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INDIVIDUAL SUPPORT WORK SKILLS WORKSHOP 

STUDENT ASSESSMENT BOOKLET 


Assessment Task Outcome Sheet 

Student ID: _____________________________ 

Student Name:   _____________________________   

Assessment Date:  _____________________________ 

INTRODUCTION 

Assessment requirements 

This record tool is to be used to record the assessment decisions for the following units of competency: 

● HLTWHS002 Follow safe work practices for direct client care 


● HLTINF001 Comply with infection prevention and control policies and procedures 
● HLTINFCOV001 Comply with infection prevention and control policies and procedures 

These assessments are targeted to a student who is studying the Certificate III in Individual Support and Certificate 
IV in Disability. 

Assessment is based on a number of forms of evidence, as follows: 

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● Task 1: Case study 
● Task 2: Simulation - Emergency procedures and manual handling 
● Task 3: Simulation - WHS inspection 
● Task 4: Simulation - WHS risk assessment 
● Task 5: Simulation - Cleaning spills 
● Task 6: Hand washing and sanitising 

The table below shows all the assessment requirements for these units. Once a student has satisfactorily 
completed all requirements related to the unit, they can be given a Final Assessment Result of ‘Competent’. A 
number of spaces have been provided to record multiple attempts. Final Assessment Results should only be 
recorded once all tasks have been attempted. 

   

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Recording assessment outcomes 

Use this Assessment Record Tool to record the outcomes of each assessment task related to these units. Add any 
further comments about the student’s performance to the Assessment Cover Sheet for the relevant task. 

Task Outcome 

Satisfactory (S) 
Assessor 
Assessment requirements/tasks  Not satisfactory (NS)  Date  initials 

1.​ C
​ ase study          

2.​ S
​ imulation - Emergency procedures            

and manual handling 

3.​ S
​ imulation – WHS inspection          

4.​ S
​ imulation– WHS risk assessment          

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5.​ ​ Simulation– Cleaning spills          

6. Hand washing and sanitising       

Final Assessment Results  Result (S/NYS) Date

Individual Support Work Skills       

Assessor name: 

Assessor signature:  Date:  / / 

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  CASE STUDY 
   
 
T​ASK​ S​UMMARY​: 
This task requires students to read the case study and answer 
  the questions that follow. 
W​HAT​ D
​ O​ ​STUDENTS​ N
​ EED​ I​ N​ O
​ RDER​ T​ O​ C​ OMPLETE​ T​ HIS​ A​ SSESSMENT​? 
▪ Writing materials 
▪ Risk assessment control form (provided) 
▪ Risk assessment control matrix (provided). 
W​HEN​ A​ ND​ W
​ HERE​ D
​ O​ S​ TUDENTS​ N
​ EED​ T​ O​ ​DO​ T​ HIS​? 
▪ Students are required to complete this task during the workshop. 
W​HAT​ D
​ O​ ​STUDENTS​ H
​ AVE​ T​ O​ S​ UBMIT​? 
▪ Answers to all questions 
▪ Completed Risk Assessment Control Form. 

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C​ASE​ S​TUDY 
Sarah has just started her new role as a disability support worker at SupportingU, a 
local residential disability care service. The managing director, Michelle, received a 
referral from a friend to hire Sarah to fill a maternity leave position.  
Sarah has the necessary qualification and experience in the field, and as the 
residence is quite busy Michelle decides to consider Sarah to work on a one-month 
probationary trial period.  
It has been nearly a month since Sarah started working at the residential facility and 
Michelle has recently been informed by another support worker that, upon a 
number of occasions whilst tending to the patients, Sarah does not wear the 
required gloves when administering medication and performing cleaning duties. She 
has also been reported to not wash her hands.  
This news is particularly concerning as Sarah has been coughing and sniffing over 
the last few days, displaying onset of flu-like symptoms. Some of the staff aware of 
this issue are concerned of infections or the flu spreading, especially since the 
residence is rather small and close contact with each other is quite likely.  
Michelle is quite surprised with this news as the residence has very strict guides on 
hand hygiene policy, which must be followed at all times. There have been a few 

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small posters put up around the residence as reminders, and hand sanitiser 
solution in every room – although there has been no sure way of monitoring that all 
staff are adhering to this process.  
Now, at one month into Sarah’s role, Michelle decides to conduct a direct 
observation of Sarah treating her next patient. 
Sarah is on duty for her next client with Michelle directly observing. Michelle notes 
down the following during her observation:  
Sarah did not wear the required gloves when feeding the client, nor did she 
follow proper clean-up procedures. The client was given their medication and put 
to bed, however Sarah did not change the client’s linen as scheduled. Sarah did 
not wash her hands once during the observation. ‘ 
Through direct observation, Michelle has now been able to confirm that Sarah did 
not follow the correct hand hygiene or clean up procedures.   
 
You are required to do the following: 
1. Complete a risk assessment using the template provided. 
 
 
 
 
 

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Risk Assessment Control form 

Location     Site supervisor/manager   

Completed by     Date    

Description of work task/activity: 


  

  

Hazard identification and initial risk  Control measures and actions 


rating 

Hazard  Potential  Likelihood  Risk  Current  Further  Who’s  Date 


harm  of harm  level  control  action/  responsible 
occurring  rating  measures and  controls 
their  required 
effectiveness 

9
                       

                       

10
                       

                       

11
                       

 
 
 
 
 
   

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RISK ASSESSMENT RATING MATRIX 
 
Use this table to determine the current risk for each identified hazard. 

   LIKELIHOOD 

RARE  UNLIKELY  POSSIBLE  LIKELY  ALMOST 


The event will  The event is  The event may  The event is  CERTAIN 
only occur in  not likely to  occur within a  likely to occur 
exceptional  occur in a year  year  within a year  The event is 
circumstance almost certain 
s  to occur 
within a year 

CONSEQUENCE  SEVERE/CATASTROPHIC  MEDIUM  HIGH  EXTREME  EXTREME  EXTREME 


(Accidental death / serious injury) 

MAJOR  MEDIUM  MEDIUM  HIGH  EXTREME  EXTREME 


(​serious injury) 

MODERATE  LOW  MEDIUM  HIGH  HIGH  HIGH 


(Lost time due to workplace injury) 

MINOR  LOW  LOW  MEDIUM  MEDIUM  MEDIUM 


(​Minor workplace injury – no lost 
time) 

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MINIMAL  LOW  LOW  LOW  LOW  LOW 
(no injury) 

RISK LEVELS 
Resolution at each level involves reducing the risk level to a lower level of risk 
● Extreme – requires immediate assessment with management consideration. A detailed plan, regular monitoring and reporting is required with a target resolution within 1-month 
timeframe 
● High – requires immediate assessment with senior staff consideration, planning and reporting. Target resolution should ideally be within 3 months 
● Medium – reviewing of existing controls and planning required. Resolution timeframe should be within 1 year 
Low – the risk may be tolerable and controlled if managed with high-quality process and procedures. 
  
  

CONSEQUENCE TABLE 
Use the following matrix to rate the consequence of each identified hazard. Where a hazard could have multiple consequences (for example, injury and financial cost) 
the highest consequence should be selected. 
 

   Description 

Consequence  Injury  Illness  Environment  Financial cost 

Catastrophic  Fatality or  Fatality or  Disastrous and/or  Huge (greater 


permanent  permanent disability  widespread  than $500,000) 
disability  environmental 
impact 

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Major  Lost time injury  Lost time injury  Serious  Major ($50,000– 
(greater than 2  (greater than 2  environmental  $500,000) 
weeks)  weeks)  impact 

Moderate  Lost time injury  Lost time injury (less  Substantial  High ($20,000– 
(less than 2  than 2 weeks)  environmental  $50,000) 
weeks)  impact 

Minor  Requires basic  Requires medical  Small and / or  Medium 


medical  treatment, for  localised impact  ($5,000– 
treatment  example, for skin  $20,000) 
rashes 

Minimal  Minor  Minor, for example  Little or no  Low (less than 
headache/nausea  environmental  $5,000) 
impact 

 
 
   

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2. What hazards have been identified after completing the risk assessment?  
 

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SIMULATION: EMERGENCY PROCEDURES AND MANUAL HANDLING 

What do students need in order to complete this assessment? 


● Simulated workplace 
● A chair 
● A hoist 
● A wheelchair 
● A person to play the role of the client (assessor or a colleague). 
When and where do students need to do this? 
● Students will do this task in their workplace. 
● Provide students with the date that they need to submit their journal so they can write it in their Student 
Assessment Booklet. 
What do students have to submit? 
● Students will do this task in an Apex campus which will operate as a simulated work environment 
● Students will need to complete all the assessments below on the day of the workshop 
Instructions: 
The emergency scenario is that a fire has broken out. One of your fellow students during the workshop will assume 
the role of a client lying on the hospital bed. 
You will be required to: 
1.  Correctly respond to the emergency situation by following workplace instructions, policies and procedures. 

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2.  Safely transfer your fellow student, who is playing a client, from the hospital bed to a wheelchair using a 
hoist. Once the client is safely in the wheelchair, transfer them to the assembly point.  
3.  Debrief with your assessor after the scenario is complete. 
4.  Answer two verbal questions. 
 
NB: More than one student might be required to complete the transfer from the hospital bed to the wheelchair. 
 
COVID-19 Special Instructions 
Due to Coronavirus, there are special protocols that must be met: 
1. The student must put on a mask before commencing the simulated activities described above 
2. The student must put on single-use medical gloves before commencing the simulated activities described 
above. 
3. As soon as the simulated task is complete the student must: 
a. Dispose of the single use gloves safely 
b. Wash their hands thoroughly 
c. It is optional to use alcohol sanitiser on hands after washing them. 
4. The hospital bed mattress must be cleaned and disinfected after every use. 
   

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Your assessor will be looking to see that you: 

● Read and interpret the emergency plan 

● Correctly follow emergency plan policies and procedures in a 


simulated emergency 

● Correct use manual handling techniques for minimising manual 


handling risk 
For example, when moving the client from the chair to the wheelchair, 
when pushing and pulling the wheelchair, etc 

● Participate in a debriefing session to address the emergency 


situation 

● Consider your own levels of stress and fatigue after an emergency 


situation. 

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ASSESSMENT CHECKLIST 

Refer to the Marking Guide for further instructions and details about each assessment task. 

Use the checklists below to record the outcomes of each task. 

Record each outcome on the Record of Assessment Outcomes at the end of this document. 

Please note that students are provided with three attempts in which to 
satisfactorily complete each task. 

Columns for each attempt and a space in which to record the date of 
each attempt (where applicable) have been provided in the checklists. 

 
 
 
 
 
 
 
 
 
 

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SIMULATION: WHS INSPECTION    

  Task summary: 
Students are required to complete a work health and 
safety check using the risk assessment form provided. 

     
What do students need in order to complete this assessment? 
● Hazard inspection policies and procedures 
● Work, health and safety checklist 
When and where do students need to do this? 
● Students will do this task in a simulated workplace provided at Apex Training Institute 
● Students need to complete this task during their workshop 
What do students have to submit? 
● Completed work, health and safety checklist 
Instructions to students: 
Select a work area from the simulated workplace of Apex Nursing Home. 
You should have a copy of a WHS checklist for that area and conduct a workplace inspection. 
 

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Location  Yes  No  Comment/action by required by 
date 

       

       

       

       

       

       

       

       

22
       

       

 
 
   

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SIMULATION: WHS RISK ASSESSMENT    

Task summary: 

  Students are required to complete a WHS risk 


assessment using the form provided. 

     
What do students need in order to complete this assessment? 
● Hazard Identification and hazard reporting policies and procedures 
● Supporting documents (included in this assessment):  
–  Risk Assessment Control Form  
–  Risk Assessment Matrix 
–  Consequence Table 
–  Hierarchy of Control Table. 
When and where do students need to do this? 
● Students will do this task in an Apex campus which will operate as a simulated work environment 
● Students will need to complete all the assessments below on the day of the workshop 
What do students have to submit? 
● Completed Risk Assessment Control form. 
● Completed Hierarchy of Control table. 

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Instructions to students: 
Read the following documents: 
● Hazard identification and hazard reporting policies and procedures 
● Risk assessment policies and procedures 
Please consider the following two tasks: 
● Transferring client from bed to wheelchair using standing hoist 
● Using the wheelchair to conduct an emergency evacuation of the client 
 
You will need to do a hazard identification and risk assessment for these tasks. 
1.  Use the risk assessment control form and identify at least 3
​ potential hazards​ for your chosen work activity or 
task. 
2.  Now use the risk assessment rating matrix and the consequence table to: 
● consider the consequences of the hazard 
● consider the likelihood of those consequences occurring 
● calculate the risk rating. 
3.  Enter your risk assessment data in the Risk Assessment Control form and the Hierarchy of Control table. 
Think about the following questions when completing the documents: 
● What type of harm or injury could the hazard potentially cause? 
● What is the likelihood of that harm occurring? 
● Are there current controls in place? 
● How effective are these controls? 

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● Are workplace procedures being followed? 
● What further controls might be required? 
● How would you put these controls in place? 
4.  Now add each of your recommendations into the Hierarchy of Control table. You may double up on some of 
the hierarchy levels. An example has been completed for you as a guide. 
   

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Risk Assessment Control form 

Location     Site supervisor/manager   

Completed by     Date    

Description of work task/activity: 


  

  

Hazard identification and initial risk  Control measures and actions 


rating 

Hazard  Potential  Likelihood  Risk  Current  Further  Who’s  Date 


harm  of harm  level  control  action/  responsible 
occurring  rating  measures and  controls 
their  required 
effectiveness 

27
                       

                       

28
                       

                       

29
                       

 
 
 
 
 
   

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RISK ASSESSMENT RATING MATRIX 
 
Use this table to determine the current risk for each identified hazard. 

   LIKELIHOOD 

RARE  UNLIKELY  POSSIBLE  LIKELY  ALMOST 


The event will  The event is  The event may  The event is  CERTAIN 
only occur in  not likely to  occur within a  likely to occur 
exceptional  occur in a year  year  within a year  The event is 
circumstance almost certain 
s  to occur 
within a year 

CONSEQUENCE  SEVERE/CATASTROPHIC  MEDIUM  HIGH  EXTREME  EXTREME  EXTREME 


(Accidental death / serious injury) 

MAJOR  MEDIUM  MEDIUM  HIGH  EXTREME  EXTREME 


(​serious injury) 

MODERATE  LOW  MEDIUM  HIGH  HIGH  HIGH 


(Lost time due to workplace injury) 

MINOR  LOW  LOW  MEDIUM  MEDIUM  MEDIUM 


(​Minor workplace injury – no lost 
time) 

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MINIMAL  LOW  LOW  LOW  LOW  LOW 
(no injury) 

RISK LEVELS 
Resolution at each level involves reducing the risk level to a lower level of risk 
● Extreme – requires immediate assessment with management consideration. A detailed plan, regular monitoring and reporting is required with a target resolution within 1-month 
timeframe 
● High – requires immediate assessment with senior staff consideration, planning and reporting. Target resolution should ideally be within 3 months 
● Medium – reviewing of existing controls and planning required. Resolution timeframe should be within 1 year 
Low – the risk may be tolerable and controlled if managed with high-quality process and procedures. 
  
  

CONSEQUENCE TABLE 
Use the following matrix to rate the consequence of each identified hazard. Where a hazard could have multiple consequences (for example, injury and financial cost) 
the highest consequence should be selected. 
 

   Description 

Consequence  Injury  Illness  Environment  Financial cost 

Catastrophic  Fatality or  Fatality or  Disastrous and/or  Huge (greater 


permanent  permanent disability  widespread  than $500,000) 
disability  environmental 
impact 

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Major  Lost time injury  Lost time injury  Serious  Major ($50,000– 
(greater than 2  (greater than 2  environmental  $500,000) 
weeks)  weeks)  impact 

Moderate  Lost time injury  Lost time injury (less  Substantial  High ($20,000– 
(less than 2  than 2 weeks)  environmental  $50,000) 
weeks)  impact 

Minor  Requires basic  Requires medical  Small and / or  Medium 


medical  treatment, for  localised impact  ($5,000– 
treatment  example, for skin  $20,000) 
rashes 

Minimal  Minor  Minor, for example  Little or no  Low (less than 
headache/nausea  environmental  $5,000) 
impact 

 
   

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SIMULATION: CLEANING SPILLS 
T​ASK​ ​SUMMARY​: 
Students are required to follow procedures to clean up a bodily 
  fluid spill (vomit). 
W​HAT​ D
​ O​ ​STUDENTS​ N
​ EED​ I​ N​ O
​ RDER​ T​ O​ C​ OMPLETE​ T​ HIS​ A​ SSESSMENT​? 
▪ An area in which they can demonstrate clean-up procedures. 
▪ A bodily fluids spill kit. 
▪ 2 x spill area warning signs. 
▪ PPE. 
▪ Disinfectant. 
▪ Clinical waste bags and ties. 
▪ Clinical waste receptacle. 
▪ Hand-washing facilities 
▪ Fake vomit (more on this below) 
W​HEN​ A​ ND​ W
​ HERE​ D
​ O​ S​ TUDENTS​ N
​ EED​ T​ O​ ​THIS​? 
▪ Students will do this task in a simulated environment on the day of the workshop. 
▪ Provide students with date of your workplace visit so they can write it in their Student Assessment Booklet. 
W​HAT​ D
​ O​ ​STUDENTS​ H
​ AVE​ T​ O​ S​ UBMIT​ F​ OR​ T​ HIS​ A​ SSESSMENT​? 
Students do not need to submit anything for this task. 
 

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I​NSTRUCTIONS​: 
Your service has been suffering from a gastro-enteritis outbreak.  
A client announces that they feel sick, and they suddenly vomit on the floor.  
You have been instructed to take action to clean the area and prevent further 
spread of infection. 
For this task your assessor will use a substance to simulate vomit. 
1. Using your workplace’s policies and procedures and a bodily fluids spill kit, clean up the vomit and wash the 
area.  
2. Once you have cleaned up properly, correctly dispose of the contaminated materials as per procedure. 
3. As you work, you are to explain to your assessor what you are doing. Remember to communicate professionally 
and appropriately with your assessor during this time.  
Your assessor will ask you a number of verbal questions about infection control procedures after you have 
completed the task. 
 
Your assessor will be looking to see that you can: 
▪ Read, understand and follow procedures and guidelines to safely dispose of 
contaminated waste 
For example, correct use of the spill kit, use of PPE, consideration of others’ 
health and safety, etc. 
▪ Respond to a situation in which additional precautions are required to 
prevent transmission of infection 

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For example, correct hand hygiene procedures, use of disinfectant etc. 
▪ Read, understand and follow procedures and guidelines to safely dispose of 
contaminated waste 
For example, use of correct bags or containers, disposing in the correct place, etc. 
▪ Follow organisation procedures when selecting the right PPE 
▪ Correctly place warning signs 
▪ Identify any risks to clients and report and record these 
▪ Identify, separate and maintain clean and contaminated zones 
▪ Demonstrate correct hand washing procedure before and after the clean 
up. 
▪ Report and record these risks 
▪ Raise safety issues as per workplace procedures 
▪ Contribute to the development of safe workplace procedures to minimise 
risk. 
 
 
 
 
 
 
 

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As part of completing the checklist you must answer the question below: 
1. Below, kindly write out in detail the safety directions or advice for the cleaning product you have used 
 

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2. Kindly draw below any safety symbols and/or signs associated with the cleaning product you have used 
 

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ASSESSMENT TASK : HAND WASHING AND SANITISING 
T​ASK​ ​SUMMARY​: 
Students are required to follow World Health Organisation (WHO) 
  guidelines on handwashing and correct use of alcohol-based 
hand rub 
W​HAT​ D
​ O​ I ​NEED​ I​ N​ ​ORDER​ T​ O​ ​COMPLETE​ T​ HIS​ ​ASSESSMENT​? 
 
▪ Handwashing area; taps, sinks 
▪ Paper Towels 
▪ Alcohol based hand rub 
▪ WHO video tutorial on handwashing: ​https://tinyurl.com/y48t3ek2  
▪ WHO video tutorial on correct use of alcohol-based hand rub: h
​ ttps://tinyurl.com/y4orlyfk  
 
I​NSTRUCTIONS​: 
You are required to wash and sanitise your hands in line with World Health 
Organisation (WHO) guidelines: 
● At the beginning of the workshop 
● At the end of the workshop 
1. Ensure when washing your hands you follow the steps as described in the WHO tutorial video. 

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2. When sanitising your hands using an alcohol-based handrub, ensure you follow the instructions as outlined in 
the WHO tutorial video. 
3. As you perform these tasks, you are to explain to your assessor what you are doing. Remember to communicate 
professionally and appropriately with your assessor during this time.  
Your assessor might ask you a number of verbal questions about what you are doing 
Your assessor will be looking to see that you can: 
▪ Read, understand and follow procedures and guidelines to properly wash 
and sanitise hands 
▪ Demonstrate correct hand-washing procedure 
▪ Demonstrate correct procedure when using alcohol-based rub to sanitise 
hands 
 
 
   

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Assessment Task 1: Case study   

Attempt 1  Attempt 2  Attempt 3 

Yes/No  Yes/No  Yes/No 

   Comments  Date:__________  Date:__________  Date:__________ 

Did the student             


answer all questions 
correctly? (Please 
note which 
questions were 
answered 
incorrectly, if 
applicable) 

If ‘no’ to the above,             


did you identify gaps 
in the student’s 

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understanding and 
knowledge? 

If ‘yes’ to the above,             


what arrangements 
have been made for 
reassessment? 

Please add any feedback to the student about this task on the Assessment Cover Sheet. Keep a copy of the 
completed Assessment Task Cover Sheet. 

Assessment Task 1 
Outcome  Satisfactory ⬜  Not Satisfactory ⬜  Date: 

 
 

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Assessment Task 2: Simulation – EMERGENCY PROCEDURES AND MANUAL HANDLING 

Attempt 1  Attempt 2  Attempt 3 

Yes/No  Yes/No  Yes/No 

   Comments  Date:_______  Date:______  Date:_____ 

Did the student read and             


interpret emergency 
evacuation policies and 
procedures? 

Did the student correctly             


follow emergency 
evacuation policies and 
procedures in a simulated 
emergency? 

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Did the student correctly use             
manual handling techniques 
 
for minimising manual 
handling risk? 

Ask the student the following verbal questions 

What manual handling          


hazards did you have to deal     
 
with during this task? How 
did you do this?   

  

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Thankfully fires do not occur          
often. How do you keep     
  
your skills up to date so that 
if an emergency occurs, you 
know what to do? 

Please add any feedback to the student about this task on the Assessment Cover Sheet. Keep a copy of the completed
Assessment Task Cover Sheet. 
 

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Assessment Task 3: Simulation – WHS INSPECTION 

Attempt  Attempt  Attempt 


1  2  3 

Yes/No  Yes/No  Yes/No 

Date:___ Date:___ Date:___


   Comments  ________  ________  ________ 

Did the student             


complete a WHS 
inspection and 
correctly complete 
the WHS checklist for 
a work area from 
their workplace? 

Did the student             


answer all written 
questions correctly? 
(Please note which 
questions were 

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answered incorrectly, 
if applicable) 

If ‘no’ to the above,             


did you identify gaps 
in the student’s 
understanding and 
knowledge? 

If ‘yes’ to the above,             


what arrangements 
have been made for 
reassessment? 

Please add any feedback to the student about this task on the Assessment Cover Sheet. Keep a copy of the 
completed Assessment Task Cover Sheet. 

47
Please note any reasonable adjustments for this task below. 

Assessment 
Task 3 
outcome  Satisfactory ⬜  Not Satisfactory ⬜  Date: 

Assessment Task 4: Simulation – WHS RISK ASSESSMENT 

Attempt 1  Attempt 2  Attempt 3 

Yes/No  Yes/No  Yes/No 

   Comments  Date:___________  Date:___________  Date:___________ 

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Did the student conduct a             
workplace risk assessment 
and correctly record the 
results 

● Identifying at least 3 
potential hazards 
● Considering the 
consequences of 
each hazard 
● Considering the 
likelihood of each 
hazard 
● Calculating the risk 
rating 
● Identifying current 
control measures 
and their 
effectiveness 

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● Identifying further 
action and risk 
controls needed 
● Identifying 
responsibilities and 
date due 

Did the student complete             


the Hierarchy of control 
table to identify hierarchy 
of each control measure? 

Please add any feedback to the student about this task on the Assessment Cover Sheet. Keep a copy of the 
completed Assessment Task Cover Sheet. 

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Please note any reasonable adjustments for this task below. 

Assessment Task 4 
Outcome  Satisfactory ⬜  Not Satisfactory⬜   Date: 

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Assessment Task 5: SIMULATION: CLEANING SPILLS 

The assessor must liaise with the student’s supervisor to locate an area that is safe and appropriate in which the 
simulation can occur (for example, a dry area with a hard surface).  

The vomit spill must be simulated by using milk and biscuit. The spill should be approximately 13cm in diameter. 

Attempt 1  Attempt 2  Attempt 3 

Yes/No  Yes/No  Yes/No 

   Comments  Date:___________  Date:___________  Date:___________ 

52
Did the student read,             
understand and follow 
procedures and guidelines 
to safety clean up a bodily 
fluid spill (vomit)? 

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For example, student 
should demonstrate: 
correct use of PPE; 
covering the area of the 
spill with an absorbent 
clumping agent; allowing 
the agent time to absorb; 
using a disposable scraper 
and pan to scoop up 
absorbent material and 
anything unabsorbed; 
placing all contaminated 
items into an impervious 
container or plastic bag for 
disposal; discarding 
contaminated materials; 
mopping the area with a 
detergent solution; wiping 
the area with sodium 
hypochlorite and allowing 

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to dry; using correct hand 
hygiene procedures. 

Did the student respond             


to a situation in which 
additional precautions are 
required to prevent 
transmission of infection? 

For example: using 


disinfectant or sodium 
hypochlorite; correctly 
using PPE; using correct 
hand hygiene procedures 
etc. 

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Did the student read,             
understand and follow 
procedures and guidelines 
to safely dispose of 
contaminated waste? 

For example, placing 


waste in clinical waste bag, 
tying up and disposing in 
correct clinical waste 
receptacle, etc. 

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Did the student follow             
organisation procedures 
when selecting the right 
PPE? 

For example, using utility 


gloves; protective apron; 
surgical mask; eye 
protection etc. 

Did the student correctly             


place warning signs? 

For example, wet floor, 


hazard etc. 

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Did the student identify             
any risks to clients and 
report and record these? 

For example, risk of 


spreading infection to 
others 

Did the student identify,         


separate and maintain 
clean and contaminated 
zones? 

Student should avoid the 


‘clean area’ when handling 
contaminated waste. 

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Did the student         
demonstrate correct hand 
washing procedure before 
and after the clean up? 

Ask the student the following verbal questions 

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Describe what you find in             
the ‘clean zone’ and 
‘contaminated zone’ in 
your workplace. 

Sample answer provided: 

● Clean zones: Clean 


areas include 
surfaces and 
drawers where clean 
or sterilised 
instruments are 
stored and that 
never come in 
contact with 
contaminated 
instruments or 
equipment. 

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● Contaminated 

zone: All surfaces 


and items within the 
contaminated zone 
must be deemed 
contaminated by the 
treatment in 
progress. These 
surfaces must be 
cleaned and the 
items in the zone 
disposed of, 
decontaminated or 
cleaned and 
sterilised. 

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What are the potential             
risks arising out of this 
hazard? Provide three 
examples. 

Student gives three 


response, which may 
include: tripping/slipping 
on the fluid if not cleaned 
or isolated; contamination 
of equipment/materials; 
spread of infection if 
someone comes into 
contact with fluid; 
infection invading the 
body through cuts/ 
wounds. 

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Aerosols might be             
inappropriate to use when 
cleaning. Why is this? 

Sample response: 

Aerosols have the 


potential to splatter, which 
might contain infective 
material spread 
throughout the 
environment. Infective 
material can be airborne 
and spread to other 
people through breathing 
in particles or touching 
surfaces of the infective 
material. 

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Imagine this was a real             
situation. What 
documentation would you 
need to complete after 
you finished this clean up 

Answer should include 


reference to: client care 
notes; risk of infection 
spread; action taken; 
incident report if required. 

Please add any feedback to the student about this task on the Assessment Cover Sheet. Keep a copy of the 
completed Assessment Task Cover Sheet. 

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Assessment Task 6: SIMULATION: HAND WASHING AND SANITISING 

The assessor must organise hand washing and sanitising resources prior to the beginning of the workshop. 

HAND WASHING AND SANITISING (AT THE BEGINNING OF WORKSHOP) 

Date of   
assessment : 

Observation Criteria :       

Washes hands as per WHO       

guidelines 

Dries hands and appropriately       

disposes of paper towels 

Uses alcohol based hand-rub as       

per WHO instructions 

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The candidate’s  Not  Yet  Satisfactory ❑ 
performance was :   Satisfactory 
❑ 

Feedback to candidate  

HAND WASHING AND SANITISING (AT THE END OF WORKSHOP) 

Date of   
assessment : 

Observation Criteria :  Yes  No  N/A 

Washes hands as per WHO  ❑  ❑  ❑ 


guidelines 

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Dries hands and appropriately  ❑  ❑  ❑ 
disposes of paper towels 

Uses alcohol based hand-rub as  ❑  ❑  ❑ 


per WHO instructions 

The candidate’s  Not  Yet  Satisfactory ❑ 


performance was :   Satisfactory 
❑ 

Feedback to candidate  

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