Hazard

Learner Instructions 2 

(Identify, analyse and monitor a hazard)

Submission details

Students Name

Student ID

Group

Assessor’s Name

Assessment Date/s

The assessment task is due on the date specified by your assessor. any variations to this arrangement must be approved in writing by your assessor.

Submit this document with any required evidence attached. See specifications below for details.

Performanceobjective

You must demonstrate skills for identifying, analysing and monitoring hazards in the workplace.

Assessment description

You are required to read through the workplace scenario that is listed in Appendix 1 and then undertake the necessary tasks as listed in the procedure.

As part of this assessment you will be required to identify the relevant workplace hazard and fillin an incident report form. After completing the form, you will need to analyse this particular hazard more thoroughly by examining previous incidents and by developing a chart which aggregates this data.

You will then need to run a safety action meeting (SAM), where you will be meeting with your work safety team to analyse recorded incidents, identify the major hazard to address and to discuss anddemonstrate treatment of the hazard. 

Finally, you will prepare and submit a report on WHS performance and the process you undertook to identify and treat the hazard.

Procedure

1. Reviewthe scenario provided in Appendix1.

2. Complete an Incident Report for the hazardthat is involved in the scenario (use the form in Appendix 2).You will need to create names and additional information as necessary to fillin the form.

3. Add Rose’s incident from the scenario to the data sheet and translate that data into a graph (see Appendix 3).

4. Conduct a safety inspection of your work area with regards to that hazard (see Appendix 4). Your assessor will simulate a workplace for you to inspect and assign you to a work safety team.

5. Organise and chair asafety action meeting (SAM) with your work safety team. Negotiate and schedule the meeting with your work safety team.

6. Before the meeting, work with your group to:

a. consult on analysis of the hazard and possible treatment

b. consider the costs of control measures for the hazard.

7. During the meeting, use the hazard control hierarchy to recommend and/or demonstrate a practicable treatment. Ensure you take minutes using the SAM form (Appendix 5) to provide evidence of the meeting. Your assessor may choose to observe the meeting.

8. Write a one- to two-page report for your Health and Safetyrepresentative (the assessor). Ensure that you:

a. describe the process you undertook to identify, analyse and consult on the risk;refer to organisational WHS policies and procedures and relevant legislation for example:

i. specific OHS and WHS legislation requiring maintenance of safe workplace

ii. specific OHS and WHS legislation and regulations and codes of practice requiring institution and implementation of consultative practices

iii. duty of care responsibilities of employers and employees

iv. describe WHS performance with respect to the hazard;outline any inadequacies in existing risk control measures

v. describe the measures you took to control the hazard, including demonstrations or plans to control the hazard.

9. Submit all documentation as per the specifications below. Ensure you keep copies for your records.

Specifications

You must provide:

● a completed incident report (using the form in Appendix 2) for the observed hazard

● a completed graph in relation to the data analysis (Appendix 3)

● a completed safety inspection form (Appendix 4) including photos or diagrams of the observed hazard

● a copy of minutes from SAM meeting (Appendix 5) showing dates of attendance and participation (the hazard mentioned and discussed)

● a one- to two-page report for your Health and Safety representative (the assessor).

Note:All of the above must be collated and presented to the assessor on the agreed 

due date. 

Your assessor will be looking for:

● analytical and problem-solving skills to:

○ identify hazards

○ assess risks in the work area

○ review information relating to monitoring and evaluating incidents, and the effectiveness of risk controls

● literacy skills to understand and interpret documentation, and to interpret WHS requirements

● knowledge of hazards and associated risks in the workplace

● knowledge of key provisions of relevant WHS Acts, regulations and codes of practice that apply to the business

● knowledge of organisational policies and procedures relating to hazard management, fire, emergency, evacuation, incident investigation and reporting

● knowledge of relevance of consultation and participation as key mechanisms for improving WHS and culture 

● knowledge of WHS legislative responsibilities, duties and obligations of managers, supervisors, persons conducting businesses or undertakings (PCBUs) or their officers, and workers in the workplace.

Candidate:  I declare that this work has been completed by me honestly and with integrity and that I have been assessed in a fair and flexible manner. I understand that the Institute’s Student Assessment, Reassessment and Repeating Units of Competency Guidelines apply to these assessment tasks.

Signature: ___________________

Date: ____/_____/_____

Appendices

Appendix 1: Workplace scenario

You are employed as a team leader of a group of five administration staff. A rapid growth in the organisation has seen many new computers installed in the office. With so many computers around the office, power extension cables occasionally become loose and end up lying on the floor of the hallway.

In the past three months, a number of your employees have had near-misses where they have almost tripped on a loose cable. To make matters worse, just this morning you witnessed your senior administrator Rosie Thompson trip on a cable and sprain her wrist on impact with the floor. As team leader, you immediately gave Rosie some ice and a bandage and took her to see the local doctor. 

Organisational recordkeeping and consultative procedures, which are in place to ensure the organisation adheres to WHS obligations under relevant legislation, require team leaders to:

● conduct regular workplace inspections and submit safety inspection forms to the relevant person (your Health and Safety representative or you assessor)

● fill in and submit incident reports for incidents involving accidents or near-accidents involving staff or visitors

● compile WHS aggregate information and report on safety performance as part of the WHS management system to your Health and Safety representative.

In your workplace’s operational plan, the target number of incidents or injuries requiring first aid and/or medical treatment is zero. 

 

Appendix 2: Incident report

Incident report

Note: All sections of this form are to be completed. All incidents shall be advised within 12 hours of the incident to ensure appropriate action is initiated.

Personal details

Family name: First name:

Contact Phone No:   (w) (h – if injured)

Occupation: Gender:  •M• F

Staff employment status:

• Full-time • Part-time • Casual

• Contractor • Visitor

Division/Department:

Incident details

Date of incident: Time of incident: AM / PM

Location where incident occurred:

Briefly describe what happened: 

This incident resulted in: 

• Injury • No injury • Near miss 

• Property damage • Hazard identified 

The incident was reported to (Supervisor):

Name of Supervisor: Date: _________

Injury/damage details

If an injury was sustained, what part of the body was affected or if damage to property occurred what was damaged?

Medical treatment

If MEDICAL EXPENSES or LOST TIME is incurred, a ‘Workers Compensation Claim form’ must be completed and forwarded to WHSW & IM Services ‘as soon as possible’.

Do you intend to seek medical treatment? • Yes • No

Do you intend to lodge a claim for workers compensation? • Yes • No

Has any time been lost from work? 

(More than 1 complete shift) • Yes • No

If so, have you returned to work? • Yes • No

Have/will medical expenses been incurred? • Yes • No

• Uncertain at this time

Were there witnesses? 

If so, name of witness(es):

Contact phone number:

Employee signature:

Date:

If a medical certificate has been provided please send to: Fax xxxx xxxx or email: xxx@xxx.xx.xx

Describe in detail what occured 

It is the responsibility of the supervisor/line manager to complete this section in consultation with the injured staff member.

Please describe the events and contributing factors that led to the incident:

How could this be prevented from happening again?

The Supervisor/Line Manager is to complete this section in consultation with the injured staff member and the Health & Safety Representative (if applicable)

Suggestions to avoid recurrence of this incident/accident:

Name of health and safety representative, if consulted:

Action plan

Note: From the previous section, list the actions required to prevent this happening again.

Action to prevent recurrence

(Do not leave blank) Person responsible 

for action Action 

taken Sign-off completed

(signature required)

• Referred to Line Manager • Placed issue on local action plan

• Consulted employees • Advised Senior Manager

• Advised WHSW Services • CSR raised, referred to FMU

• Feedback provided to affected person on outcome

Is rehabilitation required?

• Yes

• No • Rehabilitation consultant advised 

Date:

Name of Supervisor: Contact Phone Number:

Signed:

Date:

Appendix 3: Analyse data

The workplace incident data for the past three months is recorded in the incident register below. Summarise the data in the graph provided and identify the areas that you should concentrate your improvement efforts on.

Incident Cause Type Who When

Slip/trip Cables on floor MTI Bob 13/07

Muscle pull Lifting paper MTI Jane 18/07

Muscle pull Moving bins FAI Nihal 30/08

Bullying Project deadline LTI Laszlo 15/09

Stress Project deadlines LTI Greg 17/09

Slip/Trip Cables on floor NMI Bob 01/10

Cut Cut finger on broken glass FAI Rita 02/10

FAI first aid incidents

MTI medical treatment injury

LTI lost time injury

LTIFR lost time injury frequency rate

NM near miss

Graph the data from the table above.

 

 Incident 

Analyse the data above and suggest what you will need to focus on during the safety action meeting.

Appendix 4:Safety inspection form

Criteria N/A Yes No Comments

EMERGENCY PROCEDURES

Are designated emergency persons’ details are posted including: 

● health and safety representative

● fire warden

● first aid person?

Are instructions posted for calling emergency services?

Is the site plan on display?

Are emergency evacuation muster/assembly areas signposted?

Have all staff been inducted and trained in emergency procedures?

Entry and exit doors are marked and free of clutter?

Emergency exit routes and aisles and corridors are free of clutter?

Are fire extinguishers provided and maintained?

Have personnel on site been trained in the use of fire extinguishers?

Are first aid kit/s stocked to contents list?

Are first aid supplies replenished?

HOUSEKEEPING

Is the bathroom and toilet clean and tidy?

Is the kitchen and eating area clean and tidy?

Are floors clean, dry and in good condition?

Are desks and work areas tidy?

Are rubbish bins sufficient?

Is rubbish cleared regularly?

Are recycling bins sufficient?

Are recycling bins cleared regularly?

Are aisles and areas around workstations free of clutter?

ERGONOMICS

Is furniture fit for purpose?

Do office chairs have five supports?

Is furniture adjustable for keyboard operators?

● straight back

● forearms parallel to the floor

● upper legs parallel to the floor

Are footrests provided where necessary?

Are document supports provided?

Are computer screens positioned to avoid glare?

Are work stations and equipment positioned to:

● reduce manual handling

● reduce repetitive handling

● improve work flow?

HAZARDOUS SUBSTANCES

Are all chemicals, including liquid fuels, properly labelled, stored and signposted?

Are spill kits available?

Are MSDS readily available for hazardous substances?

Is a hazardous materials register maintained?

PPE (for hazardous areas)

Is safety signage accurate?

Is safety signage displayed correctly?

Are safety glasses worn when required?

Is high visibility clothing provided where required?

OTHER

Appendix 5: SAMrecord form

Work safety team:

Meeting held on:

Meeting conducted by (supervisor):

HSR in attendance:     Yes   /   No

Issues to be covered:

Other issues addressed:

Staff in attendance:

Outcomes:

Attendees:

Name: Signature:

Name:  Signature:

Name:  Signature:

Name:  Signature:

Name:  Signature:

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