Implement and Monitor Work Health and Safety Practices

Course Details
Course Name
Unit(s) of competency
Unit Code (s) and
Names
SITXWHS003 Implement and monitor work health and safety practices
Assessment Details
Term and Year Time allowed
Assessment No Assessment Weighting
Assessment
Descriptor
Due Date Extension (if approved)
Re-Assessment Details
Term and Year Time allowed
Assessment No Re-assessment Fee Paid?
Assessment Type
Due Date No Extension
Student Details and Declaration
Student Name
Student ID Trainer/Assessor’s
Name
Student Declaration:
a. I declare that the work submitted is my own and has not
been copied or plagiarised from any person or source.
b. I have not submitted any part of this assignment previously
as part of another unit/course.
c. I acknowledge that I understand the requirements to
complete the assessment tasks.
d. The assessment process including the provisions for re-
submitting and academic appeals were explained to me and I
understand these processes.
Signature:
_________________________________
_
Date: _______/________/______
Assessment Outcome - To be completed by the Assessor
Assessor’s Name
Results Satisfactory Not Satisfactory Marks:
Re-assessment eligibility Yes No Due Date:
This assessment First Attempt 2nd Attempt Late Penalty__________
FEEDBACK TO STUDENT
Progressive feedback to students, identifying gaps in competency and comments on positive improvements:
Assessment Task
SITXWHS003 Implement and monitor work health and safety practice Page 0 of 28

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Student Declaration: I declare that I have been
assessed in this unit and I have been advised of my
result. I am also aware of my right to appeal and the
reassessment procedure.
Signature: ____________________________
Date: ____/_____/_____
Assessor Declaration: I declare that I have
conducted a fair, valid, reliable and flexible
assessment with this student, and I have provided
appropriate feedback
Student did not attend the feedback session.
Feedback provided on assessment.
Signature: ____________________________
Date: ____/_____/_____
FEEDBACK TO STUDENT (FOR REASSESSMENTONLY)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Student Declaration: I declare that I have been re-
assessed in this unit and I have been advised of my
result. I am also aware of my right to appeal.
Signature: ____________________________
Date: ____/_____/_____
Assessor Declaration: I declare that I have
conducted a fair, valid, reliable and flexible
assessment with this student, and I have provided
appropriate feedback
Student did not attend the feedback session.
Feedback provided on assessment.
Signature: ____________________________
Date: ____/_____/_____
Assessment Task
SITXWHS003 Implement and monitor work health and safety practices Page 1 of 28
Assessment Task
(Performance and Knowledge)

SITXWHS003
Implement and monitor work health and safety practices
DOCUMENT CONTROL
Version Date Comments
1.0 6th October 2018  Original
Assessment Task
SITXWHS003 Implement and monitor work health and safety practices Page 2 of 28

ASSESSOR PRE-ASSESSMENT CHECKLIST
This checklist is to be completed prior to commencing the assessment.
Please discuss this with the learner and circle yes or no for each question.
Is the learner ready for assessment? ☐Yes ☐ No
Have you explained the assessment process and tasks? ☐ Yes ☐No
Does the learner understand which evidence is to be collected and
how?
☐ Yes ☐No
Have the learner’s rights and the appeal system been fully explained? ☐ Yes ☐No
Have you discussed any special needs or reasonable adjustments to be
considered during the assessment?
☐ Yes ☐No
Does the learner have access to all required resources? ☐ Yes ☐No
ASSESSMENT INSTRUCTIONS
PURPOSE OF THE ASSESSMENT TASK
Assessment Tool Project
To demonstrate satisfactory completion of this Assessment
Task the learner must:
Satisfactory
(S)
Not Satisfactory
(NS)
Part A: Planning WHS systems, consultation and
risk assessment
Instance 1: Plan and consultation toEvacuate staff
and customers from a venue ☐ ☐
Instance 2: Plan and consultation for theSecurity
management of cash, documents, equipment, keys
or people
☐ ☐
Instance 3: Plan and consultation for Handling
chemicals and hazardous substances ☐ ☐
An implementation plan that provides the steps and
processes for planning consultation, risk
assessment and implementation for each Instance
☐ ☐
Part B: Implementing, monitoring and evaluating
WHS systems
Written Summary Reportfor each situation and
clearly outline the requirements for changes for each
procedure
☐ ☐
Assessment Task
SITXWHS003 Implement and monitor work health and safety practices Page 3 of 28

Evacuation Plan ☐ ☐
Risk Assessment Analysis ☐ ☐
Overall Assessment Task Performance Satisfactory
(S)
Not Satisfactory
(NS)
Assessment Task: Project ☐ ☐
Resources required for this Assessment
Trainers and Assessors are required to ensure all learners have access to:
 Emergency Management Systems
 Personal Protective Equipment (PPE)
 Standard Operating Procedures (SOPs)
 Record Keeping Documentation
 Communication lines and provisions for consultation
 Building Security Policies and Procedures
 Work Health and Safety Regulations 2011
 Australian Standards 2010
 Building Regulations Act 2006
 Policies and procedures used for managing Work health and safety (WHS)
 Codes of practice and standards issued by government regulators or industry groups
 WHS information and business management manuals issued by industry associations or
commercial publishers current commercial WHS policies and procedures operational team
 Template: Floor Plan
 Template: Risk Assessment and Risk Treatment Tool
 Website Resource: https://www.worksafe.vic.gov.au/
 Website Resource: https://www.safeworkaustralia.gov.au/
 Website Resource:http://www.safeworkaustralia.gov.au/sites/swa/about/publications/
Documents/657/Emergency_plans_fact_sheet.pdf
Instructions for Trainer and Assessors
This assessment task has to be conducted as per the Assessment Conditions:
In class ☐ In an Industry Workplace In a Simulated Industry Environment
Instructions for the assessments
 Attendance must be recorded in the Attendance Spreadsheet
 The assessment is to be completed according to the Assessment task instructions This is an
individual assessment
 The Assessment must be completed as per the Assessment Instructions
 All responses must be referenced using the APA Referencing Style
 Trainer and Assessor are to complete the Pre-Assessment Checklist before commencing the
Assessment process
Assessment Task Duration
 Six (6) Weeks
Learner Evidence Submission Requirements
Assessment Task
SITXWHS003 Implement and monitor work health and safety practices Page 4 of 28

 An implementation plan that provides the steps and processes for planning consultation, risk
assessment and implementation for each of the three (3) Instances
 A Written Summary reportfor each situation and clearly outline the requirements for changes
for each procedure
 Completed Templates:
i. Instance 1
ii. Instance 2
iii. Instance 2
iv. Evacuation Plan
v. Risk Assessment and Risk Treatment Log
IMPLEMENT AND MONITOR WORK HEALTH AND SAFETY PRACTICES
ASSESSMENT TASK: PROJECT
PART A: PLANNING WHS SYSTEMS, CONSULTATION AND RISK ASSESSMENT
For the purpose of this assessment you need to provide for each situation listed below:
Assessment Task
SITXWHS003 Implement and monitor work health and safety practices Page 5 of 28