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WHSMS – Forms – (WMS-570) Work method statement ©Copyright 2012 The Detail Devils® v3.2– 01/12 page 1 of 12 Safe work method statement no. WMS-570 Task: Work practice - Epoxy Flooring I R O N B A R K FLOORING & MAINTENANCE SERVICES PTY LTD ABN 68 059 486 109 Company Ironbark Flooring & Maintenance Services P/L ABN ABN 68 059 486 109 Address Unit 9 10-11 Millennium Court, Silverwater, NSW 2128 Contact name Steve Tomanovic Phone 0419 966 288 Safety equipment used eg harness (see below for registered plant/equipment) Chemical resistant gloves Safety helmet Goggles Safety footwear Gloves Organic respirator Knee pads Dust / Face masks Hearing protection Hazardous substances Product name: MSDS available Yes / No This WMS is submitted to: Project name and site address: Contact: Andrew Pulsford 0418 461 451 Preparation of WMS by: Andrew Pulsford This WMS has been developed in consultation with workers and has been authorised by: Andrew Pulsford Signature Date WMS updated: Next revision date: Other: If hazard is rated 1, 2, or 3 take action immediately If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions Risk matrix How likely is it to occur? How severely could the risk hurt someone? Very likely Could happen any time Likely Could happen sometime Unlikely Could happen but unlikely Very unlikely Could happen, bu probably never will High Kill or permanently disable 1 1 2 2 Medium Long term illness and lost time, 1 2 3 4 Moderate Medical attention and time off work 2 3 4 5 Low/ Insignificant First aid 3 4 5 6 Report any defects immediately. All repairs are to be carried out by licensed or qualified person. Follow Isolation, lock-out, tag-out process. Personal Protective Equipment – Select PPE appropriate for the job tasks to be performed – Below are some suggestions (check/tick the box) Other Identify

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Page 1: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 1 of 12

Safe work method statement no. WMS-570 Task: Work practice - Epoxy Flooring

I R O N B A R K

FLOORING & MAINTENANCE SERVICES PTY LTD

ABN 68 059 486 109

Company Ironbark Flooring & Maintenance Services P/L

ABN ABN 68 059 486 109

Address Unit 9 10-11 Millennium Court,

Silverwater, NSW 2128

Contact name

Steve Tomanovic

Phone 0419 966 288

Safety equipment used eg harness (see below for

registered plant/equipment)

Chemical resistant gloves Safety helmet

Goggles Safety footwear

Gloves Organic respirator

Knee pads Dust / Face masks

Hearing protection

Hazardous substances

Product name: MSDS available Yes / No

This WMS is submitted to:

Project name and site address:

Contact: Andrew Pulsford 0418 461 451

Preparation of WMS by: Andrew Pulsford

This WMS has been developed in consultation with workers and has been authorised by: Andrew Pulsford

Signature

Date WMS updated: Next revision date:

Other:

If hazard is rated 1, 2, or 3 take action immediately

If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions

Risk matrix How likely is it to occur?

How severely could the risk hurt someone?

Very likely Could happen any time

Likely

Could happen sometime

Unlikely

Could happen but unlikely

Very unlikely

Could happen, but probably never will

High Kill or permanently disable 1 1 2 2

Medium Long term illness and lost time, 1 2 3 4

Moderate Medical attention and time off work 2 3 4 5

Low/ Insignificant First aid 3 4 5 6

Report any defects immediately. All repairs are to be carried out by licensed or qualified person. Follow Isolation, lock-out, tag-out process.

Personal Protective Equipment – Select PPE appropriate for the job tasks to be performed – Below are some suggestions (check/tick the box)

Other Identify

Page 2: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 2 of 12

Unload the truck

Slips, trips and falls;

Abrasions,

Manual handling injuries

Strains and sprains;

Back damage

4 1. Use correct manual handling techniques

2. Use forklift for large quantities

(more than 20 bags)

3. Load on to pallet jack

6 All

Move materials to work area

Abrasions

Strains and sprains

Infections Muscle damage

4 1. Only licensed persons to drive forklift

2. Use pallet jack if no forklift licensed person available

3. Define work area, display safety signs as required

6 All Forklift collision with scaffolding, trucks, robots or persons

Flying materials and damage to property

Secure the load

Do not exceed the load capacity of the machine

Travel at safe speed and check visibility for other persons or obstructions

Barricade & isolate areas for

pedestrian & truck movement

Complete principal contractor’s induction

Persons not prepared for

job tasks adequately

Unnecessary injuries

5 1. Information and education on site orientation

2. Availability and location of first aid, emergency response plan and emergency assembly point

6 All Epoxy odor

Undertake epoxy work outside of

normal trading hours. If unable to do so, use mechanical ventilation via exhaust system

Page 3: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 3 of 12

Unload materials from pallet truck or

forklift

Slips, trips and falls

Abrasions

Manual handling injuries

Strains and sprains;

Infections

Back damage

4 1. Identify safe storage location

2. Identify location for safe mixing

3. Check that area is a no or low traffic area close to area to be refurbished (persons/robots/

vehicles)

4. Bend knees and keep back straight, seek help for heavy/bulky items.

6 All

Check all equipment and

work area

Manual handling injuries

Abrasions

Electric shock

Sprains

Infections

Heart attack or death

4 1. Check that appropriate firefighting equipment and first aid is available

2. Check all cutting discs are fit to use

3. Check vacuum connections for all equipment

4. Do not use if worn or do not fit correctly

6 Steve Shattered discs can damage stock, machinery or people close by

Sparks can cause fire to

flammable material

Remove all combustibles from the work zone or erect barrier or cover combustibles

Check leads, ELCB

Electrocution

Death

2 1. Check all leads are in good repair

2. Check current inspection tag is present

3. Inspect ELCB/RCD and lead

5 Steve

Page 4: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 4 of 12

Diamond grinding of concrete

Flying debris

Inhalation of dusts

Manual handling injuries

Electrocution

Excessive noise

Eye injuries

Respiratory problems

Back injuries and sprains

Death

Hearing impairment

3 1. Wear PPE, goggles, ear protection, P2 dust mask, knee pads, safety boots

2. Use circular motion and reverse circular motion for handheld grinding

3. Use forward motion for upright grinder in straight lines

4. Use a vacuum and dispose of waste in appropriate site bins

5 All Material hitting persons or property in area

Explosion, fire from sparks of grinder

Dust damage to property

All persons in area to wear eye & ear PPE

Remove all/any flammable liquids from

work area or create a work area exclusion zone and cover flammables

Check any

possible ignition sources are turned off

Cover property to prevent dust damage

Moving through GMP areas

Contamination

Contamination 1 1. Wrap all equipment in plastic 2. Wear appropriate body suits,

hairnets etc

3. Wash hands before entry

2 All Contamination Follow GMP standards of practice

Page 5: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 5 of 12

Scabbling of concrete

Flying debris

Inhalation of dusts

Manual handling injuries

Electrocution

Excessive noise

Eye injuries

Respiratory problems

Back injuries and sprains

Death

Hearing impairment

3 1. Wear PPE, goggles, ear protection, P2 dust mask, safety boots

2. Check blades for sharpness – do not use if worn or blade does not fit – replace blade

3. Move forward in straight line

4. Do keep cord behind also when moving forward

5 All Projectiles hitting property, persons in area

Fire explosion

Keep work area clear of persons. Create

barrier around work area

Remove all/any

flammable liquids from work area or create a work area exclusion zone and cover

flammables

Check any possible ignition sources are turned off

Diamond saw cutting of

perimeter

Flying debris

Inhalation of dusts

Manual handling injuries

Electrocution

Excessive noise

Eye injuries

Respiratory problems

Back injuries and sprains

Death

Hearing

impairment

3 1. Wear PPE, goggles, ear protection, P2 dust mask, knee pads, safety boots

2. Use forward motion in straight lines

3. Use a vacuum and dispose of waste in appropriate site bins

5 All

Page 6: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 6 of 12

Use industrial vacuum to remove dust

from floor

Flying debris

Inhalation of dusts

Manual handling injuries

Electrocution

Excessive noise

Eye injuries

Respiratory problems

Back injuries and sprains

Death

Hearing impairment

3 1. Wear PPE, goggles, ear protection, P2 dust mask, safety boots.

2. Use industrial vacuum

5 All Spills

Use correct emptying procedures for

dust bins into appropriate site bins

Prepare to use

Epoxy resins

Inhalation of

fumes

Impaired judgement

Spilling chemicals on skin

Headaches

Drowsiness

Poor coordination

Feeling sick

Dermatitis

4 1. Wear PPE, goggles, gloves,

safety boots, respirator.

2. Check that resin has an up-to-date MSDS and you are aware of information contained in MSDS.

3. Check also the hazardous substances register

4. Read the label on the chemical container and follow the advice

given on it.

5. Ensure that solvent containers have warning labels indicating hazards of substance & what to do in emergency.

Do not eat, smoke, weld or use naked flame near solvents

5 All Spills, splashes

Inhalation of fumes and strong odours affecting people in near vicinity

Contain spills or

leak residues with sand or other appropriate absorbents.

Do not allow spillages to enter

drains or other waterways.

Collect and seal

in properly labelled containers for disposal as per

local council statutory codes.

Advise client and other people in area that epoxy will be used and

will have a strong odour

Page 7: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 7 of 12

Mixing resins

Spilling chemicals

Inhalation of

chemicals

Slips trips and falls

Burns

Respiratory disorders

Blindness

Musculoskeletal disorders

Strains and sprains

4 1. Wear PPE, goggles, vapor mask, safety boots

2. Check ventilation

3. Use correct lifting techniques

4. Measure resins and pour slowly into mixing bucket

5. User mixer/stirrer to combine resins

5 All Spills

Support bucket once sand is added to reduce

risk of losing control of spinning bucket

Move resin to trowelling area

Spilling chemicals

Inhalation of chemicals

Slips trips and falls

Burns

Respiratory

disorders

Blindness

Musculoskeletal disorders

Strains and sprains

4 1. Wear PPE, gloves, safety boots, respirator

2. Use correct lifting techniques – two person lift of bucket

3. Use trolley jack to move bucket to troweling area

5 All

Trowelling of

concrete

Spilling

chemicals on skin

Inhalation of chemicals

Slips trips and falls

Straining muscles from bending over

to trowel

Respiratory

disorders

Blindness

Strains and sprains

Skin disorders

Musculoskeletal disorders

4 1. Wear PPE, goggles, gloves,

safety boots, respirator

2. Check ventilation

3. Skim trowel first

4. Rotate job positions with other

persons

5. Control the troweling and avoid splashes

5 All

Page 8: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 8 of 12

Broadcast sand

Slips trips and falls

Back injury

Skin irritation

Musculoskeletal disorders

Skin disorders

(including dermatitis)

4 1. Wear PPE, gloves, safety boots

2. Do not overfill bucket when spreading sand from bucket

3. Sweep excess sand with broom in forward sweeping motion when dry

4. Bag & dispose in correct site bin using recycled resin bags

5 All

Mixing A & B epoxy paint &

roller floor

Spilling chemicals

Inhalation of chemicals

Slips trips and falls

Burns

Respiratory

disorders

Blindness

Musculoskeletal disorders

Strains and sprains

4 1. Wear PPE, goggles, vapour mask, safety boots

2. Check ventilation (use mechanical ventilation if

necessary)

3. Use roller for epoxy paint onto floor surface

5 All Spills

Inhalation of

fumes

Support bucket when accessing

mix

Undertake epoxy

work outside of normal trading hours where possible

Diamond saw

expansion joints

Flying debris

Back injuries

Inhalation of dust particles

Electrocution

Excessive noise

Blindness

Musculoskeletal disorders

Respiratory disorders

Death

Hearing impairment

3 1. Wear PPE, goggles, ear

protection, dust mask, knee pads, safety boots

2. Mark with chalk line

3. Use forward motion in straight lines

4. Empty vacuum bags and dispose of waste in site bins

5 All

Page 9: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Description of task

Note: Revised risk score must be 4,5, or 6 . If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions/refer to Site Supervisor

Procedure (Break activity into steps & list)

Possible hazards

Possible Risks Risk Score (1-6)

BEFORE controls

Risk controls Risk

Score

(1-6)

AFTER

controls

Person responsible

Possible product/ environment hazards

Product/ environment risk control

No Activity

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 9 of 12

Clean up & pack truck

Inhalation of fumes whilst cleaning

Slips, trips and falls

Respiratory disorder Musculoskeletal

disorders

4 1. Clean tools & PPE

2. After each day's use, wash gloves, safety goggles and

contaminated clothing

3. Replace tools in truck and follow safe exit route

5 All Waste removal

Fire

Remove resin and place in identified site bin

Check all ignition sources are still turned off

Page 10: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

Qualifications and experience

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 10 of 12

Work method statement number WMS-570 Task: Work practice - Epoxy floor topping and repair

Personal qualifications and experience:

(trade licence and/or experience required to complete the task)

Personnel, duties and responsibilities

(supervisory and others) Training required to complete work:

Work under supervision of qualified supervisor

Supervisor to carry out daily inspections of work site for hazards

Supervisor to be trained in hazard identification, risk assessment and control

All personnel to maintain a tidy work site

Ongoing safety training & toolbox talks

Engineering details/Certificates/WorkCover approvals: Legislation: Work Health & Safety Act 2011

Work Health & Safety Regulation 2011

Comments

NCOC forklift licence required to operate forklift

Plant/equipment (include registered plant and machinery) Maintenance of plant/equipment/tools

Maintenance of equipment to be maintained in accordance to register

Human error has been considered in this WMS and this has been addressed through internal and external training of workers

Report any defects immediately. All repairs are to be carried out by licensed or qualified person. Follow Isolation, lock-out, tag-out process

Note: Refer to and/or use (if required) the following work methods and forms from our OHS management system.

HS-001 – Accident report Select additional WMS as required WMS-110 - substances - use solvents.

RM-001 – Hazard report form WMS-020 - tools - use angle grinder WMS-340 - plant - machines - use a gurney

RM-010 & RM-011 – Hazardous substances checklists WMS-021 - tools - use air power tools WMS-350 - plant - machines - use forklift

RM-015 -Portable ladders – Ladder inspection checklist WMS-023 - tools - use ELCB, RCD extension cord WMS-400 – Manual handling – lift & move an object

RM-110 – Material data safety sheets WMS-024 - tools - use electric hand tools general WMS-401 - Manual handling - load & unload trailer

RM-210 - Site risk assessments WMS-027- Tools - use cordless drill WMS-801 - site - electrical - test and tag

Select risk assessments from RM-200 to RM-249

RM-250 – Work at heights – checklist (as required)

Page 11: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

WHS training in WMS

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 11 of 12

Work method statement number WMS-570 Task: Work practice - Epoxy floor topping and repair

NSW Legislation Work Health & Safety Act 2011 OHS Amendment (Dangerous Goods) Act

2003 Workers’ Compensation (Dust Diseases) Act 1942

Workers Compensation Act 1987; Workplace Injury Management and Workers Compensation Act 1998

Work Health & Safety Regulation 2011

OHS Amendment (Dangerous Goods) Regulation 2005

Workers’ Compensation (Dust Diseases) Regulation 2008

Workers Compensation Regulation 2003

Australian standards

AS 1319:1994 Safety signs for the

occupational environment AS/NZS 1269:2005 Occupational noise control

AS/NZS 2161.1:2000 Occupational protective gloves –

Selection use & maintenance

AS/NZS 4602:2011 High visibility safety garments – Garments

for high risk applications

AS 1418.10(Int):2004 Cranes, hoists and

winches - Elevating work platforms

AS/NZS 1668.2:2002 The use of ventilation

and air conditioning in buildings - Ventilation

design for indoor air contaminant control

AS/NZS 2210.1:1994 Occupational protective footwear -

Guide to selection, care & use

AS/NZS 5762:2005 In-service safety inspection and testing -

Repaired electrical equipment

AS 1940:2004 The storage and handling

of flammable and combustible liquids

AS/NZS 1715:2009 Selection, use and

maintenance of respiratory protective devices

AS/NZS 3760 2010 In-service safety inspection and

testing of electrical equipment

AS/NZS ISO 31000:2009 Risk management - Principles and

guidelines

AS/NZS 4503 Protective clothing – protection against

liquid chemicals AS/NZS/ISO 60079.1:2009 Classification of hazardous areas

WorkCover Codes of Practice - NSW Subject matter for National

COP

National Codes of Practice (Safe Work Australia - document title) National standards

Amenities for construction work Safe working on roofs – part 1 –

commercial buildings Asbestos How to manage and control asbestos in the workplace

National Exposure Standards For Atmospheric Contaminants In

The Occupational Environment

[NOHSC: 1003 (1995)

Excavation work Safe working on roofs – part 1 –

residential buildings Asbestos How to safely remove asbestos

National Standard for Construction Work

[NOHSC: 1016 (2005)]

Formwork Technical guidance Confined spaces Confined spaces

National Standard for the Storage and Handling of Workplace

Dangerous Goods [NOHSC: 1015 (2001)]

Moving plant on construction

sites Work near overhead power lines Consultation

Work health and safety consultation, cooperation and

coordination

Approved Criteria for Classifying Hazardous Substances

[NOHSC: 1008 (2004)]

Overhead protective structures Work in hot or cold environments Facilities Managing the work environment and facilities Workplace Injury and Disease Recording Standard in the

Workplace

Workplace amenities Hazardous

substances Labelling of workplace hazardous chemicals

National Standard for Licensing Persons Performing High Risk

Work

Hazardous

substances

Preparation of safety data sheets for hazardous

chemicals

National Standard for Occupational Noise

[NOHSC: 1007 (2000)]

Heights Managing the risk of falls at workplaces National Code of Practice for the Prevention of Occupational

Overuse Syndrome [NOHSC:2013(1994)]

Induction Induction for construction work

Manual handling Hazardous manual tasks

Noise Managing noise and preventing hearing loss at work

Risk management How to manage work health and safety risks

Page 12: Fm - WMS-570 - Work practice - Epoxy floor topping and repair · WHSMS – Forms – (WMS-570) Work method statement Description of task Note: Revised risk score must be 4,5, or 6.If

WHSMS – Forms – (WMS-570) Work method statement

WHS training in WMS

©Copyright 2012 The Detail Devils® v3.2– 01/12 page 12 of 12

Work method statement number WMS-570 Task: Work practice - Epoxy floor topping and repair

Preparation of WMS - 570 Approved by authorised person:

Name and signature of person preparing WMS Andrew Pulsford

Name and signature of person managing activity:

Steve Tomanovic

Date of training

Name of person conducting training in this WMS

Andrew Pulsford

Qualifications of trainer (eg electrician, no. of years’ experience)

Declaration by workers (All persons present to sign and date the form)

• I have been consulted and have assisted in the development of the above WMS

• I have been given the opportunity to comment on the content of the above WMS

• I have read and understand how I am to carry out the activities listed in WMS.

• I have been supplied with the personal protective equipment identified on the above WMS

• I have been given training in the safe use of the equipment and/or the job task/s to be performed

• I have read and understand the requirements set out in the material safety data sheets for any hazardous substances identified in this WMS.

• Where identified, I have the appropriate licence /qualifications and experience

to perform the job task

Date Name Signature Yrs of experience Construction Induction card number

Andrew Pulsford 15 + CGI00519791SEQ1

Steve Tomanovic 20+ CGI00517257SEQ1

Kire Drijovski 20+ CGI01063144SEQ1

Nikola Skocic 20 + CGI00564807SEQ1

Brendan Raynal 15 + CGI00758782SEQ1

Jordan Clarke 3 CGI0216695SEQ01

Sayed Rohullah Ahmadi 2 CGI0383044SEQ01

Danny Quinlan 15 CGI00462719SEQ1

Fabio Familio 10 CGI00725252SEQ1