Maintain Work Health and Safety for Diploma of Early Childhood Education and Care

This assessment includes a simulated emergency drill and WHS incident for CHC50113 Diploma of Early Childhood Education and Care (4) for HLTWHS003 Maintain Work Health and Safety (3). The simulated emergency drill involves coordinating emergency responses and evacuation plans. The WHS incident scenario involves responding to an incident in the workplace and completing an incident report.

Document title CHC30113_AE_SR_WPPortfolio Page 2 of 26
Resource ID: HCS_19_03_CHC30113_AE_SR_WPPortfolio
Maintain Work Health and Safety
ASSESSMENT 2 (of 3)
Qualification/Course code, name and release number
CHC50113 Diploma of Early Childhood Education and Care (4)
Units of competency
HLTWHS003 Maintain Work Health and Safety (3)
Student name Student number
Assessment declaration
 This assessment is my original work and no part of it has been copied from any other source except where
due acknowledgement is made.
 No part of this assessment has been written for me by any other person except where such collaboration
has been authorised by the assessor concerned.
 I understand that plagiarism is the presentation of the work, idea or creation of another person as though
it is your own. Plagiarism occurs when the origin of the material used is not appropriately cited. No part of
this assessment is plagiarised.
Student signature and date
(if you are submitting this assessment online, your online submission will be deemed your digital signature)

Contents
Assessment 2 3
Assessment Instructions....................................................................................................3
Part 1 Simulated Emergency Drill......................................................................................5
Part 2 – WHS Incident........................................................................................................9
Appendix 1 – Register of injuries / illness template........................................................11
Evidence Guide................................................................................................................14

Assessment 2
Assessment Instructions
Table 1 Assessment instructions
Assessment details Instructions
Assessment overview The objective of this assessment is to assess your skills and knowledge as would
be required to maintain work health and safety in the workplace.
The Assessment Event
number
2 of 3
Instructions for this
assessment
This is a written assessment and it will be assessing you on your knowledge of
the unit HLTWHS003.
This assessment is in 2 parts and contains a Demonstration Report, an Evidence
Guide and final Assessment Feedback.
1. Simulated emergency drill
2. WHS incident report
You must read the entire document before commencing your assessment, so
you are aware of all requirements.
Submission instructions On completion of this assessment, you are required to upload your response
and any marking tools as they appear in this assessment workbook as per the
instructions on your online platform or hand it to your assessor for marking.
Ensure you have written your name at the bottom of each page of this
assessment.
It is important that you keep a copy of all electronic and hardcopy assessments
submitted to TAFE and complete the assessment declaration when submitting
the assessment.
What do I need to do to
achieve a satisfactory
result?
To achieve a satisfactory result for this assessment you must complete each
part of your assessment to a satisfactory standard.
You must ensure your assessment responses are written in your own words
(unless otherwise specified), include APA references where required and adhere
to the word count requirements where specified.
What do I need to
provide?
Pens for documentation, computer if typing assessment, internet access.
Assessor must
provide
Nil

Assessment details Instructions
Assessment feedback,
review or appeals
In accordance with the TAFE NSW policy Manage Assessment Appeals, all
students have the right to appeal an assessment decision in relation to how the
assessment was conducted and the outcome of the assessment. Appeals must
be lodged within 14 working days of the formal notification of the result of the
assessment.
If you would like to request a review of your results or if you have any concerns
about your results, contact your Teacher or Head Teacher. If they are
unavailable, contact the Student Administration Officer.
Contact your Head Teacher for the assessment appeals procedures at your
college/campus.

Part 1 Emergency Evacuation
INSTRUCTIONS (Part 1)
Special note:
Part 1 – Simulated Emergency Drill is the same as the one being completed for CHCECE016
Establish and maintain a safe and healthy environment for children. You ONLY NEED TO
COMPLETE THIS ASSESSMENT ONCE. Your answers will be recorded for both units.
Introduction:
Instructions:
To complete this assessment part, you must ensure you respond to the four short answer
questions, including coordinating emergency responses and evacuation plans.
For this assessment task, the student is to participate in a simulated or real emergency
drill (evacuation).
When will the assessment take place?
You will complete this task in a regulated education and care service.
If an emergency drill is not conducted in the regulated education and care service while
you are in attendance on placement, your workplace supervisor is required to sign the
evidence guide below verifying that an emergency drill was not conducted. If this occurs,
you will complete the emergency drill in a TAFE simulated environment at a time when
the assessor will organise.
Where will the assessment take place?
The written assessment task may be completed outside of work placement hours.
What resources and equipment do I need?
As indicated in the instructions table and use of an Evacuation plan
Specific assessment conditions
Skills must be demonstrated in a regulated education and care service.
In addition, simulations and scenarios must be used where the full range of contexts and
situations cannot be provided in the workplace or may occur only rarely. These are
situations relating to an emergency or unplanned procedure where assessment in these
circumstances would be unsafe or is impractical.
Simulated assessment environments must simulate the real-life working environment
where these skills and knowledge would be performed, with all the relevant equipment
and resources of that working environment.

TASK 1 (Part 1)
Workplace: You are required to obtain a copy of the evacuation plan, policy and procedure
from your workplace
Simulation:
If your workplace supervisor verifies that an emergency drill has not taken place during
your work placement, you will access the Emergency Evacuation Policy from
https://www.brightmindsearlylearning.com.au/images/documents/Emergency-Evacuation-
Policy-V4.1.17.pdf (date accessed 14 July 2020) You will also need to access the simulated
location’s emergency evacuation plan.
Referring to the Emergency Evacuation policy, procedure and emergency evacuation plan,
please provide:
A A summary of the policy/procedure (70-100 words)
Evacuation policy is defined as a expect or in event of a fire or any other emergency can be
insured with this evacuation policy. In this, all building occupants will be able to exit the
building leaves and need to assemble for further instruction. Moreover, the policies are
helpful in the evacuation of people are the populations from in condition which is
emergency. As per the standard procedures of emergency evacuation assist in first run in
immediate danger. Whereas, leaving the building which the nearest safe route is the
priority and helpful for the population for people to stay from such conditions.
B A drawing of the evacuation plan, exits and assembly points.
This drawing shows a proper evacuation plan and exit for the people and to get a symbol at
some point this is helpful for the population of the people to protect themselves. By using
the pathway which is implemented and prepared in order to evacuate yourself in any
danger or any condition which is associated with the fire. Moreover, this evacuation plan is
done properly and create a meeting point.

TASK 2 Evacuation Drill - Demonstration (Part 1)
Special note:
Part 1 – Simulated Emergency Drill is the same as the one being completed for CHCECE016
Establish and maintain a safe and healthy environment for children. You ONLY NEED TO
COMPLETE THIS ASSESSMENT ONCE. Your answers will be recorded for both units.
In consultation with your workplace supervisor, organise a time to conduct a practise
emergency evacuation at the service. If there is no emergency drill that occurs during
your work placement, you will need to consult with your TAFE Assessor to organise a time

to complete the drill in a simulated environment.
supervisor.
Workplace: If completed in the workplace, you will need access to the service’s
emergence evacuation policy, procedures and plan to ensure that you understand the
procedure, the location of exit points and assembly areas.
Simulation:
If your workplace supervisor verifies that an emergency drill has not taken place during
your work placement, this task will be completed in TAFE simulated environment. The
student will need to access and read the Emergency Evacuation Policy available from
https://www.brightmindsearlylearning.com.au/images/documents/Emergency-
Evacuation-Policy-V4.1.17.pdf (accessed 14 July 2020). You will also need access to the
emergency plan to identify the location of exit points and assembly areas.
During the emergency drill, you will be required to demonstrate the following skills. The
assessor/workplace supervisor will observe you during the drill and add comments on
your demonstrated skills in the evidence guide at the end of this assessment.
As part of this demonstration, you will be expected to:
Identifies and immediately responds to the signal of emergency evacuation
Correctly follows the emergency evacuation procedure by:
a. Assisting staff to guide children to an emergency exit and check all sleep rooms,
children’s toilets and small spaces in rooms/outdoor areas.
b. Directing children to designated emergency evacuation points and the nominated
assembly area.
c. Talking to children during and after the emergency evacuation, helping them to
remain calm, informing them about what they are doing well and explaining to
them the importance of doing the emergency evacuation drill
d. Supporting staff to mark the roll
e. Listening and following the designated fire warden/ nominated supervisor
instructions on when it’s safe to re-enter the building
f. Assisting staff to guide children back into their service rooms or outdoor play areas
g. Follows any other action that is included in the policy, procedure or emergency
evacuation plan
QUESTION 3 (Part 1)
Record the date, time and number of children, educators and visitors that participated in
the evacuation
Date Time
(Start & Finish)
No. of
children No. of educators

No. of
visitors
QUESTION 4 (Part 1)
Following the practise emergency evacuation, inform children of one thing they did well
during the evacuation and discuss why practising is important. Record a summary of your
discussion. (50 – 100 words)
For the practicing of emergency evacuation. Firstly, inform children of one thing that day
must try to follow the ways of evaporation and assemble at a safe point it is very
important to discuss the method for the emergency evacuation with the children for the
future conflicts which may be arise in a form of any dangerous event or concerns related
to fire and many more. In this, it is helpful to create a better understanding to evacuate
yourself from such kind of situation.
QUESTION 5 (Part 1)
Write a short notice (such as a Kinderloop or Storypark post or a note for display) for
families informing them about the service participating in a practice emergency
evacuation. Include details about why drills are conducted and how the drill went. (50-
100 words). Discuss the content of this with your workplace supervisor,
If you are completing this task in a service then get approval from your workplace
supervisor before distributing to families.
Attach a copy of your family notification here
In this, there is a service participating in practice emergency evacuation in which the
evacuation drill is conducted in order to create a better understanding regard with the
any dangerous event or matter happened in any location. Moreover, it is essential to
create understanding and maintain the knowledge and skills of evacuation plan. In this,
the workplace supervisor is also play a key role in order to attend and provide there some
few points regarding with the work and safety which is associated with the evacuation
drill.

Part 2 WHS Incident
INSTRUCTIONS (Part 5)
Introduction
This assessment task relates to responding to a WHS incident in the workplace.
When will the assessment take place?
The assessment will take place using a scenario as it would be outside of the scope of your role as
a student and is and unplanned procedure.
Where will the assessment take place?
In a simulated assessment environment, which simulates the real-life working environment by
using a template that replicates an injury report.
What resources and equipment do I need?
You will need the Incident, Illness, Accident Trauma policy and procedure available from
https://www.brightmindsearlylearning.com.au/images/documents/Incident-Illness-
Accident-Trauma-Policy-V4.3.17.pdf.
You will need a copy of the incident report provided in this assessment to complete.
Specific assessment conditions
Skills must have been demonstrated in the workplace. In addition, simulations and
scenarios must be used where the full range of contexts and situations cannot be provided
in the workplace or may occur only rarely. These situations relating to emergency or
unplanned procedures where assessment in these circumstances would be unsafe or is
impractical.
Scenario instructions: (Part 2)
Read the scenario below. Once you have read the scenario, respond to the three (3)
questions provided. Refer to the policies provided in the link. The incident report is
located after the questions in Appendix 1.
Scenario: You are a Diploma trained staff member who is room leader in an education
and care service. Today, Ian White (25), a student visitor to your education and care
service was walking through the foyer talking to you, He didn’t see a rubbish bin that had
been moved slightly out from behind a cupboard and tripped on it. He fell to the floor. As
he fell, he hit his right elbow, cutting it on the edge of the notice board. As he sat himself
up, you notice that it is bleeding. He starts to stand, holding onto his elbow. As he stands,
he complains of a sore left knee, which appeared red and swollen.
As the person who witnessed the event you provide first aid to Ian. You used gloves to
clean his cut and disposed of them appropriately after use. You used disinfectant to wipe
a drop of blood that had fallen onto the floor. Once Ian was up and moving again, you
ensured that the site was safe replacing the bin into the space next to the cupboard so it
no longer posed a hazard.

Once he had his cut covered and was standing, Ian felt that he was able to leave the
premises in his own car as he has an automatic care. He went straight from the service to
his own doctor that afternoon and was advised to rest his knee for 24 hours. He did not
need further medical assistance at the time.
QUESTION 1: (Part 2)
Based on this scenario, you will need to complete the Register of injuries / illness
template below (Appendix 1) as per WHS and Service guidelines (refer to
https://www.brightmindsearlylearning.com.au/images/documents/Incident-Illness-
Accident-Trauma-Policy-V4.3.17.pdf). You will need to create some of the details to fully
complete the form.
QUESTION 2: (Part 2)
a.
According to the incident/accident policy sourced from
https://www.brightmindsearlylearning.com.au/images/documents/Incident-Illness-
Accident-Trauma-Policy-V4.3.17.pdf who will ensure that the policy is implemented?
In this, the responsibilities for the implementation of that policy and their withdrawal are
usually associated with the organization the implementing organization taking the
responsibilities for the implementation of policies which is related with the work and
safety. In most of the cases the organization is a unit of governmental bureaucracy in
which there are three key variable which is usually considered and implementation of
policy. As per this, the major of responsibility is taking by organization who is finalizing
and implementing the policies in the workplace.
b. List two (2) things that the policy stated educators will do
1
In this, they used to provide benefits and purposes which help to support the
foundation of quality practices in which the evacuation drill and work safety is the
major prioritization.
2
As per this, they help to guide the action of everyone involved in the services and
guide the daily work in decision making of services which help to promote for the
best outcome in such conditions and also provide aspect for the protection of service
including children families and themselves.
QUESTION 3: (Part 2)
What other Authority in NSW would a serious incident need to be reported to? Complete
the details for who you would report to and how you would report this incident.

Call SafeWork NSW on 13 10 50
Answers will vary according to policy used
Contact services WHS reporting line and report within 24 hours
If there is any serious injury or illness or any kind of death or a dangerous incident will
happen then it must report on immediately on 13 10 50 as an urgent investigation might
be needed. There is different type of incidents which is must reported to the safe work
and NSW in which the death of a person a serious injury or illness or any dangerous event
is included.

Appendix 1 – Register of injuries / illness template
Register of injuries / illness - Template
Employers are required to keep a register of injuries that is readily accessible in the
workplace (Under Section 63 of the Workplace Injury Management and Workers
Compensation Act 1998). The manager of any mine or quarry, or the occupier of any factory,
workshop, office or shop is responsible for this register of injuries.
Requirements of injury and illness registration
 Employers must keep a Register of Injuries at each workplace for workers to record
any workplace injury or illness
 The register of injuries may be kept in electronic form only if the employer provides
education, training and facilities to ensure that workers are able to access the register.
 An injured worker (or someone acting on their behalf) must notify the employer in writing,
or verbally, of any work-related injury or illness as soon as possible after an injury has
happened
 Employers need to provide written confirmation to the injured worker that they received
notification of the injury or illness
 Employers need to provide a signed and dated copy of this entry to the injured or ill
worker.
ABCDXYZ Early Childhood Centre
Injured / ill worker’s details
First name: XYZ Last name: ABC Date of birth XX/XX/XX
Position: A Department/team: X
Volunteers: NO Worker’s address: X
Manager/supervisor’s name: X
Injury or illness details
Date of injury/illness: Time of injury/illness: am/pm
Nature of injury/illness:

Bodily location of injury/illness (for illnesses include symptoms):
Location at time of injury:
How was the injury/illness sustained (cause of injury /illness):
Was any plant, equipment, substance or thing involved in the injury/ illness? If yes, please provide details:
Witnesses
Were there any witnesses to the injury/illness? Yes or No. If yes, please list name and contact
number for each witness:
Name: Contact:
Name: Contact:
Follow up
Has the injury been reported to the worker’s supervisor? Yes or No: YES
Was any treatment provided? Yes or No. If yes, please provide details:
Did the injured worker return to work following the injury/illness? If yes, please provide details:
Details of person making this entry

First name: Last name:
Position: Department/team:
Signature: Date:
If you are not the injured worker, did you witness the injury/illness? Yes or No
TO BE COMPLETED BY MANAGER/SUPERVISOR OF INJURED / ILL WORKER
This section does not need to be completed
Has an investigation been conducted into the incident? If yes, by whom?
What controls have been implemented to ensure the incident doesn’t happen again:
Employer confirmation
I, (print name), of
(insert company name),
Hereby confirm receipt of this notification.
Signature: Date:
Information in relation to Work Health and Safety Laws
If you are responsible under the Work Health and Safety (WHS) laws for workers other than
employees, for example contractors, you may not be required under workers compensation laws to
record injuries in your register of injuries. However you may find it helpful to do so. If you wish to
include details of all injuries in the one place you should add space in the template to indicate whether
or not the person is an employee for workers compensation purposes.
Additional resources
Please refer to the Workers Compensation Regulation 2016 (www.legislation.nsw.gov.au) for more
detailed information.
Further Information
Contact SafeWork NSW Customer Service on 13 10 50 or visit safework.nsw.gov.au.

This information sheet has been prepared using the latest information available to SafeWork NSW. SafeWork
NSW extends no warranties to the suitability of the information for your specific circumstances and disclaims all
responsibility and liability for all expenses, losses, damages and costs you might incur as a result of the
information being inaccurate or incomplete.

Evidence Guide - Assessment 2 (of 3) HLTWHS003 – Maintain work health and safety
Course CHC50113 (4) Unit HLTWHS003 Task
Task 1: Emergency evacuation drill and skill
demonstration
Task 2: WHS incident
Student Name Student Number
Q# Essential skills & knowledge
Satisfactory – S
Resubmit - R
Not yet
satisfactory - NS
Assessor comments
Written Documentation
The student has:
TAFE NSW
ASSESSOR ONLY Assessor feedback to student:
Part 1 – Simulated Emergency Drill
T1 Accessed the Emergency Policy and Procedure and written a
summary
☐ S ☐ R ☐ NS
T1 Drawn the evacuation plan, exits and assembly points ☐ S ☐ R ☐ NS
T2
The student participated in an emergency drill (refer below to Skills
Demonstration report and Workplace Supervisor feedback). They
gave a summary of the policy and included a drawing of the
evacuation plan with exit and assemble points
☐ S ☐ R ☐ NS
Q3 The student recorded all details of the emergency drill including
date, time, number of children, educators and visitors
☐ S ☐ R ☐ NS

Q4
Discussed with children about the practice evacuation and why it's
important to practice. Talked to the children about one thing they
did well ☐ S ☐ R ☐ NS
Q5 Wrote a short notice to families including details about the
practice evacuation and why it’s important ☐ S ☐ R ☐ NS
Part 2 – WHS Incident
1 The student accurately completed the Register of injuries / illness ☐ S ☐ R ☐ NS
2 The student identified the designated person to report to in the
service
Stated two (2) things that the policy stated that educators will do
☐ S ☐ R ☐ NS
3 The student identified the Authority to report a serious incident to ☐ S ☐ R ☐ NS
Skills demonstrations
Observable Behaviours
During the demonstration, the student must demonstrate the
following
TAFE NSW ASSESSOR
ONLY
A combination of Workplace supervisor feedback and Assessor observations
will be used to gather this evidence.
The assessor must document the observable behaviours (in detail i.e. what
was observed) to provide evidence of the student’s demonstrated
performance.
Documentation of Observable Behaviours

Identifies and immediately responds to the signal of
emergency evacuation
Correctly follows the emergency evacuation
procedure by:
 Assisting staff to guide children to an
emergency exit and check all sleep rooms,
children’s toilets and small spaces in
rooms/outdoor areas.
 Directing children to designated emergency
evacuation points and the nominated
assembly area.
 Talking to children during and after the
emergency evacuation, helping them to
remain calm, informing them about what they
are doing well and explaining to them the
importance of doing the emergency
evacuation drill
 Supporting staff to mark the roll
 Listening and following the designated fire
warden/ nominated supervisor instructions on
when it’s safe to re-enter the building
 Assisting staff to guide children back into their
service rooms or outdoor play areas
Followed any other action that is included in the
policy, procedure, or emergency evacuation plan
☐ S ☐ R ☐ NS

Workplace supervisor feedback & verifications
Observable Behaviours
During the demonstration, the student must demonstrate
the following:
WP
SUPERVISOR
INITIALS AND
DATE
A combination of Workplace supervisor feedback and Assessor
observations will be used to gather this evidence.
The assessor will document the observable behaviours to
provide evidence of the student’s demonstrated performance.
Details to include: Age of child/ren and location
Documentation of Observable Behaviours
TAFE NSW
ASSESSOR ONLY
WPS1: Was the student permitted to complete an
emergency drill in the workplace:
☐ YES ☐ NO
If yes, please complete the next box.
If no, please sign in the next column to indicate that an
emergency evacuation did not take place during the
time of the student’s placement
☐ S ☐ R ☐ NS
If the student did take part in an emergency
evacuation, did s/he follow the service’s policies and
procedures in a calm manner? ☐ YES ☐ NO
Did s/he speak with the children about the emergency
evacuation, discussing what was happening and why?
☐ YES ☐ NO
Please refer to the criteria in the Skills Demonstration
above and provide comment on these criteria.
☐ S ☐ R ☐ NS

Did the student discuss the parent newsletter with you?
☐ YES ☐ NO
Were they permitted to make this available for parents in
your service while they were on placement?
☐ YES ☐ NO
If yes, please refer to the next box
If no, please sign the next column verifying that they had the
discussion with you and they were unable to share this with
families.
☐ S ☐ R ☐ NS
Workplace supervisor details please provide details of the person/people providing workplace supervisor feedback and verifications
Name Position Qualification Employer Phone Signature
1
Assessment Outcome (submission 1) ☐ Satisfactory
☐ Not satisfactory
☐ Resubmission
required
RESUBMISSION DUE DATE
Assessor
Feedback
Was the assessment event successfully completed?
☐ YES ☐ NO
Was a reasonable adjustment in place for this assessment event?
☐ YES ☐ NO
Details of any reasonable adjustment
Assessor Name Signature Date

Assessor
comments
Student acknowledgement of assessment outcome: I acknowledge that I have received and understood the feedback provided by the Assessor
on this assessment item.
Student Name Signature Date
Student comments
Would you like to make any comments about this
assessment?
Resubmission – Assessment outcome (if required) ☐ Satisfactory ☐ Not satisfactory
Assessor
Feedback
Was the assessment event successfully completed?
☐ YES ☐ NO
Was a reasonable adjustment in place for this assessment event?
☐ YES ☐ NO
Details of any reasonable adjustment
Assessor Name Signature Date
Assessor
comments
Student acknowledgement of assessment outcome: I acknowledge that I have received and understood the feedback provided by the Assessor
on this assessment item.

Student Name Signature Date
Student comments
Would you like to make any comments about this
assessment?

Version: 1.0
For queries, please contact:
TAFENSW Health Wellbeing and Community Services Heads of Skills Teams
Sydney Region
Northern Region:
This assessment can be found in the: