Project and contact details
Roles and responsibilities
Name a person against every role. On a shared site, record which PCBU provides each one.
| Role | Name | Responsibilities on this site |
|---|---|---|
| Site supervisor | ||
| Health and safety representative | ||
| First aider | ||
| Subcontractor supervisor(s) |
Hazard and risk register
List the hazards of this site, not a generic list copied from the last job. Rate each risk, record the controls, and name who owns them.
| Hazard | Who is at risk | Risk rating | Controls | Responsible |
|---|---|---|---|---|
Site rules and induction
- Every worker, subcontractor and visitor completes a site induction before starting
- Minimum PPE for the site is defined and enforced
- Drug and alcohol expectations are communicated at induction
- Site amenities in place: toilets, drinking water, first aid kit
- Housekeeping and waste standards set and checked
- Plant and vehicle rules set: speed limits, exclusion zones, spotters where needed
- Permit-required tasks identified: hot work, confined space, excavation
- Electrical equipment tested and tagged, leads protected
- Hazardous substances inventory kept with safety data sheets on site
- Toolbox talks scheduled and recorded
- Workers know how to raise a hazard and who to raise it with
Emergency plan
Incident and injury reporting
All injuries, incidents and near misses on this site are recorded, and the head contractor is told the same day. Near misses count; they are the cheapest lessons available.
Notifiable events (a death, a notifiable injury or illness, or a notifiable incident) must be reported to WorkSafe New Zealand as soon as possible, and the site must not be disturbed until WorkSafe authorises it, except to help an injured person or make the site safe.
Review and sign-off
Both PCBUs sign this plan, and sign again at each revision. Review it when the scope, methods or conditions change, after any incident or near miss, and at agreed intervals through the project.
| Signed for | Name | Signature | Date |
|---|---|---|---|
| Head contractor | |||
| Contractor |