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Assessment Task Three
- Answer Template
Student Name Student Number
Unit Code/s & Name/s BSBWHS401 Implement and monitor WHS policies, procedures and
programs to meet legislative requirements
Assessment Type ☒ Written Task ☐ Test / Exam ☐ Observation questions
Assessment Name WHS activities Assessment Task No. 3 of 3
Task 1: WORKPLACE INCIDENT AGGREGATE DATA TABLE
Category Impact Cause Result Who When
Slip, Trip, Fall Sprain Cables on floor MTI Bob 13/07
Slip, Trip, Fall Bruising Slipping on wet floor MTI Mike 14/07
Slip, Trip, Fall Soreness Cables on floor MTI Kelsha 17/07
Manual handling Muscle pull Lifting paper MTI Jane 18/07
Manual handling Muscle pull Moving bins FAI Nihal 30/07
Manual handling Back strain Pushing boxes out of way MTI Chris 03/08
Other Cut finger Finger with knife FAI Daniel 11/08
Stress Bullying Project deadline LTI Laszlo 15/08
Stress Exhaustion Project deadline LTI Greg 22/08
Slip, Trip Fall Broken Arm Fall off step ladder MTI Debra 25/08
Slip, Trip, Fall Abrasion Abrasion on left knee FAI Rhonda 29/08
Slip, Trip, Fall Nil Cables on floor NM Bob 01/09
Slip, Trip, Fall Bruising Slipping on wet floor FAI Rick 06/09
Stress Stressed Work overload LTI Mike 09/09
Other Cut finger Cut finger on broken glass FAI Rita 12/09
Slip, Trip, Fall Muscle pull Cable on floor FAI Jeff 15/09
Slip, Trip, Fall Sprain Falling down stairs MTI John 23/09
Slip, Trip, Fall Spain Loose cable on floor LTI Rosie 07/10
INCIDENT TYPE LEGEND
FAI FIRST AID INCIDENTS
MTI MEDICAL TREATMENT INJURY
LTI LOST TIME INJURY
NM NEAR MISS
Page 1 of 9

Use these Risk Management Matrices for tasks 2 and 4.
LIKELIHOOD SCALE
Level Likelihood Description
A Almost Certain The event is expected to occur in most circumstances.
B Likely The event will probably occur in most circumstances.
C Possible The event should occur at some time.
D Unlikely The event could occur at some time.
E Rare The event may occur only in exceptional circumstances.
SEVERITY SCALE
Level Detail Detail and Potential Cost
V Catastrophic Death, incident not restricted to on-site and detrimental impact. More than $50,000.
IV Major Extensive injuries, work halted, incident not restricted to on-site but no adverse impact. Less
than $50,000.
III Moderate Medical treatment required, on-site incident contained with outside assistance. Less than
$5,000.
II Minor First aid treatment, contained on-site incident. Less than $1,000.
I Insignificant No injuries, no damage, no pollution, no adverse impact. Nil cost.
RISK MATRIX
SEVERITY
Insignificant
I
Minor
II
Moderate
III
Major
IV
Catastrophic
V
LIKELIHOOD A - Almost
Certain High High Extreme Extreme Extreme
B - Likely Medium High High Extreme Extreme
C - Moderate Low Medium High Extreme Extreme
D - Unlikely Low Low Medium High Extreme
E - Rare Low Low Medium High High
Low Risk Levels require controls to be assessed, but the frequency of the hazards occurring and their severity are at a level
that would not cause or contribute to a major incident occurring. The resultant consequence would be low. This risk level
includes hazards such as trips, slips and falls.
Medium Risk Levels encompass those hazards that have a greater severity or frequency of occurrence and consequence.
This risk level is still lower than those that would contribute to a major incident and includes such things as manual handling
and minor vehicle accidents. The level of control will be higher than for those at a low risk level.
High Risk Levels encompasses hazards that are normally low in frequency but can contribute to a major incident. Even
though the frequency is unlikely, they require mandatory controls due to the fact that failure may have catastrophic
consequences. An example of this risk level includes a fire in a building or the failure of a harness around a person whilst
working at heights greater than 2 metres.
Extreme Risk Levels include all hazards that will contribute to a major incident. They may have a frequency that is highly
unlikely, but the severity will be catastrophic such as hazards that potentially involve one or more fatalities.
Page 2 of 9

Task 2: RISK ASSESSMENT (From Data Provided in Table 1)
RISKS SOURCED FROM TASK 1 TABLE Risk Assessment
Category Result
(FAI, MTI, LTI)
Description Likelihood
(A, B, C, D, E)
Severity
(I, II, III, IV, V)
Risk Rating
(L, M, H, E)
Slip, Trip, Fall MTI Slip and fall due to wet
floor
B IV H
Slip, Trip, Fall FAI Sharp edges of the
open wire scattered on
the floor
B II L
Slip, Trip, Fall FAI Prolonged sitting in a
awkward posture for a
very long period of tine
in a very small
workplace.
D II L
Slip, Trip, Fall MTI Sudden fall from the
step ladder as the step
ladder got stuck in to
the cables on the floor.
C IV H
Task 3: WORKPLACE SAFETY INSPECTION FORM
Workplace: Administration Department of the Office Assistant
Inspection Completed By: WHS representative Date Inspection Completed: 21/10
Criteria N/A Yes No Comment
Emergency Procedures
Designated emergency person’s details are
posted, including:
 WHS Representative
 Fire Warden
 First Aid Person
Yes
Yes
Deatails including the contact number of the
persons.
Instructions posted for calling emergency
services
NA
The site plan is on display No The complete site plan should be present
in the workplace.
Emergency evacuation muster / assembly
areas are signposted
Yes Presence of signage along with written
instruction.
All staff have been inducted and trained in
emergency procedures
No The new staffs and a few staffs are not
aware about the safety procedures at all.
Entry and exit doors are marked and free of
clutter
Yes Entry and exit doors are marked and there
is no confusion regarding the entry and exit
point
Emergency exit routes and aisles and
corridors are free of clutter
No The corridors are not clear as the cables
and wires are scattered in the corridor and it
covered almost half of the corridor. The
emergency exit points are partly clear.
There is no aisle in the workplace
Page 3 of 9

Criteria N/A Yes No Comment
Fire extinguishers are provided and
maintained
Yes Fire extinguishers are adequate in number
and they are well maintained
Personnel on site have been trained in the
use of fire extinguishers
No There is need of proper training for a few
personnel in the floor
First aid kit is stocked and contents are listed Yes First aid box is well maintained
First aid supplies are regularly replenished Yes According to the administrative leader first
aid supplies are adequete
Housekeeping
Washroom and toilet are clean and tidy Yes The washrooms and toilets are cleaned in
a daily manner
Kitchen and eating areas are clean and tidy NA
Floors are lean, dry and in good condition No In some places, the floors are wet and in
some places floor mats are torn.
Desks and work areas are tidy No Due to insufficient work place, the place is
very must conjested.
There are sufficient number and type of
rubbish bins
No More number of rubbish bins are needed. A
few bins are defective.
Rubbish bins are cleared regularly Yes There is no awkward smell in the work floor
Aisles and areas around work stations are
free of clutter and obstacles
No Areas around the work palces are very
much conjested due to the scattered wire
and cables in the floor.
Ergonomics
Furniture is fit for purpose Yes The desks and chairs are appropriate for
the work place
Office chairs have five supports Yes All the chairs have five supports
Furniture is adjustable for keyboard
operators to enable:
 Straight back
 Forearms parallel to floor
 Upper legs parallel to floor
Yes All the chairs are adjustable so that key
board operators have the comfort during
their work.
Footrests are provided where necessary No There is no footrests in the chairs
Document supports are provided NA
Computer screens are positioned to avoid
glare
No Computer screens are not free from glare at
all.
Work stations and equipment is positioned
to:
 Reduce manual handling
 Reduce repetitive handling
 Improve work flow
No There is cases of repetitive handling of the
products in the work station.
Hazardous Substances
All chemicals, including liquid fuels, are
properly labelled, stored, and sign posted
NA
Spill kits are available where necessary NA
MSDS’s are readily available for hazardous
substances
Yes Well maintained MSDS’s are readily
available in the work place
Hazardous substance register is maintained Yes The register is maintained properly
PPE (for hazardous areas)
Safety signage is accurate Yes Safety signage are absolutely perfect.
Page 4 of 9

Criteria N/A Yes No Comment
Safety signage is displayed correctly Yes All the safety saignage are correct.
Safety glasses are worn when required NA
High visibility clothing is provided when
required
NA
Other
Usage of Proper glass during the Work Yes UV protection glass is used during the
prolonged work in front of the computer.
Page 5 of 9

Task 4: RISK ASSESSMENT (From Your Workplace Inspection)
RISKS SOURCED FROM WORKPLACE INSPECTION Risk Assessment
Description of Hazard Identified Likelihood
(A, B, C, D, E)
Severity
(I, II, III, IV, V)
Risk Rating
(L, M, H, E)
Uneven floor of the workplace B IV H
Wet floor B IV H
Insuffiecient space for the computers used in the work
place
A I L
Repetative handling of the products B II M
Task 5: TOOLBOX TALK RECORD FORM
Work Group:
Date Meeting Held:
Attendees: 10
Who Chaired Meeting: Administartive officer of
the Administrative
departmrnt of the Office
Assiatant
HSR in Attendance?
Topic or Issue Covered Discussion
1. Uneven floor of the workplace In some places the floors are uneven due to torn carpet of the floor.
2. Wet floor In most of the cases wet floor is due the defective waste bins and
near the areas of the washrooms
3. Insuffiecient space for the
computers used in the work place
The new computers that are installed have not adequate space to be
get fitted properly.
4. Repetative handling of the
products
The waste bins does not have wheels and those are handled
manually. The are washed frequently and in order to do that, they
must be carried to the proper place for cleaning. Not only that, the
continuous typing work by the data entry work is another case of
repetitive work.
5.
6.
7.
Agreed Action to Prevent Recurrence or Future Incidents Control
Hierarchy
Person
Responsible
1. Torn carpet should be replaced with a new one SUB Floor manager
2. Replacement of the defective waste bins SUB Floor manager
3. The workplace should be designed in a different manner with
adequate space for all the computers
EC Administrative
officer
4. Wheel attached waste bins should be used and the EC Administartive
Page 6 of 9

Agreed Action to Prevent Recurrence or Future Incidents Control
Hierarchy
Person
Responsible
keyboards should be replaced by newly designed keyboards officer
5.
6.
7.
HIERARCHY OF CONTROL LEGEND
EL ELIMINATION
SUB SUBSTITUTION
EC ENGINEERING CONTROL
AC ADMINISTRATIVE CONTROL
PPE PPE
Task 6: STAFF TRAINING MATRIX AND TRAINING PLAN
Staff Training Matrix:
Skill or Learning Criteria
Employee Names and Current Status
Name Here Name Here Name Here Name Here
Handling of the waste bins Bob (L)
Newly designed keyboard Chris( P) Daniel ( L)
Manual material Handling Training Bob ( L) Greg (O)
Height Training Rosie ( L) Rick( P)
Hazard Identification Training Jane( U) Laszlo(L) Mike (O)
LEGEND FOR CURRENT TRAINING STATUS
U UNTRAINED EMPLOYEE HAS NO TRAINING
L LEARNER EMPLOYEE CANNOT PERFORM TASK INDEPENDENTLY
P PRACTITIONE
R
EMPLOYEE CAN PERFORM TASK INDEPENDENTLY, WITH
SUPERVISION
O OPERATOR EMPLOYEE CAN PERFORM TASK INDEPENDENTLY
C COACH EMPLOYEE CAN TRAIN OTHERS TO PERFORM TASK
Training Plan:
Training to be Provided
Internal or
External
Training
Number of
Attendees
Approximate
Cost
Manual material handling Internal 2 $150
Hazard identification Training External 3 $200
Height training Internal 2 $225
Training for using newly designed
keyboard
Internal 2 $100
Training for handling the waste bins Internal 1 $ 100
Page 7 of 9

Training to be Provided
Internal or
External
Training
Number of
Attendees
Approximate
Cost
Page 8 of 9

Assessment criteria / benchmarks (to be completed by the assessor):
The evidence submitted demonstrates that the student satisfactorily:
S= Satisfactory; U=Unsatisfactory
Attempt 1 Attempt 2
S U S U
Correctly update the Incident Aggregated Data Table.
Identify incidents to be investigated and undertake a risk assessment
of each to complete the incident section of the Risk Identification
Table.
Conduct and document a safety inspection.
Undertake a risk assessment of hazards identified.
Document the discussion and outcomes of a simulated work safety
meeting including identifying control measures recommended for
implementation.
Identify and document training needs including a training budget.
Assessor Name Date Assessed
Assessor Comments and
Feedback
Result ☐ Satisfactory ☐ Resubmit ☐ Unsatisfactory
Page 9 of 9