Site Safety Plan

Project Details

• Project Name: [Name of project]
• Site Address: [Full street address, suburb, state, postcode]
• Client Name: [Name of client]
• Principal Contractor: [Name of company managing the site]
• Project Start Date: [DD/MM/YYYY]
• Project End Date: [DD/MM/YYYY]
• Maximum Number of Workers on Site: [Number]

Emergency Information

• Nearest Hospital: [Name and address of nearest hospital]
• Emergency Assembly Point: [Location, e.g., Front entrance car park]
• Emergency Contact Person: [Name]
• Emergency Phone Number: [Phone number]
• Emergency Services: 000

Site Rules

1. PPE: [List required PPE, e.g., Safety helmet, high-vis vest, steel capped boots, safety glasses]
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 policy, e.g., Designated smoking area only]
5. Speed Limit: Maximum speed limit on site is [e.g., 10 km/h].
6. Unauthorised Access: No unauthorised persons allowed on site without permission from the supervisor.
7. Reporting: All injuries, incidents and near misses must be reported immediately to [Name/Role].

Hazard Identification and Risk Control

Task / Activity	Hazard	Who is at Risk	Risk Control Measures	Person Responsible
[e.g., Excavation]	[e.g., Collapse of trench]	[e.g., Ground workers]	[e.g., Shoring, battering of banks]	[e.g., Site Supervisor]
[e.g., Working at heights]	[e.g., Falls >2m]	[e.g., Roofers]	[e.g., Scaffold, fall arrest harness]	[e.g., Leading Hand]
[e.g., Use of power tools]	[e.g., Electric shock, noise]	[e.g., Tradies]	[e.g., RCDs, residual current devices, hearing protection]	[e.g., All workers]
[e.g., Manual handling]	[e.g., Back injury]	[e.g., Labourers]	[e.g., Mechanical aids, team lifting]	[e.g., All workers]
[e.g., Traffic movement]	[e.g., Vehicle collision]	[e.g., Pedestrians, drivers]	[e.g., Pedestrian barriers, traffic controllers]	[e.g., Traffic manager]

High Risk Construction Work

Does this project involve High Risk Construction Work (HRCW)? [ ] YES / [ ] NO

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

1. Activity: [e.g., Work on a roof] SWMS Reference: [SWMS Document Number or Title]
2. Activity: [e.g., Confined space entry] SWMS Reference: [SWMS Document Number or Title]
3. Activity: [e.g., Asbestos removal] SWMS Reference: [SWMS Document Number or Title]

Site Facilities

• Toilets: [Location and type]
• Drinking Water: [Location of water supply]
• Wash Facilities: [Location of hand washing stations]
• Shelter/Rest Area: [Location of lunch room or shade]
• First Aid: [Location of First Aid Kit and First Aid Officer name]
• Waste Management: [Location of waste bins and skip bins]

Site Security

• Fencing/Hoarding: [Description of perimeter security]
• Signage: [Location of safety signs, e.g., at entrance]
• Site Access Hours: [e.g., 7:00 AM to 5:00 PM Monday to Friday]
• Lock up Procedure: [Name of person responsible for locking up site]

Environmental Controls

• Dust Control: [e.g., Water suppression, wind barriers]
• Noise Control: [e.g.,限制 noisy work to certain hours]
• Runoff/Sediment Control: [e.g., Silt socks, bunding]

Consultation and Communication

• Toolbox Talks: [Frequency, e.g., Weekly on Monday mornings]
• Issue Resolution: [Process for raising safety concerns]
• Health and Safety Representative (HSR): [Name if applicable]

Signatures

I acknowledge that I have read and understood the contents of this Site Safety Plan and agree to abide by the rules and procedures outlined.

Principal Contractor / PCBU Representative: Name: ____________________________ Signature: _________________________ Date: _____________________________

Worker Acknowledgement: Name: ____________________________ Signature: _________________________ Date: _____________________________