SITXWHS003 Implement and Monitor Work Health and Safety Practices - Student Assessment Pack

This is a Student Assessment Pack for SITXWHS003 Implement and Monitor Work Health and Safety Practices. It includes information on the purpose of assessment, target group, selected methods and intended use, evidence requirements, and more.

Developed by ACTE
This document is a Student Assessment Pack for the
above Unit of Competency and is to be completed by a
student to demonstrate his/her competency.
STUDENT ASSESSMENT PACK
SITXWHS003
Implement and monitor work health and safety
practices
Training Package: SIT - Tourism, Travel and Hospitality Training Package
Qualification code/name: SIT40516 Certificate IV in Commercial Cookery

Adelaide College of Technical Education
Table of Contents
Purpose of Assessment................................................................................................................ 3
Target Group................................................................................................................................................ 3
Selected Methods and Intended Use............................................................................................................ 3
Standard Instructions for Assessor/Trainer................................................................................3
Standard Instructions for Learners..............................................................................................3
Assessment Cover Sheet............................................................................................................................. 3
How your assessments will be marked......................................................................................................... 3
Assessment Appeals.................................................................................................................................... 4
Reasonable Adjustment................................................................................................................................ 4
Recognition of Prior Learning (RPL)............................................................................................................. 4
National Recognition / Credit Transfer.......................................................................................................... 4
Support Services.......................................................................................................................................... 4
Plagiarism..................................................................................................................................................... 4
Evidence Requirements................................................................................................................. 5
Documents to be attached along with each Summative and practical Assessment Submission..................5
Assessor Expectations................................................................................................................................. 6
Resources for Learner................................................................................................................... 6
Resources for Trainer / Assessor.................................................................................................6
Procedure to Login to Futura........................................................................................................6
Format for Written Submissions...................................................................................................7
Overview......................................................................................................................................... 8
Elements....................................................................................................................................................... 8
When to Commence your Assessment......................................................................................................... 8
Assessment Methods................................................................................................................................... 8
Assessment Definitions................................................................................................................................ 9
Assessment Method One – Check Points..................................................................................10
Assessment Method Two - Quiz.................................................................................................11
Assessment Receipt.................................................................................................................... 12
Assessment Preparation Checklist............................................................................................13
Assessment Method Three – Written Response Assessment..................................................14
Assessment Method Four – Practical Task................................................................................25
Assessment Record and Feedback............................................................................................................ 46
Record of Assessment Outcome & Mapping.............................................................................47
TASK 1.......................................................................................................................................... 47
TASK 2.......................................................................................................................................... 47
TASK 3.......................................................................................................................................... 47
TASK 4.......................................................................................................................................... 47
RTO ID: 40336 CRICOS ID: 03187D Page 2 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Purpose of Assessment
Purpose of this assessment is to check that the competency should be achieved on all elements of
performance outcomes, skills and knowledge required to implement predetermined work health
and safety practices designed, at management level, to ensure a safe workplace. It requires the
ability to monitor safe work practices and coordinate consultative arrangements, risk assessments,
work health and safety training, and the maintenance of records.
Target Group
ACTE’s learners enrolled in the unit SITXWHS003 Implement and monitor work health and safety
practices must be having basic literacy and numeracy skills who are either experienced or having
no experience of working in a professional environment.
Selected Methods and Intended Use
Methods used to achieve competency in this unit of competency (UOC) are Check Points, Quizzes
and Written Response Questions that must be completed in a simulated online environment
through Futura website http://moodle.futuraonline.com.au and Practical Demonstration to your
Trainer. Your submissions will be used by trainers and assessors of ACTE as evidence in
achieving competency of the above mentioned unit.
Standard Instructions for Assessor/Trainer
The Trainer / Assessor should inform all the learners that all the tasks should be linked with
moodle on Futura online website and help can be taken from available resources.
Standard Instructions for Learners
 Hand written assignments will not be accepted, assignments should be prepared in
Microsoft Office. Refer to the enclosed Style Guide.
 When answering the tasks use your own words and also refer to the given Scenario.
 Unit competency together with performance and assessment criteria can be accessed from
https://training.gov.au/Training/Details/SITXWHS003
Assessment Cover Sheet
At the beginning of each task in this Pack, you will find an Assessment Cover Sheet. Please
fill it in for each task, making sure you sign the student declaration. Your assessor will give
you feedback about how well you went in each task and will write this on the back of the
Assessment Cover Sheet.
How your assessments will be marked
When the assessor marks your assessment tasks, the outcome will be either Satisfactory or Not
Satisfactory:
SATISFACTORY Your responses to the assessment task have met the required unit
assessment criteria.
NOT SATISFACTORY Your responses to the assessment task have not met the required
assessment criteria. Additional learning or practice is required. Your
assessor will make arrangements to conduct a further assessment of this
RTO ID: 40336 CRICOS ID: 03187D Page 3 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
task once you have undertaken additional practice/learning.
You must achieve a ‘Satisfactory’ result for all assessment tasks to be deemed competent for this
unit.
Assessment Appeals
You can make an appeal about an assessment decision by putting it in writing and sending it
to us. Refer to your Student Handbook for more information about our appeals process.
Reasonable Adjustment
A reasonable adjustment is any measure or action that a student requires because of their
disability, and which has the effect of assisting the student to access and participate in education
and training on the same basis as students without a disability. An adjustment is reasonable if it
achieves this purpose while taking into account factors such as the nature of the student’s
disability, the views of the student, the potential effect of the adjustment on the student and others
who might be affected, and the costs and benefits of making the adjustment. ACTE will also
maintain the academic integrity of a course and to consider the requirements or components that
are inherent or essential to its nature when assessing whether an adjustment is reasonable. There
may be more than one adjustment that is reasonable in a given set of circumstances; ACTE will
make adjustments that are reasonable and that do not cause the RTO unjustifiable hardship.
Recognition of Prior Learning (RPL)
RPL is a formal process that recognises skills developed through previous training, work or life
experience, which match a unit of competency in a training course. If you believe you already have
the skills covered in this unit of competency, discuss this with your trainer, who will provide you
with instructions for applying for RPL.
National Recognition / Credit Transfer
Qualifications or statements of attainment issued by other Registered Training Organisations are
recognised by the College. Where this unit of competency is equivalent to a unit of competency
previously completed with another provider, credit transfer will be offered and the course length
adjusted accordingly. It is the responsibility of the student to provide the relevant evidence of
qualifications or statements of attainment issued by other Registered Training Organisations, which
will be verified by the College prior to credit transfer being applied.
Support Services
Your trainer/assessor is able to clarify any aspect of an assessment task prior to it being
administered. This may include clarifying: knowledge and skills covered during the training
program; the meaning of written assessment questions; performance standards for practical
assessments; and marking criteria.
Once the assessment process has commenced however, the assessor is not able to provide
any intervention or guidance, unless it is to prevent an unsafe act from being performed.
Please ask for help when you need it, as your trainer/assessor may not be aware that you have
not understood aspects of the training program, or are not feeling confident enough to engage in
assessment activities.
Plagiarism
RTO ID: 40336 CRICOS ID: 03187D Page 4 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Plagiarism is using the words or ideas of others and presenting them as your own. Plagiarism is a
type of intellectual theft. It can take many forms, from deliberate cheating to accidentally copying
from a source without acknowledgement. In your assessments you must come up with your own
ideas, however, at times you may need to make reference to work that has been conducted by
others. Important points to be aware of:
 Know what plagiarism is. Go to this website if you require additional
information. http://www.plagiarism.org/
 Plan your work
 Reference your work / acknowledge all of your sources
What is Plagiarism? Retrieved May 2017, from http://www.plagiarism.org/plagiarism-101/what-is-plagiarism
Evidence Requirements
The evidence you submit as part of this assessment will be assessed by your trainer/assessor to
determine your competency. Your trainer/assessor will be guided by the following rules of
evidence when making their assessment decision.
Rule Evidence must...
Valid
• Address the elements and performance criteria
• Reflect the skills, knowledge and context described in the competency standard
• Demonstrate the skills and knowledge are applied in real or simulated
workplace situations
Current • Demonstrate the Learner's current skills and knowledge
• Comply with current standards
Sufficient
• Demonstrate competence over a period of time
• Demonstrate competence that is able to be repeated
• Comply with language, literacy and numeracy levels which match those
required by the work task (not beyond)
Authentic • Be the work of the learner
• Be able to be verified as genuine
Documents to be attached along with each Summative and practical
Assessment Submission
 Completed Cover Sheet for summative and practical assessments- Refer to the
enclosed Cover Sheet.
 Assessment Preparation Checklist. Refer to the enclosed Checklist.
 Answers of the Written Questions
Assessor Expectations
RTO ID: 40336 CRICOS ID: 03187D Page 5 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
All Tasks should be answered with a minimum of half (½) page length per question/activity/issue,
unless otherwise advised, or to be answered as per the requirement of the Task in an appropriate
manner.
Resources for Learner
 Futura Website; and/or Online Futura Portal
 Other Websites (References should be included in any submission. Referencing
guidelines are available in the Student handbook.)
Resources for Trainer / Assessor
 Futura Website; and online Futura portal
 Other Websites related to the unit.
Procedure to Login to Futura
Go the following link http://moodle.futuraonline.com.au
Enter the user name and password provided to you by your Trainer.
Consulting Trainers
Last date of Submission
Submitted to
RTO ID: 40336 CRICOS ID: 03187D Page 6 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Format for Written Submissions
You are required to use a word processing program such as Microsoft Word to compile your report.
The following guidelines for your report (wherever required) is a suggested style guide. Submission
of assignment can also be done in other formats which should be clearly readable and legitimate.
Format of the report
1. Assessment Cover Sheet
2. Title of the report
• Arial, Size 14 pt., Bold
3. Headings
• Arial, Size 12 pt., Bold
4. Text
• Arial, Size 11 pt.
5. Table Content
• Arial, Size 10 pt.
6. Line Spacing
• 1.5
7. Report length
• The number of words is detailed in the instructions/task description for each
individual assessment method.
8. Presentations are to be created in presentation software such as Microsoft PowerPoint.
Resources such as overhead/data projector, whiteboard markers, speakers, pen pointers,
and presentation screens will be provided.
Your Trainer/Assessor will guide you through the assessment method/requirements for each
period.
RTO ID: 40336 CRICOS ID: 03187D Page 7 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Overview
This unit describes the performance outcomes, skills and knowledge required to implement
predetermined work health and safety practices designed, at management level, to ensure a safe
workplace. It requires the ability to monitor safe work practices and coordinate consultative
arrangements, risk assessments, work health and safety training, and the maintenance of records.
The unit applies to all tourism, travel, hospitality and event sectors and to any small, medium or
large organisation. It applies to those people who operate independently or with limited guidance
from others. This includes supervisors and departmental managers. This unit incorporates the
requirement, under state and territory work health and safety (WHS) legislation, for businesses to
take a systematic approach to managing the safety of their workers and anyone else in the
workplace
Elements
To achieve competency in this unit you must demonstrate your ability to:
 Provide information on health, safety and security.
 Monitor safe work practices.
 Coordinate consultative arrangements for the management of health, safety and security
issues.
 Implement and monitor procedures for identifying hazards, and assessing and controlling
risks.
 Implement and monitor health, safety and security training.
 Maintain WHS records and reports.
When to Commence your Assessment
Your training facilitator / assessor will advise you when to commence the parts of this assessment
by taking signature on Learner Preparation Checklist.
Assessment Methods
In order to be deemed competent in this unit you must competently complete all the following
assessment tasks:
Method & Purpose Description
Assessment Method One
• Check Points
• Formative Assessment
• Online portal
Checkpoint to be completed on the online Futura Portal
comprise of all relevant performance criteria.
Assessment Method Two
• Quiz
• Formative Assessment
• Online portal
Quiz to be completed in online Futura Portal comprises of all
relevant performance criteria.
Assessment Method Three
• Written Assessment
• Summative Assessment
• Typed in MS Word
Written assessment is short answer questions to be
completed in MS Word comprises of all performance criteria.
Assessment Method Four
• Practical Demonstration
• Summative Assessment
The Learner must demonstrate practical competency in a
task and the related skill to be observed by the trainer
RTO ID: 40336 CRICOS ID: 03187D Page 8 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Definitions
Formative assessment: The goal of formative assessment is to monitor student learning to
provide ongoing feedback that can be used by instructors to improve their teaching and by
students to improve their learning. More specifically, formative assessments:
• Help students identify their strengths and weaknesses and target areas that need work; and
• Help faculty recognise where students are struggling and address problems immediately
Formative assessments are generally low stakes, which means that they have low or no point
value.
Examples of formative assessments include asking students to:
• Draw a concept map in class to represent their understanding of a topic;
• Submit one or two sentences identifying the main point of a lecture; and
• Turn in a research proposal for early feedback.
Summative assessment: The goal of summative assessment is to evaluate student learning at
the end of an instructional unit by comparing it against some standard or benchmark. Summative
assessments are often high stakes, which means that they have a high point value. Examples of
summative assessments include:
• A mid unit assessment;
• A final project;
• A paper; and/or
• A role play.
Information from summative assessments can be used formatively when students or faculty use it
to guide their efforts and activities in subsequent courses.
Assignment: A task or piece of work allocated to someone as part of a job or course of study.
Project: an individual or collaborative enterprise that is carefully planned to achieve a particular
aim.
Written Response: In a response submission, you do assess the item you’ve been assigned to
observe, but you add your personal reaction and impressions to the report. The steps for
completing response submission are:
• Observe or read the piece for an initial understanding;
• Re-read the piece and stop to reflect often;
• Record your thoughts and impressions in notes;
• Develop an opinion; and
• Write an outline.
RTO ID: 40336 CRICOS ID: 03187D Page 9 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Method One – Check Points
Online Assessment
Go the following link http://moodle.futuraonline.com.au
Enter the user name and password provided to you by your Trainer.
Ensure that you have completed all the check points within the unit.
 Checkpoints are to be completed on the online Futura portal using your student user ID/login so no
assignment coversheet is needed.
 This formative assessment will be marked automatically by the online portal and feedback will be
provided automatically.
RTO ID: 40336 CRICOS ID: 03187D Page 10 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Method Two - Quiz
Online Assessment
Go the following link http://moodle.futuraonline.com.au
Enter the user name and password provided to you by your Trainer.
Ensure that you have completed the e-Quiz of the unit before the due date.
 Quiz is to be completed on the online Futura portal using your student’s user ID/login so no
assignment coversheet is needed.
 This formative assessment will be marked automatically by the online portal and feedback will be
provided automatically.
RTO ID: 40336 CRICOS ID: 03187D Page 11 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Receipt
Student Name
Student Number
Receipt of Assignment
Receiver’s Signature Date
I certify that this assignment is my own work based on my personal study and/or research and that
I have acknowledged all materials and resources used in the preparation of this assignment
whether they are books, articles, reports, lecture notes and any other kind of document, electronic
or personal communications. I also certify that the assignment has not previously been submitted
for assessment in any award or course and that I have not copied in part or whole or otherwise
plagarised the work of other students and/or persons. I have read the advice on plagiarism and
understood its implications. I can produce another hard/soft copy of this assignment within 24
hours if requested.
Student Signature Date
Qualification Code SIT40516 Qualification Name Certificate IV in Commercial Cookery
Unit Code SITXWHS003 Unit Name Implement and monitor work health and safety
practices
Due date Trainer/Assessor
This assignment will not be marked unless the the above declaration is signed
RTO ID: 40336 CRICOS ID: 03187D Page 12 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Preparation Checklist
Unit/s of Competency SITXWHS003 Implement and monitor work health and safety practices
Learner Name
Assessor Name
 As the Learner are you ready for assessment? Yes  No 
 Has the assessment process been explained to you and
that to achieve a successful outcome for this unit of
Competency you must be deemed Satisfactory in all
assessment tasks?
Yes  No 
 Do you understand The Recognition of Prior Learning
(RPL) process? Yes  No 
 Do you understand which evidence is to be collected
and how? Yes  No 
 Do you understand your rights and the appeal system? Yes  No 
 Have you discussed any special needs that should be
considered during the assessment process? Yes  No 
 Do you want to discuss any special needs that should
be considered during the assessment process? Yes  No 
Details:
I agree to undertake this assessment in the knowledge that the information gathered will only be
used for the purpose of determining my skills as Satisfactory or Not Satisfactory for each
assessment method. Additionally, the information gathered is for the determination of my
Competency by the collection of all assessment evidence for this unit of competency and can
only be accessed by my workplace supervisor, my RTO and nominated regulatory authorities.
Learner Signature
Assessor Signature
RTO ID: 40336 CRICOS ID: 03187D Page 13 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Method Three – Written Response Assessment
Assessment Tasks and Instructions
Student Name
Student Number
Course and Code SIT40516 Certificate IV in Commercial Cookery
Unit(s) of Competency and Code(s) SITXWHS003 Implement and monitor work health and
safety practices
Trainer/Assessor
Assessment for this Unit of
Competency/Cluster
Details
Task 1 Written Assessment
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
RTO ID: 40336 CRICOS ID: 03187D Page 14 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Guidelines
What will be assessed
The purpose of this assessment is to assess your underpinning knowledge to complete the tasks outlined in the elements and performance criteria for this
unit of competency and relating to the following aspects:
 primary components of relevant state or territory OHS or WHS legislation:
o actions that must be taken for legal compliance
o employer responsibilities to provide a safe workplace
o requirement to consult, and acceptable consultation mechanisms
o requirements for the use of WHS representatives and committees, and their roles and responsibilities
o requirements for hazard identification, risk assessment, risk control and acceptable mechanisms
o requirements for record keeping and acceptable record keeping mechanisms
o requirement to provide information and training
o employee responsibilities to ensure safety of self, other workers and other people in the workplace
o employee responsibility to participate in WHS practices
o ramifications of failure to observe OHS or WHS legislation and organisational policies and procedures
 specific organisation:
o full content of WHS policies and procedures; and consultation, hazard identification, risk assessment and reporting documents
o methods used for WHS consultation, hazard identification and risk assessment
o options for the provision of training:
 coaching or mentoring in safe work practices
 formal training programs in safe work practices
o hazard identification, risk assessment and control
o WHS policy and procedure induction
o WHS representative or committee
o provision of information, fact sheets and signage to ensure safe work practices
 WHS information:
o consultative arrangements for WHS
o employee roles and responsibilities in WHS management practices
o legal obligations and ramifications of failure to comply
o location of first aid kit and emergency evacuation plan
o WHS training information and updates
o policies:
 overall approach of organisation to WHS
 participation of personnel in WHS management practices
 responsibilities of employees to ensure safety
o procedures
o specific risk control measures relevant to the workplace
o specific regulations and codes of practice
o use of:
 hazard identification reporting documents
 risk assessment template documents
 consultative processes:
o a diary, whiteboard or suggestion box used by staff to report issues of concern
o fact sheets to fully inform personnel about WHS rights and responsibilities
o formal WHS representatives and committees
o formal meetings with agendas, minutes and action plans
o informal meetings with notes
o WHS discussions with employees during the course of each business day
o recording issues in a management diary
o regular staff meetings that involve WHS discussions
o seeking staff suggestions for content of WHS policies and procedures
o special staff meetings or workshops to specifically address WHS issues
o staff handbook containing WHS information
o surveys or questionnaires that invite staff feedback on WHS issues
 time requirements for hazard identification:
o when changes to the workplace are implemented:
 before the premises are used for the first time
 before and during the installation or alteration of any plant
 before changes to work practices are introduced
o when any new information relating to health and safety risks becomes available
 required WHS records and reports:
o consultation
o hazard identification
o incident and accident notifications to WHS regulatory authorities
o incident or accident, near miss reports and related statistics
o monitoring reports and recommendations for change:
 agendas for and minutes of meetings
 committee members
 consultation decisions and follow-up actions
 consultation processes
 diaries of meetings
 WHS information provided to personnel
 risk controls
 safe work practices
o risk assessments
o risk control actions
o training action plans
training undertaken.
Place/Location where assessment will be conducted
RTO ID: 40336 CRICOS ID: 03187D Page 15 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Resources Requirement: Pen, Paper, internet access or a copy of “Australia New Zealand Food Standards Code - Standard 3.2.1 -
Food Safety Programs (Australia Only)” or an organisational food safety plan as suggested by your trainer.
Instructions for assessment including WHS requirements
You are required to address all questions to achieve competence. Your trainer will provide you with instructions for time frames and
dates to complete this assessment. Once completed, carefully read the responses you have provided and check for completeness. Your
trainer will provide you with feedback and the result you have achieved.
RTO ID: 40336 CRICOS ID: 03187D Page 16 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
ASSESSMENT Satisfactory Not Yet Satisfactory
Feedback to Student:
Assessor(s) Signature(s): Date: / /
Student Signature Date: / /
RTO ID: 40336 CRICOS ID: 03187D Page 17 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
ASSESSMENT A1
QUESTION ANSWERS
Answer the following questions below. All questions must be answered.
Question 1
Under the WHS legislation there are 5 situations when a person conducting a business or
undertaking (employer) must consult with workers. Name 3 of them.
1. For the identification of hazards and assessment of risks associated with the work to be
performed
2. For formulating decisions on risk elimination or risk minimization
3. Proposal of changes which might affect the safety and health of workers
4. For formulating decisions on improvement and adequacy of the facilities to be used for worker
welfare
5. Monitoring worker health, resolution of issues of health and safety and provision of training
information to workers.
Question 2
List 4 ways you can provide staff with workplace health and safety information.
1. Folders containing Safety Data Sheets
2. Document on WHS Procedures
3. Documents on risk assessment and hazard identification
4. Procedures on evacuation procedures
Question 3
An emergency evacuation plan is one example of a WHS procedure which helps to keep people
safe. List 4 others relevant to your industry.
1. First Aid Policy
2. Warning Signs
3. Visual Safety Instructions
4. Safety Data Sheet
RTO ID: 40336 CRICOS ID: 03187D Page 18 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Question 4
List 2 methods of monitoring that staff are following WHS procedures.
1. WHS documentation and risk assessment
2. Documentation on Standard Operating Procedures (SOPs)
Question 5
List 5 types of document that would act as evidence of your company’s compliance with WHS
laws.
1. Safety Data Sheet folders
2. Emergency Evacuation Procedures
3. Incident Reporting Policy
4. Document on Standard WHS Policies
5. Documents of Risk Assessment and Hazard Identification
Question 6
List 4 possible steps you could take if you observed a staff member not complying with your
company’s WHS practices, or a hazard control measure was not working properly.
1. Provide a warning to the concerned staff member
2. Temporarily withholding the staff from his or her duties
3. Penalizing or fining the staff for the offence
4. Provision of WHS education and training to the staff members
Question 7
List 5 WHS issues or potential hazards you need to monitor in your department/industry on a
daily basis.
1. Malfunctioning of electrical appliances
2. Working from heights
3. Risk of Falls
4. Overtime or burnout and fatigue among staff
RTO ID: 40336 CRICOS ID: 03187D Page 19 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
5. Usage of alcohol and drugs
Question 8
List 3 matters you might discuss as part of making consultation arrangements.
1. Concept of a workgroup
2. Options for Consultation
3. Existence of WHS Consultation Code
Question 9
Name 3 methods you can use to provide staff members the opportunity to contribute their
views on WHS issues.
1. Periodic meetings on WHS issues
2. Availability of a whiteboard, suggestion box or a diary
3. Surveys and Feedback Questionnaires
Question 10
If you cannot resolve a staff member’s WHS issue or control a hazard yourself, name 3 people
you might refer the issue to in order to find a resolution.
The WHS Representative, the General Manager, the Head of the Department concerned with the
hazard, the Human Resource Manager
Question 11
A staff member has raised WHS issues in the workplace which now have been
resolved. Why is it important to communicate the result back the staff member who raised it?
It is important to communicate the result back to the staff since it will allow the opinions and
concerns of the staff to be heard as well as provide opportunity for inclusion of new ideas
and suggestions regarding improvements at the workplace.
RTO ID: 40336 CRICOS ID: 03187D Page 20 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Question 12
Safe Work Australia’s Code of Practice “How to manage work health and safety risks” lists the
instances when risk management must occur and hazard controls must be used.
List 5 instances when this needs to occur in an organisation
1. Starting of a new business
2. Expansion or purchasing of an existing business
3. During change in organizational roles and structures
4. Introduction of new workers
5. Purchasing or introduction of new equipment
Question 13
List 4 different types of WHS training methods.
1. Health and Safety Induction Programs
2. Formal or Informal training programs, mentoring and coaching
3. Risk assessment and management
4. Fact sheets, notice boards, meeting and signs
Question 14
Give 2 examples of when you must provide WHS training to your staff.
1. Alteration of existing workplace practices
2. Introduction of new equipment or task in the workplace
Question 15
Give 4 examples of training you might organise with a specialist WHS training provider.
1. Manual handling
2. Ergonomics
3. Incident Investigation
4. Injury Management
RTO ID: 40336 CRICOS ID: 03187D Page 21 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Question 16:
Give 3 reasons you should monitor the effectiveness of training programs?
1. To understand if further training is necessary
2. If there is a need to make adjustments to the training program
3. If staff has retained the information they have been trained on
Question 17
Where should Safety Data Sheets (SDS) be kept?
SDS must be kept in easily accessible formats and included in the shipment of any chemical.
They must be kept in place where the actual chemicals are stored.
Question 18
List 5 pieces of information you can find on an SDS.
1. Name of the product or chemical
2. Poisons schedule
3. Hazchem Code
4. Uses
5. UN No.
Question 19
What information can you get from a completed risk assessment document?
Information on the nature and type of risk, the potential severity and likelihood of the risk.
Question 20
List 4 pieces of information that should be recorded as a training record for a staff member who
has undertaken WHS training.
1. Nature of Training
2. Time and Location of training
3. Names and qualifications of people who administered training
RTO ID: 40336 CRICOS ID: 03187D Page 22 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
4. Achieve of competency
Question 21: How can you minimise the environmental impacts of storing documents and files?
By maintaining soft copies of the documents and files to be stored in the computer or in databases
and by using equipment like CDs or flash drives
Question 22
Under the WHS legislation, what is an employer’s duty of care in relation to providing a safe
workplace?
To eradicate risks to safety and health as per reasonable practice standards
If not reasonably practicable, the employer must try to minimise those risks as reasonably
practicable.
Question 23
If a business chooses to have direct, regular contact between employer and employees instead
of appointing a WHS Committee or appoint WHS Representatives, have they failed to meet the
requirements of the WHS act? Why/Why not?
If the employers and employees possess adequate knowledge and training on WHS practices,
then the absence of a WHS committee or representative is not a failure to meet WHS
requirements.
Question 24
If a WHS Committee raises a WHS issue with an employer, and the employer does not consider
the issue in a timely fashion, has the employer failed to meet their legal requirements?
Why/Why not?
Yes it will be a failure since it will violate an employer’s responsibility to provide duty of care.
RTO ID: 40336 CRICOS ID: 03187D Page 23 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Question 25
What is the role of a WHS Committee?
The role of the WHS committee is to educate and enlighten the management as well as
the employee’s on recommendations of improving the level of safety and reduction of risks
at the workplace
Question 26
List 2 penalties a judge may impose on you if you fail to meet your duties under the WHS act.
1. A penalty of $ 30, 000 or imprisonment of 5 years or both for reckless conduct
2. A penalty of $ 150, 000 in case of failure to comply with health and safety regulations at the
workplace.
RTO ID: 40336 CRICOS ID: 03187D Page 24 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Method Four – Practical Task
Assessment Tasks and Instructions
Student Name
Student Number
Course and Code SIT40516 Certificate IV in Commercial Cookery
Unit(s) of Competency and Code(s) SITXWHS003 Implement and monitor work health and
safety practices
Trainer/Assessor
Assessment for this Unit of Competency Details
Assessment 2 Practical Observation
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
RTO ID: 40336 CRICOS ID: 03187D Page 25 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Guidelines
What will be assessed
 The purpose of this assessment is to assess your ability to complete tasks outlined in elements and performance criteria of this unit
in the context of the job role, and:

 implement and monitor adherence to workplace health and safety procedures in three of the following real or simulated
situations:
o evacuation of staff and customers
o security management of cash, documents, equipment, keys or people
o handling chemicals and hazardous substances
o hazard identification and reporting
o incident and accident reporting
o risk assessment and reporting coordinate consultative processes for managing the above workplace health, safety and security issues
 coordinate risk assessments, WHS training, and the maintenance of records relating to above situations
 monitor the effectiveness of the WHS system and identify:
o required adjustments
o staff training needs
demonstrate management practices that must be implemented for compliance with state or territory occupational health and
safety (OHS) or WHS legislation during above situations.
Place/Location where assessment will be conducted
Resource Requirements
You must have access to notepad, pen, internet and a personal computer for your theoretical tasks and the theoretical portions of any
practical tasks. Any other resources, venue, service or equipment required to perform a task will be provided to you by your trainer.
Instructions for assessment including WHS requirements
1. To undertake this assessment, you must have been instructed how to use each piece of equipment in your work area or
workplace and participated in an induction in your workplace or place of training/study.
2. You are required to wear a complete uniform relevant to your area of training (Cookery, Food and Beverage, Housekeeping
etc.).
3. Your personal presentation must reflect the standards typically expected and acceptable in the TH&E industry.
4. You will be observed on 3 separate occasions undertaking a variety of tasks relevant to your level of training and the practical
subjects you are enrolled in, and currently do as part of your training for example preparing simple dishes, preparing mise-en-
place for a bar or food and beverage section or participating in the servicing of rooms etc. as relevant.
5. You are encouraged to clarify any tasks, requirements or questions you may have with your trainer.
RTO ID: 40336 CRICOS ID: 03187D Page 26 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
ASSESSMENT Satisfactory Not Yet Satisfactory
Feedback to Student:
Assessor(s) Signature(s): Date: / /
Student Signature Date: / /
RTO ID: 40336 CRICOS ID: 03187D Page 27 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
ASSESSMENT A2
PART A
PLANNING WHS SYSTEMS, CONSULTATION AND RISK ASSESSMENT
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.)
(http://www.safeworkaustralia.gov.au/sites/swa/about/publications/Documents/657/
Emergency_plans_fact_sheet.pdf)
(http://www.safework.nsw.gov.au/__data/assets/pdf_file/0018/52155/managing-risks-hazardous-chemicals-code-
3837.pdf)
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
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
Evacuation of
staff and
customers
Model Code of Practice: How
to manage work health and
safety risks
https://www.safeworkaustralia.gov.au/doc/model-
code-practice-how-manage-work-health-and-safety-
risks
Security
management of
cash, documents,
equipment, keys
or people
Model Code of Practice:
Managing the work
environment and facilities
https://www.safeworkaustralia.gov.au/doc/model-
code-practice-managing-work-environment-and-
facilities
Handling Model Code of Practice: https://www.safeworkaustralia.gov.au/doc/model-
RTO ID: 40336 CRICOS ID: 03187D Page 28 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
chemicals and
hazardous
substances
Managing risks of hazardous
chemicals in the workplace
code-practice-managing-risks-hazardous-chemicals-
workplace
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: Evacuation of staff and customers
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
The layout of the workplace must allow workers to access entry and exit points safely, both during normal
working conditions, as well as during emergencies.
Means of entry and exit must be safe and easily accessible for disabled persons
Walkways and aisles must be 600 mmm wide and free from obstructions
Entry and Exit points must be clearly marked along with their boundaries
Separates entries and exit points must be kept for moving equipment to prevent injuries
Consultation Requirements: Evaluation of nature of work, size of work area, lighting, signs and symbols
Who is involved: WHS representative, employers, duty holders, PCBUs
Risk assessment including Hazard Analysis – what will need to be assessed
Recommended illumination levels, height and width of entries and exists, presence of sins and symbols
Complete the risk assessment template marked “Situation_______________________
2. Instance
Situation: Security management of cash, documents, equipment, keys or people
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
RTO ID: 40336 CRICOS ID: 03187D Page 29 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Training of staff in procedures of record keeping and case management
Presence and maintenance of safety deposits at the workplace
Regular usage of safe with combination locks or keys
Separate storage area of keys and equipment with additional copies or duplicates in case of loss
Identification of areas and operations where theft can occur
Implementation of surveillance procedures for customers
Consultation Requirements: Consult with workers on cash management and theft management
Who is involved: WHS representative, employers, duty holders, PCBUs
Risk assessment including Hazard Analysis – what will need to be assessed
Safety deposits, surveillance options, cash and theft management training procedures
Complete the risk assessment template marked “Situation_______________________
3. Instance
Situation: Handling chemicals and hazardous substances
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
Presence and maintenance of Safety Data Sheets
Usage of Personal Protective Equipment
Presence of regulations and policies on safety management of hazardous chemicals
Signs and symbols showing areas containing hazardous chemicals
Regular maintenance of hazardous chemical registers
Provision of health assessments and exposure standards
Maintenance of separate storage areas for hazardous chemicals
RTO ID: 40336 CRICOS ID: 03187D Page 30 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Consultation Requirements: Exposure and safety standards, health risk assessments
Who is involved: WHS representative, employers, duty holders, PCBUs
Risk assessment including Hazard Analysis – what will need to be assessed
Storage areas, signs and symbols, personal protective equipment usage, registers and SDS maintenance
Complete the risk assessment template marked “Situation_______________________
RTO ID: 40336 CRICOS ID: 03187D Page 31 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Planning WHS systems, consultation and risk assessment
Situation 1: Evacuation of staff and customers
Marking Criteria 1.Attemp
t
2.Attemp
t
3.Attemp
t
Legal requirements set out in legislation S NY
S S NY
S S NY
S 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 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.g
ov.au/sites/swa/about/
publications/
Documents/657/
Emergency_plans_fact_s
heet.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
RTO ID: 40336 CRICOS ID: 03187D Page 32 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
RTO ID: 40336 CRICOS ID: 03187D Page 33 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Situation 2: Security management of cash, documents, equipment, keys or people
Marking Criteria 1.Attemp
t
2.Attemp
t
3.Attemp
t
Legal requirements set out in legislation S NY
S S NY
S S NY
S Comments
The correct code, legislation or factsheet is identified
The source where the information is accessed is provided
The legal requirements for the select type of security
management are identified: (for example Safety of
workers in a workplace or as relevant
Consultation
Details for the place and time for consultation are provided
Details of participants who participate in the consultation are
provided
The nature and details for consultation is provided in a clear
format
The consultation plan is clear and meets legal requirements
(information/contribution/actions/ outcomes)
Risk Assessment
The risk assessment includes the critical inclusions identified
in legislation for emergency procedures listed above
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
RTO ID: 40336 CRICOS ID: 03187D Page 34 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
RTO ID: 40336 CRICOS ID: 03187D Page 35 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Planning WHS systems, consultation and risk assessment
Situation 3: Handling chemicals and hazardous substances
Marking Criteria 1.Attemp
t
2.Attemp
t
3.Attemp
t
Legal requirements set out in legislation S NY
S S NY
S S NY
S Comments
The correct code, legislation or factsheet is identified
The source where the information is accessed is provided
The legal requirements for duties in relation to
hazardous chemicals are identified as relevant for the
nature of the organisation:
 correct labelling of containers and pipework, using warning
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, 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
http://
www.safework.nsw.gov.a
u/__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
RTO ID: 40336 CRICOS ID: 03187D Page 36 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
RTO ID: 40336 CRICOS ID: 03187D Page 37 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
PART B
IMPLEMENTING, MONITORING AND EVALUATING WHS SYSTEMS
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.
RTO ID: 40336 CRICOS ID: 03187D Page 38 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Implementing, monitoring and evaluating WHS systems
Situation 1: Evacuation of staff and customers
Marking Criteria 1.Attemp
t
2.Attemp
t
3.Attemp
t
Implementation S NY
S S NY
S S NY
S 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
All steps are 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
RTO ID: 40336 CRICOS ID: 03187D Page 39 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
RTO ID: 40336 CRICOS ID: 03187D Page 40 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Situation 2: Security management of cash, documents, equipment, keys or people
Marking Criteria 1.Attemp
t
2.Attemp
t
3.Attemp
t
Implementation S NY
S S NY
S S NY
S Comments
Staff is briefed on _________________ procedures
Each role is clearly defined
Monitoring
Each process is 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
RTO ID: 40336 CRICOS ID: 03187D Page 41 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Implementing, monitoring and evaluating WHS systems
Situation 3: Handling chemicals and hazardous substances
Marking Criteria 1.Attemp
t
2.Attemp
t
3.Attemp
t
RTO ID: 40336 CRICOS ID: 03187D Page 42 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Implementation and Monitoring S NY
S S NY
S S NY
S Comments
Staff is briefed on handling chemicals and hazardous
substances
Each role is clearly defined
All equipment is checked and prepared
All PPE is checked and available as identified
The use and application of chemicals is trialled during
service instance(s)
Correct dispensing is monitored
The disposal of chemicals is monitored
Each process is monitored
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
RTO ID: 40336 CRICOS ID: 03187D Page 43 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
The final report is attached to this assessment
RTO ID: 40336 CRICOS ID: 03187D Page 44 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
WHS RISK ASSESSMENT TEMPLATE
Organisation Hotel Futura Risk Assessment
completed by
XX
Department Catering Date 15.06.2016
Section Patisserie Review date Refer to Due Date required
Workplace Activity 1. Evacuation of staff and customers
2. Security management of cash, documents, equipment, keys or people
3. Handling chemicals and hazardous substances
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
consequenc
es 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
Complet
ed
Evacuation
of staff and
customers
There is
not
enough
space for
movement
across
entry and
exit points
and no
separate
areas for
equipment
to move
Injuries,
falls,
untimely
evacuation
in case of
emergencies
Staff follow
SOPs
4
Implement
separate entry
and exit points
for equipment,
enhance width
or implement
organized safety
evacuation plan,
add adequate
lighting and
signs and
symbols.
3 22
July
24
hours
31st July
Security
manageme
nt of cash,
documents,
equipment,
keys or
people
No cash
or theft
manage
ment
procedur
es,
improper
locks in
safety
deposits,
Theft, loss
of
documents
and
resources
Staff follow
SOPs
4 Implementatio
n of training on
theft and cash
management,
usage of
combination
locks on safety
deposits,
installation of
surveillance
features
3 22
July
24
hour
s
31st
July
Maintenanc
e of
hazardous
chemical
registers,
exposure
standards,
risk
assessmen
ts, storage
and
personal
protective
equipment
No signs
and
symbols,
no usage
of SDS
or
registers,
Accidents,
injuries,
health risks
due to
exposure
Staff follow
SOPs
4 Implementatio
n of signs and
symbols,
maintenance
of
organizational
policies on
safety
regulations
and standards
of exposure,
maintenance
of SDS and
registers.
3 22
July
24
hour
s
31st
July
RTO ID: 40336 CRICOS ID: 03187D Page 45 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
consequenc
es 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
Complet
ed
RISK ANALYSIS MATRIX – LEVEL OF RISK
Identified
Hazards
Risk Assessment Risk
Score
Risk Level Action
Likelihood
(L)
Conseque
nce
(C)
L x C
The doughnut mixer is
not guarded and the
mixing bowl could be
accessed when the
machine was
operating
Frequent
use
3
Major
3
3x3=9 Catastrop
hic
indicates unacceptable level of
risk. Controls must be
immediately implemented or
the risk eliminated (i.e. cease
activity)
Substitution or Engineering
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.
RTO ID: 40336 CRICOS ID: 03187D Page 46 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
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
RTO ID: 40336 CRICOS ID: 03187D Page 47 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Assessment Record and Feedback
Student Name
Course Code and Course SIT40516 Certificate IV in Commercial Cookery
Unit of Competency /Cluster SITXWHS003 Implement and monitor work health and safety practices
Assessment: (as applicable) Student Results:
1.Checkpoints Satisfactory Not Yet Satisfactory Not Completed
2.Quiz Satisfactory Not Yet Satisfactory Not Completed
3.Written Assessment Satisfactory Not Yet Satisfactory Not Completed
4.Practical Observations Satisfactory Not Yet Satisfactory Not Completed
Feedback to Learner on overall performance during assessment:
The Learner requires the following skill development before re-assessment:
The Learner has been provided with
feedback and informed of the
assessment result and the reasons for
the decision.
Name of Assessor:
Signature of
Assessor:
Date:
I have been provided with feedback on
the evidence I have provided. I have
been informed of the assessment result
and the reasons for the decision.
Name of Learner:
Signature of Learner:
Date:
RTO ID: 40336 CRICOS ID: 03187D Page 48 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
TASK 1 TASK 2 TASK 3 TASK 4
PERFORMANCE CRITERIA E-CHECKPOINT QUIZ WRITTEN
ASSESSMENT
PRACTICAL
OBSERVATION
S
1.1. Explain relevant WHS information to personnel. CP2-1,2,3,4,6
CP3-4,6
Q.7,8,9,10,14,
30,32
A1-Q.1,18
A2
A2-Project
Part A
Part B
1.2 Make all current WHS information readily
accessible to staff.
CP1-5,6
CP2-1,2,3,4,5
CP3-3,6
Q.5,6,7,8,9,13,3
0,
31,32
A1-Q.2,17,18
A2
A2-Project
Part A
Part B
2.1. Monitor adherence to organisational WHS
procedures.
CP3-2,4
CP5-2,3
CP6-1,2,3
Q.12,14,21,22,2
5,34
A1-Q.3,4
A2
A2-Project
Part B
2.2. Monitor ongoing compliance with safe work
practices.
CP2-3,5
CP3-2,4
CP6-2,3
Q.9,12,14,25,31 A1-Q.5
A2
A2-Project
Part B
2.3. Take prompt action to address noncompliance
with procedures and safe work practices.
CP4-2
CP6-4
Q.26 A1-Q.6
A2
A2-Project
Part B
2.4. Monitor day-to-day effectiveness of WHS
practices in maintaining the health, safety and security
of personnel.
CP1-2,3
CP2-3
CP3-4,6
CP5-4
CP6-2,3
CP7-1,2
Q.2,3,9,14,23,25
,27,
28,32,
A1-Q.7
A2
A2-Project
Part B
3.1. Coordinate the operation of all consultative
processes.
CP3-1,2,3,5,6 Q.11,12,13,15,3
2
A1-Q.8,23
A2
A2-Project
Part A
3.2. Provide opportunity for staff members to
contribute their views on current and future WHS
management practices.
CP3-1,2,5,6 Q.11,12,15,32 A1-Q.9,23
A2
A2-Project
Part A
3.3. Resolve or refer issues raised through WHS
consultation to the appropriate person
CP3-2,4,7 Q.12,14,33 A1-Q.10,11
A2
A2-Project
Part A
RTO ID: 40336 CRICOS ID: 03187D Page 49 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831
Record of Assessment Outcome & Mapping
Learner Details Assessor Details
Name Name
Course Code SIT40516 Date
Unit Code SITXWHS003 Unit Name Implement and monitor work health and safety
practices

Adelaide College of Technical Education
3.4. Provide timely staff and own feedback on WHS
management practices to the designated person.
CP1-5
CP2-1
CP3-1,4,5,6,7
CP5-2
Q.5,7,11,14,15,2
1,
32,33
A1-Q.11
A2
A2-Project
Part A
4.1. Coordinate scheduled hazard identification
activities, ensuring hazards are identified at times
designated by legislation.
CP1-5
CP3-2,5,6
CP4-5
CP5-2
Q.5,12,15,19,
21,32
A1-Q.12
A2
A2-Project
Part A
4.2. Identify any hazards on an ongoing basis through
own day-to-day workplace operations.
CP3-4
CP5-1,2,3,4,5
Q.14,20,21,22,
23,24
A1-Q.7
A2
A2-Project
Part A
4.3. React to reports of hazards by other workers, and
coordinate and participate in risk assessments.
CP3-4,6,7
CP5-1,2
CP6-1,4,5
Q.14,32,33,20,
21,26,34,35
A1-Q.10,24 A2-Project
Part A
4.4. Implement any risk control methods or refer to
appropriate person if control is outside scope of
responsibility.
CP4-5
CP5-1,2,4
CP6-1
Q.19,20,21,23,
34
A1-Q.10
A2
A2-Project
Part A
4.5. Monitor effectiveness of control measures,
promptly identify any inadequacies, and resolve or
report them to the appropriate person.
CP1-5
CP3-2,5,6
CP4-5
CP5-2
Q.5,12,15,19,
21,32
A1-Q.6
A2
A2-Project
Part A
5.1. Identify WHS training needs based on regular staff
monitoring.
CP2-4
CP4-1,2,3
CP6-1,4
Q.11,12,13,26,
30,34
A1-Q.13,14
A2
A2-Project
Part B
5.2. Make arrangements for fulfilling training needs. CP2-4
CP4-1,2,3,4
Q.16,17,18,30 A1-Q.14,15
A2
A2-Project
Part B
5.3. Monitor effectiveness of training and make
required adjustments.
CP4-2
CP6-1,4
Q.26,34 A1-Q.16
A2
A2-Project
Part B
6.1. Complete WHS records and reports accurately and
legibly and store according to organisational and legal
requirements.
CP2-5
CP3-7
CP4-1,2
CP6-3,4,5
Q.16,25,26,31,
33,35
A1-Q.17,19,20
A2
A2-Project
Part A
Part B
6.2. Use data and reports to provide reliable and
timely input into the management of workplace health,
safety and security.
CP2-3,4,6
CP3-5,6,7
CP4-5
CP5-2
CP6-1,3,5
Q.9,10,15,19,21,
25,30,32,33,34,3
5
A1-Q.18,19
A2
A2-Project
Part A
6.3. Minimise use of printed materials and maximise
electronic transmission and filing of all documents to
reduce waste.
CP2-1 Q.7 A1-Q.21
A2
A2-Project
Part A
RTO ID: 40336 CRICOS ID: 03187D Page 50 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831

Adelaide College of Technical Education
Part B
Result: Satisfactory    
Result: NOT Satisfactory    
Overall, the candidate was assessed as: Competent  Not Yet Competent 
Re-Assessment Required  YES  NO
Trainer Signature
Learner Signature
RTO ID: 40336 CRICOS ID: 03187D Page 51 of 51 V1.03 Dec 2018
Assessment tool – SITXWHS003 Copyright 2018 © Adelaide Educators Pty Ltd ABN 84136893831