16-001014-02A (Ultimate SCMMP)

Example Job Safety Analysis (JSA)/Work Method Statement (WMS)
The following JSA/WMS is a guide only. It is the responsibility of the cleaning contractor or asset owner to develop their own JSA/WMS in line
with their own WHS requirements and constraints. It also assumes that there will be no entry into the unit during maintenance.

 Project/ Address:                                                                                                  Date:

 Job: Clean out of HumeGard unit                                                                                    Operator:

 Risk Level:                  1 - Extreme                  2 - High                  3 - Medium                     4 – Low                    5 - Negligible
 Consequence:                 Likely to cause very         Clear potential for       Similar to risk of driving     Little likelihood of any   Virtually Harmless
                              serious harm                 serious harm              a car                          harm
 Response:                    STOP THE JOB                 STOP and Reassess to      Control & ensure controls      Monitor to ensure risk     Continue work
                                                           find better way           work                           remains low
                                                                                   INITIAL                                                         PERSON           END
                PROCEDURE                             POSSIBLE HAZARDS                                            CONTROLS
                                                                                    RISK                                                         RESPONSIBLE        RISK
 1. Preliminaries:                             Nil                                    -      Refer to relevant manuals                           Operator            -
 • Confirm GPT locations and types
 • Familiarise with GPT technical manual
 2. Plan the Job:                              • Climbing in/out/around of truck      3      • Refer to safety plan on moving around             Operator            4
 • Room to access & work on the GPT                                                            vehicles
   without impacting other property or         • All GPT have a high risk of          4      • Wear PPE and never reach into or lift                                 5
   vehicles                                      containing syringes                           accumulated matter with hands. If a needle
 • Consider water flows & if excessive note                                                    stick injury occurs, wash the affected area
   & move onto next job                                                                        with soap & water & report the incident to
 • Condition & status of GPT                                                                   the branch and seek medical attention ASAP.
 • Identify water fill point
 • Identify waste dump point
 3.Establish Job Site:                         • Traffic                              3      • Devise a relevant Traffic Management WMS          Operator            5
 • Over 60 km/hr will require traffic          • Pedestrians                                 • Ensure barriers and signs redirect
   management                                  • Overhead power lines                          pedestrians
 • Within 6.4m of overhead power lines                                                       • Ensure spotter is present
   will require spotter
 4. Assemble Cleaning Equipment                • Infection                            3      • Personal hygiene (wash hands prior to             Operator            5
 • Position vacuum hose to remove debris       • Sharp edges                                   smoking/eating)
   from GPT                                    • Manual handling                             • Wear gloves & remove sharp edges/burrs on
                                               • Falling equipment                             equipment
                                               • High pressure water                         • Follow a manual handling WMS
                                                                                             • Store equipment securely on vehicle
                                                                                             • Inspect vacuum hose fittings firmly secured
                                                                                             • Inspect hose daily 7 ensure it has been
                                                                                               tested (6 monthly)
                                                                                             • Never cap jetting hose
                                                                                             • Inspect jetting hose for damage
                                                                                             • Never adjust pump pressures or regulators
                                                                                             • Maximum reducer on 1” hose is ¾”
                                                                                             • No reducers on ½” hose
                                                                                             • Fittings to be firmly secured using a spanner
 5. Open the GPT Cover                         • Manual Handling                      3      • Refer to a SWP for manual handling                Operator            5
 • Remove lid using the manhole lifting        • Open Manholes                               • Refer to a SWP for manhole lifting
   procedure
 • If lid is mass concrete & exceeds safe
   lifting limits, use mechanical lifting
   device
 6. Start Cleaning                             • Manual handling                      3      • Follow a SMP for manual handling                  Operator            5
 • Position bottom end of vacuum hose to       • Eye injury from flying debris               • Wear eye protection
   remove debris from GPT                      • Noise                                       • Wear hearing protection
 • Run vacuum prior to remove debris           • People inside exclusion zone                • Stop operation until area clear. Only
 • If there is any requirement to enter the    • Confined Space Entry (If                      essential personnel within exclusion zone
   pit for any reason, confined Space Entry      required)                                   • Ensuring minim slack in hose to prevent
   Procedure is to be followed                                                                 whipping
 • Vacuum all material out of the sump                                                       • Refer to confined space manuals and SWPs
   until empty clear 7 clean
 • Dislodge materials trapped in the screen
   using water jet ot brush/broom
 • Remove access cover over diversion
   boom/weir, ensure there are no debris
   trapped underneath boom/around weir
 • Clean the interior of the pit using water
   jet &/or brush/broom
 • Vacuum all materials out of the pit
 7. Finish Cleaning                            • Manual handling                      3      • Follow a SMP for manual handling                  Operator            5
 • Replace lid ensuring it is fimly &
   securely in place
 • Ensure all waste is vacuumed and site is
   clean prior to packing up
 • Complete the CWS recording all details
   and any problems