Professional Documents
Culture Documents
Reasonable Adjustment
1. Has reasonable adjustment been applied to this assessment?
No No further information required
Yes Complete 2.
2. Provide details for the requirements and provisions for adjustment of assessment:
Student to complete
My assessor has discussed the adjustments with me
I agree to the adjustments applied to this assessment
Signature Date
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Signature Date
Assessment Guidelines
What will be assessed
The purpose of this assessment is to assess your ability to complete tasks outlined in elements and
performance criteria of this unit in the context of the job role, and:
implement and monitor adherence to workplace health and safety procedures in three of the following real or
simulated situations:
o evacuation of staff and customers
o security management of cash, documents, equipment, keys or people
o handling chemicals and hazardous substances
o hazard identification and reporting
o incident and accident reporting
o risk assessment and reporting
coordinate consultative processes for managing the above workplace health, safety and security issues
coordinate risk assessments, WHS training, and the maintenance of records relating to above situations
monitor the effectiveness of the WHS system and identify:
o required adjustments
o staff training needs
demonstrate management practices that must be implemented for compliance with state or territory occupational
health and safety (OHS) or WHS legislation during above situations.
Place/Location where assessment will be conducted
Resource Requirements
Refer to the Assessment conditions attached to the Mapping Document located in the teacher support tools
folder or the “Assessment Conditions” for this unit in the SIT 1.0 Training Package.
Part A requires you to plan for 3 situations of your choice as outlined below:
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1. You are required to select 3 situations as listed in the task description on the following pages.
2. Once your situations have been selected, you need to access the relevant codes of practice from the
Safework website or the website governing WHS relevant for your state.
3. After you have identified the specific requirements for each situation you will need to:
a. plan, develop and implement consultation processes with your staff/ colleagues;
b. conduct risk assessment for each;
c. apply the relevant risk control measures; and
d. implement each situation in instances as instructed by tour trainer.
4. During implementation of each situation you need to identify the effectiveness for each system, identify
any adjustments required and identify any further staff training needs.
5. For each situation you need to provide:
a) Clear reference to websites or sources including sections and pages where you located the
relevant legislation
b) An implementation plan that provides the steps and processes for planning consultation, risk
assessment and implementation for each situation
c) The actual records required to meet legislative requirements (for example consultation records
for staff consultation/ where incident reporting is selected the appropriate form(s)/ where
chemicals and hazardous substances are selected the relevant SDS, PPE register, training
register etc./ where security management of any kind is selected the relevant SOPs, emergency
procedures, staff training records/ where evacuation is selected, the floorplan(s), emergency
procedures, wardens, forms for reports as relevant etc.)
Part B requires you to implement and monitor the effectiveness of each situation to identify the need for
adjustment and any training requirements for staff to overcome any shortfalls or non-compliance that is
identified
6. The observation criteria below provide a guideline for generic key criteria.
7. Additional criteria will be added by your trainer as relevant for the specific situations
Statement of Authenticity
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
Student Signature: Lalaine faye E. Abella Date: 9 / 12 /2023
This assessment:
First Attempt 2nd Attempt 3nd Attempt Extension – Date: / /
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Feedback to Student:
Assessor(s)
Date: / /
Signature(s):
Student Signature Date: / /
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Assessment 2
Your Tasks
For the purpose of this assessment you need to provide for each situation listed below:
a) Clear references to websites or sources including sections and pages where you located the
relevant legislation
b) An implementation plan that provides the steps and processes for planning consultation, risk
assessment and implementation for each situation
c) The actual records required to meet legislative requirements (for example consultation records
for staff consultation/ where incident reporting is selected the appropriate form(s)/ where
chemicals and hazardous substances are selected the relevant SDS, PPE register, training
register etc./ where security management of any kind is selected the relevant SOPs, emergency
procedures, staff training records/ where evacuation is selected, the floorplan(s), emergency
procedures, wardens, forms for reports as relevant etc.)
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cash, documents, Implementation
equipment, keys or Monitoring of processes
people Identification of Training Needs
Evaluation
Recording of documentation
2. Once your situations have been selected, you need to access the relevant codes of practice from the
Safework website or the website governing WHS relevant for your state.
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3. After you have identified the specific requirements for each situation you will need to plan, develop and
implement consultation processes with your staff/ colleagues.
1. Instance
In addition to the priority issue of personal safety, actions and procedures need to be identified and
communicated that limit the effect of potential emergencies on property and structures.The emergency
procedures must include instructions related to the following as a minimum:
Fire
Total evacuation
Isolation of Hazard
Supervisor
Fire Brigade
Who are alternative emergency contacts:
What needs to be shut down to minimise potential adverse impact:
Under what circumstances
Who is responsible What procedures are there or need to be developed
Environmental issues and emergency procedures also need to be identified and communicated to limit the
effect of potential emergencies.Possible environmental issues may include:toxic fumes escaping into the
atmosphere and adversely affecting the surrounding community waterways being contaminated by toxic
substances or oil hazardous and toxic materials entering storm water drains
Who is involved:
Persons conducting a business or undertaking and all staff
Risk assessment including Hazard Analysis – what will need to be assessed
Conduct regular emergency evacuation drills to test procedures / programs and systems Ensure emergency
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contacts receive appropriate training for coordinating emergency response
Complete the risk assessment template marked “Situation 1 provided on moodle
2. Instance
Consultation Requirements:
The risk management process is an essential step in achieving workplace health and safety. The information in
this Code of Practice must be used when consulting with employees and/or other persons undertaking the CIT
work about decisions that afect their health, safety and welfare. Government and website.
Who is involved:
1.employers, employees, self-employed persons, contractors and subcontractors across NSW
2.users of CIT services
Risk assessment including Hazard Analysis – what will need to be assessed
Sign name and time before using all types of machines Use more than one person to check money. And also one
person for storing the main key, another person holding the spare key
Complete the risk assessment template marked “Situation 2 provided on moodle
3. Instance
Consultation Requirements:
There are literally thousands of hazardous chemicals used in the workplace - paints, pesticides, cleaners and
fuels, to name a few. They come in various forms - powders, solids, liquids and gases.
Who is involved:
Customer,chemical specialist ,all staff , manager and supervisor Supplier
Risk assessment including Hazard Analysis – what will need to be assessed
Maintain clear separation of storage of hazardous substances from
non-hazardous substances .
Ensure all hazardous substances are stored in a secure location .
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Do not store hazardous substances on a shelf above head heigh
chemical protection suit during the emergency.
Complete the risk assessment template marked “Situation 3 provided on moodle
Risk Assessment
The risk assessment includes the critical inclusions identified in
legislation for emergency procedures listed above
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Security hazards are identified as relevant
The list provided reflects consultation reflecting on the tasks
undertaken in the workplace and information provided by the
student
Any existing controls in place to reduce risks for hazards identified
are described clearly
The risk scores entered must reflect the details provided though
consultation with colleagues
The risk level and risk score is determined for each hazard
identified in the risk assessment and listed in the template on the
last page
The actions for each hazard identified are determined and listed
in the template for each hazard
The implementation requirements for actions determined for
each hazard are outlined
The implementation strategy reflects the priorities according to
level of risks identified
The implementation strategy reflects the steps outlined in the
hierarchy of controls
The risk assessment template is submitted complete
List additional criteria as relevant
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Planning WHS systems, consultation and risk assessment
Situation 2. : Security management of cash, documents, equipment, keys or people
Marking Criteria 1.Attempt 2.Attempt 3.Attempt
Legal requirements set out in legislation S NYS S NYS S NYS Comments
The correct code, legislation or factsheet is identified
The source where the information is accessed is provided
The legal requirements for the select type of security
management are identified: (for example Safety of workers in a
workplace or as relevant
Consultation
Details for the place and time for consultation are provided
Details of participants who participate in the consultation are
provided
The nature and details for consultation is provided in a clear
format
The consultation plan is clear and meets legal requirements
(information/contribution/actions/ outcomes)
Risk Assessment
The risk assessment includes the critical inclusions identified in
legislation for emergency procedures listed above
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last page
The actions for each hazard identified are determined and listed
in the template for each hazard
The implementation requirements for actions determined for
each hazard are outlined
The implementation strategy reflects the priorities according to
level of risks identified
The implementation strategy reflects the steps outlined in the
hierarchy of controls
The risk assessment template is submitted complete
List additional criteria as relevant
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Planning WHS systems, consultation and risk assessment
Situation 3. : Handling chemicals and hazardous substances
Marking Criteria 1.Attempt 2.Attempt 3.Attempt
Legal requirements set out in legislation S NYS S NYS S NYS Comments
The correct code, legislation or factsheet is identified
The source where the information is accessed is provided
The legal requirements for duties in relation to hazardous
chemicals are identified as relevant for the nature of the
organisation:
correct labelling of containers and pipework, using warning http://
placards and outer warning placards and displaying of safety www.safework.nsw.gov.au
signs /__data/assets/pdf_file/
maintaining a register and manifest (where relevant) of 0018/52155/managing-
hazardous chemicals and providing notification to the risks-hazardous-chemicals-
regulator of manifest quantities if required code-3837.pdf
identifying risk of physical or chemical reaction of hazardous
chemicals and ensuring the stability of hazardous chemicals
ensuring that exposure standards are not exceeded
provision of health monitoring to workers
provision of information, training, instruction and supervision
to workers
provision of spill containment system for hazardous chemicals
if necessary
obtaining the current Safety Data Sheet (SDS) from the
manufacturer, importer or supplier of the chemical
controlling ignition sources and accumulation of flammable
and combustible substances
provision and availability of fire protection, fire fighting
equipment and emergency and safety equipment
preparing an emergency plan if the quantity of a class of
hazardous chemical at a workplace exceeds the
manifest quantity for that hazardous chemical
stability and support of containers for bulk hazardous
chemicals including pipework and attachments
decommissioning of underground storage and handling
systems
notifying the regulator as soon as practicable of abandoned
tanks in certain circumstances
Consultation
Details for the place and time for consultation are provided
Details of participants who participate in the consultation are
provided
The nature and details for consultation is provide in a clear format
The consultation plan is clear and meets legal requirements
(information/contribution/actions/ outcomes)
Risk Assessment
The risk assessment includes the critical inclusions identified in
legislation for emergency procedures listed above
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The hazards or potential hazards are realistically identified for
each process/ procedure
The hazards identified include physical hazards relevant or
potential for each process/ procedure
The hazards identified include equipment hazards relevant or
potential for process/ procedure
Security hazards are identified as relevant
The list provided reflects consultation reflecting on the tasks
undertaken in the workplace and information provided by the
student
Any existing controls in place to reduce risks for hazards identified
are described clearly
The risk scores entered must reflect the details provided though
consultation with colleagues
The risk level and risk score is determined for each hazard
identified in the risk assessment and listed in the template on the
last page
The actions for each hazard identified are determined and listed
in the template for each hazard
The implementation requirements for actions determined for
each hazard are outlined
The implementation strategy reflects the priorities according to
level of risks identified
The implementation strategy reflects the steps outlined in the
hierarchy of controls
The risk assessment template is submitted complete
List additional criteria as relevant
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Part B – Implementing, monitoring and evaluating WHS systems
Your Tasks
You are required to implement each situation based on the work you have planned and completed in Part A.
1. Brief all relevant staff before implementation to provide a refresher of the procedures that were
finalised and determined during consultation and risk assessment
2. Monitor each situation and ensure that any breaches are identified promptly.
3. Use relevant templates or a log to document progress and incidents for each situation.
4. Take appropriate actions to prevent any potential incidents, accidents or other hazards where a safety
risk has been identified.
6. Write a report summary for each situation and clearly outline the requirements for changes for each
procedure based on the results in 4. and which type of training this will require as a result for each
situation.
9.
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Implementing, monitoring and evaluating WHS systems
Situation 1. : Evacuation of staff and customers
Marking Criteria 1.Attempt 2.Attempt 3.Attempt
Implementation S NYS S NYS S NYS Comments
Staff is briefed on evacuation procedures
Each role is clearly defined
All equipment is checked and prepared
All PPE is checked and available as identified
The evacuation procedure is trialled
Monitoring
Each process is monitored
Define steps monitored:
Evaluation
Breaches or issues are documented
Participants are de-briefed/feedback
A summary report is submitted
Each breach or shortfall is identified
Steps for rectification are summarised in report
Training requirements are identified in the report
The documentation/templates used for monitoring are attached
to this assessment
The final report is attached to this assessment
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Implementing, monitoring and evaluating WHS systems
Situation 2. : Security management of cash, documents, equipment, keys or people
Marking Criteria 1.Attempt 2.Attempt 3.Attempt
Implementation S NYS S NYS S NYS Comments
Staff is briefed on _________________ procedures
Each role is clearly defined
Define the steps required for implementation relevant for the
selected procedure
Monitoring
Each process is monitored
Define steps monitored:
Evaluation
Breaches or issues are documented
Participants are de-briefed/feedback
A summary report is submitted
Each breach or shortfall is identified
Steps for rectification are summarised in report
Training requirements are identified in the report
The documentation/templates used for monitoring are attached
to this assessment
The final report is attached to this assessment
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List additional criteria as relevant
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Implementing, monitoring and evaluating WHS systems
Situation 3. : Handling chemicals and hazardous substances
Marking Criteria 1.Attempt 2.Attempt 3.Attempt
Implementation and Monitoring S NYS S NYS S NYS Comments
Staff is briefed on handling chemicals and hazardous substances
Each role is clearly defined
All equipment is checked and prepared
All PPE is checked and available as identified
The use and application of chemicals is trialled during service
instance(s)
Correct dispensing is monitored
The disposal of chemicals is monitored
Each process is monitored
Define steps monitored:
Evaluation
Breaches or issues are documented
Participants are de-briefed/feedback
A summary report is submitted
Each breach or shortfall is identified
Steps for rectification are summarised in report
Training requirements are identified in the report
The documentation/templates used for monitoring are attached
to this assessment
The final report is attached to this assessment
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WHS Risk Assessment Template
Preparing Doughnuts The doughnut mixer is The person operating the Staff follow SOPs 4 indicates unacceptable level 9/Catastrophic XX 24 hours
not guarded and the mixer could be injured by of risk. Controls must be
immediately implemented or (page 4)
mixing bowl could be the moving parts if their
accessed when the hand slipped in while the the risk eliminated (i.e. cease
machine was machine was operating. activity)
operating Hand could be cut or could Substitution or Engineering
even lose a finger.
Put machine out of action
3 Staff use the machine Organise mechanic to install a
frequently gurad if possible or replace
machine with a safe version
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Step 1 Step 2 Step 3 Step 4 Existing Step 5 Risk Score Implementation
Activity Hazards Potential risks Existing controls Risk Action required
Score Hierarchy of Controls
If relevant
Date
(describe/name the (describe the (describe (describe existing risk control Action by Due Date
Completed
activity, task or hazard) consequences and measures in place)
process with the impacts of the risk)
associated risk)
Making a food (Electric Kitchen is exposed Wet hands cause electric Staff follow SOPs 8 1. Educate coworkers every 1 supervis 12/4/202 13/4/202
shock) to many dangerous shock when using electric week to acquaint Hazards or 3 3
situations like items. Co-workers could again.
24/hrs
electric be died or serious
2. Provide gloves to protect
shock.Because of damage.
electric shock.
using the machine
and water without
any cautions.
Administrative
2.Serving a food When an Earthquake can cause Staff follow SOPs 9 1. Attach the 2 Supervis 15/4/202 16/4/202
(eavacuate from earthquake happens major problems to the evacuation,notice emergency or and 3 3
earthquake) as serving a food, it workplace and the situations every consultation all staff
24/hrs
causes many dies or workers, it can cause time.
serious injury major injuries and even
2. Have emergency
death if not prepared
items(food,medicine,rig ht
and so on.)
Personal Protective
Equipment
4.use Chemical As Using chemical Can cause food poisoning Staff follow SOPs 8 1. Provide PPE 2 Supervis 1/5/2023 2/5/2023
items(cleaning) items during if cleaned properly, or and
2. Attach the warning sign on 24/hrs
cleaning chemicals you used in all staff
the wall to notice coworker
time,Chemical items cleaning should be
cause many problem washed properly to avoid Administrative
such as paralysis, food poisoning and other
skin cancer and so health problems
on
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Step 1 Step 2 Step 3 Step 4 Existing Step 5 Risk Score Implementation
Activity Hazards Potential risks Existing controls Risk Action required
Score Hierarchy of Controls
If relevant
Date
(describe/name the (describe the (describe (describe existing risk control Action by Due Date
Completed
activity, task or hazard) consequences and measures in place)
process with the impacts of the risk)
associated risk)
Store chemical Choosing best spot Many chemical items Staff follow SOPs 6 1. choose a reasonable spot to 3 All staff 24hrs 30/4/202
items(where is to store chemical cause harmful each chemical items 3
reasonable spot items,have to result(Blind,skin cancer
2. maintain suitable
choose good place and so on.) when people
temperation.
to prepare chemical are exposed to
accident causes
harmful result like
death or serious Engineering
pain to people
Slips and trips staff and visitors Physical injuries Bones Staff follow SOPs 4 Administrative control 4 Manager 24 hrs 31/3/202
may be injured if may get fracture measure 2
they trip over
objects or slip on
slippages
Falls from height staff traumatic brain injury subsitution 3 Administrative control 3 Manager 31/3/202
measure 2
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Step 1 Step 2 Step 3 Step 4 Existing Step 5 Risk Score Implementation
Activity Hazards Potential risks Existing controls Risk Action required
Score Hierarchy of Controls
If relevant
Date
(describe/name the (describe the (describe (describe existing risk control Action by Due Date
Completed
activity, task or hazard) consequences and measures in place)
process with the impacts of the risk)
associated risk)
8 Elimination is a permanent
Unsafe atmospheres rotting vegetation, impairment of Staff follow SOPs 8 Supervis 31/3/202
solution
which may consume judgement, or, 3
oxygen and give off unconsciousness and manager
poisonous fumes death , owner
Cleaning the When cleaning the Many chemical items Staff follow SOPs 1. Attach the warning sign. 1 All 24/4/2023 24/4/2023
kitchen(Fire) kitchen, they are causes harmful staff/supe
2. have rubber gloves before rvisor and
exposed to wet result(Blind,skin cancer
using electric items. exclusive
condition causes and so on.) when people
managem
Electrical Fire are exposed to. Administrative control ent
measure
Sharpening Stone must not slip Knives can cause cuts and Ask help from 5 Immediate 5 Supervis 24/4/2023 24/4/2023
while sharpening of abrasion it can cut a or,
knife without Colleague Administrative controls
knife. Place damp finger while cooking and manager
proper cloth under stone to blood can contain Staff follow SOPs reduce hazard by altering , owner
avoid cuts and harmful bacteria and procedures and providing
knowledge abrasion pathogens that can cause instructions.
food poisoning
Refrigerators Refrigerator Food is left inrefrigerator Periodically check that Arrange for refrigerator to Manager 24/4/2023 24/4/2023
temperature is until mouldy or past its refrigerator temperature be periodically emptied and
consistently above safe 'use by' date complies with requirements for the inside washed and
the recommended safe storage and if required cleaned according to the
temperature for safe locate a thermometer in the manufacturers instructions
food storage fridge (e.g. milk should be stored
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Step 1 Step 2 Step 3 Step 4 Existing Step 5 Risk Score Implementation
Activity Hazards Potential risks Existing controls Risk Action required
Score Hierarchy of Controls
If relevant
Date
(describe/name the (describe the (describe (describe existing risk control Action by Due Date
Completed
activity, task or hazard) consequences and measures in place)
process with the impacts of the risk)
associated risk)
at 4 degrees
Spillages Unsafe clean-up Contamination of food Provide workers with instruction Workers should obtain and Manager 24/4/2023 24/4/2023
stored near chemical in dealing with spillages of read instructions for use,
hazardous substances, including consult the MSDS, and know
the name of contacts to arrange safe handling precautions to
clean up take before cleaning up a
hazardous substances pillage
Warn others to stay clear of
spillage site
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measures must be developed and
water,hot oil and hot surface implemented in the short to medium term
Definitions
Likelihood L Score Consequence C Score Risk Score (L x C) Hierarchy of Risk Controls
Rare (Monthly) 1 Minor – e.g. small cut, first aid 1 1X1=1 Elimination is a permanent solution and should be attempted in the first instance.
treatment only
Occasionally (Weekly) 2 Moderate – e.g. sprained 2 2x2=4 Substitution involves replacing the hazard or environmental aspect by one of lower risk.
ankle, one day off required
Frequent (Daily) 3 Major – e.g. loss of limb or 3 3x3=9 Engineering controls involve physical barriers or structural changes to the environment or
bodily function process.
Constant (Hourly) 4 Catastrophic – e.g. fatality 4 4x4=12 Administrative controls reduce hazard by altering procedures and providing instructions.
Personal protective equipment last resort or temporary control.
LEGEND
• Minor/no risk (risk score 1-2) – is acceptable. No further action on risk control measures is necessary
• Moderate risk (risk score 3-4) - indicates conditional acceptability. Further risk control measures should be considered and existing controls monitored
• Major risk (risk score 5-6) - indicates unacceptable level of risk. Controls and measures must be developed and implemented in the short to medium term
• Catastrophic risk (risk score 7-16) - indicates unacceptable level of risk. Controls must be immediately implemented or the risk eliminated (i.e. cease activity)
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