Site Specific Safety Plan

Use this form to submit your Site Specific Safety Plan. Please note that you must submit this form and receive approval from Transpower prior to any work activity commencing.

 

If you prefer to fill out a printed version of this form, download and print the pdf file contained on this page. You must then scan and email the completed form to the Transpower representative responsible for your contract. Work may not commence until we have reviewed and approved the Plan.

Downloads

Who is the Transpower representative responsible for your contract?
Who is the Contractor representative?
At which Site will the work take place?
What is the scope of the work to be completed?
We undertake as follows:
1. Workplace Control and Management:
What is the name of the on-site safety supervisor?
2. Hazardous Works:
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
3. Risk and Hazard management:
If yes, the appropriate Safety Data Sheets and emergency plans must be attached.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
4. Communication / Employee participation:
5. Emergencies:
6. Accident reporting, investigation and records:
7. Safety inspections and reviews:
8. Training or induction:
9. Subcontractors: