SITXWHS003 Assessment Done

Assessment Tasks and Instructions
Student Name
Student Number
Course and Code
Unit(s) of Competency and Code(s) SITXWHS003 Implement and monitor work health
and safety practices
Stream/Cluster
Trainer/Assessor
Assessment for this Unit of Competency/Cluster Details

Assessment 1 Assignment
Assessment 2 Project
Assessment 3
Assessment conducted in this instance: Assessment 1 2 3
Reasonable Adjustment
1. Has reasonable adjustment been applied to this assessment?
No No further information required
Yes Complete 2.
2. Provide details for the requirements and provisions for adjustment of assessment:
Student to complete
My assessor has discussed the adjustments with me
I agree to the adjustments applied to this assessment
Signature Date
2nd Assessor to complete

I agree the adjustments applied to this assessment are reasonable
Name
Signature Date
SIT Version 1 1 of 32
©Futura Group 2016
Assessment Guidelines
What will be assessed

The purpose of this assessment is to assess your ability to complete tasks outlined in elements and
performance criteria of this unit in the context of the job role, and:
 implement and monitor adherence to workplace health and safety procedures in three of the following real or
simulated situations:
o evacuation of staff and customers
o security management of cash, documents, equipment, keys or people
o handling chemicals and hazardous substances
o hazard identification and reporting
o incident and accident reporting
o risk assessment and reporting
 coordinate consultative processes for managing the above workplace health, safety and security issues
 coordinate risk assessments, WHS training, and the maintenance of records relating to above situations
 monitor the effectiveness of the WHS system and identify:
o required adjustments
o staff training needs
 demonstrate management practices that must be implemented for compliance with state or territory
occupational health and safety (OHS) or WHS legislation during above situations.
Place/Location where assessment will be conducted
RTO to complete
Resource Requirements
Refer to the Assessment conditions attached to the Futura Group Mapping Document located in the teacher
support tools folder or the “Assessment Conditions” for this unit in the SIT 1.0 Training Package.
For this assessment access to the following resources are essential:

 access to a computer
 internet access
 a workplace, real or simulated, with workers or students present
 risk assessment templates (attached)
 relevant state or territory WHS legislation
 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 WHS policies and procedures
Instructions for assessment including WHS requirements
The assessment for this project consists of 2 Parts, Part A and Part B.
Part A requires you to plan for 3 situations of your choice as outlined below:
©Futura Group 2016
1. You are required to select 3 situations as listed in the task description on the following pages.
2. Once your situations have been selected, you need to access the relevant codes of practice from the
Safework website or the website governing WHS relevant for your state.
3. After you have identified the specific requirements for each situation you will need to:
a. plan, develop and implement consultation processes with your staff/ colleagues;
b. conduct risk assessment for each;
c. apply the relevant risk control measures; and
d. implement each situation in instances as instructed by tour trainer.
4. During implementation of each situation you need to identify the effectiveness for each system,
identify any adjustments required and identify any further staff training needs.
5. For each situation you need to provide:
a) Clear reference to websites or sources including sections and pages where you located the
relevant legislation
b) An implementation plan that provides the steps and processes for planning consultation, risk
assessment and implementation for each situation
c) The actual records required to meet legislative requirements (for example consultation
records for staff consultation/ where incident reporting is selected the appropriate form(s)/
where chemicals and hazardous substances are selected the relevant SDS, PPE register,
training register etc./ where security management of any kind is selected the relevant SOPs,
emergency procedures, staff training records/ where evacuation is selected, the floorplan(s),
emergency procedures, wardens, forms for reports as relevant etc.)
Part B requires you to implement and monitor the effectiveness of each situation to identify the need for
adjustment and any training requirements for staff to overcome any shortfalls or non-compliance that is
identified
6. The observation criteria below provide a guideline for generic key criteria.
7. Additional criteria will be added by your trainer as relevant for the specific situations
Statement of Authenticity
I acknowledge that I understand the requirements to complete the assessment tasks
The assessment process including the provisions for re-submitting and academic appeals were explained
to me and I understand these processes
I understand the consequences of plagiarism and confirm that this is my own work and I have
acknowledged or referenced all sources of information I have used for the purpose of this assessment
Student Signature: Date: / /201
This assessment:
First Attempt 2nd Attempt 3nd Attempt Extension – Date: / /
RESULT OF Project Part A Satisfactory Not Yet Satisfactory

ASSESSMENT Project Part B Satisfactory Not Yet Satisfactory
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Feedback to Student:
Assessor(s)
Date: / /
Signature(s):
Student Signature Date: / /
©Futura Group 2016
Assessment 2
Part A Planning WHS systems, consultation and risk assessment
Your Tasks
For the purpose of this assessment you need to provide for each situation listed below:
a) Clear references to websites or sources including sections and pages where you located the
relevant legislation
b) An implementation plan that provides the steps and processes for planning consultation, risk
assessment and implementation for each situation
c) The actual records required to meet legislative requirements (for example consultation records
for staff consultation/ where incident reporting is selected the appropriate form(s)/ where
chemicals and hazardous substances are selected the relevant SDS, PPE register, training
register etc./ where security management of any kind is selected the relevant SOPs, emergency
procedures, staff training records/ where evacuation is selected, the floorplan(s), emergency
procedures, wardens, forms for reports as relevant etc.)
1. You are required to plan the following situations:
1) evacuation of staff and customers

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: 06/12/2019 10:30-11:30 Consultation
Lack of emergency Risk Assessment Process
procedures / programs Implementation
Monitoring of processes
Identification of Training Needs
Evaluation
Recording of documentation
Any equipment is Risk Assessment Process
damaged or defective in Implementation
any way Monitoring of processes
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Evaluation
Chemicals are stored in Risk Assessment Process
the kitchen area Implementation
Monitoring of processes
Evaluation
2. Once your situations have been selected, you need to access the relevant codes of practice from the
Safework website or the website governing WHS relevant for your state.
Situation Code/legislation/factsheet Reference
Lack of emergency Occupational Health and Safety https://www.worksafe.vic.gov.au/__data

procedures / programs (Hazardous Substances) Regulations /assets/pdf_file/0005/208166/NOC-
1999 (the Regulations) Hazardous-substances-code-of-practice-
2000-06.pdf
Any equipment is damaged The Occupational Health and Safety https://www.worksafe.vic.gov.au/__data

or defective in any way Act 1985. /assets/pdf_file/0014/212261/ISBN-
Code-of-practice-building-construction-
workplaces-1990-10.pdf
Chemicals are stored in the Dangerous Goods Act 1985 https://www.worksafe.vic.gov.au/__data

kitchen area /assets/pdf_file/0016/212263/ISBN-
Code-of-practice-for-the-storage-
handling-dangerous-goods-2013-09.pdf
©Futura Group 2016
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:
Lack of emergency procedures / programs
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
 Occupational Health and Safety (Hazardous Substances) Regulations 1999 (the Regulations)
Consultation Requirements: Where, when, what
 Check that appropriate emergency signage is in place, appropriately lit and is regularly tested and is fully
operational
In addition to the priority issue of personal safety, actions and procedures need to be identified and
communicated that limit the effect of potential emergencies on property and structures.
The emergency procedures must include instructions related to the following as a minimum:
• Fire
• Chemical spill
What is the level of response required:
• Total evacuation
• Isolation of Hazard.
Who must be notified:
• Supervisor
• Fire Brigade.
Who are alternative emergency contacts:
What needs to be shut down to minimise potential adverse impact:
• Under what circumstances
• Who is responsible
• What procedures are there or need to be developed
Environmental issues and emergency procedures also need to be identified and communicated to limit the
effect of potential emergencies.
Possible environmental issues may include:
• toxic fumes escaping into the atmosphere and adversely affecting the surrounding community
• waterways being contaminated by toxic substances or oil
• hazardous and toxic materials entering storm water drains
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Who is involved:
 Ensure all workers are familiar with all emergency response procedures, emergency alarm sounds and
be able to act accordingly
Risk assessment including Hazard Analysis – what will need to be assessed
 Conduct regular emergency evacuation drills to test procedures / programs and systems
 Ensure emergency contacts receive appropriate training for coordinating emergency responses
Complete the risk assessment template marked “Situation_______________________
Lack of emergency procedures / programs
 Check that kitchen area has clear path to emergency exits by more than one route
 Develop appropriate emergency procedures / programs
2. Instance
Situation:
Any equipment is damaged or defective in any way
 The Occupational Health and Safety Act 1985.
Consultation Requirements:
 As required have electrical appliances inspected and tested on a regular basis and record this
information
Keep in mind that employees can come in contact with a hazardous substance and any waste,
intermediate or product generated from the use of the substance if they:
• Work with it directly; are in the vicinity of where it is used or likely to be generated;
• Enter an enclosed space where it might be present;
• Disturb deposits of the substance on surfaces (for example, during cleaning) and make them airborne;
and/or
• Come into contact with contaminated surfaces. Pay particular attention to:
• The specific tasks or processes (eg. decanting, spraying, heating) performed, and how they affect the
routes of exposure;
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• The quantity of the substance used;
• The risk controls in place and their effectiveness; and
• Whether each employee’s work technique, work posture or size has a significant bearing on their level
of exposure.
 As required have electrical appliances inspected and tested on a regular basis and record this
information
 Where equipment is identified for repair, it should be immediately removed from service and
appropriately labelled to prevent further use
 Consider installing a safety switch on power supply
Who is involved:
 Employers and self-employed persons should ensure that workers are trained in the safe use of
electrical equipment.
 Where equipment is identified for repair, it should be immediately removed from service and
appropriately labelled to prevent further use
Any equipment is damaged or defective in any way
 Electrical equipment should be used and stored in a manner which does not damage the electrical
fittings (e.g. don’t overstretch extension cords), and it should not be exposed to harsh or damaging
environments (e.g. chemicals, water) unless the equipment is specifically designed for use in these
environments
3. Instance
Situation:
Chemicals are stored in the kitchen area
 Dangerous Goods Act 1985
Consultation Requirements:
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 Where possible do not store chemicals in kitchens, keep them in a designated area for storing
chemicals
 Depending on the substance, the severity of the harm could range from minor to major, for example,
from minor skin irritation to chronic respiratory disease. Some chemicals may not be hazardous by all
routes of entry. For example, silica is hazardous only by inhalation so the risk assessment needs to
consider how inhalation could occur in the workplace.
The SDS may also include summaries of toxicological data, or advice or warnings for people that might be
at risk, such as
 people who are sensitised to particular chemicals
 warnings for pregnant women
 people with existing medical conditions such as asthma.
Examples may include:

 use of welding rods which may liberate hazardous fumes and vapours
 directions for use of chlorine bleach, warning that harmful levels of chlorine gas may be generated if
the substance is mixed with incompatible chemicals
 warnings that some metals, including alkali metals, in contact with water or acids, liberate flammable
gas
 information on by-products or breakdown products like formation of explosive peroxides in ether
 Where possible do not store chemicals in kitchens, keep them in a designated area for storing
chemicals
 Ensure all hazardous substances are stored in a secure location
 Do not store hazardous substances on a shelf above head height
 Maintain clear separation of storage of hazardous substances from non-hazardous substances
 Ensure that all hazardous substances are kept in undamaged containers with secure caps or lids
Who is involved:
 Workers should obtain and read instructions for use, consult the Safety Data Sheets (SDS), and know
safe handling precautions to take before working with a hazardous substance
 Maintain clear separation of storage of hazardous substances from non-hazardous substances

 Ensure all hazardous substances are stored in a secure location
 Do not store hazardous substances on a shelf above head heigh
Chemicals are stored in the kitchen area
 Ensure that all hazardous substances are kept in undamaged containers with secure caps or lids
©Futura Group 2016
Planning WHS systems, consultation and risk assessment
Situation 1. : Evacuation of staff and customers
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 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 http://www.safeworkaustr
provided alia.gov.au/sites/swa/abo
 emergency procedures, including: ut/publications/Document
 an effective response to an emergency s/657/Emergency_plans_fa
 evacuation procedures ct_sheet.pdf
 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
 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
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The hazards identified include equipment hazards relevant or
potential for process/ procedure
Security hazards are identified as relevant
The list provided reflects consultation reflecting on the tasks
undertaken in the workplace and information provided by the
student
Any existing controls in place to reduce risks for hazards identified
are described clearly
The risk scores entered must reflect the details provided though
consultation with colleagues
The risk level and risk score is determined for each hazard
identified in the risk assessment and listed in the template on the
last page
The actions for each hazard identified are determined and listed
in the template for each hazard
The implementation requirements for actions determined for
each hazard are outlined
The implementation strategy reflects the priorities according to
level of risks identified
The implementation strategy reflects the steps outlined in the
hierarchy of controls
The risk assessment template is submitted complete
List additional criteria as relevant
©Futura Group 2016
Situation 2. : Security management of cash, documents, equipment, keys or people


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
provided
The nature and details for consultation is provided in a clear
format
Risk Assessment

student
©Futura Group 2016
last page
©Futura Group 2016
Situation 3. : Handling chemicals and hazardous substances


The legal requirements for duties in relation to hazardous
chemicals are identified as relevant for the nature of the
organisation:
 correct labelling of containers and pipework, using warning http://www.safework.nsw.
placards and outer warning placards and displaying of safety gov.au/__data/assets/pdf_
signs file/0018/52155/managing
 maintaining a register and manifest (where relevant) of -risks-hazardous-
hazardous chemicals and providing notification to the chemicals-code-3837.pdf
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, fire fighting
equipment and emergency and safety equipment
 preparing an emergency plan if the quantity of a class of
hazardous chemical at a workplace exceeds the
 manifest quantity for that hazardous chemical
 stability and support of containers for bulk hazardous
chemicals including pipework and attachments
 decommissioning of underground storage and handling
systems
 notifying the regulator as soon as practicable of abandoned
tanks in certain circumstances
Consultation
provided
The nature and details for consultation is provide in a clear format
Risk Assessment
©Futura Group 2016

student
last page
©Futura Group 2016
Part B – Implementing, monitoring and evaluating WHS systems
Relevant Documents Used:
SDS sheet for selected chemical and hazardous substance:
1. Product Identifier. The product identifier must match the identifier on the safety data sheet and include the
chemical identity of the substance or ingredients in a mixture that contribute to the product’s hazards.
2. Pictograms. Pictograms are combinations of graphical elements that convey information about the product’s
hazards. GHS hazard pictograms are a black symbol on a white field within a red diamond.
3. Signal Word. Signal words indicate the severity of the product’s hazard. “Danger” indicates severe hazards
while “Warning” indicates less sever hazards.
4. Hazard Statements. Hazard statements are assigned based on the nature of the product’s hazards.
5. Precautionary Statements. Precautionary statements inform the reader about how to prevent or minimize the
negative effects of storing or handling the product unsafely. They fall into four categories: prevention, response,
storage, and disposal.
6. Supplier Identification. The supplier identification includes the name, address and telephone number that can
be used to locate or communicate with the manufacturer or supplier.
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Staff Consultation form:
Employers should consult with their employees and

in some instances, the employees’ union, where one of the following circumstances has arisen:
 employers intend to make significant changes at the workplace
 employers propose to change an employee’s regular roster or ordinary hours of work
 employers intend to dismiss more than 15 employees at one time for reasons of economic,
technological, structural or similar nature
 in relation to workplace health and safety
 employees request flexible working arrangements
 in the context of good faith bargaining for an enterprise agreement.
©Futura Group 2016
Training Register
Local information, instruction and training is based on the

arrangements described in this Fire Emergency Plan and includes the following:
 The action to be taken on discovering a fire

 The action to be taken when the fire alarm sounds
 Familiarisation with the means of escape from the premises
 Other relevant local features of the Emergency Plan such as fire marshalling, persons who may be in
need of assistance, safe shutdown of critical equipment, etc
 The location of the assembly point(s)
 Appreciation of the importance of fire resisting doors and of the need to close all doors in the event of a
fire
 The location and safe use of fire fighting equipment
 Local fire safety awareness and prevention
©Futura Group 2016
SOP:
Standard Operating Procedures Storing and Using Poisonous or Toxic Chemicals PURPOSE: To prevent food
borne illness by chemical contamination.
PROCEDURES:
1. Designate a location for storing the Material Safety Data Sheets (MSDS).
2. Follow manufacturer’s directions for specific mixing, storing, and first aid instructions on the chemical
containers in the MSDS.
3. Label and date all poisonous or toxic chemicals with the common name of the substance.
4. Store all chemicals in a designated secured area away from food and food contact surfaces using spacing or
partitioning.
5. Maintain an inventory of chemicals.
6. Store only chemicals that are necessary to the operation and maintenance of the kitchen.
7. Use the appropriate chemical test kit to measure the concentration of sanitizer each time a new batch of
sanitizer is mixed.
8. Do not use chemical containers for storing food or water.
9. Label and store first aid supplies in a container that is located away from food or food contact surfaces.
10. Label and store medicines for employees use in a designated area and away from food contact surfaces. Do
not store medicines in food storage areas.
11. Store refrigerated medicines in a covered, leak proof container where they are not accessible to children and
cannot contaminate food.
©Futura Group 2016
Emergency procedure:
The types of disasters you include in your emergency action plan will depend, in part, on where you're located.
The risks you face locally could be earthquakes, hurricanes, or blizzards, but your planning process will be very
similar in any case. Here are a few steps to follow as you develop a plan for natural disasters:
 Protect Your People: Be clear about when to close and evacuate your restaurant. Someone on each shift
should have that authority if conditions seem likely to put staff or guests at risk. Send everyone home if
it's safe and practical to do so, or provide the option of staying put when it's not. If you're in the blizzard
zone, for example, keep a supply of blankets, flashlights, and drinking water on hand in case the weather
closes in.
 Protect Your Food: If the power goes out, your food will be at risk. Refrigerated food can stay safe
through a short outage of a few hours, but you'll need to closely monitor the temperature in your
coolers. If it's likely that power will stay out for a day or two, try to move perishables to a commercial
storage site. Alternatively, purchase a generator to run your refrigerators. If flooding is a major risk in
your area, store your perishable dry goods and paper goods up off the floor, where they're less likely to
be inundated. Floods and storms can also make your water supply unusable, so keep a stock of bottled
water on hand.
 Protect Your Records: To minimize any ongoing disruption of your business, keep copies of crucial
documents (partnership agreements, employee records, tax documents, etc.) in a secure off-site
location. Data from your inventory management system, point-of-sale, and payroll records should be
backed up as well—either to a cloud-based storage service or on a physical drive that's stored off-site.
Keeping an up-to-date inventory of your supplies and fixtures can make your life a lot easier when
you're dealing with your insurance company.
©Futura Group 2016
Report summary for requirements for changes for each procedure based on the results in 4.
Instance 1: Lack of emergency procedures / programs
The objective is to minimise the risk of incidents and injuries occurring at the workplace by identifying hazards
and reporting them in the affected area. We all have a responsibility to identify hazards and the University has
processes for reporting and managing them. Hazards are managed as follows (also see "Completing the Hazard
Report Form" flowchart (below):
1. If you are unable to safely apply reliable control measures you should seek assistance by reporting
hazards to the affected area Supervisor and/or the local Health and Safety Representative who will
assess them to determine urgency and how the hazard can be controlled.
Instance 2: Any equipment is damaged or defective in any way
Person completing the hazard and incident report
 The report must be completed by the person involved in the incident or the person reporting the hazard
whether they are staff, students, contractors or visitors;
 Where this is not possible, it is the responsibility of the supervisor of the person/area/activity to complete the
report;
 Otherwise anyone may complete the report.
Hazard and incident reports containing issues of a confidential nature, e.g. stress-related or unacceptable
behaviour, are automatically forwarded to the Manager, OH&S, bypassing any party as necessary.
Comprehensive reports, photographs, diagrams and video footage can be attached as required.
Instance 3: Chemicals are stored in the kitchen area
Employees also have duties. They must:
 Co-operate with their employer e.g. follow procedures.

 Make full and proper use of control measures e.g. using extract ventilation where provided, and report
any defects.
 Report any defects in plant/ equipment immediately to the employer as appropriate.
 Report any accident or incident which may have resulted in the release of a dangerous
chemical/substance into the workplace.
1.
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Implementing, monitoring and evaluating WHS systems
Situation 1. : Evacuation of staff and customers
Implementation S NYS S NYS S NYS Comments

Staff is briefed on evacuation procedures
Each role is clearly defined
All equipment is checked and prepared
All PPE is checked and available as identified
The evacuation procedure is trialled
Monitoring
Each process is monitored
Define steps monitored:
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
©Futura Group 2016
Situation 2. : Security management of cash, documents, equipment, keys or people

Implementation S NYS S NYS S NYS Comments

Staff is briefed on _________________ procedures
Define the steps required for implementation relevant for the
selected procedure
Monitoring

Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Evaluation
to this assessment
©Futura Group 2016
©Futura Group 2016
Situation 3. : Handling chemicals and hazardous substances

Implementation and Monitoring S NYS S NYS S NYS Comments

Staff is briefed on handling chemicals and hazardous substances
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

Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Evaluation
to this assessment
©Futura Group 2016
©Futura Group 2016
WHS Risk Assessment Template
Organisation Dee Elephant Restaurant Risk Assessment completed by Smith
Department F&B Date 06/12/2019
Section Kitchen Review date
Workplace Activity Where possible and sensible, staff use tools to handle food rather than hands.
Step 1 Step 2 Step 3 Step 4 Existing Step 5 Risk Score Implementation

Activity Hazards Potential risks Existing controls Risk Action required
Score Hierarchy of Controls
If relevant
Date
(describe/name the (describe the (describe (describe existing risk control Action by Due Date
Completed
activity, task or hazard) consequences and measures in place)
process with the impacts of the risk)
associated risk)
Hot grease Burns Burns  Have splash guards  Wear protective
Manager 01/12/ 30/12/
 Use grease pans that clothing
dump automatically 2019 2019
Dishwashing products Skin contact may Skin contact may cause  Use safer products  Wear gloves when Manager 01/12/ 30/12/
cause irritation or irritation or dermatitis necessary
 Wear gloves 2019 2019
dermatitis
Boiling water units Poorly placed Boiling water supply is  Select units with safety  Ensure appropriate Manager 01/12/ 30/12/
boiling water units hot enough to scald devices built in that signage is displayed
©Futura Group 2016
If relevant
Date
Completed
associated risk)
may increase reduce the risk of warning users of hot 2019 2019
chance of burns scalding water / steam
Portable kitchen Failing to isolate Fingers contact heated  Have kitchen appliances  Ensure that Manager 01/12/ 30/12/
appliances an appliance from platens of sandwich inspected on a regular instructions for use
2019 2019
power supply maker whilst inserting basis, and if required of any appliance are
before washing or removing a tested, and record this accessible to workers
sharp blades or sandwich information in a known location
moving parts
Refrigerators Refrigerator Food is left  Periodically check that  Arrange for Manager 01/12/ 30/12/
temperature is inrefrigerator until refrigerator refrigerator to be
2019 2019
consistently above mouldy or past its temperature complies periodically emptied
the recommended safe 'use by' date with requirements for and the inside
temperature for safe storage and if washed and cleaned
safe food storage required locate a according to the
thermometer in the manufacturers
fridge (e.g. milk should instructions
be stored at 4 degrees)
Knives, scissors Contact with Wrong choice of knife,  Provide appropriate  Instruct workers not Manager 01/12/ 30/12/
sharp and serrated or inappropriate safe storage for very to put very sharp
2019 2019
knives which have method of cutting sharp knives used in knives in the
been left on food, resulting in knife food preparation (e.g. a dishwasher, but to
©Futura Group 2016
If relevant
Date
Completed
associated risk)
worktops, placed slipping and cutting the knife block) wash them carefully
in dishwasher or user by hand avoiding
 Ensure that all workers
put away in contact with the
know not to put these
drawers amongst blade
knives in drawers
other (non-sharp)
hidden amongst sundry
cutlery
cutlery
Spillages Unsafe clean-up Contamination of  Provide workers with  Workers should Manager 01/12/ 30/12/
food stored near instruction in dealing obtain and read
2019 2019
chemicals with spillages of instructions for use,
hazardous substances, consult the MSDS,
including the name of and know safe
contacts to arrange handling precautions
clean up to take before
cleaning up a
 Warn others to stay
hazardous substance
clear of spillage site
spillage
Risk Analysis matrix – Level of risk
Risk Score Risk Level Action

Identified Hazards Risk Assessment
©Futura Group 2016
Likelihood Consequence LxC
(L) (C)
Kitchen/food service staff and customers may
3 2 6 Major risk Consider whether it is appropriate to change
be injured if they trip over objects or slip on
floor surface with better surface roughness.
spillages
Ensure team working for moving heavier items (eg

Kitchen staff and food service staff may 4 1 4 Moderate risk
pots)
suffer injuries such as strains or bruising
from handling heavy/bulky objects
Staff involved in food preparation and 3 1 3 Moderate risk Tell staff not to use knives to remove packaging
service could suffer cuts from contact with – suitable cutters will be provided.
blades.
Staff reminded to thoroughly dry hands after
Frequent hand washing can cause skin 3 1 3 Moderate risk
washing.
damage. Some foods can cause some staff
to develop skin allergies.
Staff could suffer serious/ fatal injuries as 3 2 6 Major risk Get electrician to inspect electrical equipment
a result of electric shock. and advise on how often these should be
inspected and tested.
Staff risk serious injury from contact with 2 3 6 Major risk Remind staff to always isolate (switch off from
dangerous/ moving parts on machinery. power supply) machinery before carrying out
maintenance or cleaning work.
Definitions
Likelihood L Score Consequence C Score Risk Score (L x C) Hierarchy of Risk Controls
©Futura Group 2016
Rare (Monthly) 1 Minor – e.g. small cut, first aid 1 Elimination is a permanent solution and should be attempted in the first instance.
treatment only
Occasionally (Weekly) 2 Moderate – e.g. sprained 2 Substitution involves replacing the hazard or environmental aspect by one of lower risk.
ankle, one day off required
Frequent (Daily) 3 Major – e.g. loss of limb or 3 Engineering controls involve physical barriers or structural changes to the environment or
bodily function 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)
©Futura Group 2016

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Assessment Tasks and Instructions

Assessment for this Unit of Competency/Cluster Details

2nd Assessor to complete

What will be assessed

For this assessment access to the following resources are essential:

RESULT OF Project Part A Satisfactory Not Yet Satisfactory

Part A Planning WHS systems, consultation and risk assessment

1. You are required to plan the following situations:

1) evacuation of staff and customers

Instance Date Duration from ... to... Tasks to be completed

Situation Code/legislation/factsheet Reference

Lack of emergency Occupational Health and Safety https://www.worksafe.vic.gov.au/__data

Any equipment is damaged The Occupational Health and Safety https://www.worksafe.vic.gov.au/__data

Chemicals are stored in the Dangerous Goods Act 1985 https://www.worksafe.vic.gov.au/__data

Consultation Requirements: Where, when, what

Risk assessment including Hazard Analysis – what will need to be assessed

Complete the risk assessment template marked “Situation_______________________

Lack of emergency procedures / programs

 The Occupational Health and Safety Act 1985.

Risk assessment including Hazard Analysis – what will need to be assessed

Complete the risk assessment template marked “Situation_______________________

Any equipment is damaged or defective in any way

 Dangerous Goods Act 1985

Examples may include:

Risk assessment including Hazard Analysis – what will need to be assessed

 Maintain clear separation of storage of hazardous substances from non-hazardous substances

Complete the risk assessment template marked “Situation_______________________

Chemicals are stored in the kitchen area

Situation 1. : Evacuation of staff and customers

Marking Criteria 1.Attempt 2.Attempt 3.Attempt

Legal requirements set out in legislation S NYS S NYS S NYS Comments

 PCBUs must ensure that an emergency plan is prepared

The hazards or potential hazards are realistically identified for

Situation 2. : Security management of cash, documents, equipment, keys or people

Legal requirements set out in legislation S NYS S NYS S NYS Comments

List the criteria for legal requirements here

The hazards or potential hazards are realistically identified for

Situation 3. : Handling chemicals and hazardous substances

Legal requirements set out in legislation S NYS S NYS S NYS Comments

The hazards or potential hazards are realistically identified for

Relevant Documents Used:

SDS sheet for selected chemical and hazardous substance:

Employers should consult with their employees and

 employers intend to make significant changes at the workplace

 employers propose to change an employee’s regular roster or ordinary hours of work

 in relation to workplace health and safety

 employees request flexible working arrangements

 in the context of good faith bargaining for an enterprise agreement.

Local information, instruction and training is based on the

 The action to be taken on discovering a fire

5. Maintain an inventory of chemicals.

8. Do not use chemical containers for storing food or water.

Instance 1: Lack of emergency procedures / programs

Instance 2: Any equipment is damaged or defective in any way

Person completing the hazard and incident report

 Otherwise anyone may complete the report.

Instance 3: Chemicals are stored in the kitchen area

Employees also have duties. They must:

 Co-operate with their employer e.g. follow procedures.

Situation 1. : Evacuation of staff and customers