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

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

I R O N B A R K This WMS is submitted to:

FL OORING & MAINTENANCE SERVICES PTY LTD Project name and site address:
ABN 68 059 486 109

Company Ironbark Flooring & Maintenance Contact: Andrew Pulsford 0418 461 451
Services P/L
ABN ABN 68 059 486 109 Preparation of WMS by: Andrew Pulsford
Address Unit 9 10-11 Millennium Court, This WMS has been developed in consultation with workers and has been authorised by: Andrew Pulsford
Silverwater, NSW 2128

Contact Steve Tomanovic

name
Signature
Phone 0419 966 288
Safety equipment used eg harness (see below for Date WMS updated: Next revision date:
registered plant/equipment) Other:
Chemical resistant gloves Safety helmet
Goggles Safety footwear If hazard is rated 1, 2, or 3 take action immediately
Gloves Organic respirator If risk rating cannot be reduced to “4, 5 or 6” – Stop work and seek solutions
Knee pads Dust / Face masks
Hearing protection How likely is it to occur?
Risk matrix
Hazardous substances
Product name: MSDS available How severely could the risk Very likely Likely Unlikely Very unlikely
Yes / No hurt someone? Could happen Could Could Could happen, but
any time happen happen but probably never
sometime unlikely 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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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Unload the Slips, trips Strains and 4 1. Use correct manual handling 6 All
truck and falls; sprains; techniques
Abrasions, Back damage 2. Use forklift for large quantities
Manual (more than 20 bags)
handling 3. Load on to pallet jack
injuries

Move materials Abrasions Infections 4 1. Only licensed persons to drive 6 All Forklift collision Secure the load
to work area Muscle damage forklift with scaffolding,
Strains and Do not exceed
sprains 2. Use pallet jack if no forklift trucks, robots the load capacity
licensed person available or persons of the machine
3. Define work area, display Flying materials Travel at safe
safety signs as required and damage to speed and check
property visibility for
other persons or
obstructions
Barricade &
isolate areas for
pedestrian &
truck movement

Complete Persons not Unnecessary 5 1. Information and education on 6 All Epoxy odor Undertake epoxy
principal prepared for injuries site orientation work outside of
contractor’s job tasks 2. Availability and location of first normal trading
induction adequately aid, emergency response plan hours. If unable
and emergency assembly point to do so, use
mechanical
ventilation via
exhaust system

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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Unload Slips, trips Strains and 4 1. Identify safe storage location 6 All
materials from and falls sprains; 2. Identify location for safe
pallet truck or Abrasions Infections mixing
forklift Back damage
Manual 3. Check that area is a no or low
handling traffic area close to area to be
injuries refurbished (persons/robots/
vehicles)
4. Bend knees and keep back
straight, seek help for
heavy/bulky items.

Check all Manual Sprains 4 1. Check that appropriate 6 Steve Shattered discs Remove all
equipment and handling Infections firefighting equipment and first can damage combustibles
work area injuries aid is available stock, from the work
Heart attack or
Abrasions 2. Check all cutting discs are fit to machinery or zone or erect
death
use people close by barrier or cover
Electric shock
Sparks can combustibles
3. Check vacuum connections for
all equipment cause fire to
flammable
4. Do not use if worn or do not
material
fit correctly

Check leads, Electrocution Death 2 1. Check all leads are in good 5 Steve
ELCB repair
2. Check current inspection tag is
present
3. Inspect ELCB/RCD and lead

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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Diamond Flying debris Eye injuries 3 1. Wear PPE, goggles, ear 5 All Material hitting All persons in
grinding of Inhalation of Respiratory protection, P2 dust mask, knee persons or area to wear
concrete dusts problems pads, safety boots property in area eye & ear PPE
Manual Back injuries 2. Use circular motion and Explosion, fire Remove all/any
handling and sprains reverse circular motion for from sparks of flammable
injuries handheld grinding grinder liquids from
Death
3. Use forward motion for upright Dust damage to work area or
Electrocution Hearing
grinder in straight lines property create a work
Excessive impairment area exclusion
noise 4. Use a vacuum and dispose of
zone and cover
waste in appropriate site bins
flammables
Check any
possible ignition
sources are
turned off
Cover property
to prevent dust
damage

Moving Contaminatio Contamination 1 1. Wrap all equipment in plastic 2 All Contamination Follow GMP
through GMP n 2. Wear appropriate body suits, standards of
areas hairnets etc practice
3. Wash hands before entry

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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Scabbling of Flying debris Eye injuries 3 1. Wear PPE, goggles, ear 5 All Projectiles Keep work area
concrete Inhalation of Respiratory protection, P2 dust mask, hitting property, clear of
dusts problems safety boots persons in area persons. Create
2. Check blades for sharpness – Fire explosion barrier around
Manual Back injuries
do not use if worn or blade work area
handling and sprains
injuries does not fit – replace blade Remove all/any
Death
3. Move forward in straight line flammable
Electrocution Hearing liquids from
Excessive impairment 4. Do keep cord behind also
work area or
noise when moving forward
create a work
area exclusion
zone and cover
flammables
Check any
possible ignition
sources are
turned off

Diamond saw Flying debris Eye injuries 3 1. Wear PPE, goggles, ear 5 All
cutting of Inhalation of Respiratory protection, P2 dust mask, knee
perimeter dusts problems pads, safety boots
Manual Back injuries 2. Use forward motion in straight
handling and sprains lines
injuries Death 3. Use a vacuum and dispose of
Electrocution waste in appropriate site bins
Hearing
Excessive impairment
noise

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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Use industrial Flying debris Eye injuries 3 1. Wear PPE, goggles, ear 5 All Spills Use correct
vacuum to Inhalation of Respiratory protection, P2 dust mask, emptying
remove dust dusts problems safety boots. procedures for
from floor 2. Use industrial vacuum dust bins into
Manual Back injuries
appropriate site
handling and sprains
bins
injuries Death
Electrocution Hearing
Excessive impairment
noise

Prepare to use Inhalation of Headaches 4 1. Wear PPE, goggles, gloves, 5 All Spills, splashes Contain spills or
Epoxy resins fumes Drowsiness safety boots, respirator. leak residues
Inhalation of with sand or
Impaired Poor 2. Check that resin has an up-to-
fumes and other
judgement coordination date MSDS and you are aware
strong odours appropriate
Spilling of information contained in
Feeling sick affecting people absorbents.
chemicals on MSDS.
Dermatitis in near vicinity
skin 3. Check also the hazardous Do not allow
substances register spillages to enter
drains or other
4. Read the label on the chemical
waterways.
container and follow the advice
given on it. Collect and seal
in properly
5. Ensure that solvent containers
labelled
have warning labels indicating
containers for
hazards of substance & what to
disposal as per
do in emergency.
local council
statutory codes.
Do not eat, smoke, weld or use Advise client and
naked flame near solvents other people in
area that epoxy
will be used and
will have a
strong odour

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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Mixing resins Spilling Burns 4 1. Wear PPE, goggles, vapor 5 All Spills Support bucket
chemicals Respiratory mask, safety boots once sand is
Inhalation of disorders 2. Check ventilation added to reduce
chemicals risk of losing
Blindness 3. Use correct lifting techniques
control of
Slips trips and Musculoskeletal 4. Measure resins and pour slowly spinning bucket
falls disorders into mixing bucket
Strains and 5. User mixer/stirrer to combine
sprains resins

Move resin to Spilling Burns 4 1. Wear PPE, gloves, safety 5 All

trowelling area chemicals Respiratory boots, respirator
Inhalation of disorders 2. Use correct lifting techniques –
chemicals Blindness two person lift of bucket
Slips trips and Musculoskeletal 3. Use trolley jack to move
falls disorders bucket to troweling area
Strains and
sprains

Trowelling of Spilling Respiratory 4 1. Wear PPE, goggles, gloves, 5 All

concrete chemicals on disorders safety boots, respirator
skin Blindness 2. Check ventilation
Inhalation of Strains and 3. Skim trowel first
chemicals sprains 4. Rotate job positions with other
Slips trips and Skin disorders persons
falls
Musculoskeletal 5. Control the troweling and avoid
Straining disorders splashes
muscles from
bending over
to trowel

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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Broadcast sand Slips trips and Musculoskeletal 4 1. Wear PPE, gloves, safety boots 5 All
falls disorders 2. Do not overfill bucket when
Back injury Skin disorders spreading sand from bucket
Skin irritation (including 3. Sweep excess sand with broom
dermatitis) in forward sweeping motion
when dry
4. Bag & dispose in correct site
bin using recycled resin bags

Mixing A & B Spilling Burns 4 1. Wear PPE, goggles, vapour 5 All Spills Support bucket
epoxy paint & chemicals Respiratory mask, safety boots Inhalation of when accessing
roller floor Inhalation of disorders 2. Check ventilation (use fumes mix
chemicals Blindness mechanical ventilation if Undertake epoxy
Slips trips and necessary) work outside of
Musculoskeletal
falls 3. Use roller for epoxy paint onto normal trading
disorders
floor surface hours where
Strains and possible
sprains

Diamond saw Flying debris Blindness 3 1. Wear PPE, goggles, ear 5 All
expansion Back injuries Musculoskeletal protection, dust mask, knee
joints disorders pads, safety boots
Inhalation of
dust particles Respiratory 2. Mark with chalk line
Electrocution disorders 3. Use forward motion in straight
Death lines
Excessive
noise Hearing 4. Empty vacuum bags and
impairment dispose of waste in site bins

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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 Possible Possible Risks Risk Risk controls Risk Person Possible Product/
activity into steps & list) hazards Score Score responsible product/ environment risk
(1-6) (1-6) environment control
No Activity BEFORE AFTER hazards
controls controls

Clean up & Inhalation of Respiratory 4 1. Clean tools & PPE 5 All Waste removal Remove resin
pack truck fumes whilst disorder and place in
2. After each day's use, wash Fire
cleaning Musculoskeletal identified site bin
gloves, safety goggles and
Slips, trips disorders
contaminated clothing Check all ignition
and falls
3. Replace tools in truck and sources are still
follow safe exit route turned off

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

Qualifications and experience

Work method statement number WMS-570 Task: Work practice - Epoxy floor topping and repair
Personal qualifications and experience: Personnel, duties and responsibilities Training required to complete work:
(trade licence and/or experience required to complete (supervisory and others)
the task)
Work under supervision of qualified supervisor Supervisor to be trained in hazard identification, risk
Supervisor to carry out daily inspections of work site assessment and control
for hazards
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)

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

WHS training in WMS

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 Workers’ Compensation (Dust Diseases) Act Workers Compensation Act 1987; Workplace Injury
2003 1942 Management and Workers Compensation Act 1998
Work Health & Safety Regulation OHS Amendment (Dangerous Goods) Workers’ Compensation (Dust Diseases) Workers Compensation Regulation 2003
2011 Regulation 2005 Regulation 2008

Australian standards
AS 1319:1994 Safety signs for the AS/NZS 2161.1:2000 Occupational protective gloves – AS/NZS 4602:2011 High visibility safety garments – Garments
AS/NZS 1269:2005 Occupational noise control
occupational environment Selection use & maintenance for high risk applications
AS/NZS 1668.2:2002 The use of ventilation
AS 1418.10(Int):2004 Cranes, hoists and AS/NZS 2210.1:1994 Occupational protective footwear - AS/NZS 5762:2005 In-service safety inspection and testing -
and air conditioning in buildings - Ventilation
winches - Elevating work platforms Guide to selection, care & use Repaired electrical equipment
design for indoor air contaminant control
AS 1940:2004 The storage and handling AS/NZS 1715:2009 Selection, use and AS/NZS 3760 2010 In-service safety inspection and AS/NZS ISO 31000:2009 Risk management - Principles and
of flammable and combustible liquids maintenance of respiratory protective devices testing of electrical equipment guidelines
AS/NZS 4503 Protective clothing – protection against
AS/NZS/ISO 60079.1:2009 Classification of hazardous areas
liquid chemicals

Subject matter
National Codes of Practice
WorkCover Codes of Practice - NSW for National National standards
(Safe Work Australia - document title)
COP
National Exposure Standards For Atmospheric Contaminants In
Safe working on roofs – part 1 –
Amenities for construction work Asbestos How to manage and control asbestos in the workplace The Occupational Environment
commercial buildings
[NOHSC: 1003 (1995)
Safe working on roofs – part 1 – National Standard for Construction Work
Excavation work Asbestos How to safely remove asbestos
residential buildings [NOHSC: 1016 (2005)]
National Standard for the Storage and Handling of Workplace
Formwork Technical guidance Confined spaces Confined spaces Dangerous Goods
[NOHSC: 1015 (2001)]
Moving plant on construction Work health and safety consultation, cooperation and Approved Criteria for Classifying Hazardous Substances
Work near overhead power lines Consultation
sites coordination [NOHSC: 1008 (2004)]
Workplace Injury and Disease Recording Standard in the
Overhead protective structures Work in hot or cold environments Facilities Managing the work environment and facilities
Workplace
Hazardous National Standard for Licensing Persons Performing High Risk
Workplace amenities Labelling of workplace hazardous chemicals
substances Work
Hazardous Preparation of safety data sheets for hazardous National Standard for Occupational Noise
substances chemicals [NOHSC: 1007 (2000)]
National Code of Practice for the Prevention of Occupational
Heights Managing the risk of falls at workplaces
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

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

WHS training in WMS

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 Name and signature of person managing activity: Date of
Andrew Pulsford Steve Tomanovic training

Name of person conducting training in this WMS Qualifications of trainer (eg electrician, no. of years’ experience)
Andrew Pulsford

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 • I have been given the opportunity to comment on the content of the above WMS
WMS
• I have read and understand how I am to carry out the activities listed in • I have been supplied with the personal protective equipment identified on the above
WMS. WMS
• I have been given training in the safe use of the equipment and/or the job • I have read and understand the requirements set out in the material safety data sheets
task/s to be performed 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

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