Health and safety co-ordination plan

Project:

Prepared by:

Name of principal contractor:

Location:

Date:

Phone number:

Note: This co-ordination plan must be reviewed if there are any significant changes to the work. It must be available for inspection by anyone doing construction work on the project, new employees, health and safety representatives, and members of the health and safety committee.

People with specific health and safety responsibilities
Name	Position	Phone number	Brief description of OHS responsibilities

Arrangements for co-ordinating the health and safety of the project
Describe the responsibilities for the arrangements. Include the arrangements for communicating with contractors and others who may be off-site from time to time.
Item	Responsible person

Health and safety co-ordination plan (continued)

Arrangements for managing health and safety incidents
Include responsibilities for notifying emergency services and WorkSafe.	
Item	Responsible person	

		

		

		
		
Site safety rules
Each rule should be simple and clear, covering only one issue. Set out who is covered by each rule and who is responsible for communicating it.	
Rule	Responsible person	

		

		

		

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