16-001014-02A (Ultimate SCMMP)

SAFETY IN DESIGN HAZARD REPORT

 Project No. / Name:        B14158.W/Palm Lakes Retirement Village                                                                         Date:    12 September 2016
                            Stage 1A Central Basin (Wetland & Detention)

 Stage of Review:                            75% review                                                                                Designer:    Christopher Mok

 Participants:                        Name                                           Organisation                                                    Role
                                 Christopher Mok                                   Calibre Consulting                                               Engineer
                                  Matthew Starr                                    Calibre Consulting                                         Senior Engineer




 Distribution:




 Safety in Design Report Requirement: (yes) /  (no):

       Does the structure create a risk to the health and safety of persons who are to carry out any construction work on the structure or part?

       Are the risks associated only with this particular design and not other designs of the same type of structure?

 Notes:
  1)   If yes is answered to both questions, a Safety in Design Report must be provided to the Person Conducting a Business or Undertaking (PCBU) who commissioned the
       design (i.e. the Client);
  2)   If no is answered to either question, a Safety in Design report does not need to be provided to the PCBU who commissioned the design, however relevant information
       regarding management of identified hazards, if any, must be kept;
  3)   The purpose of this report is to document and communicate the hazards associated with the design including the nominated control for either eliminating or minimising
       the risk to health and safety as far as is reasonably practicable;
  4)   Considerations that are not applicable are to be removed from the final report.


  Legend:
          Calibre Consulting                              Principal Contractor                                        Client                           Other (Specify)

Document: QAF2024 Safety in Design Hazard Report – Generic
Revision 10 – 10/02/2015                                                                                                                                                   Page 1 of 12
File: H:\B14\150-199\B14158.W\01 Final Layout Op Works\Checklists\B14158.W - Safety in Design_WQCP.docx [Update to show User's file]                   Calibre Consulting (Aust) Pty Ltd