WORK
METHOD STATEMENT for
LOT 51/#7 CALDER ST, NORTH
LAKES Q4509
MORETON BAY
Emergency Contact – Pine Rivers Shire
Commencing:
24 Jan 09
Practical Completion: 24 Jan 10
|
Emergency Contact – Pine Rivers Shire Commencing:
24 Jan 09
Practical Completion: 24 Jan 10 |
Principal
Contractor Details
Principal
Contractor: Ozset
Homes Supervisor: Shane
Rayner 0410 637 454
ABN: 64
793 389 329 BSA: 1052379
Phone: 07
3881 0446 Fax: 07
3205 9515
Street:
Subcontractor
Details
Name:
………………………………………………………………………………ABN:
…………………..................
BSA:
…………………………………Phone/Mob:
...…………………………………………………………………...
Fax:
…………………………………
Address:
………………………………………………………………………...
…………………………………………………………………………………………………………………………..….
Please Indicate with a tick in the below table if during the
completion of your trade at the above address you will be involved in any High
Risk Activity -
|
a |
High Risk Activity |
a |
High Risk Activity |
|
|
Demolition |
|
Use of
Work Platforms |
|
|
Asbestos Removal |
|
Movement of Powered |
|
|
Entering a Trench 1.5m Deep |
|
Work In, Over, or adjacent to Water where there is a risk
of drowning |
|
|
Working Where a Person Could Fall through a framed
structure (bearers or joists) |
|
Work On, or adjacent to Road or Railway |
|
|
Building/Standing/Erecting external wall framing |
|
Work Near an exposed energized electrical installation |
|
|
Use of
Ladders |
|
|
|
|
Working on
a Roof |
|
Work On or Near Gas Lines/Pipes |
|
|
Using a Hazardous Substance |
|
Work On or Near Chemical, Fuel or Refrigerant Lines |
|
|
Working in
a Confined Space |
|
Contaminated or Flammable Atmosphere |
|
|
Using Explosives |
|
Extreme Temperature |
|
|
Tilt-up and Pre-Cast Concrete Construction Work |
|
Any Activity that may result in Death or Bodily Harm |
For Any High Risk Activities Indicated above, a Separate
Sheet will need to be provided to the Principal Contractor detailing the
Control Measures to be used to safely perform the activity; How the Activity
will be performed, How the Control Measures will be implemented and How the
Effectiveness of the Control Measures will be Monitored and Reviewed.
I agree to abide by the rules and conditions stipulated in
the Construction Safety Plan for the above mentioned job site. I have highlighted any High Risk
activities that my trade may take part in and will submit the required
information before job commencement.
Signed Sub-Contractor
……………………………………..………….………….
Date ………….……
Signed Principal Contractor
……………………………….…..………………….
Date……….……...
NB: Copies of the Construction Safety Plan
and High Risk Activity Sheets are available on the job site or at our
website: www.ozset.com.au
WHITE COPY – BUILDER
COLOURED COPY - SUBCONTRACTOR
WORK METHOD STATEMENT for
Emergency Contact – Pine Rivers Shire Commencing:
24 Jan 09
Practical Completion: 24 Jan 10
Principal Contractor Details
Principal Contractor: Ozset
Homes Supervisor: Shane
Rayner 0410 637 454
ABN: 64
793 389 329 BSA: 1052379
Phone: 07
3881 0446 Fax: 07
3205 9515
Street:
Subcontractor Details
Name:
………………………………………………………………………………ABN:
…………………..................
BSA:
…………………………………Phone/Mob:
...…………………………………………………………………...
Fax:
…………………………………
Address:
………………………………………………………………………...
…………………………………………………………………………………………………………………………..….
Please Indicate with
a tick in the below table if during the completion of your trade at the above
address you will be involved in any High Risk Activity -
|
a |
High Risk Activity |
a |
High Risk Activity |
|
|
Demolition |
|
Use of Work Platforms |
|
|
Asbestos Removal |
|
Movement of Powered
|
|
|
Entering a Trench
1.5m Deep |
|
Work In, Over, or
adjacent to Water where there is a risk of drowning |
|
|
Working Where a Person
Could Fall through a framed structure (bearers or joists) |
|
Work On, or
adjacent to Road or Railway |
|
|
Building/Standing/Erecting
external wall framing |
|
Work Near an
exposed energized electrical installation |
|
|
Use of Ladders |
|
|
|
|
Working on a Roof |
|
Work On or Near Gas
Lines/Pipes |
|
|
Using a Hazardous
Substance |
|
Work On or Near
Chemical, Fuel or Refrigerant Lines |
|
|
Working in a Confined Space |
|
Contaminated or
Flammable Atmosphere |
|
|
Using Explosives |
|
Extreme Temperature |
|
|
Tilt-up and
Pre-Cast Concrete Construction Work |
|
Any Activity that
may result in Death or Bodily Harm |
For Any High Risk Activities Indicated
above, a Separate Sheet will need to be provided to the Principal Contractor
detailing the Control Measures to be used to safely perform the activity; How
the Activity will be performed, How the Control Measures will be implemented
and How the Effectiveness of the Control Measures will be Monitored and
Reviewed.
I agree to abide by
the rules and conditions stipulated in the Construction Safety Plan for the
above mentioned job site. I have
highlighted any High Risk activities that my trade may take part in and will
submit the required information before job commencement.
Signed
Sub-Contractor
……………………………………..………….………….
Date ………….……
Signed
Principal Contractor
……………………………….…..………………….
Date……….……...
NB: Copies of the Construction Safety Plan
and High Risk Activity Sheets are available on the job site or at our
website: www.ozset.com.au
WHITE COPY – BUILDER
COLOURED COPY - SUBCONTRACTOR