SSSP Builder – BAKKER PFI

Site-Specific Safety Plan (SSSP) Builder

Fill online → export PDF for client / PCBU1. Built from your SiteSafe SSSP template sections.

Project + Company

Select NZ or Singapore entity. Company details will auto-fill into the SSSP.

Company entity

Project / Site name

Site address

Date

PCBU 1 (Main contractor) – Business name

PCBU 1 – Main contact on site

PCBU 1 – Main contact phone

PCBU 2 (Subcontractor) – Business name (auto)

PCBU 2 – Main contact (auto)

PCBU 2 – Phone (auto)

PCBU 2 – Office address (auto)

PCBU 2 – Email (auto)

1) Site-Specific Health & Safety Agreement Pre-start

Complete this before work starts. This is the agreement between PCBU1 (main contractor) and PCBU2 (BAKKER PFI) for this specific site.

Agreed site activities

Communication / coordination notes

Notifiable works?

Task Analysis required?

Hazard register provided?

Hazardous products onsite?

Onsite safety representative (PCBU2)

Onsite safety rep phone

First-aid representative (PCBU2)

First-aid rep phone

Approval – Signed (PCBU2)

Approval – Signed date

2) Site/Job Hazard & Risk Register Pre-start + Onsite

This is for site/job-specific hazards you bring or create on-site (not your full company hazard register).

Risk matrix levels: Very Low / Low / Moderate / High / Critical (as in template).

Identified hazard or harm	Initial risk	Controls	Level of control	Residual risk	Discuss at toolbox?

3) Task Analysis (TA) High-risk / complex work

Includes PPE, admin controls, emergency response plan, steps, hazards/risks, risk ratings, and hierarchy of controls.

Work activity / task description

PPE required

Emergency Response Plan attached?

Administrative controls (brief)

Notes (permits / special requirements)

Step #	Sequence of basic steps	Potential hazards & risks	Initial risk	Control methods	Hierarchy level	Residual risk

TA Sign-on (Workers)

Worker name	Signature (type name)

4) Hazardous Products & Substances Register If applicable

Record products you bring onsite (mastic, sealants, cleaners etc.). Keep SDS location noted.

Product / UN No.	Max qty	Storage location	Storage/segregation requirements	SDS location	Potential harm	Initial risk	Control measures	PPE	Residual risk

5) Onsite Training & Competency Register Pre-start

Record only the team working on this site (site card, role, inductions, relevant quals, years experience, competence 1–5).

Name + ID	Site card type	Key role / tasks	Site induction date	Training / qualifications	Years exp.	Competence (1–5)

6) Emergency Response Plan If rescue required

Use if your work involves rescue scenarios (e.g., working at height).

Type of emergency

Work activity

Supervisor / rescue lead

Location

Equipment required

Rescue method (plain language)

Plan reviewed by

Date

SSSP – Print Copy

Generated from your online form.

Quick use

1) Select company 2) Fill job details 3) Load example if helpful 4) Export PDF

Tip: For client emailing, you can generate PDF here, or click Print / Save as PDF (works even if RocketSpark blocks scripts).