SITXWHS005 Student Pack (1)

SITXWHS005
Participate in safe work practices
Student Assessment
Page 1 of 61
What is the purpose of this document?

Version Number: 10 (Review date: 01/06/2022) Unit Code: SITXWHS005
The Student Pack is the document you, the student, needs to complete to demonstrate competency.
This document includes the context and conditions of your assessment, the tasks to be completed by
you and an outline of the evidence to be gathered.
The information includes the following:
• Information related to the unit of competency

• Guidelines and instructions to complete each task and activity
• A student evaluation form Student Evaluation Form
These documents are designed after conducting thorough industry consultation. Students are
encouraged to evaluate this document and provide constructive feedback to their training organisation
if they feel that this document can be improved.
Link to other unit documents
• The Student Pack is a document for students to complete to demonstrate their competency. This
document includes context and conditions of assessment, tasks to be administered to the
student, and an outline of the evidence to be gathered from the student.
• The Unit Mapping is a document that contains information and comprehensive mapping with the
training package requirements.
• The Unit Requirements is a document that contains information related to the unit of
competency for the Training Organisation staff and students.
Document Usage
CAQA Resources
https://caqaresources.com.au/
Student Pack © 2019 CAQA Resources, CAQA and RTO Training Resources
This template and all its including associated content is a copyrighted work under Australian and other copyright
laws. Do not submit copies or modifications of this template to any website or any third parties. Please review the
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1.Student and trainer details
Student details
Full name: Sean Gaberiel

Rapada
Version Number: 10 (Review date: 01/06/2022) Unit Code: SITXWHS005 Page 2 of 61
Student ID: 9164016
9
Contact number: 047814070

8
Email address: Seanrapada15@gmail.com
Trainer details
Full name:
2.Qualification and unit of competency

Qualification/Course/Program Details
Code:
Name:
Unit of competency
Code: SITXWHS005
Name: Participate in safe work practices
Releases: 1.0
Release date: 03/Mar/2016
3.Assessment Submission Method

☐ By hand to trainer/assessor ☐ By email to trainer/assessor
☐ Online submission via Learning Management System (LMS)
☐ Any other method _________________________________________________
(Please describe here)

4.Student declaration
• I have read and understood the information in the Unit Requirements prior to commencing
this Student Pack
• I certify that the work submitted for this assessment pack is my own. I have clearly
referenced any sources used in my submission. I understand that a false declaration is a form
of malpractice;
• I have kept a copy of this Student Pack and all relevant notes, attachments, and reference
material that I used in the production of this Student Pack;
• For the purposes of assessment, I give the trainer/assessor permission to:
o Reproduce this assessment and provide a copy to another member of staff; and o Take
steps to authenticate the assessment, including communicating a copy of this assessment
to a plagiarism checking service (which may retain a copy of the assessment on its
database for future plagiarism checking).
Student signature: ________________________________
Date: _09_/_12__/____2023_______
5.Assessment Plan
The student must be assessed as satisfactory in each of the following assessment methods in order
to demonstrate competence in a variety of ways.
Evidence number/ Assessment method/ Type of evidence/ Sufficient evidence
Task number Task name recorded/Outcome
Assessment task 1 Knowledge Test (KT) S / NS (First Attempt)
S / NS (Second Attempt)
Assessment task 2 Skills Test (ST) S / NS (First Attempt)
S / NS (Second Attempt)
Outcome C ☐ NYC ☐ Date assessed: Trainer signature:

6.Completion of the Assessment Plan
Your trainer is required to fill out the Assessment Plan Outcome records above, when:
• You have completed and submitted all the requirements for the assessment tasks for this
cluster or unit of competency.
• Your work has been reviewed and assessed by your trainer/assessor.
• You have been assessed as either satisfactory or unsatisfactory for each assessment task
within the unit of competency.
• You have been provided with relevant and detailed feedback.
Every assessment has a “Feedback to Student” section used to record the following information. Your
trainer/assessor must also ensure that all sections are filled in appropriately, such as:
• Result of Assessment (satisfactory or unsatisfactory)

• Student name, signature and date
• Assessor name, signature and date
• Relevant and detailed feedback
7.Unit Requirements
You, the student, must read and understand all of the information in the Unit Requirements before
completing the Student Pack. If you have any questions regarding the information, see your
trainer/assessor for further information and clarification.
Pre-Assessment Checklist: Task 1 - Knowledge Test
The purpose of this checklist
The pre-assessment checklist helps students determine if they are ready for assessment. The
trainer/assessor must review the checklist with the student before the student attempts the
assessment task. If any items of the checklist are incomplete or not clear to the student, the
trainer/assessor must provide relevant information to the student to ensure they understand the
requirements of the assessment task. The student must ensure they are ready for the assessment
task before undertaking it.
Section 1: Information for Students
☐ Make sure you have completed the necessary prior learning before attempting this assessment.
☐ Make sure your trainer/assessor clearly explained the assessment process and tasks to be
completed.
☐ Make sure you understand what evidence is required to be collected and how.
☐ Make sure you know your rights and the Complaints and Appeal process.
☐ Make sure you discuss any special needs or reasonable adjustments to be considered during the
assessment (refer to the Reasonable Adjustments Strategy Matrix - Appendix A and negotiate
these with your trainer/assessor).
☐ Make sure that you have access to a computer and the internet (if you prefer to type the
answers).
☐ Make sure that you have all the required resources needed to complete this assessment task.
☐ The due date of this assessment task is in accordance with your timetable.
☐ In exceptional (compelling and compassionate) circumstances, an extension to submit an
assessment can be granted by the trainer/assessor. Evidence of the compelling and
compassionate circumstances must be provided together with your request for an extension to
submit your assessment work.
☐ The request for an extension to submit your assessment work must be made before the due
date.
Section 2: Reasonable adjustments
I confirm that I have reviewed the Reasonable Adjustments guidelines and criteria as
provided in Appendix A and attached relevant evidence as required and select the correct
checkbox.
☐ I do require reasonable adjustment
☐ I do not require reasonable adjustment
Declaration (Student to complete)
☐ I confirm that the purpose and procedure of this assessment task has been clearly explained to
me.
☐ I confirm that I have been consulted about any special needs I might have in relation to the
assessment process.
☐ I confirm that the criteria used for this assessment has been discussed with me, as have the
consequences and possible outcomes of this assessment.
☐ I confirm I have accessed and understand the assessment information as provided in the
Training Organisation’s Student Handbook.
☐ I confirm I have been given fair notice of the date, time, venue and/or other arrangements for
this assessment.
☐ I confirm that I am ready for assessment.
Student Name: ___Sean Gaberiel Rapada____________________
Student Signature: ___________________________________
Assessment method-based instructions and guidelines:

Knowledge Test
Assessment type
 Written Questions
Instructions provided to the student:
Assessment task description:
• This is the first (1) assessment task you must successfully complete to be deemed
competent in this unit of competency.
• The Knowledge Test is comprised of twenty (20) written questions
• You must respond to all questions and submit them to your Trainer/Assessor.
• You must answer all questions to the required level, e.g. provide an answer within the
required word limit, to be deemed satisfactory in this task
• You will receive your feedback within two (2) weeks, and you will be notified by your
Trainer/Assessor when your results are available.
Applicable conditions:

• All knowledge tests are untimed and are conducted as open book assessment (this means
you can refer to your textbook during the test).
• You must read and respond to all questions.
• You may handwrite/use a computer to answer the questions.
• You must complete the task independently.
• No marks or grades are allocated for this assessment task. The outcome of the task will be
Satisfactory or Not Satisfactory.
• As you complete this assessment task you are predominately demonstrating your written
skills and knowledge to your trainer/assessor.
Resubmissions and reattempts:
• Where a student’s answers are deemed not satisfactory after the first attempt, a
resubmission attempt will be allowed.
• The student may speak to their trainer/assessor if they have any difficulty in completing this
task and require reasonable adjustments.
• For more information, please refer to the Training Organisation’s Student Handbook.
Location:
 This assessment task may be completed in:
☐a classroom
☐ learning management system (i.e. Moodle),
☐ workplace,
☐ or an independent learning environment.
 Your trainer/assessor will provide you with further information regarding the location for
completing this assessment task.
Instructions for answering the written questions:
• Complete a written assessment consisting of a series of questions.

• You will be required to answer all the questions correctly.
• Do not start answering questions without understanding what is required. Read the
questions carefully and critically analyse them for a few seconds, this will help you to
identify what information is needed in the answer.
• Your answers must demonstrate an understanding and application of the relevant concepts
and critical thinking.
• Be concise, to the point and write answers within the word-limit given to each question. Do
not provide irrelevant information. Remember, quantity is not quality.
• You must write your responses in your own words.
• Use non-discriminatory language. The language used should not devalue, demean, or
exclude individuals or groups based on attributes such as gender, disability, culture, race,
religion, sexual preference or age. Gender-inclusive language should be used.
• When you quote, paraphrase, summarise or copy information from other sources to write
your answers or research your work, always acknowledge the source.
Purpose of the assessment

This assessment task is designed to evaluate student’s knowledge essential to incorporate safe
work practices into own workplace activities in a range of contexts and industry settings and
knowledge regarding the following:
• Knowledge of basic aspects of the relevant state or territory occupational health and safety
(OHS) or WHS legislation: o actions that must be adhered to by businesses o employer
responsibilities
o employee responsibilities to participate in WHS practices
o employee responsibility to ensure the safety of self, other workers and other people
in the workplace within the scope of own work role
o ramifications of failure to observe OHS or WHS legislation and organisational policies
and procedures
• Knowledge of specific industry sector and organisation:
o workplace hazards and associated health, safety and security risks o contents of
health, safety and security procedures relating to:
 evacuation of staff and customers
 security management of cash, documents, equipment, keys or people
o format and use of template reports for hazards and incident and accident
reporting o safe work practices for individual job roles o procedures for WHS
management practices:
 hazard identification
 WHS induction training
 safe work practice training
 suggesting inclusions for WHS policies and procedures.
Task instructions
 This is an individual assessment.
 To ensure your responses are satisfactory, consult a range of learning resources and other
information such as handouts, textbooks, learner resources etc.
 To be assessed as Satisfactory in this assessment task all questions must be answered
correctly.
Assessment Task 1: Knowledge Test

Provide your response to each question in the box below.
Q1: You have just commenced as the new kitchen assistant in a restaurant. A Satisfactory
task has been allocated to you to peel, wash and prep all the vegetables response

for tonight’s dinner service. One of the chef’s has instructed you on how to Yes ☐ No ☐
wash your hands properly, peel different kinds of vegetables and use a
knife safely to cut them into the appropriate size. However, you are
finding these new techniques and processes difficult and time-consuming.
As you feel that you are unable to finish on time and do not want to be
fired on your first day, what action should you take? Choose all correct
choices from the following options:
a) Ignore the instructions you were given and use your personal
techniques to complete the work in a faster time, thereby
impressing the chef
b) Follow the instructions that you feel are ok and ignore the rest to
ensure you can finish on time
c) Follow all the instructions and finish on time by ignoring your
personal safety and rushing through the process as fast as possible
d) Raise the issue with the chef who allocated you the task and
continues to do as much as you can whilst following all instructions
carefully
Q2: What does the term ‘personal protective equipment (PPE)’ mean? Write Satisfactory
your answer in 25-50 words. response
Name three (3) types of PPE equipment that may be used in
Yes ☐ No ☐
the workplace.
Personal Protective Equipment (PPE) refers to clothing and equipment designed to protect
the wearer's body from workplace hazards. Three types of PPE include:
1. Safety helmets
2. Safety gloves
3. Safety goggles

Q3: You have now been working for a week in the restaurant, and your Satisfactory
uniform has arrived. This consists of a heavy-duty apron, long sleeve chef response
apprentice top and heavy-duty chef apprentice trousers with built-in
Yes ☐ No ☐
kneepads. During your first week, you have burnt yourself a few times on
your arms, ruined several pieces of clothing due to oil/food stains and had
to increase your weekly washing quota. Your current duties have involved:
• Frying and deep-frying various foods

• Washing and prepping vegetables and meats of various kinds
• Preparing and monitoring the mise en place and other
stocks/sauces
• Washing/cleaning various pieces of heavy and light kitchen
equipment
List any three (3) different methods of how you can use your new
personal protective equipment/uniform to minimise the issues
encountered during your first week. Write your answer in 30-50 words.
Wearing the heavy-duty apron, long sleeve chef apprentice top, and heavy-duty chef
apprentice trousers with built-in kneepads can help minimize issues:
• The long sleeves protect the arms from burns during frying and deep-frying.
• The heavy-duty apron prevents oil and food stains on clothing.
• The built-in kneepads provide comfort and protection while washing/cleaning various
kitchen equipment.
Q4: Based on the scenario in question 3, why is it important to incorporate Satisfactory

safe work practices into personal work activities? Write your answer in response
5080 words.
Yes ☐ No ☐

It's essential to integrate safe work practices into daily tasks in order to avoid accidents, uphold a safe
workplace, and comply with occupational health and safety regulations. Employees can reduce the
likelihood of mishaps, injuries, and health risks by according to protocol and using personal protection
equipment. This will safeguard their wellbeing and foster a safe work environment. Adherence to safety
protocols enhances overall productivity, minimizes legal risks, and cultivates a favorable work
environment.

Q5: Whilst working in the new restaurant you are asked to collect an item Satisfactory
from the cold storage. The item is right at the back of the cold storage in response
a hard to reach corner. As you are attempting to retrieve it, you notice a
Yes ☐ No ☐
few black items on it. After careful examination, the black spots seem to
be rodent droppings. Organisational policy states that in such cases, the
supervisor needs to be immediately notified, all nearby food must be
thrown out and an incident report filed. However, you are aware that
someone recently reported an incident of a similar nature and as a result,
they were ostracised by their colleagues who felt that they had
overreacted to a simple matter.
Based on the situation above, outline what action you should take in
100150 words.
Food safety must be given top priority in this case, and organizational policies must be followed.
Notwithstanding worries about possible backlash from coworkers, the customers' and employees' health
and safety should come first. I would notify the supervisor about the mouse droppings, cease working
on the task right away, and securely close the cold storage. I would then dispose of any adjacent food
items in accordance with company policy and submit an incident report. Upholding professional
responsibility is crucial to preventing potential harm to clients and preserving the integrity of the
workplace. This includes making sure that health standards are met and occurrences are suitably
documented.
Q6: The restaurant management has noticed that there have been several Satisfactory
incidents recently related to WHS/OHS processes and have invited you to response

join the management team to provide your feedback on these issues. Yes ☐ No ☐
Outline a strategy that relates to the following issues for the management
team to discuss and decide upon a more stringent process. Write your
answer in 100-150 words.
• Rodents are entering the cold storage area. Possible causes listed
are doors being left open, a few small gaps in the walls for
exhaust/air for the facility and bins not being emptied regularly
resulting in overflow.
• An increase in the number of oil burns which may be related to
failure to properly wear PPE and failure to follow correct processes
around handling/using products that are hot.
1. Cold Storage Area:
• Conduct a thorough inspection of the cold storage area to identify and seal any
gaps or openings that may allow rodents to enter.
• Implement a strict policy for staff to ensure that doors are closed securely after
use, minimizing the risk of rodent entry.
• Establish a regular maintenance schedule to address any structural issues

promptly.
• Enforce proper waste management practices, including regular and timely

disposal of bins to prevent overflow.
2. Oil Burns and PPE Compliance:
• Reinforce training programs focusing on the correct use of personal protective

equipment (PPE) during tasks involving hot substances.
• Conduct refresher courses on safe work practices, emphasizing the importance of

following correct processes when handling and using hot products.
• Implement visual reminders and signage in relevant work areas to encourage

PPE compliance and adherence to safety protocols.
• Foster a culture of accountability, encouraging staff to report any incidents or

concerns promptly.

Q7: Outline two (2) methods to identify and remove hazards in the workplace Satisfactory
according to the organisational health and safety procedures. Write your response
answer in 50-100 words.
Yes ☐ No ☐
1. Regular Workplace Inspections:

 Conduct routine inspections of the workplace to identify pote ntial hazards.
 Involve employees in the inspection process to gather diverse perspectives.
 Document and prioritize identified hazards, and take prompt corrective actions
to eliminate or mitigate risks.
2. Hazard Reporting Systems:
 Establish a hazard reporting system that allows employees to report potential
hazards.
 Encourage open communication and ensure anonymity in re porting to promote
transparency.
 Investigate reported hazards promptly and implement corrective measures to
address identified risks.
Q8: 8a. Briefly define what workplace safety warning signs are and what Satisfactory
purpose they serve. Write your answer in 30-50 words. response
8b. Outline the use of each of the four (4) colours and three (3) shapes for
Yes ☐ No ☐
warning signs.
8c. List three (3) safety directions that you must follow in the workplace in
case of an emergency.

Workplace Safety Warning Signs: Workplace safety warning signs are visual indicators
designed to convey specific information about potential hazards, safety instructions, or
required actions. They serve to enhance awareness and promote a safer work environment.
Use of Colors and Shapes for Warning Signs:

• Colors:
1. Red: Indicates prohibition, danger, or emergency. Used for stop signs and
firefighting equipment.
2. Yellow or Amber: Warns of potential hazards or caution. Commonly used for
general warning signs.
3. Green: Indicates safety-related information or emergency escape routes.
4. Blue: Conveys mandatory instructions or information, often related to safety
equipment.
• Shapes:
1. Triangular: Signifies warnings, typically used for caution or hazards.
2. Rectangular or Square: Conveys general information or safety instructions.
3. Circular: Indicates an action that should be taken, such as mandatory
instructions or emergency information.
Safety Directions in Case of Emergency:

1. Evacuation Procedures: Follow established evacuation routes and assembly points.
2. Emergency Contacts: Know and follow the contact information for emergency
services and workplace authorities.
3. Emergency Equipment Usage: Be familiar with the location and proper use of
emergency equipment, such as fire extinguishers or first aid kits.
Q9: Define what an emergency situation is in 25-50 words. List five (5) Satisfactory
different authorities you may need to contact, for any given emergency response
situation.
Yes ☐ No ☐

Emergency Situation: An emergency situation is an unexpected and critical event that poses
an immediate threat to life, health, property, or the environment, requiring prompt and
coordinated response measures.
Authorities to Contact:
1. Emergency Services (e.g., Police, Fire, Ambulance): For immediate assistance in
lifethreatening situations.
2. Workplace Supervisor or Manager: To report and seek guidance on workplace-specific

emergencies.
3. Medical Services (e.g., Hospital or Clinic): For medical emergencies and assistance.
4. Local Government or Municipal Authorities: To report emergencies affecting the community
or public areas.
5. Utility Companies (e.g., Gas, Electricity): In case of emergencies involving utility services.
Q10: Discuss and outline four (4) indications that can be observed, to recognise Satisfactory
an emergency? Write in 120-160 words. response
Yes ☐ No ☐

1. Unusual Noises or Smells: Sudden, loud noises like explosions or the smell of gas can
indicate dangerous situations requiring immediate attention and evacuation.
2. Visible Signs of Distress: Observing people in visible distress, such as panic, confusion, or
signs of injury, signals the potential occurrence of an emergency, and assistance may be needed
urgently.
3. Sudden Environmental Changes: Abrupt and unexpected changes in the environment, such
as a sudden power outage, severe weather conditions, or structural damage, may indicate an
emergency situation.
4. Communication of Distress: Receiving alerts, alarms, or notifications from official channels,

like emergency sirens, public address systems, or emergency broadcasts, provides clear
indications of an ongoing or imminent emergency, prompting appropriate actions.
Q11: Discuss the importance of participating in WHS consultation processes? Satisfactory

Write in 50 to 100 words. response
Yes ☐ No ☐

Participating in Workplace Health and Safety (WHS) consultation processes is essential for
fostering a safe and healthy work environment. It encourages open communication between
employers and employees, allowing for the identification of potential hazards and the
development of effective risk mitigation strategies. Employees' firsthand knowledge and
experiences contribute valuable insights, enhancing the overall effectiveness of safety
measures. Inclusive consultation promotes a sense of shared responsibility for workplace
safety, fostering a collaborative culture that prioritizes the well-being of all individuals
within the organization. This proactive approach helps prevent accidents, reduces injuries,
and ensures compliance with safety regulations.
Q12: List three (3) types of emergency incident report documentation that an Satisfactory
organisation may utilise to comply with their organisational security and response
emergency procedures to ensure a safe workplace. Yes ☐ No ☐

1. Incident Report Form:
• This is a standard document used to record details of the emergency incident. It
typically includes information such as the date, time, location, nature of the
incident, individuals involved, and a description of what transpired. Incident
report forms are crucial for documenting the facts surrounding the emergency.
2. Witness Statements:
• In situations where there are witnesses to the emergency incident, their
statements can provide additional perspectives and details. These statements
may be collected on specific forms or as part of the incident report
documentation, outlining what each witness observed or experienced.
3. Photographic or Video Evidence:
• Visual documentation, such as photographs or videos, can complement written
reports. Images can capture the scene, damages, or other relevant aspects of
the emergency. This type of evidence can be valuable for investigations,
insurance claims, and improving emergency response protocols.
Q13: List four (4) WHS issues that you may observe in the workplace that need Satisfactory
to be reported to the relevant authority. response
Yes ☐ No ☐
1. Unsafe Work Practices:

• Observing employees engaging in unsafe work practices, such as neglecting personal
protective equipment (PPE) or disregarding safety protocols, should be reported to the
relevant authority. This helps address immediate concerns and prevent potential accidents.
2. Faulty Equipment or Machinery:
• Identifying any malfunctioning or defective equipment poses a significant WHS issue.
Reporting these issues promptly ensures that faulty machinery is taken out of operation,
preventing injuries and maintaining a safe working environment.
3. Inadequate Training:
• If employees are not adequately trained to handle specific tasks or operate machinery, it
creates a safety hazard. Reporting instances of insufficient training can prompt the
organization to implement comprehensive training programs to address skill gaps and
enhance safety.
4. Environmental Hazards:
• Hazardous conditions in the workplace, such as spills, leaks, or exposure to harmful
substances, should be reported. Addressing environmental hazards ensures a healthier and

safer workplace for employees.
Q14: Briefly describe three (3) basic, key principles of WHS legislation. Write Satisfactory
your answer in 50-100 words. response
Yes ☐ No ☐
1. Duty of Care:
• Employers have a legal obligation to ensure the health, safety, and well-being of their
employees. This includes providing a safe working environment, proper training, and
necessary equipment to perform tasks safely.
2. Consultation and Participation:

• WHS legislation emphasizes the importance of involving workers in decision-making
processes related to health and safety. Employers must consult with employees and their
representatives, seeking input on matters affecting their health and safety.
3. Hazard Identification and Risk Management:

• Organizations are required to identify workplace hazards, assess associated risks, and
implement effective risk management strategies. This involves implementing control
measures to minimize or eliminate risks, ensuring a safer work environment.

Q15: Define the terms hazard and hazard management in 50 -100 words each. Satisfactory
response
Yes ☐ No ☐
Hazard: A hazard is any source or situation with the potential to cause harm or adverse
effects. Hazards in the workplace can include physical, chemical, biological, ergonomic, and
psychosocial factors that may pose risks to the health and safety of individuals.
Hazard Management: Hazard management involves the systematic identification, assessment, and
control of hazards within a workplace. It includes implementing measures to eliminate or minimize
risks, ensuring the safety and well-being of employees. Effective hazard management involves ongoing
monitoring, evaluation, and adjustment of control measures to maintain a safe working environment.
Q16: Briefly explain each of the following aspects relating to WHS in 3-6- words Satisfactory
for each. response
• code of practice
Yes ☐ No ☐
• physical work environment
• workplace facilities
• emergency plans
• remote and isolated work

• Code of Practice: Guiding workplace safety standards.
• Physical Work Environment: Conditions where work occurs.
• Workplace Facilities: Amenities supporting work tasks.
• Emergency Plans: Procedures for crisis situations.
• Remote and Isolated Work: Working in distant locations.
Q17: Define Workplace health and safety (WHS). Write your answer in 50 to Satisfactory
100 words. response
Yes ☐ No ☐

Workplace Health and Safety (WHS) refers to the system of policies, procedures, and practices
implemented in a workplace to safeguard the health, safety, and well-being of employees, visitors, and
the broader community. It involves identifying and managing risks, ensuring compliance with
regulations, and fostering a culture of safety to prevent accidents, injuries, or illnesses in the work
environment. WHS aims to create a secure and healthy workplace conducive to optimal productivity
and employee welfare.
Q18: What are the standard reporting procedures of any unsafe work practices, Satisfactory
issues and breaches? Write your answer in 100 to 150 words. response
Yes ☐ No ☐
The standard reporting procedures for unsafe work practices, issues, and breaches involve a
systematic approach to ensure prompt identification, reporting, and resolution of potential
hazards. Employees are typically required to report any unsafe conditions or practices to
their immediate supervisor or manager. This reporting can be done through designated
channels, such as incident reporting forms, online systems, or direct communication.
Once reported, the supervisor or manager assesses the situation, conducts an investigation if
necessary, and takes appropriate corrective actions. In some cases, there may be a formal reporting

hierarchy or an established health and safety committee that oversees the resolution of reported
issues. Timely and accurate reporting is crucial for maintaining a safe work environment and
preventing the recurrence of unsafe practices or conditions.

Q19: Define security management and discuss how WHS management Satisfactory
procedures play a part in security management? Answer in 50-100 words. response
Yes ☐ No ☐
Security management involves the systematic implementation of measures to safeguard people,

property, and information from potential threats or risks. Work Health and Safety (WHS) management
procedures are integral to security management by addressing risks related to the well-being of
individuals within the workplace. WHS procedures include measures to prevent accidents, injuries, and
illnesses, contributing to a secure environment. Additionally, WHS practices may involve emergency
response plans, which play a crucial role in managing security incidents such as evacuations or other
threats. The integration of WHS principles into security management ensures a comprehensive
approach to protecting both the physical and overall well-being of individuals in a given setting.
Q20: Outline five (5) methods that may be appropriate, when formatting and Satisfactory
writing incident report templates. response
Yes ☐ No ☐

1. Clear and Concise Language: Use straightforward and concise language to describe
the incident. Avoid jargon or technical terms that may confuse readers. Clearly state
the who, what, when, where, and how of the incident.
2. Structured Format: Organize the report with a clear structure, including sections such as
incident details, individuals involved, actions taken, and recommendations. This helps readers
quickly locate and understand information.
3. Chronological Order: Present information in chronological order to create a timeline of events.
This helps investigators understand the sequence of actions and their impact on the incident.
4. Checklists and Fields: Include checklists or predefined fields to ensure that essential
information is captured consistently. This can help standardize reporting and ensure that critical
details are not overlooked.
5. Visual Aids: Incorporate visual aids, such as diagrams, photos, or sketches, when applicable.
Visuals can enhance understanding and provide additional context to support the written
description.
Assessment Results Sheet

Outcome First attempt:

Outcome (make sure to tick the correct checkbox):
Satisfactory (S) ☐ or Not Satisfactory (NS) ☐
Date: _______(day)/ _______(month)/ _______(year)

Feedback:
Second attempt:
Outcome (please make sure to tick the correct checkbox):
Date: _______(day)/ _______(month)/ _______(year)
Feedback:
Student • I declare that the answers I have provided are my own work. Where I
Declaration have accessed information from other sources, I have provided
references and/or links to my sources.
• I have kept a copy of all relevant notes and reference material that I
used as part of my submission.
• I have provided references for all sources where the information is not
my own. I understand the consequences of falsifying documentation and
plagiarism. I understand how the assessment is structured. I accept that
the work I submit may be subject to verification to establish that it is my
own.
• I understand that if I disagree with the assessment outcome, I can
appeal the assessment process, and either re-submit additional evidence
undertake gap training and or have my submission re-assessed.
• All appeal options have been explained to me.
Student Signature

Date
Trainer/Assessor
Name
Trainer/Assessor I hold:
Declaration
☐ Vocational competencies at least to the level being delivered
☐ Current relevant industry skills
☐ Current knowledge and skills in VET, and undertake
☐ Ongoing professional development in VET
I declare that I have conducted an assessment of this student’s submission.

The assessment tasks were deemed current, sufficient, valid and reliable. I
declare that I have conducted a fair, valid, reliable, and flexible assessment.
I have provided feedback to the student.
Trainer/Assessor
Signature
Date
Office Use Only The outcome of this assessment has been entered into the Student
Management System on _________________ (insert date)
by (insert Name)
__________________________________

Pre-Assessment Checklist: Task 2 - Skills Test
The purpose of this checklist
The pre-assessment checklist helps students determine if they are ready for assessment. The
trainer/assessor must review the checklist with the student before the student attempts the
assessment task. If any items of the checklist are incomplete or not clear to the student, the
trainer/assessor must provide relevant information to the student to ensure they understand the
requirements of the assessment task. The student must ensure they are ready for the assessment
task before undertaking it.
Section 1: Information for Students
☐ Make sure you have completed the necessary prior learning before attempting this assessment.
☐ Make sure your trainer/assessor clearly explained the assessment process and tasks to be
completed.
☐ Make sure you understand what evidence is required to be collected and how.
☐ Make sure you know your rights and the Complaints and Appeal process.
☐ Make sure you discuss any special needs or reasonable adjustments to be considered during the
assessment (refer to the Reasonable Adjustments Strategy Matrix and negotiate these with your
trainer/assessor).
☐ Make sure that you have access to a computer and the internet (if you prefer to type the
answers).
☐ Make sure that you have all the required resources needed to complete this Assessment Task
(AT).
☐ The due date of this assessment task is in accordance with your timetable.
☐ In exceptional (compelling and compassionate) circumstances, an extension to submit an
assessment can be granted by the trainer/assessor. Evidence of the compelling and
compassionate circumstances must be provided together with your request for an extension to
submit your assessment work.
☐ The request for an extension to submit your assessment work must be made before the due
date.
Section 2: Reasonable adjustments
I confirm that I have reviewed the Reasonable Adjustments guidelines and criteria as
provided in Appendix A and attached relevant evidence as required and select the correct
checkbox.
☐ I do require reasonable adjustment
☐ I do not require reasonable adjustment

Declaration (Student to complete)
☐ I confirm that the purpose and procedures of this assessment task has been clearly explained to
me.
☐ I confirm that I have been consulted about any special needs I might have in relation to the
assessment process.
☐ I confirm that the criteria used for this assessment has been discussed with me, as have the
consequences and possible outcomes of this assessment.
☐ I confirm I have accessed and understand the assessment information as provided in the
Training Organisation’s Student Handbook.
☐ I confirm I have been given fair notice of the date, time, venue and/or other arrangements for
this assessment.
☐ I confirm that I am ready for assessment.
Student Name: ____Sean Gaberiel Rapada____________
Student Signature: ___________________________________
Assessment method-based instructions and guidelines:

Skills Test
Assessment type
 Skills Test - Participate in safe work practices
Instructions provided to the student:
Assessment task description:
• This is the second (2) assessment task you must successfully complete to be deemed
competent in this unit of competency.
• This assessment task is a Skills Test.
• This assessment task consists of three (3) practical demonstration tasks.
 Task 1: Work safely
 Task 2: Follow procedures for emergency situations
 Task 3: Participate in organisational WHS practices
• The student must submit the following documents to the assessor/trainer as evidence of
their skill knowledge.
 Completed template of:
• WHS Cooking Preparation Checklist.
• Safe work Checklist.
• Hazard/Incident Reports.
• Meeting agenda and meeting minutes.
• You will receive your feedback within two (2) weeks, and you will be notified by your
trainer/assessor when your results are available.
• You must attempt all activities of the project for your trainer/assessor to assess your
competence in this assessment task.

Applicable conditions:
• This skill test is untimed and is conducted as an open book assessment (this means you are
able to refer to your textbook or other learner materials during the test).
• You will be assessed independently on this assessment task.
• No marks or grades are allocated for this assessment task. The outcome of the task will be
Satisfactory or Not Satisfactory.
• As you complete this assessment task, you are predominately demonstrating your skills,
techniques and knowledge to your trainer/assessor.
• Your trainer/assessor may ask you relevant questions during this assessment task
Resubmissions and reattempts:
• Where a student’s answers are deemed not satisfactory after the first attempt, a
resubmission attempt will be allowed.
• The student may speak to their trainer/assessor if they have any difficulty in completing this
task and require reasonable adjustments.
 For more information, please refer to the Training Organisation’s Student Handbook.
Location:
• This assessment task may be completed in:
☒ a classroom
☐ learning management system (i.e. Moodle),
☐ workplace,
☐ or an independent learning environment.
• Your Trainer/Assessor will provide you with further information regarding the location for
completing this assessment task.
Purpose of the assessment
Purpose of the assessment task:

This assessment task is designed to evaluate student’s following skills and abilities:
• Skills to demonstrate the use of predetermined health, safety and security procedures and
safe work practices in work functions on at least three occasions
• Skills to demonstrate correct procedures to respond in line with organisational security and
emergency procedures during one emergency or a potential emergency situation, seeking
assistance where appropriate
• Skills to participate in one of the following work health and safety (WHS) consultation
activities:
o discussion with, or formal report to, WHS representatives regarding a WHS matter
o discussion with a supervisor or manager regarding a WHS matter o staff meeting
that involves WHS discussion.
Task instructions

• The purpose of this assessment task is to assess the student’s knowledge essential to
incorporate safe work practices into their own workplace activities.
• You will be required to complete all parts of this assessment task.
Assessment Task 2 - Skills Test

Assessment conditions:
RTO must ensure skills must be demonstrated in an operational business environment. This can be:
• an industry workplace.
• a simulated industry environment.
RTO must ensure access to:
• current plain English regulatory documents distributed by the local WHS government
regulator
• codes of practice and standards issued by government regulators or industry groups
• WHS information and business management manuals issued by industry associations or

commercial publishers
• current commercial policies, procedures and template documents used for managing WHS
practices.
Skills Test:
You are a junior chef at Roma restaurant, and you have the following WHS responsibilities:
• Report hazards and emergency incidents according to organisational procedures.
• Interpret workplace safety signs, procedures and emergency evacuation plans.
• Complete basic template reports about hazards and emergency incidents according to
organisational procedures.
Being an employee of Roma restaurant, it is expected that you incorporate the following safe work
practices into your own workplace activities:
• Work safely
• Follow procedures for emergency situations
• Participate in organisational WHS practices
WHS supporting documents:
All Acts and Regulations
Guide to the Occupational Health and Safety Regulations 2017
Occupational health and safety – legal duties
Compliance codes and codes of practice

Part A
Task 1: Work safely
Part A:
Scenario: The head chef of the restaurant has asked you to prepare a dish called Crispy Eggplant with
Minty Yogurt
Subtask 1.1: Follow the below safety directions of the supervisors and managers and prepare yourself
accordingly:
• Never cook in loose clothes and keep long hair tied back
• Never cook while wearing dangling jewellery
Subtask 1.2: Follow the below workplace safety warning signs and use personal protective equipment
and clothing or the designated uniform to prepare yourself accordingly.
Example of safety signs:
Subtask1.3: The organisational health and safety procedures of Roma Restaurant dictates that you use
a WHS Cooking Checklist while preparing to cook food in the kitchen. Therefore, you are required to use
the given WHS checklist for your cooking preparations.
WHS Cooking Prep Checklist
Checklist Yes No
Wash your hands before and after handling food yes
Keep potholders nearby and use them yes
Turn pot handles away from the front of the stove yes
Store knives in a wooden block or in a drawer yes
Keep kitchen workspace clean yes
Wash produce properly yes
Subtask 1.4: Being a responsible employee of the organisation, you are required to incorporate the
following safe work practices and demonstrate them while preparing the Crispy Eggplant with Minty
Yogurt dish. A safe work practices checklist has been provided to assist you, and you are required to
use it while preparing your dish.
Safe work Checklist
Checklist Yes No
Avoid contact between raw foods and cooked foods yes
Use a food thermometer yes
Clean and disinfect all surfaces immediately after preparing food yes
Cover food or keep it in sealed containers to stop contaminants getting in yes
Store and prepare raw food away from cooked and ready-to-eat foods yes
Decontaminate items in the correct way at the correct time to remove any yes
contaminants and help stop them from spreading to food
Make sure all utensils and equipment are spotlessly clean before use yes
Clean all food preparation surfaces with surface disinfectant spray or wipes yes
immediately after preparing food. For direct food contact surfaces, rinse
thoroughly with water after the product has been used
Part B:
Scenario: When you were putting the leftover yogurt in the fridge, you notice the following:
• Cooked food was kept with the uncooked food.
• Cooked food had no labels on it such as:
o Use by date
o Preparation date o Allergic ingredients used o
Prepared by
• The wet floor near the fridge
Organisational food storage work practices and health, safety and security procedures:
According to organisation work practices and safety and security procedures, all the cooked food should
be stored separately from uncooked food, and cooked food should have a label with the following
details:
• Use by date
• Preparation date
• Allergic Ingredients used
• Prepared by

In case the above mention work practices and safety procedures are breached at any time, food items
involved should be isolated immediately to limit the food contamination spreading further.
Organisational housekeeping work practices and health, safety and security procedures:
• Clean all spills immediately
• Mark spills and wet areas
• Mop or sweep debris from floors
• Remove obstacles from walkways and always keep walkways free of clutter
• Secure (tacking, taping, etc.) mats, rugs and carpets that do not lay flat
• always close file cabinet or storage drawers
• Cover cables that cross walkways
• Keep working areas and walkways well lit
• Replace used light bulbs and faulty switches

Subtask 1.4: In this task, you are required to perform the following:
• Identify and remove/limit hazards from the immediate work area and report hazards by
completing the hazard report.
• As per organisational procedures, you are required to promptly report the following unsafe work
practices, issues and breaches of health, safety and security procedures by writing an email to
head chef in the space provided below:
• Storage of cooked food with uncooked food
• Storage of cooked food without proper labelling and marking
• The wet floor near the fridge

Hazard/Incident Report
Hazard/Incident: Storage of cooked food with uncooked food, Lack of labels on cooked
food, Wet floor near the fridge.
Brief description of hazard/incident: (Describe the task, equipment, tools and people involved. Use
sketches, if necessary. Include any action taken to ensure the safety of those who may be affected.)
Cooked food is stored with uncooked food, violating safety and hygiene standards. Cooked food
lacks essential labels such as use by date, preparation date, allergic ingredients, and preparer
information. Additionally, there's a wet floor near the fridge, posing slip hazards
Where is the hazard located in the workplace?
Kitchen area, near the fridge.
When was the hazard identified? Date: ___06_/12___ /__2023_ Time: 10__am
Action taken by you to remove/limit the hazard:
Isolation of improperly stored food, labeling cooked items, and marking the wet floor for
caution.
Name: ___Sean Gaberiel Rapada__________________ Position: ___Chef_______
Date: _09__/_12__/_23_
Draft email to Head Chef, to report unsafe work practices, issues and breaches of health,
safety and security procedures

Unsafe Work Practices and Hazards Report
Dear Head Chef,
I hope this email finds you well. I am writing to bring to your attention some critical
observations in our kitchen regarding unsafe work practices and potential hazards. It is
crucial to address these issues promptly to maintain a safe and compliant working
environment.
1. Storage of Cooked Food with Uncooked Food: I noticed instances where cooked
food was stored with uncooked food, which is a direct violation of our safety and
hygiene standards. This poses a risk of cross-contamination and compromises the
quality of our food.
2. Lack of Labels on Cooked Food: Cooked food in the storage lacks essential labels,
including use by date, preparation date, allergic ingredients, and preparer
information. Proper labeling is essential for transparency and customer safety.
3. Wet Floor Near the Fridge: There is a wet floor near the fridge area, creating a
potential slip hazard. This needs urgent attention to prevent accidents and ensure a
safe working environment.
I have taken immediate actions to isolate improperly stored food, label cooked items
appropriately, and mark the wet floor for caution. However, a comprehensive review and
necessary measures are required to address these issues systematically.
Your prompt attention to these matters will contribute to maintaining our commitment to
safety and hygiene standards.
Thank you for your understanding and cooperation.
Best regards,

Subtask 2: Follow procedures for emergency situations
Organisational emergency evacuation procedures:
• On hearing an evacuation alarm, or on the instruction of emergency control personnel,

immediately cease all activity and secure personal valuables.
• Assist any person in immediate danger, but only if safe to do so.
• If practical, and only if safe to do so, secure any activity or process that may become hazardous
or suffer damage if left unattended because of evacuation.
• Act in accordance with directions given by emergency control personnel and evacuate the
building immediately.
• Assist with the general evacuation if directed to do so by emergency control personnel.
• Assist with the evacuation of disabled occupants.
• In a fire, do not use a lift to evacuate a building.
• Move calmly to the nominated evacuation assembly area and do not leave the evacuation
assembly area until the all clear has been given.
• Follow the instructions of relevant emergency services personnel and emergency control
personnel.
• Complete emergency incident report

Part A: Emergency situation
Scenario: While working in the kitchen, you heard the evacuation/fire alarm.
Subtask 2.1: In this task, you are required to follow procedures for emergency situations by
performing the following:
• Recognise emergency situations
• Follow organisation security and emergency procedure
• Seek assistance from colleagues during emergency situations for the following:
o To ensure cooking stove and gas supply is turned off
o To count the total number of people present at the emergency evacuation point to ensure
everyone has evacuated
Complete emergency incident reports by using the below organisational incident report template

Incident Report Template
REPORTED DATE OF
BY: Sean Rapada REPORT: 06/112/2023
TITLE /
ROLE: Kitchen Assistant INCIDENT NO.: 91640377
INCIDENT INFORMATION
INCIDENT DATE OF
TYPE: Fire Evacuation INCIDENT: 03/12/2023
LOCATION: Kitchen Area

ZIP
CITY: Sydney STATE: NSW CODE: 2763
SPECIFIC AREA OF
LOCATION (if applicable): KITCHEN
INCIDENT DESCRIPTION
Upon hearing the evacuation/fire alarm, I followed the organisational emergency

evacuation procedures. I ceased all activity, assisted in evacuating disabled occupants,
and moved to the nominated evacuation assembly area. No specific incident occurred
during the evacuation.
NAME / ROLE / CONTACT OF PARTIES INVOLVED
1.
2. Kitchen Assistant
3. 0433479156
NAME / ROLE / CONTACT OF WITNESSES
1. N/A
2. N/A
3. N/A
POLICE REPORT
FILED? N/A PRECINCT: N/A
REPORTING OFFICER: N/A PHONE: N/A

FOLLOW-UP ACTION
SUPERVISOR SUPERVISOR
NAME: Jack SIGNATURE:
Daniel Jack Daniel DATE: 06/12/2023

Part B: Potential emergency situation
Scenario: One of your colleagues has reported a strong odour of methanethiol from the cooking area
which is normally an indication of a gas leak.
Subtask 2.2: In this task, you are required to follow procedures for emergency situations by
performing the following:
• Recognise emergency situations
• Follow organisation security and emergency procedure
• Seek assistance from colleagues during emergency situations for the following:
o To ensure cooking stove and gas supply is turned off
o To count the total number of people present at the emergency evacuation point to ensure
everyone has evacuated
• Complete emergency incident reports by using a given organisational incident report template.

Incident Report Template
REPORTED DATE OF
BY: Sean Rapada REPORT: 06/12/2023
TITLE /
ROLE: Kitchen Assistant INCIDENT NO.: 91640377
INCIDENT INFORMATION
INCIDENT DATE OF
TYPE: Gas Leak INCIDENT: 03/12/2023
LOCATION: Cooking Area

ZIP
CITY: SYDNEY STATE: NSW CODE: 2763
SPECIFIC AREA OF
LOCATION (if applicable): CENTRAL
INCIDENT DESCRIPTION
Following a colleague's report of a strong odour of methanethiol, indicating a potential

gas leak, I immediately ensured the cooking stove and gas supply were turned off. No
injuries occurred, and all occupants evacuated safely.
NAME / ROLE / CONTACT OF PARTIES INVOLVED
1.
2. KITCHEN ASSISTANT
3. 0433479156
NAME / ROLE / CONTACT OF WITNESSES
1. N/A
2. N/A
3. N/A
POLICE REPORT
FILED? N/A PRECINCT: N/A
REPORTING
OFFICER: N/A PHONE: N/A

FOLLOW-UP ACTION
Reported the incident to the supervisor for further investigation.
SUPERVISOR
NAME: Jack SUPERVISOR Jack
Daniel SIGNATURE: Daniel DATE: 06/12/2023

Task 3: Participate in organisational WHS practices.
Subtask 3.1: In this task, you are required to arrange a meeting with the organisation’s occupational
health and safety officer and your supervisor. The following will be the participants of the meeting:
• You
• Your supervisor
• Occupational health and safety officer (trainer/assessor)
The meeting has the following agendas:
• Participate in WHS management practices developed by the organisation to ensure a safe

workplace
• Actively participate in the WHS consultation processes
• Report WHS issues and concerns as they arise
Before the meeting, you need to:
• Prepare a meeting agenda using the template provided.
During the meeting, you need to:
• Use questioning and listening techniques to check or confirm understanding.
• Review:
o Organisational food storage work practices and health, safety and security procedures o
Organisational housekeeping work practices and health, safety and security procedures
o Organisational emergency evacuation procedures
• Discuss and report recent incidents and issues and concerns involving the following:
o Fire/evacuation alarm o Gas leak
o Breach in food storage work practices o Lack of training in health and safety procedures
o Lack of training in safe work practices
o Lack of food handling and safety signage
• Actively participate by suggesting measures to implement food storage work practices more
stringently
• Request feedback from the participants
• Gain support
Occupational health and safety officer and supervisor will:
• Discuss and review the following:

o Organisational food storage work practices and health, safety and security procedures o
Organisational housekeeping work practices and health, safety and security procedures
o Organisational emergency evacuation procedures
• Appreciate you for handling and recognising emergency and potential emergency situations
• Agree with your suggestions to implement food storage work practices more stringently.
• Understand the need for training in health and safety procedures, safe work practices and food
handling and safety signage
After the meeting, you must complete the meeting minutes template provided below.

Meeting agenda template:
Date/Time: 06/12/2023 AT 9:00
Location: PARRAMATTA
Chairperson: Jack Daniel
Meeting Attendees: Occupational Health and Safety Officer
Full names and roles Jack Daniel
Agenda Item/Topic Discussion/Outcomes Action Officer Due Date
Welcome Greeting and introduction to the

meeting.
Organizational Procedures 1.
Organisational
food storage
(Agenda item 1) work practices
Topic? and health,
safety, and
security
procedures.
2. Organisational
housekeeping
work practices
and health,
safety, and
security
procedures.
3. Organisational
emergency
evacuation
procedures.
Recent Incidents 1.
Fire/evacuation
2. alarm
3. Gas leak
Breach in food
(Agenda item 2) storage work
Topic? practices
4. Lack of training
in health and
safety

procedures
5. Lack of training
in safe work
practices
6. Lack of food
handling and
safety signage
(Agenda item 3) Active Participation an Actively participate by

Topic? Suggestions d suggesting measures
to implement food
storage work
practices more
stringently.
Summary Overall Summary
Decision/s
Action/s if any
Next Meeting 10/12/2023

Time/date
Meeting closed at: 15:00
Minutes are a true and Approved/confirmed by whom?

accurate record of the
meeting Jack Daniel
Meeting minutes template:

Minutes of Meeting 1 HOUR
Meeting Objective: TO KNOW IF EVERYTHING IS GOING WELL
Attendees: 3
Venue: 118 CHURCH STREET PARRAMATTA
Date:10/12/2023
No. Points Discussed Actions Target Date

Suggested
Organizational 15/12/2023
Procedures 1. Organisational
food storage
work practices
and health,
safety, and
security
procedures.
2. Organisational
housekeeping
work practices
and health,
safety, and
security
procedures.
3. Organisational
emergency
evacuation
procedures.

Recent Incidents 1. Fire/evacuation 15/12/2023
alarm
2. Gas leak
3. Breach in food
storage work
practices Lack
4. of training in
health and
safety
procedures
5. Lack of training
in safe work
practices
6. Lack of food
handling and
safety signage
Active an Actively participate by 15/12/2023

Participation d suggesting measures
Suggestions to implement food
storage work practices
more stringently.
Signature of attendee 1: Signature of attendee 2:
TOM HOLLAND Signature of attendee 4:
Signature of attendee 3:
SAFETY OFFICER

Performance Criteria/Performance Checklist
Your task must address the following performance criteria/ performance checklist.
S N/S Trainer/Assessor to complete

To be assessed as satisfactory (S) in this
(Comment and feedback to students)
assessment task the participant needs to
demonstrate competency in the following
critical aspects of evidence
a) Followed organisational health and

safety procedures
 
b) Incorporated safe work practices into

their own workplace activities
 
c) Followed safety directions of

supervisors, managers and workplace
 
safety warning signs
d) Used personal protective equipment

and clothing or designated uniform
 
e) Promptly reported unsafe work

practices, issues and breaches of
 
health, safety and security
procedures.
f) Identified and removed hazards from

the immediate work area and report
 
all workplace hazards as they arise.
g) Recognised emergency and potential

emergency situations.
 

h) Followed organisational security and
emergency procedures  
i) Sought assistance from colleagues or

authorities during emergency  
situations
j) Completed emergency incident

reports accurately, following  
organisational procedures
k) Participated in WHS management

practices developed by the  
organisation to ensure a safe
workplace
l) Actively participated in the WHS

consultation processes.  
m) Reported WHS issues and concerns as

they arise.  
Assessment Results Sheet

Outcome First attempt:

Date: _______(day)/ _______(month)/ ____________(year)

Feedback:
Second attempt:
Date: _______(day)/ _______(month)/ ____________(year)

Feedback:
Student • I declare that the answers I have provided are my own work. Where I
Declaration have accessed information from other sources, I have provided
references and or links to my sources.
• I have kept a copy of all relevant notes and reference material that I
used as part of my submission.
• I have provided references for all sources where the information is not
my own. I understand the consequences of falsifying documentation and
plagiarism. I understand how the assessment is structured. I accept that
the work I submit may be subject to verification to establish that it is my
own.
• I understand that if I disagree with the assessment outcome, I can
appeal the assessment process, and either re-submit additional evidence
undertake gap training and or have my submission re-assessed.
• All appeal options have been explained to me.
Student Signature

Date
Trainer/Assessor
Name
Trainer/Assessor I hold:
Declaration
☐ Vocational competencies at least to the level being delivered
☐ Current relevant industry skills
☐ Current knowledge and skills in VET, and undertake
☐ Ongoing professional development in VET
I declare that I have conducted an assessment of this student’s submission.

The assessment tasks were deemed current, sufficient, valid and reliable. I
declare that I have conducted a fair, valid, reliable, and flexible
assessment.
I have provided feedback to the student.
Trainer/Assessor
Signature
Date
Office Use Only The outcome of the assessment has been entered into the Student
Management System on _________________ (insert date)
by (insert Name)
__________________________________
Appendix A: Reasonable Adjustments

Write (task name and number) where reasonable adjustments have been applied:
Reasonable Adjustments
• Students with carer responsibilities, cultural or religious obligations, English as an additional

language, disability etc. can request for reasonable adjustments.
• Please note, academic standards of the unit/course will not be lowered to accommodate the
needs of any student, but there is a requirement to be flexible about the way in which it is
delivered or assessed.
• The Disability Standards for Education requires institutions to take reasonable steps to enable
the student with a disability to participate in education on the same basis as a student without a
disability.
• The trainer/assessor must complete the section below “Reasonable Adjustment Strategies
Matrix” to ensure the explanation and correct strategy have been recorded and implemented.
• The trainer/assessor must notify the administration/compliance and quality assurance
department for any reasonable adjustments made.

• All evidence and supplementary documentation must be submitted with the assessment pack to
the administration/compliance and quality assurance department.
Reasonable Adjustment Strategies Matrix (Trainer/Assessor to complete)
Category Possible Issue Reasonable Adjustment Strategy

(select as applicable)
 LLN  Speaking  Verbal assessment
 Reading  Presentations
 Writing  Demonstration of a skill
 Confidence Use of diagrams
 Use of supporting documents such as wordlists
 Non-  Speaking  Discuss with the student and supervisor (if applicable)
whether
English  Reading language, literacy and numeracy are likely to impact on the
Speaking  Writing assessment process
Background Cultural  Use methods that do not require a higher level of language or

background literacy than is required to perform the job role
 Confidence Use short sentences that do not contain large amounts of
information
 Clarify information by rephrasing, confirm understanding
 Read any printed information to the student
 Use graphics, pictures and colour coding instead of, or to support, text
 Offer to write down, or have someone else write, oral responses given by the student
 Ensure that the time available to complete the assessment, while meeting enterprise
requirements, takes account of the student’s needs
Reasonable Adjustment Strategies Matrix (Trainer/Assessor to complete)
 Indigenous  Knowledge and  Culturally appropriate training

understanding  Explore understanding of concepts and practical application
 Flexibility through oral assessment
 Services  Flexible delivery
 Inappropriate  Using group rather than individual assessments training and 
Assessment through completion of practical tasks in the field assessment after
demonstration of skills and knowledge.
 Age Educational  Make sure font size is not too small background 
Trainer/Assessor should refer to the student’s experience  Limited study  Ensure
that the time available to complete the assessment takes skills account of the
student’s needs
 Provision of information or course materials in accessible format.  Changes in
teaching practices, e.g. wearing an FM microphone to enable a student to hear
lectures
 Supply of specialised equipment or services, e.g. a note-taker for a student who
cannot write
 Changes in lecture schedules and arrangements, e.g. relocating classes to an
accessible venue
 Changes to course design, e.g. substituting an assessment task  Modifications to
physical environment, e.g. installing lever taps, building ramps, installing a lift

 Educational  Reading  Discuss with the Student previous learning experience
background  Writing  Ensure learning and assessment methods meet
the student’s
 Numeracy individual need
 Limited study skills and/or learning strategies
 Disability  Speaking  Identify the issues
 Reading  Create a climate of support
 Writing  Ensure access to support that the student has agreed to
 Numeracy  Appropriately structure the assessment
 Limited study  Provide information or course materials in accessible format,
skills and/or e.g. a text book in braille
learning strategies  Changes in teaching practices, e.g. wearing an FM microphone
to enable a student to hear lectures
 Supply of specialised equipment or services, e.g. a note taker for a student who
cannot write
 Changes in lecture schedules and arrangements, e.g. relocating classes to an
accessible venue
 Changes to course design, e.g. substituting an assessment task  Modifications to
physical environment, e.g. installing lever taps, building ramps, installing a lift
Explanation of reasonable adjustments strategy used
Trainer/Assessor
Name

Trainer/Assessor
Declaration I declare that I have attached all relevant evidence to provide reasonable
adjustment. The training package guidelines and criteria have not been
compromised in the process of providing reasonable adjustment to the
student. I declare that I have conducted a fair, valid, reliable, and flexible
assessment. I have provided explanation of reasonable adjustments
strategy used, as required.
Trainer/Assessor
Signature
Date
Appendix B: Learner Evaluation Form

Please complete this evaluation form as thoroughly as you can, in order for us to continuously improve
our training quality. The purpose of the evaluation form is to evaluate the areas below:
• logistics and support

• facilitation
• training material
• assessment
Your honest and detailed input is therefore, of great value to us, and we appreciate your assistance in
completing this evaluation form!


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SITXWHS005

Participate in safe work practices

What is the purpose of this document?

The information includes the following:

• Information related to the unit of competency

Link to other unit documents

Full name: Sean Gaberiel

Contact number: 047814070

Email address: Seanrapada15@gmail.com

2.Qualification and unit of competency

3.Assessment Submission Method

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Student signature: ________________________________

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• Result of Assessment (satisfactory or unsatisfactory)

Student Name: ___Sean Gaberiel Rapada____________________

Student Signature: ___________________________________

Assessment method-based instructions and guidelines:

Instructions provided to the student:

Assessment task description:

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Resubmissions and reattempts:

 This assessment task may be completed in:

Instructions for answering the written questions:

• Complete a written assessment consisting of a series of questions.

Purpose of the assessment

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Assessment Task 1: Knowledge Test

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• Frying and deep-frying various foods

Q4: Based on the scenario in question 3, why is it important to incorporate Satisfactory

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1. Cold Storage Area:

• Establish a regular maintenance schedule to address any structural issues

• Enforce proper waste management practices, including regular and timely

2. Oil Burns and PPE Compliance:

• Reinforce training programs focusing on the correct use of personal protective

• Conduct refresher courses on safe work practices, emphasizing the importance of

• Implement visual reminders and signage in relevant work areas to encourage

• Foster a culture of accountability, encouraging staff to report any incidents or

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1. Regular Workplace Inspections:

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Use of Colors and Shapes for Warning Signs:

Safety Directions in Case of Emergency:

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2. Workplace Supervisor or Manager: To report and seek guidance on workplace-specific

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4. Communication of Distress: Receiving alerts, alarms, or notifications from official channels,

Q11: Discuss the importance of participating in WHS consultation processes? Satisfactory

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emergency procedures to ensure a safe workplace. Yes ☐ No ☐

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1. Unsafe Work Practices:

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2. Consultation and Participation:

3. Hazard Identification and Risk Management:

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Student Name: _Sean Gaberiel Rapada__________________

Date: ___(day)/ _(month)/ _____(year)

Student Name: Sean Gaberiel Rapada________

Name: _Sean Gaberiel Rapada______________ Position: _Chef_______