ASSESSMENT 5 – WRITTEN ASSESSMENT

Student Name: ______________________________________________________________

Student ID No: _________________________________________ Date: _______________

TEST – ASSESSOR INSTRUCTIONS

WRITTEN ASSESSMENT
This assessment may be undertaken in one of the following formats

Written assessment
1. Set a date for this written assessment.
2. Advise students of the topic and how the assessment will be conducted / marked
3. Advise students where this assessment will be undertaken (classroom environment)
4. Set up room with a gap between each student (staggered formation recommended)
5. Set ground rules including no phones, talking, books, etc.
6. Pass a copy of the assessment to each student (Ensure the answers have been deleted from the students
copy)
7. Allow time for reading and questions before commencing assessment.
8. Once assessment has commenced, no communication between students is allowed.
9. If students repeatedly talk, or are caught cheating, they are to be removed from the classroom, and reported to
student administration. Mark the assessment tasks as “incomplete”
10. Allow 2 hours for this assessment.
11. Remember – assessments are a participatory process, so you can help re-word questions, but be careful NOT
TO LEAD. We are assessing the students, not you!
12. Once completed, mark the assessment accordingly. Refer to the sample answers as direction on expected
student responses
13. In the event that a question is not answered correctly, discuss the response with the candidate to determine if
the student did not know the answer, or did not understand the question.
14. In order to achieve competency, all questions that are mapped in the associated mapping document MUST be
answered correctly.

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 Student Instructions
Written Assessment

 Open book assessment (student must state the source of their answer)
 Students must give the correct answer to all questions in this assessment to achieve a satisfactory outcome.
 If done online the student is to type answers directly into the spaces provided.

 Do not cheat during this assessment. Anyone caught cheating will automatically be excluded under the Disciplinary Rules and
their opportunity for assessment will be subject to the outcome of an Appeal Process or Disciplinary Hearing
 Ask your assessor if you do not understand a question. Whist your assessor cannot tell you the answer, he/she may be able to
re-word the question for you
 Reasonable adjustment: If you require any adjustments to accommodate a need in order to complete this assessment, please talk
to your assessor. Arrangements will be put in place to ensure a fair and flexible approach is undertaken for this assessment. Please
note that the range or nature of the adjustment will ensure that the outcomes of the unit are not compromised.
 Re-assessment: If you do not achieve the required standard, you will be given the opportunity to be re-assessed by our Assessor.
Arrangements will be made on an individual basis.
 Feedback: Your assessor will provide feedback to students after the completion of the assessment. The trainer assessor will
explain the appeals process.
 Blue or Black pen only to be used

1 Describe the safe work techniques for handling knives.

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 2 Describe the safe working techniques for handling hot surfaces

Describe the safe working techniques for handling and storing cleaning chemicals used in the
3
kitchen.

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 4 What protective clothes would you wear within a commercial kitchen?

5 What is the difference between a Hazard and a Risk?

6 List 5 implications if ignoring WHS / OHS rules and regulations

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 7 List 5 employer responsibilities relating to WHS?

What are 5 steps an business must do to ensure they remain compliant with their OHS / WHS
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obligations?

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 9 List 4 WHS obligations workers and other persons have whilst at work?

10 List 6 responsibilities you have as an employee in regards to work health and safety

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 11 Describe the control measures for the following workplace hazards and risks

A light fixture hanging from the ceiling

A blocked fire exit door

A water leak near the entrance of a premises

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 An unsafe pile of “product” in a store in which you work, that may topple over

13 Describe your organisations evacuation procedure.

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 14 How would you handle a bomb threat via the telephone

15 Describe how cash should be handled to reduce opportunity of theft

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 16 Even if customers are not able to access money, why should it not be counted in public?

17 List 5 WHS areas that should be covered during WHS induction training

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 18 When should you receive training for a new job task?

19 How can you contribute to WHS consultation (List 3 ways)

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 Using the form below, you are to complete an accident report form for the following incident.
Please note that your may add any missing facts or information for the purpose of this task.

On 12 January 20139, you witnessed Joanne Smyth slip down stairs at work and injure her
20
left ankle. The first aid officer (Ian Jones) applied ice, elevation and a pressure bandage to
the injured ankle. Joanne was then taken to the staff-room to rest her ankle – as she did not
want to go home. You heard that Joanne was distracted as she was talking on her telephone
whilst approaching the stairs, but you did not see this first hand.

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 Accident Report Form

PERSONAL DETAILS OF THE INJURED PERSON

Title: Dr Mr Ms Mrs Miss
Surname:_________________________ Given Names:________________________________
Gender: Male / Female Date of Birth _______________( Date / Month / Year)
 Employee Employee No:__________________ FT / PT / Casual
 Independent Person
Home Address:___________________________________________________________________
Telephone: Home_________________ Work _________________ Mob____________________
Occupation:________________________________ Email:________________________________

PERSONAL DETAILS OF THE FIRST AIDER

Title: Dr Mr Ms Mrs Miss
Surname:_________________________ Given Names:_______________________________
Gender: Male / Female Date of Birth _______________( Date / Month / Year)
 Employee Employee No:__________________ FT / PT / Casual
 Independent Person
Home Address:___________________________________________________________________
Telephone: Home_________________ Work _________________ Mob____________________
Occupation:________________________________ Email:________________________________

DETAILS OF THE ACCIDENT

Day of Accident:_____________ Date of Accident:________ Time of Accident:_________ am/pm
Location of Accident:______________________________________________________________
What was the person doing leading up or at the time of the accident (e.g. sweeping leaves):_______
________________________________________________________________________________
What actually happened: (e.g. slipped on floor, struck by car):______________________________
________________________________________________________________________________
What object/machine was being used at the time of the accident (e.g. guillotine): _______________
________________________________________________________________________________
What safety equipment was being used at the time (e.g. gloves, goggles, earmuffs):_____________
________________________________________________________________________________
Was the hazard that caused the accident / injury previously reported? Yes / No / N/A
Has the hazard been resolved: Yes / No / N/A

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 INJURY / CONDITION / DISEASE DETAILS

Description of the injury / condition / disease:___________________________________________

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Bodily location of the injury / condition / disease
 Arm – Lower L/R  Arm – Upper L/R  Hand L/R  Finger/s
 Leg – Lower L/R  Leg – Upper L/R  Foot L/R  Toe/s
 Skull  Face  Eye L/R  Nose
 Mouth  Ear L/R  Neck  Shoulder/s L/R
 Chest  Abdomen  Hip L/R  Internal Organs
 Back - Upper  Back - Lower  Buttocks  Other
________________________________________________________________________________

INJURY / CONDITION / DISEASE DETAILS

Description of the injury / condition / disease:_____________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

WITNESSES/ES
Name: ________________________________ Contact No: _______________________________
Name: ________________________________ Contact No: _______________________________
Name: ________________________________ Contact No: _______________________________
Name: ________________________________ Contact No: _______________________________

ACTION TAKEN
Detail action taken as a result of this accident:___________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
TO BE COMPLETED BY FIRST AIDER
Name: _________________________________ Contact No: _____________________________
Signature: ______________________________ Date: __________________________________

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 21 Following from Q20, what would you do once you have completed the form?

Name: ________________________
Student Declaration: I declare that the work
submitted is my own, and has not been copied or Signature: ________________________
plagiarised from any person or source. Date: ____/_____/_____

ASSESSOR USE ONLY

Assessment Method: WRITTEN

Comments

Result
Satisfactory Not Satisfactory Incomplete
(Please Circle)

Name: ________________________
Assessor: I declare that I have conducted a fair, valid,
reliable and flexible assessment with this student, and I have Signature: ________________________
provided appropriate feedback
Date: ____/_____/_____

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