Complete



                  PROJECT PLAN                             DATE                      COMMENTS
        OH&S PERFORMANCE ITEMS                                               (PLEASE ATTACH COPIES)
1. OH&S Audits and Inspections




2. Workcover or other Authority Activity



3. Injuries, Incidents and Hazard Reports




4. Other Relevant Action/Reports




5. Reviewed for PRU by:




Control of Contractors                           Workplace Safety Services                             Page 1 of 1
Management Model Procedure: Version 3          A Division of Uniting Resources
                                        SITE OH&S HAZARD REPORT

 Contract Name

 Contract Description

 Site Location

 Contract Company Name

 Contract Company Address

 Contract Company ACN

 Description/Nature of Service being provided by Contract Company (or Principal Contractor) as per Scope of Work




 Location of Hazard on Site

 Submitted By:

 Date                                                                        Report Number



 The following Hazard has been identified:
                                                           Y/N
                                                       Comments



 RISK: Class 1 High        [ ]           Class 2 Medium          [ ]           Class 3 Low      [ ]

 Action Required by Principal Contractor as agreed with Project Overseer/Nominated Manager:




 By When: Immediate [ ]                  Within 24 Hours         [ ]           Within 7 Days   [ ]

 Repeat Item:                            YES                     [ ]           NO               [ ]

 Action Completed By:                                                          Date:

 Confirmed for PRU by:                                                         Date:




Control of Contractors                             Workplace Safety Services                             Page 1 of 1
Management Model Procedure: Version 3            A Division of Uniting Resources
              CONTRACT IN PROGRESS – SITE INSPECTION CHECKLIST
 Contract Name
 Contract Description
 Site Location
 Contract Company Name
 Contract Company Address
 Contract Company ACN
 Description/Nature of Service being provided by Contract Company (or Principal Contractor) as per Scope of Work




 Synod Project Overseer/Nominated Manager Completing Inspection
 Name:                                                         Position:
 Date of Inspection


 ELEMENTS TO BE ASSESSED                                              Y/N     COMMENTS
 GENERAL OH&S MANAGEMENT
 Is site Project Manager present?
 Are OHS responsibilities clearly allocated?
 Are site rules visible?
 Are amenities available for workers?
 Has the site been secured?
 Is overhead power protection in place?
 Has the contractor renewed their workers compensation
 insurance?
 Do all subcontractors have workers compensation
 insurance?
 Are traffic control procedures in place (including site
 parking)?
 Are work environment controls in place (dust, noise, heat,
 light and ventilation)?
 Are sedimentation controls in place?
 Has the site been set out by survey (property boundaries)?
 Are owners of adjacent properties aware of the impact of
 construction on existing buildings (ie. fire egress, fire
 detection equipment, security, resident egress, parking and
 access)?
 HIRING AND PLACEMENT
 Is there a register of workers certificates, qualifications, safe
 work permits & licences?
 TRAINING AND INFORMATION
 Are Induction & training records current?
 OH&S CONSULTATION AND COMMUNICATION
 Are workplace consultation records current?
 RISK ANALYSIS
Control of Contractors                              Workplace Safety Services                            Page 1 of 4
Management Model Procedure: Version 3             A Division of Uniting Resources
 ELEMENTS TO BE ASSESSED                                             Y/N     COMMENTS
 Are Safety Plans and all Work Method Statements current?
 Have all subcontractors provided a copy of their Safety Plan
 and Work Method Statement prior to commencing work?
 Have all employees and sub contractors been consulted with
 regard to Safety Plans and Work Method Statements?
 Is there evidence of control measures being implemented?
 Are the necessary signs and notices posted?
 Are footpaths clean and have adequate light?
 Are access paths clearly defined?
 Are walking surfaces safe (slip and trip hazards)?
 Are floor openings covered?
 Are work areas accessible and adequately illuminated?
 Are materials stored safe (stable, sharp edges)?
 Are MSDS available?
 INCIDENT AND INJURY REPORTING
 Is there a register and procedure for reporting Injuries and
 Incidents?
 EMERGENCIES
 Are First Aid & Emergency Procedures in place?
 Are emergency numbers readily available?
 Are the names of the First Aid officers readily available?
 Do First Aid cabinets appear appropriately stocked?
 Is fire equipment in place and maintained?
 PERSONAL PROTECTIVE EQUIPMENT
 Have signs been posted?
 Is PPE available for workers?
 Are Workers instructed in use of PPE?
 Is PPE inspected and replaced as necessary?
 Is there evidence of effective and appropriate use of PPE?
 Has provision been made for „wet weather‟?
 PLANNED WORKPLACE INSPECTIONS AND AUDITING
 Are workplace inspection records current?
 HOUSEKEEPING
 Is the site clear of rubbish and obstruction?
 Is there clear access and egress to and from the work area?
 Is the area free from clutter?
 Is there a procedure for waste disposal?
 DEMOLITION
 Has the building been checked for asbestos?
 Have all affected power, gas and water services been
 identified and disconnected or isolated?
 Has dilapidation survey been undertaken?
 Has the demolition sequence been planned?

Control of Contractors                             Workplace Safety Services            Page 2 of 4
Management Model Procedure: Version 3            A Division of Uniting Resources
 ELEMENTS TO BE ASSESSED                                              Y/N     COMMENTS
 Has equipment been maintained and serviced?
 Are all workers qualified to use equipment?
 Have appropriate Workcover licences been obtained?
 EXCAVATION
 Have underground services been located?
 Has equipment been maintained and serviced?
 Are all operators qualified?
 Is a fault reporting/rectification system in place for
 machinery?
 Is shoring in place for trenches over 1.5m?
 Is the excavation well secured?
 Is there safe access to and from excavation?
 ELECTRICAL
 Are leads in good condition and tagged?
 Are leads kept off floors?
 Are tools in good condition and tagged?
 No work near exposed live electrical equipment?
 Are the right GPO‟s being used?
 No cable Trip hazards?
 Switchboards secure (including temp power)?
 Are RCD / earth leakage systems in use?
 Lock out systems in place?
 Are all structures and plant safe from overhead wiring?
 Does licensed electrician do all electrical work?
 EQUIPMENT
 Is welding equipment checked and maintained?
 Are warnings & instructions visible?
 Are guards and screening in place?
 Are emergency stops functioning and labelled?
 Is a fault reporting/rectification system in place for
 equipment?
 Is the area well ventilated to dissipate welding fumes?
 Are vision screens in use for electric welding?
 HAZARDOUS SUBSTANCES
 Are there any hazardous substances on site?
 Are Material Safety Data Sheets available?
 Are materials stored safely (labels, ventilation)?
 Are waste disposal procedures in place?
 FALL PREVENTION
 Do all work platforms have handrails?
 Are fall arrest systems available and used?
 Are all floor penetrations closed and secured?

Control of Contractors                              Workplace Safety Services            Page 3 of 4
Management Model Procedure: Version 3             A Division of Uniting Resources
 ELEMENTS TO BE ASSESSED                                                       Y/N      COMMENTS
 Are unsafe areas signposted and secured?
 Are non-slip stair treads and kick plates in place?
 Is there adequate lighting?
 Are ladders secured (1:4 & 1m above platform)?
 Is scaffold compliant with AS1576 & certified?
 Is there safe access and egress to scaffold?
 Is mobile scaffold being used safely?
 Are there records of inspections and certificates?
 Have existing structures been certified for construction
 loadings?
 Are people protected from falling material?
 BRICKWORK AND CONCRETE
 Has provision been made for brick delivery?
 Are barrow hoists properly set up and used?
 Is brick cleaning being done safely?
 Has the formwork been designed and certified?
 Is formwork being constructed safely?
 Is steel fixing being done safely?
 Is concreting being done safely?
 Is formwork stripping being done in sequence and safely?

 GENERAL COMMENTS




Signed................................................................... Synod Project Overseer/Nominated Manager   Date …../…../…..




Control of Contractors                                     Workplace Safety Services                                         Page 4 of 4
Management Model Procedure: Version 3                    A Division of Uniting Resources