CONTRACTORHEALTHANDSAFETYPLANPage1of13Companyname:Clientname:Site/WorkLocation:DescriptionoftheWorkNameSignatureDatePlanPreparedBy:PlanApprovedBy:Contents:1-ContractorsHealth&SafetyPolicy/Statement2-ScheduleofAppointedResponsiblePersons3-Management&SupervisionOrganisationalChart4-ConstructionRiskAssessment5-FallProtectionPlan6-HazardousWork/Activities-MethodStatements7-PersonalProtectiveEquipmentRequirements8-MeasurestoControltheConditionandUseofToolsandEquipment9-FirePreventionandControlMeasures10-UseandControlofHazardousChemicalSubstances11-EnvironmentalProtectionMeasures12-FirstAidArrangements13-ConstructionSiteSignageAppendices:A-ClientH&SSpecificationB-PrincipleContractorAppointmentC-AppointmentLettersD-PPEIssueRegistersE-EquipmentInspectionandRepairRegistersLaddersScaffoldingPortableElectricalToolsSafetyEquipmentLiftingTackleLiftingMachinesF-MaterialSafetyDataSheetsH–SafeDisposalCertificatesCONTRACTORHEALTHANDSAFETYPLANPage2of131ContractorsHealthAndSafetyPolicy/Statement(InsertContractorshealth&safetypolicystatement)2ScheduleofAppointedResponsiblePersonsAppointmentsi.t.o.OHSActSectionAppointmentDescriptionDetailsofAppointedPersonsNameQualification/Experience16(2)AssignmentofdutiesbyCEO37(2)Employer/Mandatoryagreement17Health&SafetyRepresentativeAppointmentsi.t.o.ConstructionRegulationsSectionAppointmentDescriptionDetailsofAppointedPersonsNameQualification/Experience6(1)Constructionsupervisor6(2)Assistantconstructionsupervisor6(6)Constructionsitehealthandsafetyofficer7(1)Riskassessor8(1)(a)Fallprotectionplandeveloper10(a)Formwork&supportworksupervisor11(1)Excavationworksupervisor12(1)Demolitionworksupervisor14(2)Scaffoldingsupervisor15(1)Suspendedplatformsupervisor17(1)Materialhoistinspector18(1)Batchplantsupervisor19(2)(g)(i)Explosivepoweredtoolissuer21(1)(j)Constructionvehicles&mobileplantinspector22(e)Temporaryelectricalinstallationcontroller26(a)Stackingandstoragesupervisor27(h)FireextinguisherinspectorAppointmentsi.t.o.GeneralMachineryRegulations(GMR)SectionAppointmentDescriptionDetailsofAppointedPersonsNameQualification/Experience2(1)SupervisorofMachineryCONTRACTORHEALTHANDSAFETYPLANPage3of133ConstructionManagementandSupervisionOrganisationalChartCONTRACTORHEALTHANDSAFETYPLANPage4of134ConstructionRiskAssessmentRiskassessmentleader:Riskassessmentteammembers:Dateofriskassessment:SeverityIndexProbabilityImpactACommon1FatalityorpermanentdisabilityBHashappened2MajorinjuryCCouldhappen3AveragelosttimeinjuryDNotlikely4MinorinjuryEPracticallyimpossible5MedicaltreatmentonlyorlessPIIndexProbabilityABCDEImpact11247112358121636913172041014182123515192224251–6HIGH7-15MEDIUM16-25LOWCONTRACTORHEALTHANDSAFETYPLANPage5of13ConstructionRiskAssessmentRiskNo.DescriptionofRiskProbabilityImpactPIIndexControlMeasures/Procedures/MethodstoManagetheRiskDescriptionResp1.2.3.4.5.CONTRACTORHEALTHANDSAFETYPLANPage6of135FallProtectionPlanElevatedWorkRiskAssessmentRiskNo.DescriptionofRiskProbabilityImpactPIIndexControlMeasures/Procedures/MethodstoManagetheRiskDescriptionResp1234Measures/Procedures/RequirementsRespPhysical&PsychologicalFitnessofWorkmenWorkingAtHeightDescribethemeasurestobetaken/procedurestobefollowedtoensurethattheworkmenperformingworkatelevatedheightsarephysically&psychologicallyfittoperformthework:TrainingRequirementsforWorkmenWorkingatHeigh...