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District Council of Loxton WaikeriePREFERRED CONTRACTOR PACKThe attached information pack includes all relevant information that potentialContractors need to supply to be included on our Preferred Contractor Register. Pleasereview this pack and ensure that you provide copies of the items listed below (asrelevant to your business) to our Risk & WHS Coordinator, Danika Lewan via emaildlewanIwdc. sa. ov. auBelow is a list of items that we require copies of prior to commencement of any worksfortheDCLW.1. Preferred Contractor Registration Form (attached)2. Contractor WHS Online Induction (takes approx. 30 minutes)htt : dclw. e3whs. com3. Public Liability Insurance Cover4. Professional Liability insurance Cover5. Evidence of Return to Work SA registration (sole traders exempt - please advise ifthis is the case)6. Copies of employee licences (eg Electrical), competencies (eg Bobcat) andcertifications (eg White card. Lawyer certification) relevant to the works7. CopiesofWHSpolicies or p racedures/SafeWork Instructions relevant to workto beformed8. SafeWork Method Statements (SWMS)for High RiskConstruction work9. Copy of plant registration (Cranes/Elevated Work platforms)10. National Police Clearance (if requested)On commencement your Contract Manager will undertake the following with you:1. Reviewthe Preferred Contractor Registration Form2. Site Specific Induction3. Hazard Identification for Activities FormThis pack also includes examples of Safe Work Instr. uction/Job Safety Analysis (JSA), SafeWork Method Statements (SWMS) templates that may be utilised if required (for High RiskActivities).Ifyou have any queries in relation to this, please contact Danika Lewan85848000or viaemail: dlewan Iwdc.sa. ov. auVersion: 1Developed: 8/2016Review08/2019Electronic version on the Intranet is the contmlled version.Printed copies are considered uncontrolled.Before using a printedcopy, verify that it is the ment\AAA Paperwork requirements\Contractor Pack.docx
/WHS AND INJURY MANAGEMENTDISTRICT COUNCIL OF LOXTON WAIKERIEWHS Contractor Management ProcedureNo. 6.1Appendix 1: Preferred Contractor Registration/OverviewContractor DetailsCompany / Business name:ABN (Australian Business Number):Street Address:Postal Address:Principal Contact PersonName:PhoneMobile Phone:E-mail:Site SupervisorName:phoneMobile Phone:E-mail:Work Health and SafetyContactName:PhoneMobile Phone:E-mail:Contract OverviewBriefdescriptionof work:Location of work:Period ofcontract:Nature of work:DateFrom:TimeFromTo:To:Construction worka Yes a NoIf yes, risk assessmentQ Yesa Noreceived?High riska Yes a NoIfyes, SWMSreceived?Q Yes Q NoIf yes, WHS Managementa Yesconstruction workConstruction projecta Yesa Noa NoPlan received?OtherCouncil ContactsContact person:Phone:Mobile:Email:Or Contact person:Phone:Mobile:Email:IndustryTypea Air-con/RefngQ Confined SpaceQ GeneralBuildingQ Mowing/SlashingQ Road ConstructionQAsbestos ID/Removala EWPQ Electricala PaintingQ TreeTrimmingQ Automotive Air CondQ Landscapinga Pest Controla WasteMgmt1-1 Bitumen WorksQ Excavat/TrenchingQFencingQ Line Markinga Plant Hirea Weed Controla BuildingMainta Footpatha MajorElectricala PlumbingCI Concreting/Kerbinga GasQ Minor Civil WorksQ Profess.Servicesa Weldinga Other:CONTRACTORCHECKLISTAND DECLARATIONWHS ContractorManagement procedure(LGAWCS One System)Electronic version on the Intranetis the contmlled version.Printed copies are considered uncontrolled.Page 16 of 29Before using a printedcopy, verifythat it isthe es and Procedures- WHS\MACurrentProceduresWWS-PR-6.1 Contractor Management Procedure V42016.doc
WHSAND INJURYMANAGEMENTLDISTRICTCOUNCILOF LOXTONWAIKERIEWHS Contractor Management ProcedureNo. 6.1Contractors must provide the following documentation listed as mandatory. The documentation listedas additional must be provided if relevant to the works or requested by the organisation.Mandatory Documents RequestedaProof of Public Liability Insurance Cover (i. e. copy of your Certificate of Currency of Insurance;atax invoice or renewal notice will not suffice. Please request a Certificate of Currency from yourinsurer.)aEvidence of current ReturnToWork SA registration (sole traders exempt)a Copy of employee licences, competencies and certifications relevant to the works (e. g. WhiteCard, Work Zone Traffic Management, drivers licences, machinery licences, trade licences)Q Identificationof person within your organisation responsible forWork Health and Safety1-1 Copies of Work Health and Safety policies and/or procedures relevant to the work to beperformedaEvidence that hazards relating to your work activities are identified, assessed and controlled (e. g.hazard identification list or other documentation)Additional Documents (if relevant to the works/company or requested by the organisation)a Work Health Safety Policy and summary of WHS procedures and instruction or processesrelevant to the works your company is providing (e. g. WHS Management System)a Sample copies of risk assessments, safe work instructions or SWMS for the works provided byyour company1-1 Proof of Professional Liability Insurance Cover (i. e. copy of your Certificate of Currency ofInsurance; a tax invoice or renewal notice will not suffice. Please request a Certificate of Currencyfrom your insurer.)aIncidentreporting and investigation process, including a sample incident report formaCopy of plant registration e. g. cranes, elevated work platforma Training or skills matrix of personnel to be engaged in the work (and an explanation of how this ismaintained)aEmergency response procedures and/or management plana National Police Check (if required)This is to certify that I have provided the above information as indicated.(Company/business name) agrees to perform thework within the remit of the Work Health and Safety legislation, relevant model Codes of Practice,industry standards and in accordance with reasonable requests by the organisation.Authorised officer:Date:SignatureWHS ContractorManagement procedureElectronic version on the Intranetis the controlled version.Printed copies are considered uncontrolled.(LGAWCSOne System)Before usmga printed copy, verify thatit isthe current version.N:\Departments\WHSManagement\Policiesand Procedures - WHS\AAA CurrentProceduresWVHS-PR-6. 1 Contractor Management Procedure V42016. docPage 17 of 29
WHS AND INJURY MANAGEMENTLDISTRICT COUNCIL OF LOXTON WAIKERIEWHS Contractor Management ProcedureNo. 6.1Appendix 3: Hazard IdentificationPriorto engaginga contractor, conduct (or requestthe contractorconduct) a hazardidentificationandrisk assessment process in linewith the organisation'sprocedures. Wherethere are hazardouscomponents relating to the work or the work environment these should be identified and documentedon the appropriate table regarding the relevant controls or precautions, as well as any licence orpermit details required. The contractor is required to nominate how they will control any hazardsidentified by the organisation prior to commencing work.The identificationtable belowis not allencompassing and any additional hazards identified should also be recorded with this document.Contract details:Contractor Name:Type of work:Location of work:Hazard IdentificationaAsbestos / leadaRemote / isolated workQ Chemical exposureaRestricted accessa Compressed air / pressure /vacuumaSite access / securityQ Confined Space/ hazardousatmosphereaSoil contaminationaDemolitiona Traffic/ pedestriansaDivinga Trenching / excavation1-1 ElectricalaUnderground / overhead servicesaExcavation / trenchingaUneven / slippery surfacesaFalling objectsaUntrained / unlicenced workersl-l Fire / explosionaUV exposureaGas / fumesaWeldingQHeat sourcesaWorking at heightsaInclement weatheraWorking on or near live electricitya Lackoffirst aid / emergency plana Working over a pit holeaOther (add to monitoring checklist):Lighting1-1 Manual handling/ ergonomicsaaaNoisea Open bodies of wateraaOthers Working in the vicinityaaPlant / equipment / machineryaaPowered mobile plantWHS ContractorElectronic version on the Intranetis the controlled version.Management procedurePrintedcopiesare considereduncontrolled.(LGAWCS One System)Before using a printed copy, verify that it is the current version.N:\Departments\WHSManagement\Policies and Procedures - WHS\AAA CurrentProcedures\WHS-PR-6. 1 Contractor Management Procedure V42016.docPage 18 of 29
WHSAND INJURYMANAGEMENTLDISTRICT COUNCIL OF LOXTON WAIKERIEWHS Contractor Management ProcedureNo. 6.1Controls or precautions in relation to this contractPhysical isolationsPlant & EquipmentPersonal Protective EquipmentaBarricadingDElevatingwork platformaClothing (long sleeved shirt, Eyewear (sunglasses, safetyglasses,goggles, faceshield)Gloves (safety, chemical, heavy duty, riggers)aHydraulicaSafety data sheetaHead wear (broad brimmed hat, hard hat,welding helmet)aTrafficPermits to Work:aHearing protectionaPneumaticaConfined spaceaHigh visibility vest or clothingaWateraHot workaRespirator/maskWori ing at heightsaSafety bootsSafety harnessOther:aaOther:aaaaSpill containment kitaaaWetweathergearIs the work high risk construction work?Q YesQ NoIfyes, a SafeWork Method Statement is required prior to the commencement ofwork.Is the work construction work valued at 450,000 or over?Q YesQ NoIfyes, a WHS ManagementPlan is required prior to the commencementofwork.I-] Contract Mangerhas given contractorany additionalinformationthe organisation has in relationto hazardsand risks at or in the vicinity ofthe workplacewherethe work is to be carried outPrior to the commencement of work, the contractor is required to confirm the hazard(s)identifiedand documentthe controls or precautions as outlined here and provide all requiredlicences and/or permit details.Contract Monitoring Frequency:Contract Manager name:Date:Contract Managersignature:Guide to MonitorinFre uencfor Contractors:CONTRACT UMTERMLONG TERMAnnua yAnnua y(eg regular Contractor- good past history, maintenance workwith SWI in place, not high risk workMEDIUM(eg newcontractoror a regularcontractordoingsmallprojects, SWI's/SWMS in placeOnce perTwice perContractContractQuarterlyHIGH RISK(eg Large Projects & High Risk Construction Work Confined space, work at heights, demolition, majorelectrical, excavation, hot work, Asbestos, in or near wateror a roadwa , mobile lant etcIfnon-conformanceIs found by the Contractor additionalmonitoring to be undertaken. Monitoringundertaken within Skytrust which assists with Annual Contractor Review.Office use onlyaA copy of this form, (along with any additionalinformation,) has been sent to the contractorWHSContractorManagement procedureElectronic version on the Intranet is the contmlled version.(LGAWCSOne System)Before using a printed copy, verify thatit is the current version.Printed copies are considered nd Procedures- WHS\MA CurrentProcedures\WHS-PR-6.1 Contractor Management Procedure V42016. docPage 19 of 29
L fWHSANDINJURYMANAGEMENTDISTRICT COUNCIL OF LOXTON WAIKERIEWHS Contractor Management Procedure - No. 6.1Appendix 4: Job Safety Analysis (JSA) overviewContractors mustcomplete a JSApriorto commencingwork ifthe contractedworkdoes NOTinvolvehighrisk constructionworkand thevalueoftheworkis less than 450,000, but involves:(a)(b)Confined Space workDemolition(c)Divingwork(d)(e)Electrical workExcavation(f)Fall risks e. g. working in the vicinity of an edge, in or on an elevated workplace etc(g)Falling objects(h)Hazardous manual tasks(i)(j)Hot workNoise(k)Remote or isolated work(I)Workingadjacentto moving trafficor pedestrians/public(m)(n)Working on or near live electricityWorkingover a pit/hole(o)Workingwith hazardouschemicals, includingasbestosor lead, or(p)Workingwith plantA JSAis the process of critically examining a work task and re-engineering that task to ensure that thenecessary and relevant health and safety principles are followed, (please see the attached JSAWorksheet).The following steps apply in a JSA:ActivityListthe tasks required to perform the activity in the sequence they arecarried outHazardsAgainst each task list the hazards that could cause injury when the task isperformedRisk controlmeasuresListthe control measures required to eliminate or minimise the risk of injuryarising from the identified hazardThe aim is to adoptthe control measure most capable ofeither eliminating orminimisingthe riskatthe source. The hierarchyofcontrolshouldbe applied/. e. elimination, substitution, isolation, engineering control, administrativeWho is responsible(supervision, training, SafeOperating Procedure), PersonalProtectiveEquipment(goggles, gloves, hardhat, overalls, boots).Write the name ofthe person responsible (supervisor or above) to implementthe control measure identifiedWHS ContractorManagement procedureElectronic version on the Intranetis the controlled version.Printed copies are considered uncontrolled.(LGAWCS One System)Before using a printedcopy, verify that it is the currentversion.N:\Departments\WHS Management\Policies andProcedures- WHS\AAA CurrentProceduresWHS-PR-6. 1 Contractor Management Procedure V 4 2016-docPage20of 29
LWHS AND INJURY MANAGEMENTDISTRICTCOUNCILOF LOXTONWAIKERIEWHS Contractor Management Procedure - No. 6.1Appendix 5: Job Safety Analysis TemplateDate:CompanyJSANo.:name:Site Name:Permit to work requirement:Contractor:Approved by:YesNoActivity:ActivityHazardsRisk Control MeasuresWho is responsible?List the tasks required to perform the activity inthe sequence they are carried out.Against each task list the hazards that couldcause injury when the task is performed.List the control measures required to eliminateor minimise the risk of injury arising from theidentifiedhazard.Write the name of the person responsible(supervisor or above) to implement the controlmeasure identified.WHS ContractorElectronic version on the Intranet is the controlled version.Management procedurePrinted copies are considered uncontrolled.(LGAWCSOne System)Beforeusinga printedcopy, verifythat it is the es and Procedures - WHS\AAA CurrentProceduresWHS-PR-6. 1 Contractor Management Procedure V42016. docPage 21 of 29
LWHS AND INJURY MANAGEMENTDISTRICT COUNCIL OF LOXTON WAIKERIEWHS Contractor Management Procedure - No. 6.1Appendix 6: Safe Work Method Statement (SWMS) overviewContractors must complete a SWMS prior to commencing the contract work if the contract workinvolves high risk construction work (refer to the WHS Construction Activities Guidance Checklist ifhigh risk construction work is being undertaken to check legislative requirements are met).A SWMS sets out the work activities in a logical sequence and identifies hazards and describescontrol measures. The description of the process should not be so broad that it leaves out activitieswith the potential to cause accidents and prevents proper identification of the hazards, nor isit necessary to go into fine detail of the tasks.The SWMS must be able to be easily read by those who need to know what has been plannedto manage the risks, implement the control measures and ensure the work is being carried outin accordance with the SWMS. Relevant persons include the:(a)(b)(c)Supervisor of the high risk construction work;Worker(s) carrying out the high risk construction work; andthe principal contractor (if it is a construction project) or the person who has management andcontrol over the high risk construction work.A6. 1.Recommended steps for filling out the SWMS templateA6. 1. 1Consult with relevant workers, contractors and health and safety representatives involvedwith the high risk construction work, the activities involved and associated hazards, risks andcontrols.A6. 1.2In the 'What is the hi h risk construction work?" column, identify the high risk constructionwork for the construction work activity that will be undertaken.A6. 1.3In the 'Whatare the hazards and risks?' column, list the hazardsand risks for each high riskconstruction work activity.A6. 1.4Identify the workplace circumstances that may affect the way in which the high riskconstruction work will be done.Examples of workplace circumstances that may impact on the hazards and risks include:(a) information relating to the design of the structure, the workplace (e.g. location, access,transport), and information contained in the WHS Management Plan;(b) information on any 'essential services' located on or near the workplace;(c) confirmation that the regulator has been advised of any "notifiable work" (e. g. demolitionwork involving explosives); and(d) safe work methods and plant to be used.A6. 1.5In the 'How will the hazards and risks be controlled?' column, select an appropriate control orcombination of controls by working through the hierarchy of controls. It is important that youare able to justify why the selected control measure is reasonably practicable for the specificworkplace.WHS ContractorManagement procedure(LGAWCSOne System)Electronic version on the Intranet is the controlled version.Printed copies are considered uncontrolled.Before using a printed copy, verify that it is the current version.N:\Departments\WHSManagement\Policles and Procedures - WHS\AAA CurrenlProceduresWVHS-PR-6.1 Contractor Management Procedure V 4 2016. docPage 22 of 29
LWHSAND INJURYMANAGEMENTDISTRICT COUNCIL OF LOXTON WAIKERIEWHS Contractor Management ProcedureNo. 6.1Selecting control measuresA6. 1.6A6. 1.7Eliminate the risks so far as is reasonable practicableIfthis is not reasonablypracticable, minimisethem so far as reasonablypracticable byapplying the following hierarchy of control measures:(a) Minimise the risk by doing one or more of the following:i. substituting the hazard;ii. isolating the hazard; and/oriii. implementing engineering controls;(b) If the risk still remains, minimise the remaining risk by implementing administrativecontrols(c) If the risk still remains, minimise the remaining risk by ensuring the provision and use ofsuitable personal protective equipment (PPE).A6.2.SWMScompliance (information, monitoring and review)A6. 2. 1Brief each team member on the SWMS before commencing work. Ensure each teammember knows work is to stop if the SWMS is not followed.A6. 2.2Observe the work being carried out and monitor compliance with the SWMS. Review riskcontrols regularly, including:(a) Before a change occurs to the work itself, the system of work or the work location(b) If a new hazard associated with the work is identified(c) When newor additionalinformationaboutthe hazard becomes available(d) When a notifiable incident occurs in relation to the work(e) When risk controls are inadequate or the SWMS is not being followedIn all of the above situations, stop the work, review the SWMS, adjust as required and rebrief the team.A6. 2. 3Keep the SWMS in a readily available location for the duration of the high risk constructionwork.WHS ContractorManagement procedure(LGAWCSOne System)Electronic version on the Intranetis the controlled version.Printed copies are considered uncontrolled.Before using a printed copy, verify that it is the current version.N:\Departments\WHSManagement\Policiesand Procedures - WHS\AAA CufTentProceduresWHS-PR-6.1 Contractor ManagementProcedureV4 2016-docPage 23 of 29
WHS AND INJURY MANAGEMENTDISTRICT COUNCIL OF LOXTON WAIKERIEWHS Contractor Management Procedure - No. 6.1Appendix 7: Safe Work Method Statement template (Source: Model Code of Practice: Construction Work)NOTE:Work must be performed in accordancewith this SWMS.This SWMSmustbekeptand beavailablefor inspectionuntil the highriskconstructionworktowhichthisSWMSrelates is completed.If the SWMS is revised, all versions should be kept.[PCBU Name, contact details]Principal Contractor (PC)Date SWMSprovided to PC:Works Ma
1. Preferred Contractor Registration Form (attached) 2. Contractor WHS Online Induction (takes approx. 30 minutes) htt : dclw.e3whs. com 3. Public Liability Insurance Cover 4. Professional Liability insurance Cover 5. Evidence of Return to Work SA registration (sole traders exempt - please advise if
