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1 - BSBWHS521 Student Version
1 - BSBWHS521 Student Version
1 - BSBWHS521 Student Version
Student ID:
Assessment Summary
BSBWHS521 – Ensure a safe workplace for a work
Unit Details
area
Contents
Assessment information......................................................................4
Purpose..................................................................................4
Unit description.............................................................................4
Key competencies....................................................................4
Foundation skills...........................................................................4
Performance evidence...............................................................5
Knowledge evidence.................................................................6
Relevant legislation.......................................................................6
Assessment Conditions..................................................................6
Pre-requisites..........................................................................6
Terminology used..........................................................................6
General Instructions to Students ..................................................7
Dimensions of Competency........................................................7
Completing the assessments/Expectations........................................7
Assessment outcome.....................................................................8
Summary of assessment methods and tasks.....................................8
Required resources........................................................................9
Reasonable adjustment.............................................................9
Plagiarism policy...........................................................................9
Academic appeals..............................................................10
Reassessment process.................................................................10
Assessment records.....................................................................11
Declaration............................................................................11
Assessment submissions and contact details...................................11
Assessment 1 – Written Questions........................................................................14
Instructions for Students ............................................................14
Applicable conditions...............................................................14
Resources required for assessment................................................15
Comments if the answer is not satisfactory.....................................26
Assessment Outcome Record – Assessment 1 of 4 (To be completed by the Assessor)
.................................................................................................................................... 27
Assessment 2 – Project 1 – Establish a WHS management system in a work area 28
Instructions for Students ............................................................28
Applicable conditions...............................................................28
Resources required for assessment................................................29
Assessment information
Purpose This document represents the main assessment instrument for the unit of
competency BSBWHS521 – Ensure a safe workplace for a work area
Unit description This unit describes the skills and knowledge required to establish, maintain
and evaluate an organisation’s work health and safety (WHS) policies,
procedures and programs in a work area to ensure a safe workplace,
according to WHS legislative requirements. It takes a systems
approach and addresses compliance with relevant legislative requirements.
The unit applies to those working in a range of contexts who have, or
are likely to have, responsibility for WHS as part of their broader
management role. It is relevant for people with obligations under WHS
laws, for example persons conducting a business or undertaking
(PCBUs) or officers, as defined by WHS laws.
NOTES
1. The terms ‘occupational health and safety’ (OHS) and ‘work health
and safety’ (WHS) are equivalent, and generally either can be used in
the workplace. In jurisdictions where model WHS laws have not
been implemented, registered training organisations (RTOs) are
advised to contextualise this unit of competency by referring to existing
WHS legislative requirements.
2. The model WHS laws include the model WHS Act, model WHS
Regulations and model WHS Codes of Practice. See Safe Work Australia for
further information.
No licensing, legislative or certification requirements apply to this unit at
the time of publication.
Key 1. Establish a WHS management system in a work area
competencies 2. Establish and maintain effective and compliant consultative
arrangements for managing WHS in a work area
3. Establish and maintain procedures for effectively identifying
hazards, and assessing and controlling risks in work area
4. Evaluate and maintain a work area WHS management system
(WHSMS)
Foundation skills Reading skills to: Organises, evaluates and critiques ideas and
information from WHS laws, policies, procedures and
programs
Writing skills to: Produces WHS policies, procedures and programs
using appropriate vocabulary, grammatical structure
and conventions
the student about what to base the assessment task on and whether it
is practical demonstration or project.
3. Description of task/decision making rules: Advises the student and the
assessor of the task description and the criteria that the assessment
must meet in order for a satisfactory result to be awarded.
4. Due Date - the date on which assessment falls due.
General This document contains both the assessment instrument and the
Instructions to instructions for gathering and interpreting evidence in an assessment
Students process.
This pack includes all the assessment tasks you will need to
successfully complete in order to be competent in the unit/s of
competence listed above.
There are four (4) assessment tasks in this pack. To attain competence
in the unit/s you must satisfactorily:
o complete all written questions in this assessment tool
o complete and submit the project/s outlined in the assessment guide
o demonstrate skills as directed by your Assessor
Competency depends on consistently demonstrating the skills and
knowledge that enable you to complete workplace tasks confidently
in a variety of situations.
If you have any difficulties in understanding any of these forms or
instructions, please speak to your trainer/ assessor.
You must attach the Assessment Coversheet to each submission.
You must keep copies of the completed assessment for your records.
Dimensions of You will be considered to be competent when you are able to
Competency demonstrate application of knowledge and skills to successfully
complete work activities in a range of situations and environments as
follows:
Task skills – Performing the task/job to the required standard
Task management skills – Performing more than one thing at a time
and managing the tasks correctly
Contingency management skills – Responding appropriately to
irregularities and breakdowns in routine within a job or workplace
Job/role environment skills (outcomes) – Dealing with the
responsibilities and expectations of the work environment
Completing the Assessors must ensure that students completely understand the
assessments/Ex assessment process and various assessment tasks before undertaking the
pectations assessments. This assessment tool is structured in a way that each
assessment task
You must sign and date the Assessment Task Outcome Record and
read, understand and acknowledge the feedback.
The Assessor will record the assessment outcome (Competent or
Not competent) for the unit of competency, and will include any
relevant comments on the Assessment summary cover sheet.
Should your performance in a task be deemed ‘Not Satisfactory’,
you will be advised of the outcome and will be given one more
opportunity to re-submit satisfactory evidence within the timelines
advised by your assessor.
If you fail to achieve the required outcome after this opportunity,
you will be deemed ‘Not Competent’. Please read the reassessment
procedure in the later part of these instructions.
You must access, read and understand the Gen’s complaints and
appeals process, which allows you to challenge an assessment
decision, if you would like to be reassessed.
If you are found to have plagiarised or copied work from another
student or any other sources, your assessment submission will not
be accepted (please refer to Gen’s Plagiarism Policy).
If you are unable to complete the assessment in this format, you must
inform your assessor and they may arrange for you to take the assessment
in an alternative format.
Plagiarism Gen Institute takes a systemic approach to the treatment of plagiarism
policy in academic work. The policy is intended to promote honesty in learning
and assessment and respect for the work of others. Contravention of this
policy will result in students being penalized.
Assessment 3
Project 2: Establish and maintain procedures for S | NS
identifying, assessing and controlling hazards
Assessment 4
Project 3: Evaluate and maintain a work are WHS S | NS
management system (WHSMS)
Final Assessment Result for this unit
(Student will be assessed as being competent
only upon satisfactory completion of all the Competent Not Competent (Comments)
above mentioned assessments)
The Evidence provided is:
Assessor: I declare that I have Type your Name, do not use Sign tool
conducted a fair, valid, reliable and Signature:
flexible assessment with this student,
and I have provided appropriate Date: / /
feedback.
Administrative use only
Components
Student Declaration:
I acknowledge that I understand the requirements to complete the assessment tasks. The assessment
process including the provisions for re-submitting and academic appeals were explained to me and
I understand these processes. I understand the consequences of plagiarism and confirm that this is
my own work and I have acknowledged or referenced all sources of information I have used for the
purpose of this assessment.
Result of Reassessment
Competent - C Not Yet Competent - NYC
(Please circle the Final Assessment Outcome)
Feedback to Student (Please provide general feedback on the Student’s performance)
Assessor: I declare that I have conducted a fair, valid, reliable and flexible assessment with this student,
and I have provided appropriate feedback.
This is the first of the four assessment tasks you must complete satisfactorily to be deemed
competent in this unit.
Read the Assessment description carefully.
In this task, you must answer ten (10) questions that cover the knowledge requirements of
this unit.
You must respond to all questions and submit them to the Trainer/Assessor.
You must answer all questions to the required standard (e.g. provide the specified number
of points) to be deemed satisfactory in this task.
Assessment may be submitted in Microsoft Word format or may be handwritten.
Clearly label your work with your name, unit code, unit title, Assessment Task and
respective Question number with the answer to all the documents and sheets that are
attached to your submission.
Read the Plagiarism policy and procedure carefully to understand the consequences
that you could face if your work is plagiarized.
Seek clarification regarding the assessment required to be done, if you do not understand
the task.
Ask for reasonable time from Assessor for preparation of project or Assessment.
Seek information on additional reading material and reference for completion of the
assessments.
Students with special needs can seek assistance from assessors depending upon the nature
of the need.
Submit this document along with your assessment work.
Your Trainer/Assessor will provide you feedback and notify you about the results within
two weeks of submission.
Applicable conditions
This is an open book task and you may refer to your learning materials or your research of
external resources.
Assessment may be completed in your own time and is due one week after the module
end date.
You must complete this task independently.
The Trainer/Assessor may ask you relevant questions on this assessment task to ensure
that this is your own work, or to confirm your knowledge to close any gaps they may
identify as not evidenced in your written responses.
No marks or grades are allocated for this assessment task. The outcome of the task will be
Satisfactory or Not Satisfactory.
You will need the following materials/ resources for this task:
o Textbook/ Online learning resources
o Computer with Internet access for research purposes and word processing
o Pen and paper as required
Written Questions
two codes of practice that can make up for the Legislative framework are health safety at
workplace and handling of hazardous substances. Managing risks to health and safety,
including risk assessment and control processes and protecting people at work from injury
and illness, including psychological injury. This included in the legislative framework as
this can have a significant effect on the who are involved and cause permanent damage
and sometimes dealth of that an resource who is working on that particular task.
What is the purpose and role of organisational policies and procedures for WHS?
2
Respond in no more than 80 words.
The organizational policies and procedures should be designed in prioritizing the health
and safety of the workers and everyone who are at a risk of being affected. This includes
consulting workers and encouraging the participation in Maintaining work health and
safety, including establishing health and safety committees. Providing training in safe
operating procedures. Providing rehabilitation and maximum recovery for injured workers.
The safety principles and arrangements are need to be followed by all the workers to
ensure compliance with the WHS and also to define required procedures and mechanisms
for consultation and effective management of the work health safety system.
WHS management system is collation of policies and procedures within the organization
to protect the employees from any potential risk that they are prone to at the workplace.
This is a systematic approach of the organisations to align their safety and health
measure on par with the WHS policy and providing required training to the employees
based on that. This will help in reducing risk and illness of the employees that can put the
organization in jeopardy. This is also a legal requirement to ensure that all the employees
are in a safe environment.
Not Satisfactory
Satisfactory (Comments)
Page 21 of
Assessment |
Briefly explain the five steps an organisation needs to take to develop and implement
4 an effective WHS /Management System (WHSMS). Respond in no more than 200
words.
Not Satisfactory
Satisfactory (Comments)
Page 22 of
Assessment |
supervised consistently
inorder to check the progress. Post
this, the WHS management
committee needs
to report if there are any gaps in
the policy implementation. Time
to time
reporting will ensure a strict
adherence to complianc
The organisations need to :
Identify risk
Identify the extent of the effect of risk
Identify the lack of safety at places
The Work health safety management has six components :
1) Safety Plan
2) Policies and procedures with respective processes
3) Training
4) Monitoring
5) Supervising
6) Reporting
After identifying the risk and the extent of its effect on the workplace safety, the
organisations need to employ a committee to formulate a safety plan. All the
policies, procedures and the processes need to make compliance their foremost
priority and abide by it. Health and safety trainings need to be implemented at
regular intervals to check and evaluate the understanding of the employees of the
WHS policy. Then the processes need to be monitored and supervised consistently
inorder to check the progress. Post this, the WHS management committee needs
to report if there are any gaps in the policy implementation. Time to time
reporting will ensure a strict adherence to complianc
Briefly describe (in 10-15 words) any four common organisational policies which
5
are focused on maintaining a safe and healthy workplace.
The most common organizational policies which are focused on maintaining a safe and
healthy workplace is:
1. giving regular breaks
2. appropriate leave and sick leave policy sessions to reduce workplace stress
3. mechanical aids are use to avoid any physical strain protect your back
4. computer screens which proper alignment
Not Satisfactory
Satisfactory (Comments)
Page 26 of
Assessment |
6 Briefly describe (in 10-15 words) any four examples of written WHS procedures.
Reviews:
After all the above steps, we need to review the plan of action so that we are not leaving
any room for error. By using the hierarchy of control to assess the adequacy of measures
and monitoring tools such as audits, incident reports we need to take prompt and
appropriate actions and plan ongoing monitoring activities.
Describe the hierarchy of risk control, their uses and at least one example each of
8
how these controls are applied in the workplace. Respond in no more than 300 words.
The risks in the workplace are controlled by using the hierarchy on control system. This
helps the employees understand and use the hierarchy control system effectively to
eliminate the effect of risks at workplace. Elimination of risk and hazards is the top notch
function of hierarchy of control. The risks can be reduced by substitution, isolation and
engineering. Some risks can be reduced by substituting them with lower risks that can
have significantly less effect. Then we can try isolating the employees from risks. The
tasks and areas that are prone to risks need to be avoided by delegating the tasks with
less risks. The risks can also be reduced by making engineering changes like changing the
systems of work. At the administrative level, the employees need to exposed to a minimal
risk to avoid any mishaps within the operational sector. The hierarchy of risks control
assists the organisations to fulfill the occupational health and safety act that’s levied by
the government. If the organisations cannot eliminate the risks then they need to try and
reduce the risks and their associated effects on the workforce. A specialist working in
isolation without any input from workers may result in flawed evaluations and
inappropriate recommendations.
Not Satisfactory
Satisfactory (Comments)
Page 30 of
Assessment |
Discuss the obligations of a business in relation to WHS, and the consequences to the
9 business of not complying with WHS requirements. Respond in no more than 200
words.
The basic obligations of any business in relation to the Work Health Safety is as follows:
Every business needs to comply with the above obligations and imbibe it in their
standard operating procedure. There will be legally levied fines and reputational
ramifications if the business is not complying t the Work Health Safety requirements. The
failure to comply with the health and safety measures will be considered as an offence
and will be prosecuted. Huge penalties will be levied on the business. Non-compliance
with the safety and health measures is a great deal breaker and it may have effect on
financial statement, creditors, investors and the employees. Loss of business and
reputational risk along with litigation. There is also a possibility for the board and senior
leadership will have to serve time in prison as part of the sanctions. Breach in the work
health safety means that the company doesn't care about their employees and do not
intend to take accountability for their safety. This results in a workplace that is prone to
maximum risk and hazardous work environment
Not Satisfactory
Satisfactory (Comments)
Page 31 of
Assessment |
Question 1:
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Question 2:
Question 3:
Question 4:
Question 5:
Question 6:
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Question 7:
Question 8:
Question 9:
Question 10:
Based on the Comments above Please Redo / Rewrite those particular answers and
resend your Completed Reassessment for correction
Student ID and
name
Unit of
Competency BSBWHS521 – Ensure a safe workplace for a work area
Code and Title:
Feedback to student:
Attempt 1
Attempt 2
Assessor Name:
This is the second of the four assessment tasks you must complete satisfactorily to be
deemed competent in this unit.
This assessment is made up of three (3) tasks.
o Part A – Establish a WHS management system
o Part B – Role Play: Establish participation arrangements for managing WHS
o Part C – Provide information about consultation and participation outcomes
Read the scenarios given and complete the tasks that follow.
You must attempt all criteria to the required standard (e.g. fulfil assessment criteria
mentioned in the performance checklist) to be deemed satisfactory in this task.
You must complete this task by following all given instructions, for the trainer/assessor
to assess competency in this assessment task.
Clearly label your work with name, unit code and unit title to all the documents and
sheets that are attached to your submission.
Review the role play observation Checklist so that you are familiar with the behaviours that
you are expected to perform during the observation.
Review other resources, related to the task you are going to perform.
Seek clarification regarding the assessment required to be done, if you do not
understand the task.
Ask for reasonable time from Assessor for preparation of Assessment.
Seek information on additional reading material and reference for completion of the
assessments.
Submit this document along with your assessment work.
Applicable conditions
You will need to complete this project in your own time and submit it as per the Gen’s
requirements.
You must complete the task independently.
You can refer to the textbook, learning materials or your research of external resources
in completing this task.
Time limit for role plays is 10 minutes, unless otherwise specified.
The Trainer/Assessor may ask you relevant questions on this assessment task to ensure
that this is your own work, or to confirm your knowledge to close any gaps they may
identify as not evidenced in your written responses.
The Trainer /Assessor will assess your practical skills, technique and knowledge as you
complete this assessment task.
All criteria listed in the performance checklists guide must be completed satisfactorily to the
standard described.
No marks or grades are allocated for this assessment task. The outcome of the task will
be Competent or Not competent.
You must express all answers/responses in your own words or acknowledge the sources
of reference materials used.
If you are found to have plagiarised or copied another student’s work, your assessment
submission will not be accepted (please refer to the Gen’s Plagiarism Policy).
You will need the following materials/ resources for this task:
Scenario
The Lollipop Shop is a company which supplies its customers with the best of Australian
and overseas lollies, drinks, candy and party goods. The company has several stores
throughout Victoria and also has an online store. The company prides itself on a vast range of
products as well as their exceptional customer service and product knowledge.
The following is an extract from the Strategic Business Plan of The Lollipop Shop:
Vision
The Lollipop Shop will be a community-oriented establishment that brings people together for a sw
Mission
The mission of The Lollipop Shop is to be valued as Melbourne’s favourite candy store chain, by se
Values
Quality and customer oriented
Innovative and dynamic
Reliable and principled
Equality and diversity
Sustainability.
CEO
(Owner)
General Manager
HRFinance ManagerManager
Figure 1 The Lollipop Shop Organisational Chart
Background StoreStoreStore ManagerManagerManager
SalesSalesSales
The Lollipop Shop was established inAssistantsAssistantsAssistants
2005 by the owner John Sweetman. Starting with one store
Work Health and Safety/ Occupational Health and Safety Policy and Procedure
Our policy
At The Lollipop Shop, each and every employee is responsible for maintaining a safe
working environment for themselves and their customers.
All staff are encouraged to contribute their ideas for improving store safety.
Should an accident or incident occur in the store, it must be reported according to store
procedures. By observing these guidelines, The Lollipop Shop will continue to be a great place
to work and shop.
The Lollipop Shop is legally required to ensure that the workplace is safe for all
employees, customers and visitors. The store's safety, however, is not the sole
responsibility of only managers – every team member must remember that they are
responsible for safety too.
Employee responsibilities
It is the employees’ responsibility to report anything they consider to have the potential to be
a safety hazard, to their manager and/or team mates.
If they see a safety hazard they must report it and be prepared to handle emergencies
and/or incidents.
OHS/WHS Committee
Because The Lollipop Shop has three stores in Victoria, we have elected to have an OHS
committee comprising the management team members, Store Managers and store staff.
recognise the importance of reflecting the diversity of our customers and markets in
our workforce
recognise diversity such as differences in ethnicity, gender, language, age, sexual
orientation, religion, socio-economic status, physical and mental ability, thinking
styles, experience, and education
train managers in managing diversity to ensure that employees are treated fairly and
evaluated objectively
provide all employees diversity training to raise awareness about issues surrounding
diversity and developing diversity management skills.
provide a safe and pleasant environment for our employees
offer work arrangements to suit the requirements of a diverse workforce, such as
flexible working time arrangements, education assistance, network and support
groups, open communications, mentor programs
monitor and review annually on the organisation’s progress with respect to this policy.
Related legislation and policies - Anti-discrimination, Recruitment and Induction
policy, Privacy, Confidentiality, WHS policy
The purpose of this policy and procedure is to provide a mechanism for employees to raise
a grievance arising from their employment. This policy applies to all staff. Dispute resolution
refers to the processes by which disputes are brought to an end.
Employees who consider that they have a dispute or grievance should raise the matter with
their immediate supervisor as a first step towards resolution.
The two parties should discuss the matter openly and work together to achieve a
desired outcome. Employee may bring along a representative to this meeting.
The Manager should check for clarification of the issue to ensure they fully understand
the employee’s concern.
If the matter cannot be resolved between the employee and manager, it should be
referred to senior management.
If it cannot be resolved at senior management level, it may need to be referred to an
independent body such as the Fair Work Commission.
Relevant legislation and policies include Privacy Act 1988, WHS Legislation, Anti-
discrimination legislation, Diversity Policy, Privacy and Confidentiality policies, and WHS
policy.
General Manager
The General Manager’s role is to ensure strategic goals are met by setting operational
policies, creating and maintaining budgets and managing employees.
The General Manager’s responsibilities are:
Develop strategic plans for optimised productivity
Review and improve organisational effectiveness by developing processes,
overseeing employees, establishing a highly motivated work environment, and
creating innovative approaches for improvement
Uphold standards of excellence and quality
Seek out opportunities for expansion and growth by developing new business
relationships
Adding to the range of products and services, by sourcing new products from all over
the world and introducing innovative services
Provide guidance and feedback to help others strengthen specific knowledge/skill areas
Develop, implement, and maintain budgetary and resource allocation plans
Delegate responsibilities to the employees to perform them while enforcing all
policies, procedures, standards, specifications, guidelines, training programs, and
cultural values
Store Manager
The Store Manager runs store by carrying out marketing and operational plans and monitors
daily operations to boost and generate sales.
They should work closely with members of the marketing and the sales team to execute
marketing strategies and complete sales targets respectively.
Sales Assistant
A sales assistant’s role requires a high level of customer interaction as they act as
primary point of contact for customers, answering phone and email enquiries, resolving
complaints and processing orders in an efficient and timely manner. Therefore, sales
assistants should have good customer facing and communication skills.
Current issues
There have been some incidents in the various stores of The Lollipop Shop, such as thefts,
workplace injuries and some near-misses.
There is a lack of systematic WHS recordkeeping on the part of the individual stores,
which means the company is not able to track these issues to implement measures to improve
WHS performance and compliance. Therefore, the company has planned that every store
will develop and implement a WHS management system.
Version: Gen Institute Pty Ltd Page 44 of
Assessment |
It is the responsibility of the three Store Managers of The Lollipop Shop to:
maintain store security and oversee the security measures to minimise the potential risk of
loss to the store, its equipment or stock.
maintain and ensure workplace safety for employees, by making the workplace hazard
free and ensuring employees feel safe working in the workplace.
maintain outstanding and safe store condition to ensure a safe, secure and positive
shopping experience for customers.
The General Manager has allocated two hours of training hours per employee, per store, once
in each quarter, for the new WHSMS. This means there will be two training sessions in six months.
The following table provides the number of staff members who will attend training:
The following table provides the approximate costs for human and physical resources.
You are the Store Manager for Melbourne City store of The Lollipop Shop. You lead a team
of six sales assistants. (Refer to the position descriptions given in the scenario).
According to the General Manager’s directive for all store managers to develop and
implement a WHSMS for their stores, you are required to review all the information provided to
you and prepare to establish a WHS management system in your store.
Therefore, you have been asked to read the available data on The Lollipop Shop’s policies
and procedures and, assuming that this is all the information there is for store managers to
use, assess the completeness and compliance of the policies and procedures with legislation.
1. Research the internet using the links given below to identify the key elements that the WHS
policy must include.
2. Identify three areas that are missing and need to be added to the existing WHS policy
and procedure to make it suitable for a retail store, and write brief policy statements on
the three areas you have identified as missing.
Then update the existing WHS policy and procedure with policy statements you have
developed. You must ensure the wording suits the style of the existing policy and
procedure.
3. Identify duty holders and define WHS responsibilities for all workplace personnel in the
work area according to WHS legislation.
Then, update the WHS policy and procedure with this information. You must ensure the
wording suits the style of the existing policy and procedure.
4. Based on your research, develop an outline of a WHS Management System for the
Melbourne City store of The Lollipop Shop, which Includes:
All sources you access and used for the purpose of developing this WHS system must
be listed and referenced in a references section at the end of the document. For
example, if you have accessed a website, you must provide the URL.
You may visit the following websites for information:
WorkSafe Victoria website at www.worksafe.vic.gov.au
Comcare website, at https://www.comcare.gov.au/roles)
Examples of WHSMS:
o https://www.comcare.gov.au/about/forms-
publications/documents/publications/safety/work-health-and-safety-management-
plan-template.pdf
o http://www.consortio.com.au/wp-content/uploads/2016/05/WHSMS.pdf
5. As the Store Manager of the Melbourne City Store, identify resources required to implement
the WHSMS for your team, by preparing a list of resources required, as follows:
human resources – people who will be involved
physical resources – venue and equipment hire costs
financial resources – training costs, cost of human resources – such as wages and
lost productivity costs.
The General Manager has allocated two hours of training hours per employee, per
store, once in each quarter, for the new WHSMS. This means there will be two training
sessions in six months.
You must refer to the information on staff numbers per store and costs associated with
training given in the scenario.
6. Prepare a covering email to all the General Manager, providing a brief summary of:
the WHSMS
the changes you have made to the WHS policy
the estimated costs required as part of the implementation.
You should request the General Manager for their feedback and approval for the
WHSMS as well as the proposed training costs.
You should attach the outline of the revised WHS Policy and Procedure, outline of
WHSMS and the Estimated costs to the email and send it to the CEO (your assessor) on
an email address specified by your assessor.
Your email should be written using appropriate vocabulary, grammatical structure and
conventions.
Submission requirements
At the end of this task, you must submit the following, by email, to your assessor:
Revised WHS policy and procedure (with the additional information and information
about WHS duty holders and their responsibilities)
Outline of the WHSMS
List of resources and estimated costs for implementing the WHSMS for the store
Covering email to the General Manager
KEY ELEMENTS
Missing area
SAFETY PROCEDURES RELATING TO VISTORS AND CONTRACTORS
the safety procedure is a step-by-step method of how to conduct the job procedure. This is
uded in situations where a departure from the procedure can lead to injury or accident.
Investigating through suitable instruments the vialbility of the security measure taken.
PCBUs
A PSBU has the essential obligation of care to guarantee the wellbeing and security of
laborers while they are working in the business or undertaking.
A PSBU is additionally accountable for guaranteeing work carried out does not carry hazard
Version: Gen Institute Pty Ltd Page 48 of
Assessment |
to the wellbeing and security of other. That includes:
Officers
Where a PCBU incorporate a wellbeing and security obligation, an officer of the
PCBU is required to work ‘due diligence’ to guarantee the PCBU meets that
workplace duty;
The following steps explains the due diligence:
To pickup and overhaul information of WHS matters
To get it the nature of the business/undertakings operations and the
common risks and dangers included.
To guarantee the PCBU has suitable assets for eliminating/minimizing
dangers, which these assets are really used.
To guarantee the PCBU actualize forms of complying with their
obligations such as; consultation
Providing preparing and instruction and reporting of notifiable
occurrences.
Workers
Take sensible care to guarantee acts or exclusions don’t unfavorably influence the wellbeing
and security of others
Comply with sensible enlightening from the PCBU to help them in complying with the WHS
Act and cooperate with policies and methods relating to wellbeing and security that the
specialists have been informed of.
Customers/visitors
Take sensible care for personal and other wellbeing and safety
Report all security related occurrences to company staff
Ensure the satisfactory control over the children
Not enter any confined range without authorization or escort
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Research and identify key elements that the WHS policy must include Yes No
Identify three areas that are missing and need to be added to the
existing WHS policy and procedure to make it suitable for a retail store
Yes No
Research and identify WHS duty holders and their duties and
responsibilities in the work area
Yes No
Update the existing WHS policy to include the policy statements on the
three areas researched as well as the information on duty holders and Yes No
their responsibilities
Prepare an outline of a WHSMS for the organisation’s needs, which
includes
relevant legislations and codes applicable to the organisation
a summary of the policies you have identified as reflecting the
organisation’s commitment to complying with the WHS laws
management commitment, responsibilities and accountability of
duty holders
consultative arrangements for WHS
summary or an overarching approach to following procedures that
will be added to the WHSMS Manual as they are developed and
published on the Intranet site: Yes No
o Hazard identification and risk control
o WHS communication and consultation practices
o Safe Work Practices
o Emergency Management
o Manual handling
o Incident reporting
o Consultation with employees
o Information, instruction and supervision
o Worker/staff training
o Record management
Identify the human, physical and financial resources that may be
required for WHSMS implementation
Yes No
Identify research sources used, in a references section Yes No
Assessor Name:
You are to organise and conduct a 15 minute brainstorming session to get ideas from the store
staff to set up and maintain consultation requirements for a WHS management system for the
store.
The purpose of the brain storming activity is to consult team members to establish
participation arrangements for managing the WHS for your work area.
You must read the scenario above and prepare for the following activities.
In groups of 5-6, you and your classmates must take turns in leading a brainstorming session.
Each student’s session should not be longer than 10 minutes, during which the student will
lead the discussions and document the team’s ideas for establishing a consultative WHSMS.
your assessor will organise a time and place for the brainstorming activity and divide
the class into groups of 5-6 for the purpose of this assessment activity
each student in the small group will take turns to play the Store Manager and get 10
minutes to lead the discussion during the activity, with all other group members playing the
roles of sales assistants in the sales team
your assessor will assess each individual student’s performance in a separate Role Play
Observation checklist.
When it is your turn to play the role of Store Manager and lead the brainstorming session, you
must:
welcome the group and introduce the purpose of the brainstorming session
introduce the topic and discuss the purpose of the meeting
provide a brief overview of WHS legislative requirements – why it’s important for the
work area to have a consultative arrangement for a WHS Management System and
what is required of the business according to WHS legislation
seek input from the team about what they think are the WHS specific needs of the store
work with the team to identify and resolve any ONE of the following issues raised
through participation and consultation arrangements, such as:
o gaps in the health and safety processes and the type of training required to close the
gaps including details such as timing, type and frequency of training
o lack of facilities for employees – work stations, rest area, storage, hand wash, etc.
o issues with work environment that the management has not addressed
o arrangements for WHS consultations within the team and externally
o issues with machinery, equipment or materials
o incidents or accidents which have occurred and measures to control
discuss and finalise details such as who is to take further action and by when (your
team doesn’t need find solutions, but must make arrangements to take the matter up
further and decide those details, such as action on, to be done by date, etc.)
make notes on the feedback and input provided, and include details of who you
consulted with, the date and time of consultation.
You will be provided with flipcharts, butcher’s paper, markers, etc. for the brainstorming
activity
If the assessment is to be conducted online, you will need to ensure access to:
a computer that has Internet access
online video conferencing software such as Zoom or Skype
note pad and pen
Your assessor will advise you of the date, time and location for the meeting.
Your assessor will observe your performance as Store Manager, leading the brainstorming, and
assess you using the Role Play Observation Checklist for this task.
Submission requirements
At the end of this part, you must submit a Role Play Observation Checklist completed
by your assessor, and signed by you and your assessor.
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Date of observation
Comments
Did the student demonstrated Check (X)
(How did the student demonstrate this?)
the following actions and
behaviours during the Y N
brainstorming session:
Formally welcome the group
Introduce topic to be discussed in
the session
Provide a brief overview of
WHS legislative requirements
Establish the expectations of staff in
relation to their participation in the
brainstorming activity
Work with the team to identify and
negotiate agreeable outcomes to
resolve issues raised through
participation and consultation
arrangements, such as: (Any ONE
issue)
gaps in the health and safety
processes and the type of
training required to close the
gaps
lack of facilities for employees –
work stations, rest area, storage,
hand wash, etc.
issues with work environment
that the management has not
addressed
arrangements for WHS
consultations within the team
and externally
issues with machinery, equipment
or materials
incidents or accidents which have
occurred and measures to control
You will now be required to report the outcomes of the consultation with your team to the
General Manager of the company (your assessor).
2. Send an email to the General Manager (your assessor) attaching the completed Record
of WHS Consultation.
The purpose of the email is to provide information about the WHS consultation and
participation outcomes to the General Manager and asking for their feedback and
approval for the arrangements.
Your email should be written using appropriate vocabulary, grammatical structure
and conventions.
Submission requirements
At the end of this task, you must send an email to the General Manager (assessor) with the
Record of WHS Consultation attached.
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Assessor Name:
Unit of Competency
BSBWHS521 – Ensure a safe workplace for a work area
Code and Title:
Feedback to student:
Attempt 1:
Attempt 2:
Assessor Name:
This is the third of the four assessment tasks you must complete satisfactorily to be deemed
competent in this unit.
This assessment is made up of two (2) tasks.
o Part A – Develop procedures for effectively identifying hazards, and assessing and
controlling risks in work area
o Part B – Identify hazards and assess workplace change due to pandemic
Read the scenarios given and complete the tasks that follow.
You must attempt all criteria to the required standard (e.g. fulfil assessment criteria
mentioned in the performance checklist) to be deemed satisfactory in this task.
You must complete this task by following all given instructions, for the trainer/assessor
to assess competency in this assessment task.
Clearly label your work with name, unit code and unit title to all the documents and
sheets that are attached to your submission.
Review other resources, related to the task you are going to perform.
Seek clarification regarding the assessment required to be done, if you do not
understand the task.
Ask for reasonable time from Assessor for preparation of Assessment.
Seek information on additional reading material and reference for completion of the
assessments.
Submit this document along with your assessment work.
Applicable conditions
You will need to complete this project in your own time and submit it as per the Gen’s
requirements.
You must complete the task independently.
You can refer to the textbook, learning materials or your research of external resources
in completing this task.
The Trainer/Assessor may ask you relevant questions on this assessment task to ensure
that this is your own work, or to confirm your knowledge to close any gaps they may
identify as not evidenced in your written responses.
Trainer /Assessor will assess your practical skills, technique and knowledge as you complete
this assessment task.
All criteria listed in the performance checklists guide must be completed satisfactorily to the
standard described.
No marks or grades are allocated for this assessment task. The outcome of the task will
be Satisfactory or Not satisfactory.
You must express all answers/responses in your own words or acknowledge the sources
of reference materials used.
If you are found to have plagiarised or copied another student’s work, your assessment
submission will not be accepted (please refer to the Gen Plagiarism Policy).
You will need the following materials/ resources for this task:
Part A: Develop procedures for effectively identifying hazards, and assessing and
controlling risks in work area
The General Manager has approved the outline of the WHSMS and recommendations for
the amendments to the WHS policy as well as the training costs that you had submitted.
Now you have been asked to prepare some of the key procedures to support the WHS
management system you have proposed.
You may source the procedures from the internet and adapt them to meet The Lollipop
Shop’s needs.
All sources you access and used for the purpose of developing the procedures must be
listed and referenced in a references section at the end of the document. For example, if
you have accessed a website, you must provide the URL.
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Assessor Name:
Scenario
The first cases in Australia were noted at the end of January 2020 and by March 2020, all
businesses have started implementing infection control, social distancing risk control
measures. All businesses have a duty to make ensure they continue to eliminate or reduce
risks and hazards at work, monitor the health of employees and monitor the conditions at
any workplace under their management and control.
Businesses therefore are required to undertake a risk assessment of their existing WHS systems to
prevent and contain infections to make sure the business is addressing COVID-19 risks.
The General Manager has asked all Store Managers to conduct a workplace risk
assessment for their own stores to identify inadequacies in existing risk controls and suggest
resources that should be provided to enable implementation of new measures.
You have been provided with an extract of the existing risk register for the Melbourne City
Store, which was completed in February 2020 at the beginning of the COVID 19 pandemic
spread in Australia.
With the situation COVID 19 situation changing and worsening continuously, businesses need
access with the latest information on the COVID-19 response, how this affects businesses,
how to keep their workplace safe and advice on how to plan for dealing with the current
situation and anticipate likely developments.
The General Manager has asked you to identify requirements and suitable sources for
expert WHS advice, and should this advice be required.
Task 1
You must conduct research on the internet and other available resources such as
newspapers, and assuming you are in March 2020, when the COVID 19 spread peaked
(worsened) in Australia, to conduct a risk assessment to:
o reassess the impact, the likelihood of occurrence and level of the two risks already
identified in the register in the current situation
o check whether the existing control measures are effective in the current situation,
o determine and propose at least two additional your store should take to control the
two risks
o determine what resources are required to implement the new control measures in
your store
o determine one source of expert advice, such as a consultant or a regulatory body
that could provide expert comments on the effectiveness of the controls you have
proposed
Prepare an action plan using the table below for the two additional control measures for
your store, for each risk originally identified in the risk register.
The new control measures you propose must be in accordance with the hierarchy of
controls, comprising elimination, substitution, isolation, engineering and administration and
PPE.
Task 2
When you complete the reassessment of the risks and identify the additional risk control
measures, you must send an email to the General Manager giving them a brief summary
of the action plan for implementing the revised controls and request them to approve the
additional resources required for Implementing the controls.
You must also mention at least one source of expert advice that could be used if further
advice is needed to confirm the actions to implement the controls.
Prepare a covering email to all the General Manager, providing:
o advice on the inadequacies in the existing risk controls according to the hierarchy of
control measures and WHS legislative requirements
o a brief summary of the action plan you have prepared for implementing the proposed
new controls you have attached, and
o the sources for seeking guidance about the effectiveness of the control measures
from the identified expert source.
You should request the General Manager for their feedback and approval to go ahead
with the consultation and the implementation of the control measures.
You must also request the General Manager to make the identified resources available
at the earliest to control the risks.
You must attach the table to the email and send it to the CEO (your assessor) on an
email address specified by your assessor.
Your email should be written using appropriate vocabulary, grammatical structure and
conventions
Task 3
You must assume that in response to your email, the General Manager has provisionally
approved the control measures and the resources required to implement the measures,
subject to the advice of the WHS expert you have identified in your email. The
General Manager has asked you to contact the WHS specialist to conduct an audit of your
store and approve the action plan.
briefly introduces your company / store and the action plan you have prepared, and
request the specialist to organise the audit of the store and review the plan for effectiveness
of the control measures.
Your email should be written using appropriate vocabulary, grammatical structure and
conventions
Submission requirements
At the end of Task 1, Task 2 and Task 3, you must submit the following, by email, to your
assessor:
Outline of the action plan and sources of expert advice
Covering email to General Manager
Email to WHS consultant
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Assessor Name:
Unit of Competency
BSBWHS521 – Ensure a safe workplace for a work area
Code and Title:
Feedback to student:
Attempt 1:
Attempt 2:
Assessor Name:
This is the four of the four assessment tasks you must complete satisfactorily to be deemed
competent in this unit
This assessment is made up of four (4) tasks.
o Part A – Develop a WHS induction and training program and session plan for all workers
o Part B – Use and maintain a system for WHS recordkeeping and incident reporting
o Part C – Evaluate the WHSMS to align with organisational WHS objectives
o Part D – Develop a continuous improvement plan for the implemented WHSMS
Read the scenarios given and complete the tasks that follow.
You must attempt all criteria to the required standard (e.g. fulfil assessment criteria
mentioned in the performance checklist) to be deemed satisfactory in this task.
You must complete this task by following all given instructions, for the trainer/assessor
to assess competency in this assessment task.
Clearly label your work with name, unit code and unit title to all the documents and
sheets that are attached to your submission.
Review other resources, related to the task you are going to perform.
Seek clarification regarding the assessment required to be done, if you do not
understand the task.
Ask for reasonable time from Assessor for preparation of Assessment.
Seek information on additional reading material and reference for completion of the
assessments.
Submit this document along with your assessment work.
Applicable conditions
You will need to complete this project in your own time and submit it as per the Gen’s
requirements.
You must complete the task independently.
You can refer to the textbook, learning materials or your research of external resources
in completing this task.
The Trainer/Assessor may ask you relevant questions on this assessment task to ensure
that this is your own work, or to confirm your knowledge to close any gaps they may
identify as not evidenced in your written responses.
The Trainer /Assessor will assess your practical skills, technique and knowledge as you
complete this assessment task.
All criteria listed in the performance checklists guide must be completed satisfactorily to the
standard described.
No marks or grades are allocated for this assessment task. The outcome of the task will
be Competent or Not competent.
You must express all answers/responses in your own words or acknowledge the sources
of reference materials used.
If you are found to have plagiarised or copied another student’s work, your assessment
submission will not be accepted (please refer to the Gen’s Plagiarism Policy).
You will need the following materials/ resources for this task:
Part A: Develop a WHS induction and training program and session plan for all workers
Scenario
The WHS Consultant has approved your COVID 19 risk action plan and the General Manager
has ensured all the required resources are provided.
The General Manager has asked you to prepare a WHS induction and training session plan
that is to be used to train all staff on implementing the new control measures to maintain
workplace health and safety during the COVID 19 pandemic.
Task 1
You are required to:
create a training/induction session plan, using the template provided in Appendix C,
which includes:
o objectives of the session
o topics you will cover must include:
Introduction to COVID 19 safety risks
Employer obligations for health and safety
Employee obligations for health and safety
Information about measures to be implemented to maintain workplace health and
safety
What everyone can do to maintain their personal health and safety during COVID 19
o List of training aids/resources (any two)
plan be for a 20-minute session.
use suitable level of technical vocabulary to suit audience.
Task 2
You are then to assume that you have successfully completed the induction to the sales team
in your store.
You are now required to refer to the scenario and the Induction/training session plan you
have created and record the details of the training/induction you have conducted, using
the WHS Training Record template provided in Appendix D.
Submission requirements
At the end of Tasks 1 and 2, you must submit the following to your assessor:
Completed Training/ Induction Session Plan
Completed WHS Training Record
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Assessor Name:
Part B: Use and maintain a system for WHS recordkeeping and incident reporting
Scenario
It is now one month since the specific health and safety measures for COVID 19
were implemented at The Lollipop Shop.
On 25th April, Tom Alter, one of the sales assistants in your team reported OHS/WHS
issues related to hand hygiene. Tom said he had been having issues with the use of hand
sanitiser and latex gloves as part of the PPE control measures implemented for the previous
one week.
He had not had to use hand sanitiser regularly before, and the sudden and persistent of
hand sanitiser with a high alcohol content, caused him to have hand dry skin and has left them
with hard and painfully chapped hands.
Tom added, that since he was having issues with using hand sanitisers, he started wearing the
latex gloves purchased in bulk by the store. Unfortunately, persistent use of the gloves also
has given him allergic reactions, such as:
dermatitis on hands, with itchy skin and crusty skin lesions
hay fever symptoms, such as running nose and itchy eyes, sneezing or coughing, wheezing
and breathing difficulties.
When you offered to arrange medical treatment for Tom, he indicated that he had already
consulted his GP and he had been advised to take anti-allergy medication and some
topical dermal cream.
You have asked him to take medical leave until his GP gives him a clearance to resume work.
Following this report, you conducted an urgent meeting to consult with the team and the HSR,
and the team shared the following concerns:
Alcohol is a skin irritant and dries out skin, especially sensitive, damaged or fragile skin.
It could cause conditions such as eczema, which causes itching, dryness and sensitivity.
There are concerns that the hand sanitisers could lead to users developing resistance to
antibiotics.
Some sanitisers contain triclosan, a compound that could potentially harm the immune
system, which protects your body against disease, or cause hormone problems.
Latex allergy is quite serious and if one person has developed this, other staff may soon
develop allergies.
Task 1
Read the scenario above and complete the Register of Injuries form (Appendix E) with
details of the issue.
Task 2
Task 3
Submission requirements
At the end of Tasks 1, 2 and 3, you must submit the following to your assessor:
Completed Register of Injuries form
Draft of email to CEO
Draft of email to Tom Alter
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Complete the Register of Injuries form with details of the issue Yes No
Prepare a covering email to the CEO of the company giving them a
brief summary of the issue and resolutions proposed and implemented, Yes No
and asking for acknowledgement of receipt
Prepare a draft email to be sent to the injured worker confirming receipt
of notification, asking for acknowledgement and advising them on how Yes No
to make a WorkSafe Claim
Use appropriate vocabulary, grammatical structure and conventions Yes No
Feedback to student:
Assessor Name:
Part C: Evaluate the WHSMS to ensure aligned with organisational WHS objectives
Scenario
It is now a year since you implemented the WHSMS at your store, and time to evaluate the
WHSMS, according to the schedule.
2. Safety Planning
a. The “top 5” WHS hazards or hazardous tasks in all operational areas for each store
are identified and recorded
b. The “top 5” are assessed and prioritised using a risk matrix and suitable risk controls
are planned to eliminate or reduce risks
c. Resources are allocated to address the priority WHS issues
d. WHS actions are assigned to individuals at each store and reasonable timeframes set
for completion
e. Progress towards the achievement of planned activities is regularly reported to senior
managers
4. Risk management
a. Risk management steps are applied to identify and assess hazards and hazardous
tasks specific to each store
6. Emergency management
a. Emergency wardens and first aid officers are appointed for each store
b. Workers are provided with training and opportunities to practice emergency
procedures
c. Details of local emergency warden, first aid officers, etc. are communicated to the
working group
d. Workers are regularly reminded to review the Emergency planning guidelines at least
annually
e. Emergency evacuation exercises are conducted at least annually
Extract of Staff climate survey results for the Melbourne City Store
A store alarm system has been set up. However, the management has not yet
approved setting up surveillance cameras in different parts of the store. We worry
about the safety and security of the customers and employees.
Version: Gen Institute Pty Ltd Page 84 of
Assessment |
The promised annual first aid training or refresher training to all staff has not been
provided.
There was one WHS induction specific for the COVID 19 measures, however, there
hasn’t been an assessment of the training needs of workers for general WHS Training/
refresher training.
Safe work procedures (SWP) have not been documented for some ‘High’ risk and
‘Very High’ risk activities.
Staff Intranet is still being developed, therefore we cannot access key policies easily.
Not all staff have knowledge of procedures for reporting injuries and illnesses.
Although we use contractors, there are no management standards set for, and no
formal procedures in place for the management of contractors for compliance with
WHS Policy
The WHS policy was developed in consultation with staff and defines objectives
and responsibilities.
It was revised last year to include
o definitions of duty holders under WHS legislation
o procedures for Safe work practices, Hazard inspections, Manual handling,
Incident reporting
o details of the consultative process.
There is a document and version control system for all WHS documents.
WHS record keeping policy and procedure is in place
The HSR from each store is invited to staff meetings related to WHS.
WHS Training
Supervisors are supposed to review the training needs of workers and assign other relevant
WHS Training, but this is not consistently done, and some planned training programs
have not been conducted
WHS Induction and training session held on introduction of COVID 19 risk management.
Induction records are kept.
Fatigue management policy is under development, so staff have not been provided with
fatigue management training.
Contractor Management
There is no formal Contractor Management policy and procedure in place, although the
company uses contractors.
Hazard identification
There are systematic procedures and templates for hazard identification and notification.
Task
The General Manager has advised you to evaluate the WHSMS performance using the
template below to assess if the performance of the organisation’s WHSMS is in alignment with
management standards or objectives.
You must select any four standards set by the organisation, and examine if these have
been met by reviewing the information given to you.
Your report should be written using appropriate vocabulary, correct grammar and should
be in a report format with an introduction, body, conclusion and recommendations section.
Submission requirements
At the end of this part, you must submit your report to your assessor.
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Assessor Name:
Scenario
The General Manager has reviewed your evaluation report and suggested improvement
measures and approved them for implementation.
Now you have been asked to develop a WHS Improvement Action Plan using the template
given in Appendix F for the implementation of any four of your recommendations.
You should include actions, resources, and responsibilities as well as review reporting and
completion timelines.
Submission requirements
At the end of this part, submit your WHS Improvement Action Plan to your assessor.
Unit code and title BSBWHS521 – Ensure a safe workplace for a work area
Assessor Name:
Unit of
BSBWHS521 – Ensure a safe workplace for a work area
Competency Code
and Title:
Feedback to student:
Attempt 1:
Attempt 2:
Assessor Name:
Appendices
15/10/2021
Date
13:30
Time
Employer Saroj
representative name
Names of attendees
Health and safety representatives (HSRs)
Members present at Health and safety committee(HSC)
the meeting
Ensure all frequently Identify high use areas, As soon as possible Disinfectant wipes/
touched areas and create a roster for sanitiser sprays and
surfaces remain clean cleaning these areas paper disposable
at all times are cleaned several towels
times a
day
Regular temperature Keeping a worker at the Before entering into the Digital thermometer
check for everyone entrance to check shop
everyone’s temperature
Create workforce bubble Keep groups of workers As soon as possible Maintaining no overlap
roastered on the same
shifts at a single
worksite and ensure
there is no overlap of
workers during shift
changes
Training session Conduct training session First week of every Chairs, notepads, pen,
once in a month for safe month projectors, manuals
work pratices
Ensure to wear PPE Provide PPE As soon as possible PPE, sanitizers, sprays,
before duty hours soap, disposable to wet
Inspect the working area Surprise inspection As implement WHSM Risk register checklist
and check performance during duty hours to policies and procedure
check the performance
of employees
WHS Training Topic – workplace health and safety during the COVID 19 pandemic
Employee obligations for Ensure their own safety by following all the precautions
health and safety Reporting to the store manager in case off sickness or if you notice
any off your colleagues being sick but hesitant to report.
How to maintain personal Wear face mask and gloves at all times
health and safety Use a sanitizer before and after touching store surfaces
Maintain distance
Avoid being in crowd places
Avoid touching your face
Local WHS experts
Training Aids/ WHS practice manual for COVID-19 containment
Handouts: WHS policy and procedures
Trainer or store manager guidance
Date: 20/10/2021
Describe how the injury/illness was sustained- little water on floor .and slip
Section 3: Witnesses
Were there any witnesses to the injury/illness? (If applicable) Yes No N/A (Please tick)
If yes, please list the witnesses’ full names as well as a contact number for each.
Sam other sale person ..4305689
Section 4: Follow up
Was the injury reported to the worker’s supervisor? Yes No (Please tick)
Was any treatment provided? Yes No (Please tick)
If yes, please provide details.
First aid
Did the injured worker return to work following the injury? Yes No (Please tick)
If yes, please provide details.
S.k 10/11/21
Signature: Date:
If you are not the injured worker, did you witness the injury/illness? Yes No (Please tick)
paul 10/11/21
Signature: Date:
Employers must keep a Register of Injuries at each workplace for employees to record any workplace
injury or illness.
An injured worker (or someone acting on their behalf) must notify the employer in writing of any
work- related injury or illness within 30 days of becoming aware of the injury or illness.
Employers must provide written confirmation to the injured worker that they received notification of
the injury or illness.
Employers should provide a signed and dated copy of this entry to the injured worker.
To make a WorkSafe claim the injured worker must complete a Worker’s Injury Claim Form, available
from the Australia Post.