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SITE-SPECIFIC SAFETY PLAN

SSSP #: SSSP-001
Site: Site address
Date: 2026-01-01

Health & Safety at Work Act 2015. A Site-Specific Safety Plan (SSSP) must be in place before work starts. Share with all subcontractors and keep on site for the duration of the project.

Principal Contractor / PCBU

Business Name

Site Manager: Name / Phone

Project Details

Project description

Expected duration: [start] to [end]

Emergency Contacts

Role	Name	Phone
Site Manager
First Aider
Emergency Services	111	111
WorkSafe NZ	0800 030 040	0800 030 040
Other

Site Hazard Register

Hazard	Risk (H/M/L)	Control Measure	Responsible
Working at heights	H	Edge protection, harness, permit required	Site Manager
Excavation	H	Dial Before You Dig, shoring, exclusion zone	Site Manager
Electrical	H	Isolation before work, RCDs, tested equipment	Electrician

PPE Requirements (all workers)

Hard hat, hi-vis vest, safety boots (steel-capped), safety glasses. Additional PPE as required by SWMS for specific tasks.

First Aid

First aid kit location: [specify]. First aider on site: [name]. Nearest hospital: [name and address].

Emergency Evacuation

Assembly point: [location]. Evacuation procedure: stop work immediately, alert all workers, proceed to assembly point, account for all persons, contact emergency services if required.

Subcontractors on Site

Company / Trade	Contact	SWMS Provided	Inducted
		Y / N	Y / N
		Y / N	Y / N
		Y / N	Y / N
		Y / N	Y / N
		Y / N	Y / N

Site Manager / Date

Review date / Reviewed by

🏗️ Site-Specific Safety Plan (SSSP)

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