Document No. Revision No.
Date Compiled: Date of Next Review:
SHE/PRO/4.4.6.30 1 September 2016 September 2017
Client : Project No:
Site: Date Prepared:
SPECIAL INSTRUCTIONS: 1. Any person operating a forklift at a workplace is required to hold the appropriate National Certificate of Competency (or equivalent State certificate or licence).
(Note – this provision does not apply to a person carrying out servicing, maintenance or repair work on a forklift, except where a forklift is used to move a load as part of the servicing,
maintenance or repair operation).
2. Only those persons who are suitably trained and qualified are to be allowed to operate a forklift at a workplace.
3. Report any defects immediately
Sequence Identified hazards Key processes to be followed Precautions / Ppe Required Planned Job Observations
Comments
1. Pre-start checks Battery – check condition, should be fully charged, top-up if Wear eye and hand protection
necessary. Oil levels (hydraulics, brake fluid) – top up if when checking and servicing
necessary. batteries.
Radiator – check coolant level, top-up if necessary. Fuel –
check fuel or gas level.
Tyres - check inflation and condition.
Wheels – check condition, ensure all nuts in place and not
loose.
Lights, horn, and reversing beeper - check operation. Mast
and tilt - inspect hydraulic cylinders, pipes and hoses for
fluid leaks. Fork tines and locating pins – inspect for
damage or excessive wear. Attachments (if applicable) -
Document No. Revision No. Date Compiled: Date of Next Review:
SHE/PRO/4.4.6.30 1 September 2016 September 2017
inspect condition and for loose parts.
General condition – check for damage or loose parts.
2. After start checks Instruments – Check that all working and not damaged. Fasten and adjust seat belt
correctly.
Flashing lights, reversing buzzer, horn – check operation.
Hydraulics – ensure that all hydraulic operations work
correctly, no leaks. Steering – ensure not loose, veering or
vibrating.
Brakes – check braking effort, not pulling or grabbing.
Park brake – check operating correctly.
Adjust seating to a comfortable operating position.
3. Operator Slips and falls Footwear must be in good condition (especially soles) Wear Type 1 protective
preparation footwear. Wear high-visibility
Accidental contact No loose sleeves which could accidentally catch on control garment.
levers.
Operators should wear a high visibility garment when
operating in an environment where other forklifts or traffic
may be encountered.
4. Operation Collision Adopt safe traffic flow patterns to reduce probability of Forklift hazard signs must be
collisions. Set realistic and measurable speed limits – fit displayed at entrances to areas
speed limiters if practicable. where forklifts may be
operating.
Provide dedicated travel paths (preferably free from other
traffic). Provide separated travel paths for pedestrians
(barricaded if possible).
Provide anti-collision systems at intersections of travel
Document No. Revision No. Date Compiled: Date of Next Review:
SHE/PRO/4.4.6.30 1 September 2016 September 2017
paths.
4. Operation Rollover Set speed limits or fit speed limiters to prevent over- Speed limit signs should be
( continued) speeding. placed at entrances to buildings,
and other critical areas.
Allow adequate manoeuvring space at corners and
intersections.
Ensure that travel path surfaces are free of holes and
bumps.
Always carry load as close to the ground as possible while
travelling.
Do not use internal combustion powered forklifts in
enclosed rooms.
5. refueling ( petrol Risk of fire and explosion Do not overfill – clean up any spilt fuel immediately. Always Hang up nozzle when finished.
or diesel ) turn engine off before refuelling.
No smoking, open flames,
Do not use mobile phones in vicinity of refuelling area sparks or other ignition sources.
6. Refueling (LPG) Risk of fire and explosion Always turn engine off before refuelling. No smoking, open flames,
sparks or other ignition sources.
Cold burns from contact with Do not use mobile phones in vicinity of refuelling area. Wear protective gloves. Wear
liquid eye protection.
1. Attach filler hose to container.
2. If necessary, open storage tank liquid supply to pump.
3. Start pump (if not automatic).
4. Open hose valve.
5.Open fluid level gauge on cylinder when contents gauge
indicates half full. 6. Close hose valve immediately when
Document No. Revision No. Date Compiled: Date of Next Review:
SHE/PRO/4.4.6.30 1 September 2016 September 2017
liquid appears at fixed level gauge.
7. Close fixed level gauge. 8. Vent the filler nozzle. 9.
Disconnect filler hose from cylinder and securely replace
protective cap.
10. Return hose to correct position on dispenser.
11. Shut off pump (if not automatic).
12. If necessary, close storage tank liquid supply valve to
pump
PRECAUTIONS: The following precautions are to be observed in areas where these procedures are carried out
Gloves Face Masks Eye Welding Mask Appropriate Hearing Protection Protective Clothing
Protection Footwear
SIGNOFF
Document No. Revision No. Date Compiled: Date of Next Review:
SHE/PRO/4.4.6.30 1 September 2016 September 2017
The representatives of Rural Construction & Maintenance listed below have been involved in the creation and implementation of this Safe Work Method Statement (SWMS) and will make sure
all work is carried out in accordance with this document. All workers listed below have the appropriate license/qualifications and/or experience required to perform each job task:
Worker on site Role (e.g. Worker, Supervisor) Signature Date
Signature and details of person responsible for site supervision of the work, inspecting and approving work areas, work methods, compliance with SWMS, protective measures, plant, equipment
and power tools for this site:
Signed:___________________________ Date:_________________________________________
Name:____________________________ Position:_____________________________________
