Pond - SITXWHS001 - Assessment Tool

Assessment Tool
SITXWHS001
PARTICIPATE IN SAFE WORK PRACTICES
INSTRUCTIONS
 You are to answer all questions.
 Read each question carefully. Ensure you have provided all required information.
 On completion, submit your assessment to your assessor.
 Please complete all your details below
Name of Student
ID
Unit of competency SITXWHS001 Participate in safe work practices
Course Name
Name of Assessor
Date of Assessment
TASK 1– KNOWLEDGE QUESTIONS
SECTION 1: Work safely
Q1: As a worker or employee, you have duties and obligations under Work Health and Safety
(WHS) legislation. List three of these duties and responsibilities.
1. Take care of yourself and your health and safety issue also your co-workers.
2. You have to obey all the instructions that the owner will tell you.
3. You have to cooperate with all policies and procedures.
Result Satisfactory Not Satisfactory
Feedback
Q2: What are the duties and obligations of the employer or person conducting a business or
undertaking (PCBU)? List two.
1. Make sure that you know what to do and how to operate all the equipment’s and while
making sure that its clean.
2. To look after the health and safety of the visitors and customers on the workplace.
Feedback
Q3: What are two consequences to you or your employer/PCBU if you do not follow the
requirements of WHS legislation and organisational policies and procedures?
1. Business can be closed and you will lose your job.

2. You can kill, injured someone or make them sick.
Feedback
Q4: List four categories a business’s work health and safety policies and procedures could fall
under.
1. Hazards Identification and reporting

2. Handling of hazardous chemicals safely
3. Consultation processes
4. Emergency procedures
Feedback
Q5: How can you identify a workplace hazard? Describe two methods you can use.
1. Be observant and be aware of your surroundings.

2. Look and focus at your own duties and obligations and consider what could go wrong if
you don’t follow the right process of your work.
Feedback
Q6: List three techniques you can use to control or eliminate hazards.
1. Report all the hazards, issues or breaches of procedures.
2. Always follow the workplace’s health and safety procedures.
3. Use safe work practices.
Feedback
Q7: List four potential hazards in your workplace that you have identified. They can be new
hazards or existing ones.
 Incorrect handling and movement of stock, equipment or people.

 Ergonomic hazard
 Wet, slippery or greasy floors.
 Hot cooking equipment and oils.
Feedback
Q8: List four safe work practices you would follow on a regular basis if you worked as a cook
in a restaurant or hotel.
1. Use dry clothes to handle hot equipment or tools.

2. Wear safety shoes in kitchens, due to wet and greasy floors.
3. Use trolleys to move large items or quantities.
4. Handle, clean and store knives carefully and safely.
Feedback
Q9: List four safe work practices you would follow on a regular basis if you worked as a waiter or
bar attendant in a hotel or function centre.
1. Use a trolley to move stacks of chairs or tables.

2. Keep all cash and cash registers secure at all times.
3. Cleaning up and disposing a broken glass safely.
4. Use personal safety and security procedures when dealing with disruptive, abusive, or
intoxicated persons.
Feedback
Q10: List five safe work practices which are common across a range of industries and job roles.
1. Take short breaks away from stressful situations

2. Use safe manual handling techniques
3. Handle poisonous chemicals and dangerous materials safely
4. Handle sharp instruments and hot equipment carefully and safely
5. Use ergonomically sound furniture and workstations,
Feedback
Q11: List three items of personal protective clothing or equipment and briefly describe where or
when it might be used.
1. Protective clothing-used in kitchens and processing environment. It is must be used every
day while working.
2. Rubber gloves- this is used to protect your hands so they don’t come into contact with
harmful substances or situations.
3. Protective shoes- this is used depending on your job role the shoes must can protect your
feet from sharp objects that may fall and dangerous chemicals/liquids and a non-slip type.
And also can support your foot and ankle,
Feedback
Q12: List and briefly describe the steps you can follow to incorporate safe work practices into
your workplace activities?
1. Know your procedures – read and understand your work health and safety procedures
manual and equipment manuals.
2. Practice – always do the right thing to do and do it in a series of steps regularly
wherein it will make your work be more efficient and easy.
3. Follow the procedures- always keep in mind all the procedures and keep copies of it
nearby you so you can check it whenever you forgot something.
Feedback
Q13: Based on your duties and obligations under WHS legislation, list an example of a safety
direction that you should follow from your supervisor?
Ill follow and comply the safety directions because that’s my basic duty and obligations
under OHS and WHS as an employee,
Feedback
Q14: Describe the safety warning sign that signifies that a floor is slippery. What colour is it and
what picture and wording is on the signage?
When the floor is wet and slippery there will be a yellow signage with a written warning that
says “ CAUTION WET FLOOR”
Feedback
Q15: Provide four examples that highlight breaches of health, safety and security procedures?
1. Using broken or malfunctioning equipment.

2. Not repairing or replacing broken or malfunctioning equipment.
3. Poor manual handling practices
4. Failing to replace unsafe damaged property of fittings.
Feedback
Q16: List and briefly describe two methods of reporting breaches of health, safety and security
procedures.
1. I can report a minor breach VERBALLY to my supervisor. And if follow up is required or
an injury has resulted from incident, ill document it on an incident report.
2. Incident report this is for the more serious breaches. Some workplace requires all
breaches or incidents to be recorded, no matter how small or large.
Feedback
Q17: What information would be documented on an incident report?
In an incident report you should put the details what happened, when, who is involved, what
actions were taken at the time, and any consequences, such as injuries sustained. Most
workplaces will have a formal, standardised document for recording the details of breaches
or incidents.
Feedback
SECTION 2: FOLLOW PROCEDURES FOR EMERGENCY SITUATIONS
Q18: Provide an example of an emergency situation that could occur in your workplace?
Fire
Bomb threats
Robbery
or
armed
hold-ups
Accident
s or
illness
Emotionally upset or
irrational customers
Suspicious behaviour
Power failure
Natural disaster- flood, earthquake
Feedback
Q19: What should your response be if the emergency alarm goes off?
Relax don’t panic

Find the exit or evacuation
follow instructions
check your work area
keep yourself safe and others safe in dangerous situations
Feedback
Q20: What are the different sounds for emergency alarms and what do they mean?
Alert – this is the beep beep beep alarm. It alerts you to an emergency situation. Prepare
yourself and others for evacuation if it becomes necessary
Evacuation- this is the whoop, whoop, whoop alarm his means to evacuate the building
immediately
Feedback
SECTION 3: PARTICIPATE IN ORGANISATIONAL WHS PRACTICES
Q21: What different consultative processes can an organisation use?

A diary, whiteboard or suggestion box used by workers to report issues of concern
Discussions with and reports to formal work and safety representatives and committee
members Formal meetings with agendas, minutes and action plans
Informal meetings with notes
Work health and safety discussions with supervisors and managers during the course of
each business day Regular staff meetings or workshops to specifically address work health
and safety issues
Surveys or questionnaires that invite staff feedback on work and safety issues
Feedback
Q22: What health and safety topics should be covered in your workplace’s induction program?
The topics that are covered in my workplace induction program is about how to work safe
and clean and also how to follow emergency instructions carefully. And how to do first aid
Feedback
Q23: What procedures are in place in your workplace for safe work practice training?
Emergency drill procedures was thought and first aid procedures.

Feedback
Q24: List three ways you can participate in WHS consultation activities in your workplace.
1. Complete all work health and safety induction training sessions

2. Attend staff meetings where safety is often a regular agenda item
3. Become a member of the work health and safety committee.
Feedback
TASK 2– PROJECT
Learner assessment guide and evidence

This assessment requires you to:
Identify the safety and emergency procedures you follow in your workplace or training area.
Identify any safety issues caused by unsafe work practices or non-compliance with legislative
requirements or organisation procedures.
Identify and complete reporting procedures.
Demonstrate emergency procedures.
Participate in WHS consultation activities.
You are required to do the following.
Complete Task 1 – A workplace training area inspection.

Complete Task 2 – An emergency procedures demonstration.
Complete Task 3 – Participate in a WHS discussion.
Answer all questions for each of these activities.
Do not submit your work until you have completed all tasks.
Workplace training area inspection
Task 1: Safety checklist

Using the table provided, you are required to identify and briefly describe the safety and
emergency procedures you follow in your workplace or training environment.
Write your procedures into the ‘Procedures followed’ column. The topic/areas have been
provided but you can modify them to suit your workplace environment.
After conducting an inspection of your work or training area, identify any safety issues caused
by unsafe work practices or non-compliance with legislative requirements or organisation
procedures. Write this information into the ‘Issues identified’ column
Outline the steps you have followed to resolve or report the situation in the ‘Reporting or
resolution procedures’ column
To gather the information for this task, you may use some or all of these sources of information.
Refer to your workplace’s health and safety policies and procedures manual and emergency
procedures manual.
Consult with your health and safety representative, manager or supervisor.
Research relevant legislative requirements on government health and safety websites.
WORKPLACE OR TRAINING AREA INSPECTION CHECKLIST

Answers will vary according to workplace or training environment procedures. Sample answers
are provided.
Area / Topic Procedures followed Issues identified Reporting or resolution
procedures
For • Exits are clearly marked • Rear exit is blocked • Report the matter to your
example: throughout the workplace. with excess stock. supervisor.
Emergen • Exits are clear of obstructions. • Follow supervisor
cy exits • Emergency exits are instruction, and if
identified on emergency requested, remove
evacuation plan, which is the stock from the
displayed throughout the doorway.
workplace.
Handling of • Holding the • Chemicals was • Report the matter to
chemicals, poisons chemicals with not labelled
and dangerous the supervisor
safety gloves
substances
• Follow the
supervisors
instructions
• Making sure that the • Staff didn’t store the
chemicals chemicals
were labelled, put out on its
and must be away proper place
from the food and
preparation area
Manual • Lack of team work • Report the issue to
handling
the supervisor
procedures • Helping your co-
workers when the task
is too much for one
person like lifting,
pushing, and pulling
heavy equipment.
Use, maintenance • Proper way • Accidents due to • Follow the
and movement of of handling lack of knowledge manufacturer’s
plant and equipment the on how to assemble instructions on
equipment equipment. how to assemble
by reading and disassemble
the such equipment
manufacture
r’s
instructions
Waste disposal • Disposing the garbage • Garbage bins has • Report it to the
properly and making no labels and has
supervisor
sure to throw the the same color
recyclable and non-
recyclable materials
• Provide a new
trash bin that with
separately
label and has
different color so
that it would be
easy to identify,
and you will know
Version Apr 2019 | ASSESSMENT TOOL

©Wells International College 12
CRICOS PROVIDER CODE: 01856K RTO NO. 90501
Storage of stock • Follow and check the • Leaving the cold • Report it to the
and equipment temperature of the room open
manager or
storage room based
on its temperature • Equipment is not supervisor
requirement and its disassembled
classification properly • Make sure to
have a notice or
• Cleaning the • Lack of instructions
equipment properly time posted on the
before storing in a manage walls about the
cabinet ment proper storage
temperature and
proper way of
Working with hot • Make sure to keep • Leaving the • Remind
or sharp distance to those hot hot your co
equipment equipment but equipment worker on
checking it time by unattended how to
time handle a
• Running around knife while
• Use proper working the working area walking
safety uniform and while holding a
shoes knife facing • Report it to the
towards the others supervisor if the
• Make sure to point staff keep on
the edge of the sharp doing the wrong
knife on the ground thing inside the
while walking around working place
Area / Topic Procedures followed Issues identified Reporting or resolution
procedures
Daily housekeeping • Cleaning and • Co-workers are not • Report it to the

practices sanitising all the helping to clean the
supervisor
benches, utensils, working area. Most
small or large of them were busy
equipment and on their phone.
• Follow supervisors
working area. instructions.
• Lack of
• Teamwork communication
inside the working
place

Electrical equipment – • Checking it if it is still • Electrical equipment t
checking and able to work and not is broken such as o
maintenance broken based on the ovens and air-
manufacturer’s conditioning. t
instructions. h
e
• Don’t attempt to do
it if you’re not sure m
on what to do. a
n
a
g
e
r
Emergency procedures • Know all the • Door knob is broken • Report the matter to
safety exit or
the supervisor
the emergency • Not everyone has
exit keys or have the • Follow supervisors
access code of the instructions and if
• Make sure emergency door/exit
that everyone necessary call an
can access expert to fix
those whatever is broken
evacuation or not working in
exits the working area.
• Have key duplicate in

all emergency door
Question and answer

Answer all questions:
Q1: Fill in the table listing a health, safety and security risk in your workplace
Workplace hazard Example

Wrong storing of ingredients and poor food handling that
Health can cause cross-contamination that could give food
poisoning and illness to the customers.
Safety Lack of safety instructions and notice to the staff
Security Security camera is not on if something happen there will be
no evidence to show on the authority.
Q2: Briefly outline your workplace hazard identification procedures.
Briefly identify the possible hazards inside the

workplace Classification of hazard
Make a written report about it
And tell your supervisor or manager about the situation
Feedback
Q3: What information do you need to include on your hazard identification form?
You need to include what kind of potential hazard did you discovered. And When and where
it is.
Feedback
Q4: Why is it important to report all workplace hazards as they arise?
It is important to report all the workplace hazards to have a sudden solution to that problem
so that there will be no accident that will happen that can cause trouble to everyone inside
the workplace. It is a responsibility for all the workers to be observant and keep everyone
safe as much as possible.
Feedback
Q5: List three safe work practices that you complete in your job role.
1. Moping the floor when its wet to avoid accident

2. Checking hot equipment and making sure that it is turned off when not in use.
3. After the work I turned off all the electrical equipment to avoid electrical problem inside

the working area.
Feedback
Q6. List three safe work practices your manager completes in their job role.
1. Reminding everyone about the safety procedures

2. Checking the temperature of the food
3. Giving solutions to all the reports and issues inside the working area.
Feedback
Emergency procedures demonstration
Task 2
In consultation with your team leader/supervisor, manager and/or health and safety
representative, hold an emergency evacuation drill for your workplace or training area.
The drill should be conducted at a time that is approved by management and which
minimises disruption to customers.
You are to demonstrate a range of skills and knowledge during and after the drill.
Your assessor will use the following skills and knowledge checklist during your
demonstration.
Skills and knowledge Satisfactory Comments

Yes No
Can identify emergency alarms. She knows the two types of alarm. She knows if it’s a
✓ ☐ warning or an evacuating alarm.
Follows appropriate procedures She is relaxed and focus on what she needs to do and
for evacuation. ✓ ☐ where to go.

Completes any housekeeping she makes sure that all the cash and staff record were
procedures required during an ✓ ☐ packed and stored securely.
emergency situation (for example,
securing of cash or obtaining staff
records).
Accurately interprets signage including She has enough knowledge and understanding
evacuation procedures, emergency ✓ ☐ about all the emergency procedures and exits.
exits and firefighting equipment.
Identifies designated emergency She listens carefully on what the personnel

and evacuation personnel and ✓ instructs her to do.
☐
follows all instructions during the
evacuation procedure.
Identifies and reports any hazards She is very observant inside her workplace and knows
which may inhibit the smooth execution ✓ ☐ the potential hazards inside of it.
of evacuation procedures.
Question and answer

Q1: What were the positives and negatives of the emergency evacuation drill?
Positive – the emergency evacuation drill is important for you to know the steps and safety
procedure that you would do if there is a potential accident that will happen, and this will
make you more relaxed an d focused when that time will come because you have
knowledge about it.
Negative- some workers have trauma and can’t handle their emotions that makes them
panic while the drill is happening.
Feedback
Q2: Were staff knowledgeable of emergency procedures? Were they enthusiastic or

complacent?
Yes they are, they are very enthusiastic and relaxed while listening to the personnel that
gives instructions on how to evacuate safely.

Feedback
Q3: What follow-up action would you recommend after completing the emergency drill?
You should keep everything in mind and write a report about it.
Feedback
Q4: What assistance could your colleagues provide during emergency situations?
During emergency everyone is checking if everyone is already in a safety place. And

everyone is willing to help when someone needs help especially when someone is stocked
inside his working area.
Feedback
Q5: List three potential emergency incidents that could occur in your workplace.
1. Earthquake and flood

2. bomb threats
3. fire

Feedback
Q6: There has been an emergency incident in the kitchen. A small fire has damaged a
cupboard and a few cooking pots are destroyed.
 Locate and complete your organisation’s emergency incident report based on this
incident. Alternatively, create your own incident report. Once completed, submit the
incident report to your assessor.
A completed incident report must be uploaded to the Student Learning Management System
along with this assessment.
Feedback
Incident report form
Job: ___officer____Date of incident: __16_/__09__/__21_Time __1.30___/pm
1. What was the Incident/near miss?

There has been an emergency incident in the kitchen. A small fire has damaged a cupboard
and a few cooking pots are destroyed
2. Where there any injuries? (Note: Any injuries require an Accident Report Form)
In In the kitchen

3. Was there any damage to property or plant?
Aaa cupboard and cooking pots are destroyed

Incident report form
4. What caused the incident?

A A small fired
5. What actions will be taken to eliminate future repeats of the incident?

The officer ask her co-worker for get rid of the small fire
Report incident to the manager for the prevent in the future
6. Management comments
It would have been an evaluation on the situation and communication on the future plan
Signed off by management when corrective actions have been adopted and monitored.
Management signature___________________ Date of sign off_________________

Q7: In the incident of a small kitchen fire, which authorities would you contact for assistance?
If it’s just a small fire I will ask help with my co-workers to get rid of that small fire.
Feedback
WHS discussion
Task 3
With your manager, colleague or assessor discuss the following situation. You are the
kitchen hand and your manager, colleague or assessor is the WHS officer.
Discuss your concerns with the WHS officer and what response you would like them to take.
Discuss your concerns about your supervisor’s response and what appropriate response the
WHS officer should take.
Answer all questions.
You work as a kitchen hand in a large and busy café in a large hotel in the city centre. There
are 30 employees just working in the café alone.
You have noticed that one of the sandwich presses is sparking up every time it is switched
on in the morning. You have told your supervisor about it, but as he is really busy he doesn’t
have time to deal with it. You have heard other colleagues tell him about it and they get the
same response, ‘Yes, I’ll log a hazard form and get it sorted’.
It’s been two weeks now and it still hasn’t been dealt with. Each day it is turned on, the cord
is sparking up more and more. Some of the employees are refraining from using it altogether,
which is causing a hold up for the customers.
You have a discussion with the hotel manager about it, who is also the WHS officer.
You complete a hazard identification form and bring it to your meeting.
HAZARD IDENTIFICATION FORM

Hazard identified Electrical issue with sandwich press. It is sparking up
each time it is switched on.
This could cause injury or a fire.
Location on site In kitchen, second sandwich press from the left.
Risk Level High

Has this been reported to
Yes No
your supervisor?
Suggested response Remove sandwich press immediately and dispose of it.
Purchase a new sandwich press.
Question and answer

Q1: Summarise the main points of your meeting with the WHS officer.
Electrical issue about sandwich press When did it happen

How did it happen What time did it happen
And who is involved in that or who are the persons in that working area Procedures made
after seeing the problem
Giving suggestions on what to do after that incident
Feedback
Q2: What was the outcome of the meeting?

The outcome of the meeting is a success the officer authorized me to buy a new sandwich
press.
Feedback
Q3: What actions can be put in place to prevent an incident like this occurring again?
Always check all the electrical circuits and equipment.

Feedback
Q4: What actions will be taken in relation to the supervisor?

Getting rid of that potential hazard and if necessary to change it then buy a new one.
Feedback
Q5: What are the various ways you can suggest inclusions for WHS policies and
procedures?
I don’t have any more suggestions because the WHS policies and procedures for me is
already complete.
Feedback
ASSESSMENT MARKING GUIDE

(To be completed by Trainer/Assessor only)
Evidence gathered for the assessment tasks could be assessed against following checklist
(Marking Guide):
Did the student Yes No Assessor’s Comments
Consistently follows the organization’s health and safety

procedures.
Understands and applies the basic aspects of the

relevant OHS or WHS legislation for their specific
organisation
Understands ramifications of non-compliance with WHS

legislation or procedures.
Incorporates safe work practices into all their daily

activities
Follows all safety directions of supervisors, managers

and workplace safety warning signs.
Correctly uses personal protective equipment and

clothing when needed.
Identifies and promptly reports unsafe work practices,

hazards and breaches of health, safety and security
procedures.
Identifies and removes hazards from immediate

workplace area and report all workplace hazards as
they arise.
Recognises emergency and potential emergency

situations.
Follows organisation security and emergency
procedures.
Seeks assistance from colleagues and authorities, and
follows instructions in emergency situations.
Completes emergency incident reports accurately, using

organisation’s procedures.
Actively participates in work health and safety

management practices
Actively participates in the work health and safety

consultation processes.
Uses appropriate methods to report work health and

safety issues and concerns as they arise.
Uses appropriate organisational security procedures

when dealing with cash.
Participates in safe work practice training
Identifies workplace procedures for suggesting

inclusions to WHS policies and procedures.
Uses appropriate oral communication skills to report

hazards and emergency incidents according to

organisational procedures.
Uses appropriate reading skills to interpret workplace

safety signs, procedures and emergency evacuation
plans.
Uses appropriate writing skills to complete basic

template reports about hazards and emergency
incidents according to organisational procedures.
Participates in a staff meeting that involves a WHS

discussion.
Overall unit result

The student’s performance was judged
Not satisfactory Satisfactory
Overall Feedback:


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Assessment Tool

Unit of competency SITXWHS001 Participate in safe work practices

SECTION 1: Work safely

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

1. Business can be closed and you will lose your job.

1. Hazards Identification and reporting

Result Satisfactory Not Satisfactory

1. Be observant and be aware of your surroundings.

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

 Incorrect handling and movement of stock, equipment or people.

Result Satisfactory Not Satisfactory

1. Use dry clothes to handle hot equipment or tools.

Result Satisfactory Not Satisfactory

1. Use a trolley to move stacks of chairs or tables.

1. Take short breaks away from stressful situations

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

1. Using broken or malfunctioning equipment.

Result Satisfactory Not Satisfactory

Q17: What information would be documented on an incident report?

Result Satisfactory Not Satisfactory

SECTION 2: FOLLOW PROCEDURES FOR EMERGENCY SITUATIONS

Result Satisfactory Not Satisfactory

Relax don’t panic

Result Satisfactory Not Satisfactory

SECTION 3: PARTICIPATE IN ORGANISATIONAL WHS PRACTICES

Q21: What different consultative processes can an organisation use?

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

Emergency drill procedures was thought and first aid procedures.

1. Complete all work health and safety induction training sessions

Result Satisfactory Not Satisfactory

Learner assessment guide and evidence

You are required to do the following.

Complete Task 1 – A workplace training area inspection.

Task 1: Safety checklist

WORKPLACE OR TRAINING AREA INSPECTION CHECKLIST

Version Apr 2019 | ASSESSMENT TOOL

Daily housekeeping • Cleaning and • Co-workers are not • Report it to the

Version Apr 2019 | ASSESSMENT TOOL

• Have key duplicate in

Question and answer

Workplace hazard Example

Q2: Briefly outline your workplace hazard identification procedures.

Briefly identify the possible hazards inside the

Version Apr 2019 | ASSESSMENT TOOL

Result Satisfactory Not Satisfactory

Result Satisfactory Not Satisfactory

Q4: Why is it important to report all workplace hazards as they arise?

Result Satisfactory Not Satisfactory

1. Moping the floor when its wet to avoid accident

Version Apr 2019 | ASSESSMENT TOOL

Result Satisfactory Not Satisfactory

1. Reminding everyone about the safety procedures

Result Satisfactory Not Satisfactory

Emergency procedures demonstration

Skills and knowledge Satisfactory Comments

Version Apr 2019 | ASSESSMENT TOOL

Job: _officerDate of incident: 16_/09/__21_Time 1.30_/pm

Management signature___ Date of sign off_