Business Name: ABN/NZBN:

Business Address:

VACUUM SERVICE TRUCK SAFE WORK METHOD STATEMENT (SWMS)

Business Contact: Phone #: Principal Contractor (PC):
Responsible person (for monitoring SWMS and work): PC Address:
Signature: Date: PC Phone #: Date SWMS provided to PC:
Contact Phone #: Job Site Address:

THIS WORK ACTIVITY INVOLVES THE FOLLOWING HAZARDOUS WORK AND ENVIRONMENTAL IMPACTS

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Electrical equipment Elevated levels Slips, trips and falls Hazardous substances Night work
Hot Work Hazardous manual tasks Outdoor work Remotely &/or isolated work ?

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Noise and vibration Native vegetation & weeds Air quality Waste Vehicle movement
Fuels, oils & chemicals Terrestrial fauna Waterways & soils Cultural heritage ?

THIS WORK ACTIVITY INVOLVES THE FOLLOWING “HIGH-RISK CONSTRUCTION WORK” (HRCW - IDENTIFIED IN THE JOB TASK COLUMN)
Confined spaces Mobile plant movement Demolition of a load-bearing structure Asbestos disturbance

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Using explosives Diving work Artificial extremes of temperature Tilt-up or pre-cast concrete
Pressurised gas distribution mains or piping chemical, fuel or refrigerant lines energised electrical installations or services
Structures or buildings involving structural alterations or repairs that require temporary support to prevent collapse
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Involves a risk of a person falling from 2m or more, including work on telecommunications towers
Working at depths greater than 1.5 Metres, including tunnels or mines Work in an area that may have a contaminated or flammable atmosphere
Work carried out adjacent to a road, railway or shipping lane, traffic corridor In or near water or other liquid that involves the risk of drowning
FOOT HEARING HIGH HEAD EYE FACE HAND PROTECTIVE BREATHING SUN SAFETY SEAT
PROTECTION PROTECTION VISIBILITY PROTECTION PROTECTION PROTECTION PROTECTION CLOTHING PROTECTION PROTECTION HARNESS BELT

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 Business Name: ABN/NZBN:
Business Address:

LIKELIHOOD INSIGNIFICANT MINOR MODERATE MAJOR CATASTROPHIC

SCORE ACTION
ALMOST CERTAIN 3 - HIGH 3 - HIGH 4 - ACUTE 4 - ACUTE 4 - ACUTE
LIKELY 2 - MODERATE 3 - HIGH 3 - HIGH 4 - ACUTE 4 - ACUTE 4A - ACUTE DO NOT PROCEED.
POSSIBLE 1 - LOW 2 - MODERATE 3 - HIGH 4 - ACUTE 4 - ACUTE 3H - HIGH Review before commencing work.
UNLIKELY 1 - LOW 1 - LOW 2 - MODERATE 3 - HIGH 4 - ACUTE 2M - MODERATE Maintain control measures.
RARE 1 - LOW 1 - LOW 2 - MODERATE 3 - HIGH 3 - HIGH 1L - LOW Record and monitor.
MOST LEAST
HIERARCHY OF CONTROLS EFFECTIVE EFFECTIVE

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RESPONSIBLE
JOB TASK HAZARDS RISK CONTROL MEASURES
PERSON

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1. Planning  Infection 3H  Ensure workers immunised for hepatitis "B" and tetanus. Supervisor
 Disease
2. Working Emergency 4A  Ensure a second person knows your location and expected time of return Operator to
alone  Use mobile phone, telephone or radio to periodically check-in maintain call
 Communication equipment within easy reach at all times log ins
 Take extra care to work safely and methodically

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 Have first aid kit readily available and stocked appropriately
 Where the risk assessment has identified particularly high-risk tasks, utilise a second person
(buddy) to assist or backup
o Do not expose both people to the hazard simultaneously. The second person should be within
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sight, but safely removed from the immediate area
o The ‘buddy’ must be trained in the specific activities the worker he/she is observing for is
undertaking, be properly equipped with emergency equipment, and be capable of undertaking
pre-planned rescue or emergency operations where needed.
3. HRCW Truck failure 3H  Vehicle must be registered with the State Road and Traffic Authorities before use Supervisors
Road travel  Inspect and operate the truck following manufacturers’ instructions. Do not use if any to check all
to site & site fault/damage/missing parts. Report immediately and follow tag-out/lock-out procedures. controls in
operation place and
 Crush injuries 4A  All operators using public roads have a current Driver’s Licence
followed
 Entrapment  Adjust the seat to achieve full pedal contact when operators’ back is against the back of the seat
 Fatality  Wear seatbelt
Operator to
 Ensure all body parts are kept within the cabin at all times when operating the truck
follow controls
 Start-up as per manufacturer’s instructions and never leave operator seat with the engine running
and make
 Be familiar with the width of equipment to maintain safe clearances
supervisor
 Do not use any controls as handholds when entering or exiting the operator compartment
 At no time is any person permitted to ride on the exterior of the vehicle
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RESPONSIBLE
JOB TASK HAZARDS RISK CONTROL MEASURES
PERSON
 Carefully wash hands and do not eat, drink or smoke during/after-handling fuel
 Shower and wash immediately after work
 Wash clothes in separate wash from other clothes.
13. HRCW Crush injuries/ 4A  Ensure truck is parked in a safe, level area, clear of unstable or sloping ground Supervisor to
On entrapment  Remove keys confirm all
completion  Inspect equipment and if damage is detected – report immediately and take out of service. workers have
signed out
Hazardous 4A  The tank and pump must be cleaned after each load, except:

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chemical o When returning to the same location to load the same material, or
Workers to
reaction o When performing a repetitive job order with known materials-characteristics
comply with
 Vacuum trucks are cleaned at the end of each day to prevent the possibility of a dirty truck being
controls

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used on an after-hours callout.
Security breach 3H  Store the key in a safe place (restrict unauthorised access)
 All personnel sign-out on Site Register.
Vehicle/people 4A  Stay to designated access and egress routes
impact  Maintain awareness of surroundings at all times.

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14. HRCW  Injury 4A  For police, fire or ambulance call ‘000.’  Refer to your SWMS Supervisors
Emergency  Fatality  Follow site emergency and evacuation procedures implementing and workers
response  Environmenta  A communication system is available, e.g. a mobile phone or radio instructions for further ensure
l damage  Check for dangers to self before helping others specific emergency controls
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 Maintain control of the area and stabilise the situation responses. followed
 Apply first aid to the injured worker
 Complete an incident report.
OVERALL RISK RATING AFTER CONTROLS 1 - LOW 2 - MODERATE 3 - HIGH 4 - ACUTE
PLANT & EQUIPMENT HAZARDOUS SUBSTANCES SUPERVISORY ARRANGEMENTS
Electrical tools and leads Tested and tagged quarterly List hazardous substances taken on-site Audits
and have the SDS onsite. Spot Checks
Hand tools - Meet AS/NZS Regular visual inspection 1.
Reporting systems
Ladders - Meet AS/NZS Inspected and tagged out if damaged 2.
3. Suitably qualified supervisors for job
Mobile plant-specify Inspected and tagged out if damaged 4. Direct on-site supervision
? 5. Remote site: communication
6. systems/schedule
?
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