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SAFE WORK PLAN
CONTRACTOR TEMPLATE
PROJECT / CONTRACT DETAILS:
Principal Contractor / Client: Brisbane Airport Corporation Pty
Ltd
Project Name / Title: (provide brief description / name)
Work Site Address / Location at the Airport:
Project / Contract Duration: (include dates)
CONTRACTOR DETAILS:
Contractor Company Name: ABN:
Company Address:
Company Contact Details: Phone: Fax:
Safe Work Plan Author: Name: Direct Contact Details:
REVIEW CONFIRMATION:
Safe Work Plan Review: (BAC Representative)I have reviewed the
Safe Work Plan, sighted and identified associated Work Method
Statements and supporting documentation and sought
clarificationwhere appropriate with respect to the scope of work to
which this plan relates.
Name of Review Person (First & Last) Signature Date
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SAFE WORK PLAN
CONTRACTOR TEMPLATE
DESCRIPTION OF SERVICES TO BE PERORMED BY THE CONTRACTOR:
Identify and provide a summarised description of all the
services / work activities to be performed at the Brisbane Airport
for the scope of this project /contract. Include any project
schedule / plan (or reference thereof) that highlights the various
activities to be performed.
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SAFE WORK PLAN
CONTRACTOR TEMPLATE
IDENTIFICATION OF SPECIFIC WORK ACTIVITIES
Identify below whether work activities to be performed for the
scope of this project / contract align to the specific work
activity prompts contained in thisSection. Tick all applicable work
activity prompts. For additional explanatory information relating
to the following work activity prompts refer to the
OH&SInformation section within the Working at Brisbane Airport
website: www.workingatbrisbaneairport.com
Entry into a confined space
Excavation or digging at a depth greater than 300mm, including
the driving of objects into the ground
Hot work outside of a designated workshop area
Access or work at heights where a fall of 2m or more could
occur, including access on any roof with a pitch steeper than
26o
Electrical work on live plant / parts or work within an
exclusion zone for an energised part or overhead line, excluding
testing or basic low voltage fault finding
A plant isolation involving lock-out and/or tag-out of plant
(not including high voltage installations) is required
High voltage (HV) electrical switching
Use of a hazardous substance that requires health surveillance
or that is also a dangerous good, or use of explosives
Asbestos removal work or work on asbestos containing material
(ACM) that includes maintenance, cleaning & repair activities
that have the potential to disturb ACM
Demolition work
Work involving tilt-up and precast construction workStructural
alterations that require temporary support to prevent collapse
Work involving the movement of powered mobile plant at the
workplace, (e.g. movement & use of mobile cranes, forklifts
& interactions of heavy earthmoving plant)
Work on a telecommunications tower
Work in / over / adjacent to water where there is a risk of
drowning
Work on / adjacent to a road or railway
Work on / near a pressurised gas distribution mains and consumer
piping, or on /near a chemical, fuel or refrigerant line
Work in an area that may have a contaminated or flammable
atmosphere
Work in an area where there are artificial extremes of
temperature.
Work in immediate proximity to members of the public (in /
around buildings / terminals) where basic exclusion is not deemed
adequate to manage the risks involved
Work Method Statement (WMS) Requirements
For each of the above listed work activities identified, a Work
Method Statement (WMS) must be developed and submitted as part of
the Contractors SafeWork Plan. For those Contractors who do not
have established Work Method Statements for the above activities or
who require a WMS Template, refer to theOH&S Information
section within the Working at Brisbane Airport website:
www.workingatbrisbaneairport.com for a copy of the Contractor WMS
FormTemplate.
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SAFE WORK PLAN
CONTRACTOR TEMPLATE
ADDITIONAL INFORMATION REQUIRED Attach additional information
listings if there is insufficient space below.
Plant & Equipment:Provide a listing of plant / equipment
items intended to bebrought onto the site as part of the work
scope.
Hazardous Substances:Provide a listing of hazardous substances
intended to bebrought onto the site as part of the work scope.
Include adescription of the location where MSDS and other
relevantsubstance information will be located during the work.
First Aid, Fire & Emergency Response:Provide summary details
of specific first aid, fire, rescue oremergency response provisions
intended to be suppliedand made available on the site due to the
work scope beingundertaken.
Communication & Consultation:
Provide summary details of specific communication devicesto be
supplied as well as pre-work and ongoing consultationto be
undertaken during the work scope.
Prescribed Occupation Holders:Provide a listing of the
prescribed occupations that workerswill be performing as part of
the work scope. Includeworker names, prescribed occupation titles
and licence /certification numbers.
Specific Training:Provide summary details of specific training,
inclusive ofOHS related training / courses that specific on-site
workersinvolved have undertaken.
Prescribed Activity Works:For asbestos removal &/or
demolition works, provide thefollowing information:
certificate number for performing the prescribed activity(a
certificate to perform a prescribed activity must besubmitted to
BAC prior to work),
detailed training arrangements (as per WH&SRegulation 2008
Part 4)
detailed supervision arrangements (as per WH&SRegulation
2008 Part 4 - Section 50)
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