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Safe Work Instruction Template v1 Responsible Officer: Manager, OH&S Page 1 of 1
Date of first issue: August 2015 Date of last review: N/A
03/08/2015
For the latest version of this document please go to: http://www.monash.edu.au/ohs/
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SAFE%WORK%INSTRUCTION%TEMPLA TE%
TITLE%/DESCRIPTION%OF%AC TIVITY:%
(List whom this procedure applies to and the specific location this work can be conducted in)%
(List specific operator competency requirements, e.g. area induction, qualifications, certificates, OHS
training, supervision. List who can approve that competency has been achieved)
%
(List all the potential hazards and associated consequence, e.g. chemical exposure – inhalation or skin
absorption, leading to irritation, burns, acute or chronic injury).%
(e.g. fume-hoods, biosafety cabinets, emergency equipment, machine guarding, spill kits, specific
personal protective equipment requirements, first aid response, any after-hours work restrictions or
rules)%
(List tasks to be completed before commencement of work, e.g. conduct a prestart safety check of
equipment; review chemical MSDS, risk assessment or lab rules; prepare work area, equipment and/or
operator)%
(List step by step procedures for the task. You can use photos, flow charts, diagrams etc.)
CLEAN%UP/%SHUT%
DOWN%
PROCEDURES:%
(List procedures for disposal of waste, decontamination, storage, shut down of equipment)%
(Emergency response procedures e.g. power isolation procedures, spill containment procedures, first
aid response)
FURTHER%
INFOR MATIO N :%%
%
(e.g. Monash procedures, relevant legislation, definitions, reference to other safety information)%
AS/NZS%4801%
OHSAS%18001%
OHS20309%
SAI%Global%
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