work method statement toolkit

8/20/2019 Work Method Statement Toolkit

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TOOL KIT IMPORTANTINFORMATION

In the Tool Kit you will find everything you need to

help you develop a WMS. It is the reader’sresponsibility to refer to legislation when reading thisguide or using any of the tools in the tool kit to ensurethe most up to date information is being used. Failingto do this ould lead to a breah of legislation andlegal ation being taken. These following pagesprovide brief information on getting you started withyour WMS. !efer to samples in the tool kit for further prompts on ompleting WMS.

WMS PART 1

Firstly you will need to hek the following areas forinformation and re"uirements on high riskonstrution ativities or presribed ativities beforeommening#

$%&S Workplae 'ealth and Safety !egulation

())*

+ompleted ,ob safety analysis’s

Site speifi risk assessments

Inident-in,ury reords

fter you have heked for any high risk onstrutionativities or presribed ativities ommene filling inall the relevant information in /!T 0 of your blankwork method statement.

1e sure to omplete all relevant information in thefields provided about the ativity. Missing anyinformation may result in a serious inident ourringor a breah of legislation.

When ompleting this page onsult with persons whohave relevant e2periene and knowledge about theativity.

WMS PART 2Completing your WMS from a SA

To be able to omplete this part of the proess you willneed to have with you either a opy of your ompleted

3S for the high risk onstrution ativity and or presribed ativity and-or your site speifi riskassessment.

%ooking at the olumn in your 3S titled 4Steps In tivity5 see where you an group some of the smaller steps into larger steps and insert in the first olumn of your WMS titled 4Ma,or Steps In tivity5

T!e "tep" "!oul# not $e "o #etaile# t!at a largenum$er of "tep" re"ult nor "o general t!at $a"i%"tep" are omitte#&

• 6ow ne2t to olumn titled 4Ma,or Steps In tivity5 inthe WMS is a olumn titled 4/otential 'a7ards5insert all the ha7ards that were identified in the 3Sthat relate to the ma,or steps into this olumn. 1esure to inlude all ha7ards as missing any of themmay lead to an inident ourring.

• 8ne you have ompleted this repeat the same

proess again for risk assessment sore.

'ou (ill !a)e "e)eral "%ore" $e%au"e of t!e num$er of "tep" in t!e SA * u"e t!e !ig!e"t "%orei#entifie#&

• The same applies for ontrol measures9 insert all

ontrol measures identified in the 3S into theolumn titled 4+ontrol Measures5 on your WMS.:nsure they are relevant to the ha7ards identified.

• In the ne2t olumn titled 4!esponsible 8ffier5 insert

titles of persons responsible for maintaining theontrol measures# this may inlude several differentpersons.

;ou are almost there<

• 8ne you have ompleted this proess onsult with

relevant and e2periened persons performing theativity and any other persons who may be affetedby the ha7ards assoiated with the ativity toensure all vital information has been aptured. If you make any amendments in the 4+ontrolMeasures5 olumn be sure to hek that theyomply with any presriptive ontrol measuresfound in assoiated legislation.

This ompletes the proess for developing a workmethod statement. 'ave you missed anything=

Safety Act and Regulation for furtherinformation

on requirements for risk assessments,construction

&o not go any further if you have notompleted the above. !efer to $ueensland’sWorkplae 'ealth and Safety t and !egulationfor further information on re"uirements for riskassessments9 onstrution safety plans and workmethod statements.

TOOL KIT

FORMS + or F

Template for /art 0 of WMS for a 'igh !isk+onstrution tivity an be found on page >)

Template for /art 0 of WMS for a /resribed tivity an be found on page >0

19

19TOOL KIT

TOOL KIT

FORM ,

sample of WMS /art ( is available in theTool Kit on page >(


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safety plans and work method statements.

FORMS TO -S+ W.+N /+0+LOPIN, 'O-R FIRST WORK M+T.O/ STAT+M+NT

F8!M 1 ? !ISK SS:SSM:6T F8!M PA,+ 2Ri" A""e""ment Form @ Ase this form to identify any high risk onstrution ativities9 presribedativities or demolition work that were reorded on this form at the site inspetion during the tendering

proess or after the ontrat was won that re"uire a WMS to be ompleted.

Potential.a3ar#"

+4i"ting ControlMea"ure"

Ri" S%ore1*25

Ri" ControlMea"ure"

Re"i#ual Ri"S%ore1*25

Re"pon"i$lePer"on

/ate

Insert potential ha7ardsassoiated with ontratand site in this olumn

This form an also beused to review e2istingontrol measures. Inserte2isting ontrols in thisolumn if reviewingontrol measures

Insert risk sore usingRi" Matri4 * Form C

+hek legislation and insertontrol measures. If noontrol measures presribedin legislation use hierarhy of ontrols and onsult withworkers.

Insert new risk soreusingRi" Matri4 * Form C

Insert personsresponsible forfollowing9 implementing9or maintaining ontrolmeasures in this olumn

Insert date in thisolumn

F8!M + ? !ISK MT!IB PA,+ 26Ri" Matri4 Ase this form to help you prioritise risks when ompleting F8!MS 1 and-or & and-or C.

LIK+LI.OO/'ow likely is it to happen=

CONS+7-+NC+S 'ow severely ould it hurt someone if it happens=

INSI,NIFICANTD6o in,uriesE

MINORDFirst aid only9 spillage

ontainedat siteE

MO/+RAT+DMedial treatment

spillage ontained withoutside helpE

MAORD:2tensive in,uries9loss of produtionE

CATASTROP.ICD&eath9 to2i release of

hemialsE

ALMOST C+RTAIN:2peted in most irumstanes

0.

0).

GA

>A

0A

LIK+L'Will probably our in most

irumstanes

0HM

0.

H.

A

(A

F8!M & ? 381 SF:T; 6%;SIS PA,+ 28O9 SAF+T' ANAL'SIS * Ase this form to ondut a risk assessment on a high risk onstrutionativity9 presribed ativity9 demolition work or other ativity where there are no risk assessments9 WMSor proedures. 3SJs are generally site speifi and used for the task at hand. They are not used arossother sites as a generi doument as they apture the ha7ards at a speifi plae and during a speifitime.

68T: Two e2tra olumns have been added to the !isk ssessment Form and 3S Form so that theyan be used to review e2isting ontrol measures for a ha7ard or a speifi ativity for e2ample# whenhanges are being onsidered or after an inident has ourred. If you are starting from srath you willnot need to fill in the :2isting +ontrol Measures.

ST+PS IN ACTI0IT' POT+NTIAL.A:AR/S

+;ISTIN,CONTROL

M+AS-R+S

RISKSCOR+

1* 25

RISK CONTROLM+AS-R+S

R+SI/-ALRISK

SCOR+1* 25

R+SPONSI9L+P+RSON

/AT+

1

.

Insert steps in ativity inthis olumn in these"uene the ativity is

to be arried out9 stepby step

Insert all foreseeableha7ards assoiatedwith eah step

If reviewing anativity insert e2istingontrol measures in

this olumn

Asing !iskMatri2 assessthe risks of

e2isting ontrolmeasures ifany and insertrisk sore here

+hek legislation andinsert new ontrolmeasures. If no ontrol

measures written inlegislation use hierarhyof ontrols and onsultwith workers andprofessionals

Asing !iskMatri2 insertnew risk sore

here

Insert title or name of persons responsiblefor following9

implementing9 ormaintaining ontrolmeasures

Insert dateontrolmeasures

must bemet

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F8!M : ? WMS /!T 0 D'IC' !ISK +TILITI:SE PA,+ Work Method Statement ????????????????????????????????????????????????????????????????????????????????????

/!:S+!I1:& +TILIT;

COMPAN' /+TAILS Insert !elevant /ersons +ompany 6ame9 ddress9 T.+ ARRAN,+M+NTS Insert relevant training for

/hone 6umber here FOR APPROPRIAT+ presribed ativity and howTRAININ, S-P+R0ISION supervision will be arried

out

A9N Insert !elevant /ersons +ompany 16 .I,. RISK WORK CLASS %ist lass of any high risk here e.g. person arrying out work work here

SIT+ A//R+SS Insert work site address here

PR+SCRI9+/ Insert name of /resribed tivity or /AT+ WMS /+0+LOP+/ Insert &ate ))-))-))ACTI0IT' &emolition Work e.g. !emoval of ) /+MOLITION WORS s"uare metres of bonded asbestos9 0+RSION N-M9+R Insert Lersion 6umber

&emolish wooden bridge

PR+SCRI9+/ ACTI0IT' Insert !elevant +ertifiate 6umber LINKS

C+RTIFICAT+ N-M9+R

F8!M C ? WMS /!T (PA,+


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FORM A

CONSTR-CTION SAF+T' PLAN :;' Ci)il Contra%tor" Pty Lt#

OR,ANISATIONAL /+TAILS

/!I6+I/% +86T!+T8!’S 6M:

/!I6+I/% +86T!+T8!S 16

/!I6+I/% +86T!+T8!S &&!:SS

W8!K/%+: &&!:SS DInsert the address where the onstrution work is to be performedE

T;/: 8F +86ST!A+TI86 +ivil +onstrution @ :2avation

:B/:+T:& ST!T &T:

:STIMT:& &A!TI86 8F T': W8!K

W'S +8MMITT::

W'S 8FFI+:!

FI!ST I& 8FFI+:!

The risks the /rinipal +ontrator is obliged to manage9 the proposed ontrol measures for those risks and how theontrols will be monitored and reviewed an be loated in the following douments e.g.

:BM/%: +86T:6TS

• +ompany Safety /oliy

• Ceneral Safety !e"uirements

• 'a7ardous Substane !egister

• Site !ules

• /lant /rovided For +ommon Ase

• !isk ssessments

• 3ob Safety nalysis

• Work Method Statements

• Traffi Management /lans

• :mergeny /roedures

• :mergeny /hone 6umbers

• /ubli Safety Strategy

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http://www.deir.qld.gov.au/workplace/business/construction/whso/index.htmhttp://www.deir.qld.gov.au/workplace/business/construction/whso/index.htmhttp://www.deir.qld.gov.au/workplace/business/construction/whso/index.htmhttp://www.deir.qld.gov.au/workplace/business/construction/whso/index.htmhttp://www.deir.qld.gov.au/workplace/business/construction/whso/index.htm


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FORM 9 RISK ASS+SSM+NT FORM

PRINCIPAL CONTRACTOR @R+L+0ANT P+RSON

Insert name here

CONTRACT

Insert ontrat here e.g. Subdivision 8rmeau

SIT+ A//R+SS

Insert site address here

WORK AR+A

Insert work area e.g. &ivision 0

ACTI0IT'

Insert name of ativity here e.g. Site /reparation

/AT+

Insert date assessment ompleted here

POT+NTIAL.A:AR/S

+;ISTIN,CONTROL

M+AS-R+S

RISK SCOR+1*25


R+SI/-AL RISKSCOR+1* 25

R+SPONSI9L+P+RSON

/AT+

Insert potential ha7ardsassoiated with ontrat andsite in this olumn

This form an also beused to review e2istingontrol measures. Inserte2isting ontrols in thisolumn if reviewingontrol measures

Insert risk sore usingRi" Matri4 * Form C

+hek legislation and insertontrol measures in this olumn.If no ontrol measurespresribed in legislation usehierarhy of ontrols and onsultwith workers

Insert new risk soreusing Ri" Matri4 *Form C

Insert personsresponsible forfollowing9implementing9 ormaintaining ontrolmeasures in thisolumn

Insert date inthis olumn

:.C. :2avation 8btain information onloation of servies from &ial1efore ;ou &ig

/erimeter fening re"uiredfor 0( weeks

+omplete WMS for thisativity

*

*

0>

/rinipal+ontrator-!elevant /erson

1efore workommenes

:.C. :ntering trenh morethan 0. metres

+omplete WMS for thisativity

0> /rinipal+ontrator

-!elevant /erson

1efore workommenes

:.C. Working nearunderground servies

8btain information onloation of servies from &ial1efore ;ou &ig

ppoint ompetent person toloate and mark servies

+omplete WMS for this ativity

*

0>

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FORM C RISK MATRI;

This !isk Matri2 is to be used to identify and assess risks assoiated with identified ha7ards when ompleting Forms1 and-or Form & and or Form C.

LIK+LI.OO/'ow likely is it to

happen=

CONS+7-+NC+S 'ow severely ould it hurt someone if it happens=I6SIC6IFI+6T

D6o in,uriesE

MI68!DFirst aid only9

spillage ontainedat siteE

M8&:!T:DMedial treatment

spillage ontainedwith outside helpE

M38!D:2tensive in,uries9

loss of produtionE

+TST!8/'I+D&eath9 to2i release of

hemialsE

%M8ST +:!TI6:2peted in most

irumstanes

0.

0).

GA

>A

0A

%IK:%;Will probably our inmost irumstanes

0HM

0.

H.

A

(A

/8SSI1%:Might our at some time

((L

0*M

0>.

*A

A

A6%IK:%;+ould our at some

time

(L

(0M

0M

0(.

A

!!:May our only in

e2eptionalirumstanes

(L

(>L

()M

0G.

00.

SCOR+ ACTION

1 * 6A * A%ute

ACT NOW > -rgent #o "omet!ing a$out t!e ri"" imme#iately& Reuire"imme#iate attention

H ? 0G' ? 'igh

Isolate the ha7ard and seek the highest management deision urgently

0 ? (0

M ? Moderate Isolate the ha7ard and follow management instrutions

(( @ (% ? %ow

8K for now. !eord and do something about the risks as soon as possible

+86T!8% M:SA!:S

When deiding on ontrol measures they should be implemented in the following order

+LIMINATION ,et ri# of t!e !arm or pre)ent t!e ri" D$e"t out%omeE

IF T'IS IS 68T /8SSI1%:

Substitution !eplae ha7ardous materials9 e"uipment9 hemials with something less harmful# and-or

Isolation Separate people from harm9 for e2ample using barriers

:ngineering Separate people from the harm9 hange the physial working environment9 for e2ample9 byredesigning work9 plant9 e"uipment9 omponents or premises# and-or

dministration :stablish administrative proedures suh as work method statements9 safety instrutions andprovide staff with training in them# and-or

//: Ase protetive lothing

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FORM / 381 SF:T; 6%;SIS

PRINCIPAL CONTRACTOR @R+L+0ANT P+RSONInsert name here

CONTRACTInsert ontrat here e.g. Subdivision 8rmeau

SIT+ A//R+SS Insert site address here

WORK AR+AInsert work area e.g. &ivision 0

ACTI0IT'Insert name of ativity here e.g. !eplae drivers seat e2avator

/AT+Insert date assessment ompleted here

ST+PS IN ACTI0IT' POT+NTIAL.A:AR/S

+;ISTIN,CONTROL

M+AS-R+S

RISKSCOR+

1* 25


R+SI/-AL RISKSCOR+

1* 25

R+SPONSI9L+P+RSON

/AT+

0

Insert steps in ativity

in this olumn in these"uene the ativityis to be arried out9step by step

Insert all

foreseeableha7ards assoiatedwith eah step inthis olumn

If reviewing an

ativity inserte2isting ontrolmeasures in thisolumn

Asing !isk Matri2

assess the risks of e2isting-ontrolmeasures and insertrisk sore here.Ri" Matri4 * Form C

+hek legislation and

insert new ontrolmeasures in thisolumn. If no ontrolmeasures written inlegislation usehierarhy of ontrolsand onsult withworkers andprofessionals

Asing !isk Matri2

insert new risksore hereRi" Matri4 * Form C

Insert title or name

of personsresponsible forfollowing9implementing9 ormaintaining ontrolmeasures in thisolumn

Insert date ontrol

measures must bemet in this olumn

(

:.C. rrive at site Moving plant !ead and obey allsignsStay alert and wath for moving plant

0> /lant 8perators t all times

/edestrians Stay alert and give wayto pedestrians

0> /lant 8perators t all times

>

ess e2avator Falls-slips-trips /ark as lose to

e2avator as possible

Stay alert and removeany trip ha7ards wheresafe to do so

0 /lant 8perators t all times

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9/16

T': F8%%8WI6C /:!S86S 'L: !:+:IL:& T!I6I6C 86 T'IS 3S

??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? 6ame and sign


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FORM +WMS MAST 1: SIT: S/:+IFI+ 6& MAST 1: /!:/!:& 1:F8!: 6; .I,. RISK CONSTR-CTION ACTI0IT' +8MM:6+:S

PART 1 :'; Ci)il Contra%tor" Pty Lt# > Work Method Statement

'IC' !ISK +86ST!A+TI86 +TILIT;

COMPAN' /+TAILS Insert !elevant /ersons +ompany 6ame9 ddress9 .I,. RISK WORK %ist lass of any high risk work here/hone 6umber here

A9N Insert +ompany 16 here /AT+ WMS /+0+LOP+/ Insert date ))-))-))

SIT+ A//R+SS Insert work site address here 0+RSION N-M9+R Insert version number

.I,. RISK Insert name of 'igh !isk +onstrution LINKS Insert links here e.g. other WMS9 3SJsCONSTR-CTION tivity-8ther e.g. :ntering trenh moreACTI0IT' @ OT.+R than 0.. metres

'8W +86T!8% M:SA!:S !: T8 1: M86IT8!:& 6& !:LI:W:&

Insert how ontrol measures will be monitored and reviewed9 by whom and when e.g. ontrol measures will be monitored by

employees and site supervisor and reviewed during pre start heks-tool bo2 talks daily

/%+: TI+K I6 18B:S T8 I6&I+T: +8M/A%S8!; !:$AI!:M:6TS T8 1: 1%: T8 +8M/%:T: T'IS +TILIT;

Plant @+uipment

1akhoe +rane &o7er

:2avator

menities Crader %oader

!oad !oller

Sraper Skid Steer 1arriers

Fall rrest System Fall !estraint System

%ights %adders Signage

3akhammer

Li%en%e"@Permit"@Ti%et"

1akhoe+rane

&emolition Ceneral Safety Indution D1lue +ardE

&o7er

&ogger

:2avator

Crader %oader

:2plosive /ower Tools !igger

Saffold Sraper

Skid Steer Traffi +ontrol

Training

Site Speifi Indution Task Speifi Training

+ert > In +ivil

+onstrution +onfined Spaes

:mergenies

First id

Manual Tasks

Moving /lant

MAT+& /art >

%evel 0 MAT+& /art >

%evel ( MAT+& /art >

!isk Management

Slips9 Trips9 Falls Working 6ear Atilities Working t 'eights

Appli%a$leLegi"lation@Referen%e"

ACTS D7L/E W'S &angerous Coods :letrial Safety

R+,-LATIONS D7L/E W'S &angerous Coods :letrial Safety

CO/+ OF PRACTIC+Traffi Management

For +onstrution or Maintenane Work Working 6ear %ive

/arts

OT.+R Cuide To Safety In The

+ivil +onstrutionIndustry

Maintenan%eC!e%"

ll :letrial Tools ll :2avations-/its

&aily

menities tmospheri Testing

Monitoring :"uipment

ll :"uipment /re Start+heks

Cas Monitoring:"uipment

ll Signage &aily //:

PP+

Ot!er Insert any other omments-re"uirements here e.g. fire e2tinguishers9 saffold9 spotter9 uthority from the &eaprtment of Main !oads -/olie to lose roads

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11/16

F8!M FT'IS WMS IS SIT: S/:+IFI+ WMS 6& MAST 1: /!:/!:& 1:F8!: 6; PR+SCRI9+/ ACTI0IT' +8MM:6+:S.

PART 1 :'; Ci)il Contra%tor" Pty Lt# > Work Method Statement

/!:S+!I1:& +TILIT;

COMPAN' /+TAILS Insert !elevant /ersons +ompany 6ame9 ddress9 T.+ ARRAN,+M+NTS Insert relevant training for /hone 6umber here FOR APPROPRIAT+ presribed ativity and howTRAININ, S-P+R0ISION supervision will be arried

out

A9N Insert !elevant /ersons +ompany 16 .I,. RISK WORK CLASS %ist lass of any high risk here e.g. person arrying out work work here

SIT+ A//R+SS Insert work site address here

PR+SCRI9+/ Insert name of /resribed tivity or /AT+ WMS /+0+LOP+/ Insert &ate ))-))-))ACTI0IT' &emolition Work e.g. !emoval of )

/+MOLITION WORK s"uare metres of bonded asbestos9 0+RSION N-M9+R Insert Lersion 6umber &emolish wooden bridge

PR+SCRI9+/ ACTI0IT' Insert !elevant +ertifiate 6umber LINKS Insert links here e.g. otherC+RTIFICAT+ N-M9+R WMS9 3SJs

'8W +86T!8% M:SA!:S !: T8 1: M86IT8!:& 6& !:LI:W:&Insert how ontrol measures will be monitored and reviewed9 by whom and when e.g. ontrol measures will be monitored by

employees and site supervisor and reviewed during pre start heks-tool bo2 talks daily

Plant @+uipment

1akhoe

+rane

&o7er :2avator

Crader

%oader

!oad !oller Sraper

Skid Steer

Waste 1ins

&ouble thikness plasti ir testing e"uipment ir monitoring e"uipment

%ights

%adders

Signage Lauum Water

Li%en%e"

lass liense DFriable sbestosE 1 +lass liense D1onded

sbestosE Ceneral Safety Indution

D1lue +ardE

1akhoe

+rane

&o7er :2avator

Crader

:2plosive /ower Tools

!oad !oller Saffold

Sraper

Skid Steer

Traffi +ontrol

Training@Ti%et"@Permit"

&emolition work &M0

&emolition work &M(

Site Speifi Indution Task Speifi Training

+ert > In +ivil

+onstrution

+onfined Spae

:mergenies

First id

Manual Tasks

Moving /lant

MAT+& /art > %evel 0

MAT+& /art > %evel (

MAT+& /art > %evel >

MAT+& /art > %evel

!isk Managemen

Slips9 Trips9 Falls Working 6earAtilities Working t 'eigh

Appli%a$leLegi"lation@Referen%e"

ACTS D7L/E W'S

&angerous Coods :letrial Safety

R+,-LATIONS D7L/E W'S

&angerous Coods :letrial Safety

CO/+ OF PRACTIC+ Management and ontrol

of asbestos in workplaesNnohs ()0* D())E

Safe removal of asbestos(nd edition Nnohs())(D())E

OT.+R Cuide To Safety

The +ivil+onstrutionIndustry

S (G)0?())0 &emolition of

strutures

Maintenan%eC!e%"

ll :letrial Tools ir monitoring e"uipment

menities Cas Testing :"uipment

/re Start +heks ll /lant ll Signage &aily

//:

PP+

Ot!er

Insert any other re"uirements e.g. disposable overalls9 asbestos removal signs9 demolition in progress9unuathorised entry not permitted

/%+: TI+K I6 18B:S T8 I6&I+T: +8M/A%S8!; !:$AI!:M:6TS T8 1: 1%: T8 +8M/%:T: T'IS +TILIT;

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12/16

F8!M CPART 2 :'; Ci)il Contra%tor" Pty Lt# > Work Method Statement

FI%A!: T8 /%6 6& F8%%8W T'IS WMS M; %:& T8 /:!S86S 1:I6C S:!I8AS%; 8! FT%%; I63A!:& 6& /8SSI1%: %:C% +TI86 1:I6C TK:6. /ONT RISK IT&

'8W T': +TILIT; WI%% 1: /:!F8!M:&

Insert how the ativity will be performed here

MaBor Step" In A%ti)ity Potential .a3ar#"Ri" S%ore

1*25Ri" Control Mea"ure"

Re"pon"i$leOffi%er

If developing a WMS from a 3Slooking at the 3S e2trat small stepsfrom olumn titled 4ll Steps In

tivity5 and group into larger steps.Insert steps into this olumn in these"uene the ativity is to beperformed. DReferen%e Page 18 *

WMS ,ui#eline" for t!e Ci)ilCon"tru%tion In#u"tryE

:2trat all the ha7ards that ouldause harm identified in your 3Sthat relate to the ma,or steps inthe ativity and insert into thisolumn

Insert risk sorefrom the 3S intothis olumn

Insert all ontrol measuresidentified in your 3S that relateto the ma,or steps in the ativityand insert in this olumn

Identify persoresponsibleomplying with ontmeasures

&&ITI86% I6ST!A+TI86S-+8MM:6TS

_________________________________________________

/rinipal +ontrators Signature

_________________________________________________ _____________________________

6ame of person signing WMS on behalf of the /rinipal +ontrator &ate

I have reeived training in this WMS and I fully understand the ha7ards and ontrol measures to be implemented as part of this ativ ity.

OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO 6ame

OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

Signature &ate

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13/16


14/16

F8!M ' :M/%8;:!S W8!K M:T'8& STT:M:6T +':+K%IST

+a%! ti% in t!e R+/ 3one mean" you are le"" liely to $e%ompliant

A//R+SS T.+S+ AR+AS PROMPTL'

+a%! ti% in t!e ORAN,+ 3one mean" you are in%rea"ingyour le)el of %omplian%e

9-T 'O- STILL .A0+ WORK TO /O

+a%! ti% in t!e ,R++N 3one mean" your are more lielyto $e %ompliant

MONITOR AN/ R+0I+W TO CONTIN-ALL' IMPRO0+

+urrent %egislation applying to work method statements not

obtained

'igh risk onstrution ativities not identified nor the risk

ontrolled

+ontrol measures for doing high risk onstrution work-

presribed ativities safely left up to workers

/rinipal +ontrator allows persons to start high risk

onstrution ativity without work method statement

!elevant /erson allows persons to start high risk

onstrution ativity without work method statement

Ceneri work method statements not reviewed and

amended at eah new site

Work Method Statements not amended as soon as possible

when there is a hange in the way the high risk onstrutionwork-presribed ativity is to be performed

/rinipal +ontrator not given a opy of amended work

method statements by !elevant /ersons

!elevant /erson has not ensured eah person affeted by

the amendment of a work method statement is advised of

the details of the amendment-s

Work method statements not kept with onstrution safety

plan

Work method statements not signed and dated by /rinipal

+ontrator

+urrent %egislation for work method statements obtained

'igh risk onstrution work-presribed ativities identified

and some work method statements developed

%imited involvement of workers in developing work

method statements

/rinipal +ontrator or !elevant /erson monitors some

persons to whom the work method statement applies

System developed but not maintained for reviewing and

updating work method statements as re"uired bylegislation

Some work method statements kept with onstrution

safety plan

/rinipal +ontrator or !elevant /erson signs and dates

some work method statements

Ceneri work method statements are reviewed but not

always amended at eah new site to reflet site speifiha7ards

Work method statements are easy to follow

Work method statements for high risk onstrution work -

presribed ativities developed not always followed in dayto day operations

Work Method Statements for other high risk ativities

identified but not developed

Work method statements for high risk onstrution work -

presribed ativities developed and followed

+ontrol measures in work method statements ontain all

urrent re"uirements alled up in legislation

Workers involved in developing work method statements

/rinipal +ontrator-!elevant /erson monitors persons to

whom the work method statement applies to

System implemented and maintained for reviewing and

amending work method statements

Ceneri work method statements amended at eah new

site and inlude site speifi ha7ards

ll people likely to be affeted by hanges advised of

amendments to work method statement

/rinipal +ontrator-!elevant /erson has signed and

dated work method statements

Work method statements easy to understand and follow

/rinipal +ontrator has opies of all work method

statements

19TOOL KIT

33


15/16

Work method statements kept with onstrution safety

plan

Work method statements are readily available for

inspetion


16/16

FORM I +MPLO'++S WORK M+T.O/ STAT+M+NT C.+CKLIST

This WMS heklist relates to the following ativityOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

&ateOOOOOOOOOOOOOOOOOOOOOOOO

This WMS heklist relates to the following site address OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

Pla%e a ti% ne4t to ea%! %orre%t an"(er

WMS inludes the name of the high risk-presribed onstrution ativity

WMS states the way the ativity is to be performed

WMS inludes ha7ards assoiated with the ativity

WMS inludes ontrol measures to be followed

WMS inludes how the ontrol measures will be monitored and reviewed

WMS inludes any relevant presribed oupations

IF A PR+SCRI9+/ ACTI0IT'

WMS inludes the arrangements for appropriate training P supervision

WMS takes aount of S (G)0 &emolition work

,+N+RAL

WMS has been signed and dated by /rinipal +ontrator

/art 0 of WMS has been ompleted

/art ( of WMS has been ompleted

This WMS inludes site speifi ha7ards related to the above address

I have been trained in this WMS

I understand I am responsible for following this WMS

I have read the above "uestions and have tiked all bo2es where the answers are orret.

OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOO

6ame Signature &ate


6ame Signature &ate


6ame Signature &ate

SIT+ S-P+R0ISORG NO WORK TO COMM+NC+ -NTIL ALL A9O0+ R+7-IR+M+NTS .A0+ 9++N M+T

19TOOL KIT 34

work method statement toolkit

Documents