SSSP for Gotcha Safety nets

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Site Specific Safety Plan

Customer name

Job address *

SSSP completed by

Outline of work being undertaken

Install fall protection safety nets.

Subcontractors to PCBU2

Will you be using subcontractors for any part of your contracted work?

Specify in the 'other' option the business name of any subcontractors being used by PCBU2

Yes

Other:

Clear selection

Significant Hazardous Activities review

Tick the Hazards that are applicable to this job and activity.

Fall from Ladder

Noise from impact driver

Activities that create risks to eyes, hands or head

Creation of slip, trip, fall hazards

Working with un braced walls (Not well secured)

Working alone (and isolated)

Cranes operating overhead

Possibility of tools / machinery falling from height

EWP use

Working at heights over 5m

Excavations more than 1m deep

Structural demolition

Confined space entry

Generation of Silica dust

Hot - works, including activities that generate sparks that could melt nets.

Operation of heavy machinery

Direct drive nail gun use

Activities that could effect the public or other workers

Truck loading and unloading

Work undertaken on steep slopes

Asbestos related activities

Work creating, removing or adjacent to penetrations with a fall hazard

Work over or adjacent to deep water or other fluids

Other:

Critical Risk Activities Requiring a Safe Work Plan

Are there any risks that are critical and notifiable to Worksafe?

eg.

Yes

If yes then note any notifiable activities below:

Other:

Clear selection

Task Risk Assessment

TRA Risk assessment criteria

I have read and understand the Task Risk Assessment

Yes

Clear selection

Other specific risk areas identified

Trianing Register

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