BSBWHS201 Assessment V8.3 0120 PDF

BSBWHS201 Contribute to health and safety
of self and others
ASSESSMENT COVER SHEET
Student ID Student Name
First Name:

Last Name:

Student’s Declaration:
Students please note: By submitting this assessment, you are acknowledging and agreeing to the following
conditions.
Please complete all assessment tasks, save, and upload in Moodle for grading. Please view the videos on submitting
work through Moodle in the FAQ section of your VET Orientation course. Check Moodle grades and feedback on your
submission. You will receive an email notification when your assessment has been graded.
Please check the boxes below acknowledging and agreeing to the following conditions.
 I have read and understood the details of the assessment.
I have been informed of the conditions of the assessment and the appeals process and
 understand I may appeal if I believe the assessment is not equitable, fair or just.
 I agree to participate in this assessment, and I am ready to be assessed.
I certify that the attached is my own work (or in collaboration with other members of the group
 as required).
I have acknowledged all sources where appropriate in accordance with ILSC’s Academic Integrity
 Policy, and I believe other group members have done the same.

Assessor’s Acknowledgement:
Please verify each of the following principles of assessment by placing a tick in each box. Refer to the assessor's
handbook for further information if required.

Authentic: The assessor is assured that the evidence presented for assessment is the learner’s
own work.
Valid: The assessor is assured that the learner has the skills, knowledge and attributes as
described in the module or unit of competency and associated assessment requirements.
Current: The assessor is assured that the assessment evidence demonstrates current
competency. This requires the assessment evidence to be from the present or the very recent
past.
Sufficient: The assessor is assured that the quality, quantity and relevance of the assessment
evidence enable a judgement to be made of a learner’s competency.

Greystone College Australia: BSBWHS201 Assessment Version 8.3 0120
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How to work through your assessment
Your assessment is designed to assess your performance of competency for the unit
BSBWHS201 Contribute to health and safety of self and others, Release 1. Your assessor will help
you fully understand assessment requirements for this unit.
The features of this assessment are detailed in the following table.
Feature of the
Explanation
assessment resource
Assessment information In your unit, you will gain the skills and knowledge to work in a
and scope healthy and safe way in the workplace, for you and others. You
will also learn how to respond to emergency incidents.
This unit provides students with a basic knowledge of WHS to
work in a defined context under direct supervision, or with some
individual responsibility, in a range of industry and workplace
contexts.
The key outcomes are:
 Work safely
 Implement work safety requirements
 Participate in WHS consultative processes
Assessment overview To demonstrate competency, you must successfully complete all
of the following assessment tasks:
 TASK 1 ‐ Online Moodle Quizzes
 TASK 2 – Knowledge Questions
 TASK 3 – Project Activities
 TASK 4 – Case studies
 TASK 5 – Role‐Play & Observation
Record of outcome As you progress through the assessment tasks, your assessor will
use the record of outcome to confirm your performance and
provide relevant advice and feedback.

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TASK 1 – Online Quizzes (complete in Moodle)
o Topic 1 Online Quiz
Task 2 – Knowledge Questions
Purpose You will demonstrate a sound knowledge of the unit requirements in your
responses.
Task To complete Task 2, answer ALL questions satisfactorily.
Instructions There is no word limit or time limit for completing the assessment. You
must complete all questions, without help from the assessor or others,
but you may refer to reference material, as needed.
Resources You may refer to your student book or other relevant publications when
required providing responses to questions.
Reasonable If you are unable to respond to the questions in writing, you may
adjustment negotiate an alternative approach, such as an interview, with your
assessor.
1. In your workplace, where would you find procedures and instructions on WHS?
2. List four (4) reasons why it is important to follow safety procedures and instructions when
you are working.
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3. What is the name of the Act for WHS in your state?
4. What does the term ‘housekeeping’ mean?
5. Using a housekeeping checklist, on a daily basis, reduces workplace hazards and reduces
risks. Explain.
6. Using the template below, create at least five (5) checklist items for your workplace (or any
workplace you choose, except an office).
Housekeeping checklist
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7. List two (2) reasons why it is a good idea to use a checklist when inspecting a workplace.
8. List four (4) types of jobs where you would need to use Personal Protective Equipment
(PPE). Provide examples of the PPE you would use for each job.
JOB EXAMPLES of PPE
9. What is ergonomics? Explain.
10. Why is it important to learn about ergonomics? List four (4) reasons.
11. List three (3) ways to improve the ergonomics of a workspace.
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12. It’s a good idea to change your working position throughout the day. List two (2) reasons
why.
13. What is the difference between a workplace hazard and a workplace risk? Explain.
14. List four (4) hazards you might find in your workplace. Explain why each is a hazard.
Hazard Why?

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15. Who is responsible for reporting hazards in the workplace?
16. You are at work and you see a puddle of water on the floor. What three (3) things should
you do?
17. Look at the Incident Report Form in Task 2, Activity 4. Who fills in Parts D and E of this
report?

Part D

Part E
18. Why is it important to follow workplace procedures during an emergency?

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19. A staff member slips on a wet floor and breaks her arm. What workplace procedure or steps
should you follow?
20. You nearly trip over some loose computer cables at work. Who should you speak to about
this safety problem?
21. A co‐worker lifts a box from a shelf and hurts their shoulder. They are not concerned and
decide not to report it. Provide two (2) reasons why the staff member should report the
incident.
22. In the workplace, everybody has a duty to maintain a safe work environment. There are four
(4) types of duty holders: PCBU, Officer, Worker and Other. In the table below, add the
correct duty holder beside their responsibility.

Duty Holder Responsibility
A senior executive who makes, or participates in making, decisions that affect
the whole, or a substantial part, of a business or undertaking. They have a

duty to be proactive and continuously ensure that the business or
undertaking complies with relevant duties and obligations.
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A person conducting a business or undertaking. It can include government
bodies, persons with management or control of a workplace/fixtures, fittings
and plant or designers, manufacturers, importers, suppliers
They have a duty to take reasonable care for their own health and safety.
They also have a duty to take reasonable care that their acts or omissions do
not adversely affect the health and safety of other persons.
Includes employees, contractors and volunteers. They must take reasonable
care for their own health and safety and take reasonable care that their
actions or omissions do not adversely affect the health and safety of others.
23. List three (3) ways you could contribute to workplace meetings, inspections and other WHS
consultative activities.
24. You have noticed that there needs to be a safety guard added to a new machine. What are
three (3) ways you could report this safety risk to your WHS representative?
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TASK 3 – Project Activities
Activity 1 – Workplace Inspections
Study the picture below, and answer the questions that follow.
a. In the picture above, identify three (3) hazards. Explain how you can fix them (an
example has been provided).
Hazard How can you fix it
Example: Drinking cup on the monitor stand Put liquids on a flat surface away from the
computer

b. Who would you report these hazards to?
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Activity 2 ‐ Manual lifting quiz
In the table below, read each question, if needed refer to the picture on the right, and
choose your answer from the options by checking the box beside it.
1. You are using a trolley to move a heavy load. Is this an example of manual handling?
No, because the trolley is carrying the load.
Only if the load slips off the trolley.
Yes, you are still manual handling the load.
Only if the trolley has a flat tyre.
2. You need to lift a heavy load. What must your employer do?
Make sure your supervisor is there to advise.
Do a risk assessment of the task.
Nothing, it is part of your job to lift loads.
Watch you while you lift the load.
3. You have to move a load while you are sitting, not standing. How much can you lift safely?
Less than usual.
The usual amount.
Twice the usual amount.
Three times the usual amount.

4. You need to move a load that is heavier on one side than the other. How should you pick
it up?
With the heavy side, towards you.
With the heavy side, away from you.
With the heavy side, on your strong arm.
With the heavy side, on your weak arm.
5. You need to lift a load from the floor. You should stand with your:
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Feet together, legs straight.
Feet together, knees bent.
Feet slightly apart, knees bent.
Feet wide apart, legs straight.
6. To lift a load safely, you need to think about:
Its size and condition.
Its weight.
Whether it has handholds.
All of the above answers.
7. You are using a trolley to move a heavy load. The trolley loses a wheel. You still have a
long way to go. What should you do?
Carry the load the rest of the way.
Ask someone to help you pull the trolley.
Drag the trolley on your own.
Find another way to move the load.
8. If you have to twist or turn your body when you lift and place a load, it means:
The weight you can lift safely is more than
usual.
Nothing, you can lift the same weight as
usual.
You must wear a back brace.
The weight you can lift safely is less than
usual.
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9. You must carry a load down a steep slope. What should you do?
Walk backwards down the slope to improve
your balance.
Carry the load on your shoulders.
Assess whether you can still carry the load
safely.
Run down the slope to finish quickly.
10. If you wear a back‐support belt:
You can lift any load without being injured.
You can safely lift a lot more than usual.
You could face the same risk of injury as not
wearing one.
It will crush your backbone and damage it.
Activity 3 – Emergency Signs
There is a fire at Greystone Imports Pty Ltd. Study the “Emergency Procedures” sign
below, and answer the questions that follow.
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a. You are the first to notice the fire. What does the Emergency Procedures sign above tell you
do?
b. If you see a fire, you should: (Check the correct box)
Let your supervisor decide what to do
Rush to the fire extinguishers and try to put it out
Call Emergency Services on 000
Call out to everyone to evacuate the building
c. An evacuation is underway. Should you take the lift down to the ground floor? Give two (2)
reasons for your answer.
d. It’s better to have an Emergency Assembly Area across the street rather than in the car park
in front of the building. Provide two (2) reasons why this is true.
e. What is the phone number for the emergency services in Australia?

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f. What does RACE stand for?
g. You are attending a meeting on Level 1. Use the Emergency Procedures sign below to
complete the following tasks:
i. Mark your closest emergency exit with an “A”
ii. Mark the Emergency Assembly Area with a “B”
iii. Mark the closest fire extinguisher with a “C”
iv. Mark the closest First Aid kit with a “D”

h. Why does the Emergency Procedures sign advise you to close doors and windows?
Page 15 of 25

Activity 4 – Incident Notification Form
You are a full‐time employee of the “The Clothing Outlet” in their Queen St store. The store is
located at 325 Queen St, Brisbane, 4000. The store’s telephone number is 07 1234 1234.
Petrov Slovak is the On‐Duty Supervisor. This morning at 10.15am, while you were sorting stock
in the storeroom, you tripped on a loose carpet tile. You fall and land heavily on your hands. No
one saw this happen and there no damage to stock. You don’t think you have broken anything,
but your wrist is swollen and very sore.
You report the incident to your supervisor who asks you to complete an Incident Notification
Form.
Complete Parts A, B and C of the Incident Notification Form below.
The Clothing Outlet

Incident Notification Form
Note: All incidents must be advised within 12 hours of the incident to ensure appropriate action is
initiated
Part A ‐ Incident details

This incident resulted in:
No Injury
Injury Near miss
Hazard identified
Property Damage
Date of incident: Time of incident: AM/ PM
Location where incident occurred:
Description of the incident: Please provide as much detail as possible, for instance: the events that led to the
incident; the work being undertaken when the incident happened.
Did the incident involve licensed work?(e.g. high risk work, electrical work)
Yes No
Were there witnesses? Contact phone
If so, name of witness/es: number:
The incident was reported to (supervisor): Date:

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Part B –Personal details
Family name: First name:
Work number Home number
Position/occupation Gender M F DOB
Employment status: Full time: Part‐time Casual Contractor Visitor
Department
Part C ‐ Injury/Damage Details
If an injury was sustained, what part of the body was affected or if damage to property occurred
what was damaged?

Employee signature: Date:
Part D ‐ Medical Treatment

If MEDICAL EXPENSES or LOST TIME is incurred, a “Workers Compensation Claim form” must be
completed and forwarded to the WHS Manager and Injury Management Services” as soon as
possible”.
Does the injured person intend to seek medical treatment? Yes No
Does the injured person intend to lodge a claim for worker’s
Yes No
compensation?
Has any time been lost from work? (More than 1 complete
Yes No
shift)
If so, has the injured person returned to work? Yes No
Have/will medical expenses been incurred? Yes No

Part E ‐ Office Use Only
If a medical certificate has been provided please email to:

Note: A copy of all 3 parts of this signed report is also to be scanned and emailed within 24 hours to
each of the following:
o Injured person
o WHS Officer
o Human Resources Manager
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Activity 5 – Identify Hazard Signs
The table below contains images of hazard signs you would find around your workplace. Look
at each sign, and explain what it means in the column next to it. The first one is an example.
Sign Meaning

e.g. No smoking in this area

1

2

3

4

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TASK 4 – Case studies
Purpose You will demonstrate your skills and knowledge by completing two
(2) Case Studies.
Case Study 1 You work as a cleaner for Absolute Cleaning Services. It’s 9pm and
Scenario you have arrived for work at Export Lawyers Pty Ltd, 29 Queen
Street, Brisbane, 4000. You find the cleaning equipment room in a
mess. The lids are off some of the chemical containers. The
vacuum cleaner is in a pool of liquid, and the plug is wet. You are
not sure what the liquid is, but it has a very strong smell.

Two other cleaners, Tom and Harry, are working on the same shift
and floor as you. The shift leader, Francis, is on a different floor.
Case Study 2 Jones Construction have expanded their business. They have
Scenario employed three new apprentices and a receptionist, Jenny.
During the first week, new staff are required to attend an induction
program. The program explains to them their role, how the company
operates, the different people and their roles, and organisational
policies and procedures.
Resources required  Evening Cleaning Services Incident Form
 Access to ‘Hazardous manual tasks code of practice’ at
http://www.safeworkaustralia.gov.au/sites/SWA
 Access to ‘Model work health and safety regulations’ at
http://www.safeworkaustralia.gov.au/sites/SWA
Reasonable If you are unable to undertake the Case Study assessment as
adjustment designed, please speak to your assessor.
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Case Study 1
Read the Case Study 1 Scenario above and complete questions 1 to 3.
1. Fill in the following Incident Notification Form explaining the WHS issues and what you did
to fix them.
Evening Cleaning Services

Incident Notification Form
Note: All incidents must be advised within 12 hours of the incident to ensure appropriate action is
initiated
Incident details
This incident resulted in:
No Injury
Injury Near miss
Hazard identified
Property Damage
Date of incident: Time of incident: AM/ PM
Location where incident occurred:
Description of the incident: Please provide as much detail as possible, for instance: the events that led to the
incident; the work being undertaken when the incident happened.
Action taken:
Did the incident involve an injury?
Yes No
Were there witnesses? Contact phone
If so, name of witness/es: number:
Incident was reported by: Incident reported to:

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2. How could Absolute Cleaning Services avoid this incident, and potential accident, in the
future?
3. Why is it a good idea to include one of the cleaning staff in a WHS consultative meeting?
Case Study 2
Read the Case Study 2 Scenario above and the situation below. Complete questions 1 to 6.

During the induction, Jenny, the new receptionist, asks the following question, “If I identify a risk
or hazard in my work area or if there is an emergency, who should I contact?”
1. Identify two (2) people that Jenny should contact about this hazard.
It’s been two weeks since Jenny and the apprentices completed their induction. Jenny’s
supervisor sits in a nearby office. Qualified tradesmen on the job sites supervise the
apprentices.
Jenny has been enjoying her role at Jones Construction. She is responsible for accepting
deliveries from couriers. She has noticed that the couriers leave boxes just inside the doorway
and on a number of occasions staff have nearly fallen over the boxes.
2. What is the potential hazard that Jenny has identified? Where should she record this hazard
and how can she communicate this to her supervisor?
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Jenny’s supervisor has spoken with the WHS representative. They have identified and
implemented a WHS procedure that resolves this hazard.
3. Provide an example of a WHS procedure that the supervisor and WHS representative may
have actioned.
One of the new apprentices comes into the office with a large cut to his arm. Jenny asks him
how it happened. The apprentice explains that a piece of guard broke off a circular saw as he
was using it.
4. Provide two (2) reasons why Jenny tells the apprentice to document and report this incident
to the company’s WHS representative.
Over the last few weeks, Jenny has identified several different work, health and safety issues.
Her supervisor suggests that she sends out a brief email explaining the roles and responsibilities
of the different duty holders in Jones Construction.
5. Provide a description of the roles and responsibilities of all duty holders at Jones
Construction.
Duty Holder Responsibility

Officer

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PCBU

Other

Workers

Jenny is working at her desk and sees smoke outside. She walks outside, notices that the smoke
is coming out of two buildings in the industrial estate and that the fire trucks have arrived.
6. Outline the steps Jenny should take to evacuate the building so that staff are safe.
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TASK 5 – Role Play & Observation
Purpose An assessor will observe and assess your performance. You will perform
a role‐play in a simulated workplace environment.
Role‐Play & You will perform this task with your trainer. The role‐play scenario is
Observation below. You will play the role of Mark, a worker. Your trainer will play the
Instructions role of a human resources manager who is assessing your knowledge of
WHS in a workplace role.
The role‐play will take 5 ‐ 10 minutes. You will need to perform the role‐
play during your tutorial time or any other appropriate time that you
negotiate with the trainer. Please book in a time with your trainer in
advance.
Your trainer will observe the role‐play and assess your skills and
knowledge according to the checklist below.
Please practice the role‐play and make sure you are covering the
required areas in the role‐play. Use the observation checklist as your
guide.
Resources The following materials are required for this observation to be
required undertaken:
 A workplace simulated environment
Reasonable If you are unable to undertake the observation with an assessor, you
adjustment may negotiate an alternative approach with your trainer.
Role‐play scenario
Mark is excited about his new landscaping job with the local council. His new job includes the
following tasks:
 chemical spraying of weeds
 cutting grass with a lawn mower, whipper snipper and a ride on mower
 planting shrubs, trees and flowers
 maintenance work to fences and other buildings in the landscaping area
While cutting the weeds with the whipper snipper, a rock flicks up and cuts Mark on the cheek.
It hit close to his eye, so he was very lucky he was wearing safety glasses.
Questioning
Your trainer will ask you some questions after the role‐play. You will answer verbally.
Here are some sample questions:
1. What equipment checks should Mark do before he starts work each day?
2. Mark is new to this type of role. He needs to know what type of personal protective
equipment (PPE) he must wear. Provide a least four (4) different types of PPE.
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3. How should Mark report this incident and injury?
Observation Checklist
Your trainer will be observing the following.
While you discussing WHS with the human resources manager, you will be required to:
 Identify the reason for performing a safety equipment check
 Identify types of WHS areas to be checked according to the specific role
 Identify types of (PPE) personal protective equipment
 Follow procedures to report an injury or incident
Page 25 of 25

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BSBWHS201 Contribute to health and safety

The Clothing Outlet

Part A ‐ Incident details

Date of incident: Time of incident: AM/ PM

Position/occupation Gender M F DOB

Employment status: Full time: Part‐time Casual Contractor Visitor

Part C ‐ Injury/Damage Details

Part D ‐ Medical Treatment

Have/will medical expenses been incurred? Yes No

Evening Cleaning Services

Date of incident: Time of incident: AM/ PM

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