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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, 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
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
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
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
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
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
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
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
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
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)
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
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