Full Document Available Here
PALLET JACK
WORK METHOD STATEMENT
PALLET JACK SAFE WORK METHOD STATEMENT – Part 1
Company Details
ABN:
Contact Name, Position and Phone number:
Address:
Project details
Area:
PL
Project:
E
Company Name:
Job Address:
Job Description:
Activity:
Safe Use Of Manual Pallet Jack
Signature:
Job Title:
SA
Name: (Include names of workers
who were consulted in relation to
this SWMS)
M
Relevant workers must be consulted in the development, approval and communication of this
SWMS
Personnel responsible for monitoring and managing activity:
Date:
SWMS Approved by:
Page 1 of 8
Name:
Signature:
Date:
Overall Risk Rating After
Controls
4 Acute
3 High
2 Moderate
1 Low
ALL PERSONS INVOLVED IN TASK MUST HAVE THIS SWMS COMMUNICATED TO THEM PRIOR TO WORK COMMENCING
•
•
•
•
•
•
Regular inspections and observations will be conducted by ______________to ensure SWMS is being complied with.
Daily Tool Box Talks will be undertaken to identify, control and communicate additional site hazards.
Work must cease immediately if incident or near miss occurs. SWMS must be amended in consultation with relevant persons.
Amendments must be approved by ______________ and communicated to all affected workers before work resumes.
SWMS must be made available for inspection or review as required by WHS legislation.
Record of SWMS must be kept as required by WHS legislation (until job is complete or for 2 years if involved in a notifiable incident).
DOCUMENT NO: S812.0184
Authorised by:
Signature:
Full Document Available Here: PALLET JACK WORK METHOD STATEMENT
ACTIVITY : Safe Use of Manual Pallet Jack
REVIEW NO:
© SafetyCulture All rights reserved
Date:
DATE:
Page 1 of 8- Version 8.0
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PALLET JACK
WORK METHOD STATEMENT
Personal Protective Equipment
Hand
Protection
E
High
Visibility
PL
Foot
Protection
Normal Requirements:
Enclosed preferably safety footwear, high visibility shirt or vest & hand protection (gloves). Ensure all PPE meets relevant Australian Standards. Inspect, and replace
PPE as needed.
M
Provide UV sun protection where required, (broad brimmed hat, UV rated clothing, SPF 30+ sunscreen, tinted safety glasses with adequate UV protection).
Safety Notes
Pallet Jacks are predominantly used in warehousing and storage areas where lifting by means of a forklift is not required and / or in areas where there is limited
space to enable the safe movement of a forklift / pedestrian stacker.
SA
The key safety factors associated with the safe use of pallet jacks include the provision of training in the safe and correct use of the unit, awareness of the Safe Load
Limit (SLL) or Safe Working Load (SWL) of the Pallet Jack, working on level & stable ground, only positioning a load on the pallet the operator is comfortable moving
& being in control of the unit whilst in the motion of travel.
DOCUMENT NO: S812.0184
Authorised by:
Signature:
Full Document Available Here: PALLET JACK WORK METHOD STATEMENT
ACTIVITY : Safe Use of Manual Pallet Jack
REVIEW NO:
© SafetyCulture All rights reserved
Date:
DATE:
Page 2 of 8- Version 8.0
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PALLET JACK
WORK METHOD STATEMENT
Task Breakdown
Possible Safety or
Environmental Hazards
RB
Control Measures to Reduce risk
RA
Responsible
Officer
Lack of awareness in the safe
use of the Pallet Jack could
create:
Personal Injury:
- Crushing risk
- Striking risk
- Manual Handling risk
2M
Ensure all employees have been trained / instructed on OH&S
expectations - this includes:
- Company OH&S induction;
1L
- Specific training should include:
PL
Operators requirements
E
NOTE: RB = Risk Rating before controls implemented - RA = Risk Rating after controls are implemented.
Safe Work Procedures;
- Hazard identification processes;
- Control measures including traffic management control
& manual handling.
M
Training in Safe use of Pallet Jack
Personal Injury:
- Manual Handling Risk
- Exposure to moving
vehicles
2M
SA
Activity Preparation
- Pre-inspection requirements
- Safe Load Limit
- Positioning of items on pallets
- Safe movement of Pallet Jack
Ensure that work area is set up to protect exposure to moving
vehicles – this could include:
1L
Positioning of witches hats / barriers &
Signage indicating unloading activities are taking place.
Identify a safe location for truck to park to safely unload
product
Ensure all employees have been trained in safe manual
handling techniques
Set up work area to minimize travel distance with loaded pallet
jack.
DOCUMENT NO: S812.0184
Authorised by:
Signature:
Full Document Available Here: PALLET JACK WORK METHOD STATEMENT
ACTIVITY : Safe Use of Manual Pallet Jack
REVIEW NO:
© SafetyCulture All rights reserved
Date:
DATE:
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Full Document Available Here
PALLET JACK
WORK METHOD STATEMENT
Task Breakdown
Possible Safety or
Environmental Hazards
RB
Control Measures to Reduce risk
RA
Responsible
Officer
Pre-Operational Checks
2M
Integrity of pallets
E
NOTE: RB = Risk Rating before controls implemented - RA = Risk Rating after controls are implemented.
Ensure that all pallets to be used are checked and in safe
condition this includes:
Integrity of Pallet Jack
1L
PL
All timbers are in good condition
Free of sharp edges / nails &
Free of scrap, rubbish and strapping.
Ensure that Pallet jack is in safe working order, wheels
secured, pump (lift & lower) mechanism operating correctly
M
Ground surfaces are free of trip hazards and other
obstructions.
Personal Injury:
- Struck by moving
vehicles
- Manual handling risks
- Slips, trips & falls
- Crushing & striking risk
2M
SA
Operation
Damage to product
DOCUMENT NO: S812.0184
Authorised by:
Signature:
Ensure the unloading area is set up to reduce interaction of
vehicles and pedestrians. (See above)
1L
Ensure that only packages and loads are handled where the
operator is comfortable.
Do not place excessive weight onto pallets – Do not overload
pallet jack.
Do not stack pallets to high as the operators view will be
obstructed
Full Document Available Here: PALLET JACK WORK METHOD STATEMENT
ACTIVITY : Safe Use of Manual Pallet Jack
REVIEW NO:
© SafetyCulture All rights reserved
Date:
DATE:
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