Course Details
Course Name
Unit(s) of competency
Unit Code (s) and Names	SITXWHS003 Implement and monitor work health and safety practices

Assessment Details
Term and Year		Time allowed
Assessment No		Assessment Weighting
Assessment Descriptor
Due Date		Extension (if approved)

Re-Assessment Details
Term and Year		Time allowed
Assessment No		Re-assessment Fee Paid?
Assessment Type
Due Date		No Extension

Student Details and Declaration
Student Name
Student ID		Trainer/Assessor’s Name
Student Declaration: a. I declare that the work submitted is my own and has not been copied or plagiarised from any person or source. b. I have not submitted any part of this assignment previously as part of another unit/course. c. I acknowledge that I understand the requirements to complete the assessment tasks. d. The assessment process including the provisions for re-submitting and academic appeals were explained to me and I understand these processes.	Signature: __________________________________ Date: _______/________/______

Assessment Outcome – To be completed by the Assessor
Assessor’s Name
Results	Satisfactory Not Satisfactory	Marks:
Re-assessment eligibility	Yes No	Due Date:

This assessment

First Attempt

2nd Attempt

Late Penalty__________

FEEDBACK TO STUDENT Progressive feedback to students, identifying gaps in competency and comments on positive improvements:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Student Declaration: I declare that I have been assessed in this unit and I have been advised of my result. I am also aware of my right to appeal and the reassessment procedure. Signature: ____________________________ Date: ____/_____/_____	Assessor Declaration: I declare that I have conducted a fair, valid, reliable and flexible assessment with this student, and I have provided appropriate feedback Student did not attend the feedback session. Feedback provided on assessment. Signature: ____________________________ Date: ____/_____/_____

FEEDBACK TO STUDENT (FOR REASSESSMENTONLY)
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Student Declaration: I declare that I have been re-assessed in this unit and I have been advised of my result. I am also aware of my right to appeal. Signature: ____________________________ Date: ____/_____/_____	Assessor Declaration: I declare that I have conducted a fair, valid, reliable and flexible assessment with this student, and I have provided appropriate feedback Student did not attend the feedback session. Feedback provided on assessment. Signature: ____________________________ Date: ____/_____/_____

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Assessment Task

(Performance and Knowledge)

SITXWHS003

Implement and monitor work health and safety practices

DOCUMENT CONTROL

Version	Date	Comments
1.0	6th October 2018	Original

ASSESSOR PRE-ASSESSMENT CHECKLIST

This checklist is to be completed prior to commencing the assessment.

Please discuss this with the learner and circle yes or no for each question.

Is the learner ready for assessment?	☐Yes ☐ No
Have you explained the assessment process and tasks?	☐ Yes ☐No
Does the learner understand which evidence is to be collected and how?	☐ Yes ☐No
Have the learner’s rights and the appeal system been fully explained?	☐ Yes ☐No
Have you discussed any special needs or reasonable adjustments to be considered during the assessment?	☐ Yes ☐No
Does the learner have access to all required resources?	☐ Yes ☐No

ASSESSMENT INSTRUCTIONS

PURPOSE OF THE ASSESSMENT TASK
Assessment Tool	Project
To demonstrate satisfactory completion of this Assessment Task the learner must:	Satisfactory (S)	Not Satisfactory (NS)
Part A: Planning WHS systems, consultation and risk assessment
Instance 1: Plan and consultation to Evacuate staff and customers from a venue	☐	☐
Instance 2: Plan and consultation for the Security management of cash, documents, equipment, keys or people	☐	☐
Instance 3: Plan and consultation for Handling chemicals and hazardous substances	☐	☐
An implementation plan that provides the steps and processes for planning consultation, risk assessment and implementation for each Instance	☐	☐
Part B: Implementing, monitoring and evaluating WHS systems
Written Summary Report for each situation and clearly outline the requirements for changes for each procedure	☐	☐
Evacuation Plan	☐	☐
Risk Assessment Analysis	☐	☐
Overall Assessment Task Performance	Satisfactory (S)	Not Satisfactory (NS)
Assessment Task: Project	☐	☐
Resources required for this Assessment
Trainers and Assessors are required to ensure all learners have access to: Emergency Management Systems Personal Protective Equipment (PPE) Standard Operating Procedures (SOPs) Record Keeping Documentation Communication lines and provisions for consultation Building Security Policies and Procedures Work Health and Safety Regulations 2011 Australian Standards 2010 Building Regulations Act 2006 Policies and procedures used for managing Work health and safety (WHS) 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 WHS policies and procedures operational team Template: Floor Plan Template: Risk Assessment and Risk Treatment Tool Website Resource: https://www.worksafe.vic.gov.au/ Website Resource: https://www.safeworkaustralia.gov.au/ Website Resource: http://www.safeworkaustralia.gov.au/sites/swa/about/publications/Documents/657/Emergency_plans_fact_sheet.pdf
Instructions for Trainer and Assessors
This assessment task has to be conducted as per the Assessment Conditions:
	In class	☐	In an Industry Workplace		In a Simulated Industry Environment
Instructions for the assessments
Attendance must be recorded in the Attendance Spreadsheet The assessment is to be completed according to the Assessment task instructions This is an individual assessment The Assessment must be completed as per the Assessment Instructions All responses must be referenced using the APA Referencing Style Trainer and Assessor are to complete the Pre-Assessment Checklist before commencing the Assessment process
Assessment Task Duration
Six (6) Weeks
Learner Evidence Submission Requirements
An implementation plan that provides the steps and processes for planning consultation, risk assessment and implementation for each of the three (3) Instances A Written Summary report for each situation and clearly outline the requirements for changes for each procedure Completed Templates: Instance 1 Instance 2 Instance 2 Evacuation Plan Risk Assessment and Risk Treatment Log

IMPLEMENT AND MONITOR WORK HEALTH AND SAFETY PRACTICES

ASSESSMENT TASK: PROJECT

PART A: PLANNING WHS SYSTEMS, CONSULTATION AND RISK ASSESSMENT

For the purpose of this assessment you need to provide for each situation listed below:

1. Clear references to websites or sources including sections and pages where you located the relevant legislation

2. An implementation plan that provides the steps and processes for planning consultation, risk assessment and implementation for each situation

3. 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.)

ASSESSMENT REQUIREMENTS

1. You are required to plan for each of the following instance and situations:

1. Evacuation of staff and customers from a venue
2. Security management of cash, documents, equipment, keys or people
3. Handling chemicals and hazardous substances

Instance	Date	Duration from … to…	Tasks to be completed What will be observed?
Selection 1:			Consultation Risk Assessment Process Implementation Monitoring of processes Identification of Training Needs Evaluation Recording of documentation
Selection 2:			Consultation Risk Assessment Process Implementation Monitoring of processes Identification of Training Needs Evaluation Recording of documentation
Selection 3:			Consultation Risk Assessment Process Implementation Monitoring of processes 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 Australia website or the WorkSafe Victoria website:

Link 1	https://www.safeworkaustralia.gov.au/
Link 2	https://www.worksafe.vic.gov.au/

Situation	Code/legislation/factsheet	Reference

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

Situation:
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
Consultation Requirements: Where, when, what
Who is involved:
Risk assessment including Hazard Analysis – what will need to be assessed
Complete the risk assessment template marked “Situation_______________________

2. Instance

Situation:
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
Consultation Requirements:
Who is involved:
Risk assessment including Hazard Analysis – what will need to be assessed
Complete the risk assessment template marked “Situation_______________________

3. Instance

Situation:
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
Consultation Requirements:
Who is involved:
Risk assessment including Hazard Analysis – what will need to be assessed
Complete the risk assessment template marked “Situation_______________________

ASSESSMET MARKING CRITERIA (PART A)

Planning WHS systems, consultation and risk assessment
Instance 1: Evacuation of staff and customers
Marking Criteria	1.Attempt	2.Attempt	3.Attempt
Legal requirements set out in legislation	S	NS	S	NS	S	NS	Feedback
The correct code, legislation or factsheet is identified
The source where the information is accessed is provided
The legal requirements for emergency procedures are identified
PCBUs must ensure that an emergency plan is prepared for the workplace, including for workers who may work at multiple workplaces
The inclusions listed in the emergency plan are identified and provided; emergency procedures, including: an effective response to an emergency evacuation procedures notifying emergency service organisations at the earliest opportunity medical treatment and assistance, and effective communication between the person authorised to coordinate the emergency response and all people at the workplace testing of the emergency procedure information, training and instructions for workers to implement the emergency procedures							http://www.safeworkaustralia.gov.au/sites/swa/about/publications/Documents/657/Emergency_plans_fact_sheet.pdf
A floor plan or outline of the area where evacuation is planned is attached
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
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

Planning WHS systems, consultation and risk assessment
Instance 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
List the criteria for legal requirements here: _____________
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
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
Planning WHS systems, consultation and risk assessment
Instance 3 : Handling chemicals and hazardous substances
Marking Criteria	1.Attempt	2.Attempt	3.Attempt
Legal requirements set out in legislation	S	NS	S	NS	S	NS	Feedback
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 placards and outer warning placards and displaying of safety signs maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required 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, firefighting 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							http://www.safework.nsw.gov.au/__data/assets/pdf_file/0018/52155/managing-risks-hazardous-chemicals-code-3837.pdf
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
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

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.

5. Document each breach or shortfall you identify for each instance.

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.

7. Attach your completed templates or log as relevant.

8. Attach your final summary report.

ASSESSMET MARKING CRITERIA (PART B)

Implementing, monitoring and evaluating WHS systems
Instance 1 : Evacuation of staff and customers
Marking Criteria	1.Attempt	2.Attempt	3.Attempt
Implementation	S	NS	S	NS	S	NS	Feedback
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 trialed
Monitoring
Each process is monitored
Define steps monitored: _________________________
Any breaches are identified
Corrective action is taken:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Staff is informed or actioned for breaches as relevant:
Issue: Action:
Issue: Action:
Issue: Action:
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

Implementing, monitoring and evaluating WHS systems
Instance 2: Security management of cash, documents, equipment, keys or people
Marking Criteria	1.Attempt	2.Attempt	3.Attempt
Implementation	S	NS	S	NS	S	NS	Feedback
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: ______________________
Any breaches are identified
Corrective action is taken:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Staff is informed or actioned for breaches as relevant:
Issue: Action:
Issue: Action:
Issue: Action:
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

Implementing, monitoring and evaluating WHS systems
Instance 3: Handling chemicals and hazardous substances
Marking Criteria	1.Attempt	2.Attempt	3.Attempt
Implementation and Monitoring	S	NS	S	NS	S	NS	Feedback
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: ___________________________
Any breaches are identified
Corrective action is taken: _________________________
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Staff is informed or actioned for breaches as relevant:
Issue: Action:
Issue: Action:
Issue: Action:
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

TEMPLATE: WHS RISK ASSESSMENT TOOL

Organisation		Risk Assessment completed by
Department		Date
Section		Review date
Workplace Activity

Step 1 Activity (describe/name the activity, task or process with the associated risk)	Step 2 Hazards (describe the hazard)	Step 3 Potential risks (describe consequences and impacts of the risk)	Step 4 Existing controls (describe existing risk control measures in place)	Existing Risk Score If relevant	Step 5 Action required Hierarchy of Controls	Risk Score	Implementation
Action by	Due Date	Date Completed

Risk Analysis matrix – Level of risk

Identified Hazards	Risk Assessment	Risk Score	Risk Level	Action
	Likelihood (L)	Consequence (C)	L x C

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 treatment only	1		Elimination is a permanent solution and should be attempted in the first instance.
Occasionally (Weekly)	2	Moderate – e.g. sprained ankle, one day off required	2		Substitution involves replacing the hazard or environmental aspect by one of lower risk.
Frequent (Daily)	3	Major – e.g. loss of limb or bodily function	3		Engineering controls involve physical barriers or structural changes to the environment or process.
Constant (Hourly)	4	Catastrophic – e.g. fatality	4		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)

TEMPLATE: EVACUATION PLAN

END OF PAPER

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