Work Method Statement:				Work On or Near Chemical, Fuel or Refrigerant Lines
Activity	What are the Hazards?	What is the Risk?		How are you going to Control the Hazard and minimise the risk of injury?							Who is going to Monitor and
	(What has the potential to cause injury?)	(From Risk Calculator - see below)		A HAZARD MAY REQUIRE THE USE OF ONE OR MORE CONTROL MEASURES - CROSS OUT/ DELETE CONTROL MEASURES NOT USED							Review it and How?
				1.  Identify underground services.  Establish a 1.5M Exclusion Zone around the							Name
Working near	Risk of			identified location where digging is only by hand tools.
Chemical, Fuel	fire or explosion
or Refrigerant				2.  Use appropriate PPE and safety equipment;  ensure it is in good working order
Lines	Uncontrolled			and maintained and used as per the manufacturers instructions.  Eg.  Protection
	contamination			from potential Toxic or Flammable atmosphere generated.
				3.  Fire Extinguisher to be on site.							Signature
				4.  No Fires, Smoking, Use of Electrical Appliances, Sparking Tools, Mobile
				Phones or Lights or other sources that may generate static electricity to be used.
				5.  Only Competent Persons with Appropriate Licenses and Training to work on
				Chemical, Fuel or Refrigerant Lines.
				6.  Industry required Signage, Barriers, Tagging & Permits to be used and followed.
				Eg.  Chemicals to be clearly labeled
				7.  All Elements that personnel are potentially exposed to during work to be
				recorded in the MSDS register.
				8.  Where breathing contamination may be an issue, control conditions with
				constant forced ventilation.
				9.  Prepare an Evacuation Plan in the case of Fire or Explosion.							Method (How)
											Visual
				10.  Perform a Risk Assessment of potential spill or release and potential impact.							inspection
				Implement preventative strategies.  Eg.  Block storm water drain inlets to prevent							where required
				spillage entering watercourses.  Soundness (leakage) test may need to be
				conducted as part of Risk Assessment.							Workers
											supervised
				11.  Keep a Clean-Up Kit prepared for spills on site - do not allow leakage into
				ground masses.  Dispose of absorbent material used to contain spill as per							Use of
				Manufactures Instruction.							competent
											persons where
				12.  Do not release CFC's into the atmosphere, collect in specifically sealed							required
				cylinders and have them removed by a licensed waste disposal organisation.
HOW TO USE THIS RISK TABLE			RISK RATING CALCULATOR		Likelihood					Risk Rating	Prioritisation
			Consequence		Very likely Could happen anytime	Likely Could happen sometimes	Unlikely Could happen, but only rarely	Very Unlikely Could happen, but probably never will		1 or 2	Action to rectify
Step 1:  Identify potential hazards.			What injury/damage could it cause?								must be done
Step 2:  Decide what the possible Consequence could be			Death or permanent disability		1	1	2	3			immediately
Step 3:  Decide How Likely? It is to happen			Long term illness or serious injury		1	2	3	4		3, 4 or 5	Consider
Step 4:  Line up your choices in the table to get a number			Medical attention & several days off work		2	3	4	5			control measure
Step 5:  Use the Priority table (far right side) to guide your next steps			First aid needed		3	4	5	6			as necessary