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Site Safety Plan Example

Example document for Site Safety Plan. Use this as a reference when creating your own.

Professional Review Required

This document involves significant legal, financial, or compliance considerations. You must have a qualified professional review and approve this document before use. Do not rely on this template as legal advice.

Document: Site Safety Plan

Example Document

Last updated 7/30/2026

Site Safety Plan

Project Details

  • Project Name: Smith Street Renovation
  • Site Address: 42 Smith Street, Richmond, VIC 3121
  • Client Name: John Smith
  • Principal Contractor: BuildRight Constructions Pty Ltd
  • Project Start Date: 15/03/2023
  • Project End Date: 30/06/2023
  • Maximum Number of Workers on Site: 8

Emergency Information

  • Nearest Hospital: Epworth Richmond, 89 Bridge Road, Richmond
  • Emergency Assembly Point: Front footpath on Smith Street
  • Emergency Contact Person: Sarah Jenkins (Site Manager)
  • Emergency Phone Number: 0412 345 678
  • Emergency Services: 000

Site Rules

  1. PPE: Hard hat, high-vis vest (Class D/N), safety glasses and steel capped boots must be worn at all times on site.
  2. Induction: All workers must sign in and complete a site induction before starting work.
  3. Alcohol and Drugs: No person under the influence of alcohol or drugs is allowed on site.
  4. Smoking: Smoking is strictly prohibited on site.
  5. Speed Limit: Maximum speed limit on site is 5 km/h due to limited space.
  6. Unauthorised Access: No unauthorised persons allowed on site. Site gate to remain locked when no workers present.
  7. Reporting: All injuries, incidents and near misses must be reported immediately to Sarah Jenkins.

Hazard Identification and Risk Control

Task / ActivityHazardWho is at RiskRisk Control MeasuresPerson Responsible
Demolition of bathroomAsbestos tiles, dustDemolition labourersRemoval of sample for testing, enclosure of area, P2 respirators, wet methods for dust suppressionSite Manager
Scaffold erectionFalls from heightScaffoldersLicensed scaffolder, use of full body harness, tag systemScaffold Supervisor
Installation of roof trussesFalling objectsRoofers, ground crewExclusion zone below roof area, hard hats, debris nettingLeading Hand
Use of concrete cutterNoise, dust, vibrationConcretorsEar muffs, P2 masks, vibration dampened gloves, only use outdoorsAll Concretors
Site delivery forkliftPedestrian collisionDrivers, ground crewSpotters during reversing, pedestrian walkway marked with yellow paintSite Manager

High Risk Construction Work

Does this project involve High Risk Construction Work (HRCW)? YES

If YES, list the specific activities and reference the Safe Work Method Statement (SWMS) for each:

  1. Activity: Work over 2 metres (Roofing and Scaffolding) SWMS Reference: SWMS-001 - Work at Heights
  2. Activity: Asbestos Removal (Minor) SWMS Reference: SWMS-002 - Non-friable Asbestos Removal

Site Facilities

  • Toilets: Portaloo located at rear of site, serviced weekly.
  • Drinking Water: 20L water cooler provided in lunch room area.
  • Wash Facilities: Portable hand washing station near toilet.
  • Shelter/Rest Area: Shade marquee set up in rear yard.
  • First Aid: First Aid Kit located in site office (shipping container). First Aid Officer is Sarah Jenkins.
  • Waste Management: Skip bin for general waste at front driveway. Separate bins for plasterboard and timber.

Site Security

  • Fencing/Hoarding: Temporary fencing around perimeter. Front hoarding installed for public safety.
  • Signage: 'Men at Work' and 'Safety Helmet Area' signs at main gate.
  • Site Access Hours: 7:30 AM to 4:00 PM Monday to Friday.
  • Lock up Procedure: Sarah Jenkins to lock site office and gate last daily.

Environmental Controls

  • Dust Control: Use water spray on excavation areas. Keep piles of sand/soil covered.
  • Noise Control: No noisy work (saws, jackhammers) before 8:00 AM or after 3:00 PM.
  • Runoff/Sediment Control: Silt socks installed at driveway entrance to stop mud entering street drains.

Consultation and Communication

  • Toolbox Talks: Every Tuesday morning at 7:30 AM. Minutes recorded in the site diary.
  • Issue Resolution: Raise safety issues directly with Sarah Jenkins or HSR Mike Ross.
  • Health and Safety Representative (HSR): Mike Ross (Carpenter)

Signatures

Principal Contractor / PCBU Representative: Name: Sarah Jenkins Signature: S.Jenkins Date: 15/03/2023

Worker Acknowledgement: Name: Mike Ross Signature: M.Ross Date: 15/03/2023

Notes

This example shows a renovation project where asbestos is a concern, triggering specific High Risk Construction Work (HRCW) requirements. Note the inclusion of a specific SWMS reference. The site rules are clear about PPE standards. The emergency assembly point is specific to the site layout. Environmental controls reflect inner suburban requirements regarding dust and noise.

About this Example

Part of the Site Safety Plan document collection

Document Type

Site Safety Plan

A practical document that outlines how risks on a construction or work site will be managed to ensure the safety of workers and the public.

Complexity

moderate

Risk Level

high