Workplace Safety and Health Officer Application - Professional Work Review Write-up

This assessment form requires personal information, academic qualifications, approved qualifications for WSH officer registration, other WSH qualifications, demonstration of WSH experience, and workplace hazards. The content includes examples of WSH legislative requirements and their application in the workplace.

Workplace Safety and Health Officer Application
Professional Work Review Write-up
There are a total of seven sections in this assessment form.
It may take you around 2 hours to give a comprehensive submission.
Please complete the template, sign, scan (200dpi resolution and greyscale) and save it in PDF format for submission.
(DO NOT attach/insert any photographs or pictures.
Do not amend or modify the fields/table format. Indicate requested details only)
SECTION A: PERSONAL INFORMATION & EMPLOYMENT DETAILS
Name NRIC/FIN
Company Name
Industry Type
Nature of business
Designation
Employment period
~ Do not amend or modify the fields/table format. Indicate requested details only
SECTION B: ACADEMIC QUALIFICATION (NON-WSH RELATED)
Highest (Non-WSH) Academic Qualification
Name of Awarding Institution
Country of Awarding Institution
Year of Completion
~ Do not amend or modify the fields/table format. Indicate requested details only
SECTION C: APPROVED QUALIFICATION FOR WSH Officer Registration
Qualification (do not add any other qualification to this list) Year of
Completion
Tick at least one
option
Specialist Diploma in WSH, awarded by SkillsFuture Singapore
Master of Science in Safety, Health and Environment Technology, awarded by the
National University of Singapore
Bachelor of Environment Occupational Health and Safety, awarded by the
University of Newcastle (Australia)
Bachelor of Science in Human Factors in Safety, awarded by the Singapore
University of Social Science (formerly SIM University)
Bachelor of Science (Health, Safety and Environment), awarded by the Curtin
University of Technology (Singapore Campus)
Bachelor of Science (Hons) Safety, Health and Environmental Management,
awarded by Leeds Beckett University (Singapore Campus), from September 2015
~ Do not amend or modify the fields/table format. Indicate requested details only
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

SECTION D: OTHER WSH QUALIFICATIONS
Qualification Awarding
Institution
Year of
Completion
Advanced Certificate in Workplace Safety and Health
Safety Coordinator Training Course
Develop a Risk Management Implementation Plan (bizSAFE Level 2) Course /
Risk Management Course
Develop a WSH Management System Implementation Plan (bizSAFE Level 4)
Course
~ Do not amend or modify the fields/table format. Indicate requested details only
SECTION E: DEMONSTRATION OF WSH EXPERIENCE
You may need around 60 minutes to complete this Section. Each response should be limited to 500 words or less.
(i) Please describe the WSH legislative requirements that are most relevant to your field of work and how they have
been complied with in your workplace.
[You should demonstrate your knowledge of WSH legislative requirements relevant to your field of work by citing examples of
WSH regulations and how they are applied.]
(a) WSH Act
 Cite a Section No. of the WSH Act (e.g. Section No. 12) that is relevant to your area of work and describe what that
law requires.
 Give an on-site application on how your workplace complies with this Section of the Act.
(Do not copy and paste the legislation)
 Section No.: 29
 Explain what the selected Section No. relates to (in your own words):
As per section 29 of the said Workplace Safety and Health Act, a workplace safety and health committee must
be set up at every workplace comprising of representatives from both the employee and employer side. The
main function of the committee is keeping in notice the circumstances that can affect the health or safety of the
persons involved in the workplace, promoting cooperation between the employees and the management for
maintaining healthy and safe conditions of working, carrying out timely inspections of place of accident,
exercising other duties and functions as conferred on this committee as per this Act and any other functions as
required.
 Describe application (in bullet points):
 A workplace safety and health committee has been set up.
 The committee consists of 4 representatives each from the employers and the employees.
 These representatives have experience and knowledge in dealing with health and safety issues.
 Hazardous areas have been identified and marked with illuminating paint such that can be easily noticed in
darkness.
 A time table is maintained to keep regular check and inspection of the safety related issues of the
hazardous places.
 Inspection and monitoring are done at an interval of 15 days.
(b) WSH (Risk Management) Regulations
 Cite a Risk Management Regulation (e.g. Regulation No. 3(1)) that is relevant to your area of work and
describe what the legislation requires.
 Give an on-site application on how your workplace complies with this Regulation.
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

(Do not copy and paste the legislation)
 Regulation No.: 2007 Revised Edition—Workplace Safety and Health (Risk Management) Regulations
 Explain what the selected Regulation No. relates to (in your own words):
As per section 3 of the said Regulation, in all the workplaces, the principal, self- employed person, employer
must conduct a risk assessment related to the health and safety risks to any person who can get affected by
working in the workplace. The manner of conducting the assessment can be conducted determined by the
Commissioner. Further, these persons must take all the required measures to eliminate any foreseeable risk
that can harm any person. If absolute elimination is not possible, measures like engineering control,
substitution, administrative control, installation of suitable protective equipment to control the risk must be
taken. Records of such risk assessment must be maintained for at least 3 years. Every person who is exposed
to the risk of his health and safety must be informed about the nature of the risk and any procedure
implemented to control such risk. The risk assessment must be reviewed at least once in 3 years. Any
principal, self- employed person, employer who infringes the provisions enumerated above will be liable to a
fine of minimum 10,000 $ for offence committed for the first time and a fine of minimum 20,000$ or
imprisonment for period exceeding 6 months or even both.
 Describe application (in bullet points):
 The employer in the refinery conduct a risk assessment every two years to control the risks involved here.
 Old machineries that have higher risk of accidents are replaced with newer ones.
 Fire extinguishers are installed strategically at those places that are vulnerable to accidents like where the
chemicals are stored, refined.
 Fire alarms have been installed.
 Employees are provided with protective gloves, masks, eye glasses.
 Records are maintained digitally for a period of 4 years.
(c) WSH (Incident Reporting) Regulations
 Cite an Incident Reporting Regulation (e.g. Regulation No. 4(1)) and describe what it requires.
 Give an on-site application on how your workplace complies with this Regulation.
(Do not copy and paste the legislation)
 Regulation No.: WORKPLACE SAFETY AND HEALTH (INCIDENT REPORTING) REGULATIONS Rg 3 G.N.
No. S 136/2006
 Explain what the selected Regulation No. relates to (in your own words): The said Regulation states that the
employer has the duty to notify as well as report any accident that causes death of an employee or any other
person or a self-employed person to the Commissioner of the accident. If a dangerous incident has happened
in the workplace, the occupier in addition to reporting , it must also submit a report within 10 days of the
incident to the Commissioner of the incident. Similarly, where an employee suffers from an accident, the
employer must report it to the Commissioner of the accident and if he dies, then report about it to the
Commissioner of death. Further, when any person who is self-employed or not at work suffers from accident,
the occupier must take him to hospital for treatment and also notify about it to the Commissioner of the
accident. If an employer is suffering from any occupational disease, the medical practitioner who has
diagnosed him must submit within 10 days to the Commissioner. It is the duty of the employer as well as the
occupier to keep a record of every report or notification made by him for a period of minimum 3 years and also
furnish it to the Commissioner from time to time. Further anyone who violates the above mentioned duties will
be held guilty and subjected to fine or imprisonment or even both.
 Describe application (in bullet points):
 The employer maintains a record book and keeps it up to date and also furnishes the same to the
Commissioner every month.
 An employee of the operations department had suffered from an accident due to spillage of hot chemicals
on his lower part of the body and later on died. The employer recorded it in the record book and also
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

notified about to the Commissioner.
 A dangerous blast occurred inside the plant three months before which was notified by the occupier to the
Commissioner.
(d) WSH (General Provisions) Regulations
 Cite a General Provisions Regulation (e.g. Regulation No. 23(1)) and describe what it requires.
 Give an on-site application on how your workplace complies with this Regulation.
(Do not copy and paste the legislation)
 Regulation No.: Rg 1 G.N. No. S 134/2006
 Explain what the selected Regulation No. relates to (in your own words):
This regulation mainly provides general provisions related to the health as well as safety of the people involved
in any workplace. It provides the duties of the employer as well as the occupier to take effective steps to
ensure safety and health of the persons working there. All the machineries that are operated in the work place
must be maintained regularly. Proper ventilation, lighting, drainage system, sanitary conveniences and other
necessary amenities must be maintained. Any person who failed to follow the provisions enumerated in the
Regulations shall be held guilty and shall be subjected to a fine of maximum 20,000 $ or even sentenced to
imprisonment for maximum 2 years or both.
 Describe application (in bullet points):
 Ventilation fans are installed strategically in every workroom such that the gases or vapours can go out
allowing fresh air inside.
 Auto cut off system is provide to the transmission machinery such that when not in use, power can be cut
from it.
 Uniform has been designed for every employee such that it has no loose ends such that no accident is
caused by clothes getting entangled with any machine.
 Lock out procedure is used when cleaning, repairing and maintaining machinery, electrical installation and
equipment are carried on.
 Every lifting gear is tested as well as examined and then a certificate of test and examination is issued and
signed. Such certificate is made available for inspection always.
 The occupier maintains a register to record all the particulars as specified by the Commissioner in relation
to the lifting machines, lifting gears and lifting appliances.
(e) Any other WSH legislation of your choice [excluding (a) to (d)] (indicate title):
 Cite any Regulation (state regulation number) and describe what it requires.
 Give an on-site application on how your workplace complies with this Regulation.
(Do not copy and paste the legislation)
 Regulation No.: Workplace Safety and Health (Noise) Regulations 2011.
 Explain what the selected Regulation No. relates to (in your own words): measures for reducing as well as
controlling noise must be taken to keep the workplace protected from excessive noise. Such measures may
include replacing noisy machineries, equipment, isolating the source of noise, installing noise barriers, regular
maintenance of the machineries to reduce noise emission and others. Noise monitoring must be done once in
every 3 years at least by a competent person appointed by the occupier. Hearing protectors must be given to
persons exposed to excessive noise.
 Describe application (in bullet points):
 A competent person is appointed by the occupier who carries out the noise monitoring once in every 3
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

years and report it to the occupier within 14 days of the monitoring.
 Hearing protectors are given to all the employees who are exposed to high noise.
 Warning signs are displayed at the places where such hearing protectors must be worn by the employees
to make them aware of it.
 Training session is arranged to make the employees aware of the effect of noise pollution, pros and cons of
hearing protectors on a yearly basis.
 Measures to control as well as reduce noise is employed.

(f) Any other WSH legislation of your choice [excluding (a) to (e)] (indicate title):
 Cite any Regulation (state regulation number) and describe what it requires.
 Give an on-site application on how your workplace complies with this Regulation.
(Do not copy and paste the legislation)
 Regulation No.: WORKPLACE SAFETY AND HEALTH (CONFINED SPACES) REGULATIONS 2009.
 Explain what the selected Regulation No. relates to (in your own words):
This regulation deals with the confined spaces like chamber, manhole, pit, tank, pipe or any other enclosed
space where dangerous fumes, gases or vapours are present that may result into explosion or fire. It also
applies to those spaces where air supply is low for sustaining life or where there lies risk of engulfment. The
regulation provides to maintain a record about the location and the description of the confined space and also
informs persons liable to be exposed to the hazards of such space. Confined space entry permit must be there.
Periodical testing of the atmosphere of the confined space must be done by a confined space safety assessor.
Warning sign must be installed at the entrance of the confined space. Confined space attendant must be
appointed. Any contravention of the said Act will result into an offence for which fine or imprisonment or both
may be ordered to the contravener.
 Describe application (in bullet points):
 The occupier has made a record containing the description as well as location of the confined space and
also has informed the persons who can get exposed to its hazards.
 The entry and egress point of the confined space are made safe and free from risk to health of any person.
 Sufficient lighting is fixed in the confined space.
 Exhaust ventilation is used.
 A competent person is appointed who has issued a confined space entry permit that denotes the location
as well as the description of the confined space, reason of entry, period of its validity.
(ii) Please describe one WSH workplace hazard which you had identified and addressed.
[You should demonstrate your practical experience in applying risk management concepts, risk assessment process, risk
matrix, and hierarchy of controls with examples.]
(a) Title of workplace hazard identified at your workplace: falling from height
(b) Type of risk matrix used (please specify 3 by 3; 5 by 5; or others): 5x 5 risk matrix
(c) Evaluation of initial risk assessment using risk matrix (before hierarchy of control): Severity X Likelihood:
(To show calculation and indicate level of the risk)
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

VERY
LIKELY
LIKELY MODERA
TE
UNLIKE
LY
RARE
FATALITY HIGH HIGH HIGH MEDIU
M
MEDUI
M
MAJOR INJURIES HIGH HIGH MEDIUM MEDIU
M
MEDIU
M
MINOR INJURIES HIGH MEDIU
M
MEDIUM MEDIU
M
LOW
NEGLIGIBLE
INJURIES
MEDIU
M
MEDIU
M
MEDIUM LOW LOW
SPRAINS MEDIU
M
MEDIU
M
LOW LOW LOW
(d) Application of Hierarchy of Control:
(e) Elimination (in bullet points below the heading)
 Pre fabrication at the ground level
 Using remote operated shackles for lifting loads by crane at height
(f) Substitution (in bullet points below the heading)
 Mast climbing work platform can be set up.
 Boards utilised for scaffolding must be secured.
(g) Engineering Control (in bullet points below the heading)
 Guard rails must be used to ensure protection from fall.
 Proper ways of access as well as egress must be provided to reach the areas of work safely.
(h) Administrative Control (in bullet points below the heading)
 Permit to work system (PWS) to be used for controlling hazardous work by providing proper way to enter or
work on scaffolds.
 Safe work procedure (SWP) having set of instructions in systematic manner on how work is to be done
must be followed.
(i) Personal Protective Equipment [PPE] (in bullet points below the heading)
 System of travel restraint for restricting movement of user and preventing him from approaching any
unprotected edge.
 Fall arrest system for individuals must be employed to stop the employee from falling down and reducing
impact of falling.
(j) Evaluation of final risk assessment using risk matrix (after hierarchy of control): Severity X Likelihood:
(To show calculation and indicate level of the risk)
Due to the application of the various risk mitigation factors, the fatality rate will decrease and the severity of the
accidents will also decrease. The number of accidents can be checked.
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

VERY
LIKELY
LIKELY MODERA
TE
UNLIKE
LY
RARE
FATALITY MEDIU
M
MEDU
M
MEDIUM LOW LOW
MAJOR INJURIES MEDIU
M
MEDIU
M
MEDIUM MEDIU
M
LOW
MINOR INJURIES MEDIU
M
MEDIU
M
MEDIUM LOW LOW
NEGLIGIBLE
INJURIES
MEDIU
M
MEDIU
M
LOW LOW LOW
SPRAINS MEDIU
M
LOW LOW LOW LOW
(k) Follow-up action (indicate the list of actions taken in bullet points):
 Pre fabrication at the ground level done.
 Mast climbing work platform is set up.
 Guard rails are used to ensure protection from fall.
 Permit to work system (PWS) is used for controlling hazardous work by providing proper way to enter or
work on scaffolds.
 System of travel restraint is installed for restricting movement of user and preventing him from approaching
any unprotected edge.
(iii) Please describe one workplace accident/incident you have encountered and how you identified and addressed the
root cause of the accident/incident.
[You should demonstrate your practical experience in accident/incident investigation and your role in the investigation team,
including explanations of the investigation methodology used and outcomes derived from the investigation.]
(a) Title of incident/accident (e.g. hit by falling object): falling of a 2kg hammer from 12 metres height.
(b) Description of incident/accident:
 Date: 25. 07. 2019
 Time: 1.30 PM
 Location: factory
 Summary of the incident/accident (in bullet points):
 An employee was fixing a nail on the wall by climbing a ladder of 12 metres high.
 Accidentally the hammer slipped from his hand and hit the foot of another employee working on the
ground.
 The hammer hit the foot due to which the bones in the feet got fractured.
 He was immediately taken to the hospital for treatment by the employer.
 Actions taken to preserve the scene of incident/accident (in bullet points):
 The employees are asked to leave the place of accident.
 A barricade is created to keep people away from the place.
 Hammer was kept untouched.
(c) Title of Methodology used to identify root cause: 5 why methodology
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

(d) Show diagram:
Why’s PARTICULARS
WHY? THE HAMMER SLIPPED.
WHY? HE CLIMBED THE LADDER.
WHY? THE CRANE WAS NOT WORKING.
WHY? THE CRANE WAS NOT GETTING POWER.
WHY? THE POWER SUPPLY SYSTEM OF THE AREA NOT WORKING.
(e) Explain how the diagram was used to identify the root cause (in your own words):
The accident occurred because the slipped. The first why refers to why the hammer slipped. The answer to this
is because he had to climb the ladder. Why he had to climb the ladder is the second why. The answer is
because the crane was not working. Why the crane was not working forms the third why. The answer is
because the crane was not getting enough power. Why the crane was not getting power forms the fourth why.
The answer is because the power supply system was not working. Why the power supply system was not
working forms the fifth why. This is the root cause behind the accident that occurred.
(f) Root cause(s) identified (in bullet points):
 THE POWER SUPPLY SYSTEM OF THE AREA NOT WORKING.
(g) Immediate Corrective and Preventive actions taken (in bullet points):
 A back up power system must be present.
 It can be done in the form of installing generator of sufficient power in the work place.
(h) Follow-up action to prevent future occurrence (in bullet points):
 An electrical engineer is contacted to seek advice regarding the power of the generator required to be
installed in the workplace so that required machineries can work when power supply is not there.
 A quotation from the market is taken regarding the cost of the generator of said power.
(iv) Please describe your experience in setting up and implementing a WSH Management System (WSHMS) including
the challenges faced and how you overcame the challenges.
[You should demonstrate practical experience and understanding in developing or implementing a WSH Management System.]
a) Title of WSHMS:WSHMS 2018
b) List down all the Elements in the WSHMS stated in (a) (indicate the list in bullet points):
 A SAFETY PLAN.
 POLICIES, PROCESSES AND PROCEDURES,
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

 INDUCTION AND TRAINING,
 PROPER MONITORNG,
 SUPERVISION,
 REPORTNING.
c) Choose 3 elements from (b) that is currently used in your company and describe the details below:
i. Element 1 [physical/practical type that requires on-site involvement]
 Element Title: supervision
 What are the challenges encountered (indicate the list of challenges in bullet points)?
 A full time supervisor is not available as the employer acts as the supervisor.
 Supervisor is not well trained and lack adequate knowledge.
 Supervisor does not interact with the employees.


 What are the solutions you have taken to overcome the challenges (indicate the list of solutions in bullet
points)?
 A dedicated supervisor must be hired for the purpose of supervision of only.
 The supervisor must possess the required qualities to be in such post.
 He must consider interacting with the employees to work as a team.


ii. Element 2 [physical/practical type that requires on-site involvement]
 Element Title: INDUCTION AND TRAINING,
 What are the challenges encountered (indicate the list of challenges in bullet points)?
 Training and induction could be arranged due to lack of time and work load.
 The employees are interested to undergo training as they are satisfied with their knowledge.
 As trainings cannot be arranged regularly, new things cannot be taught to the employees
 What are the solutions you have taken to overcome the challenges (indicate the list of solutions in bullet
points)?
 A trainer must be hired for this purpose.
 The training must be arranged regularly at an interval of 6 months at least.
 Trainers undergoing training will be awarded additional salary. This will encourage them to undergo
training and learn new things.
iii. Element 3 [administrative/paperwork type]
Element Title: POLICIES, PROCESSES AND PROCEDURES,
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

 What are the challenges encountered (indicate the list of challenges in bullet points)?
 The policies, processes and procedures have become outdated and do not cater the present day
requirement.
 The procedures mentioned are never applied.
 The employees are not aware of this element.
 What are the solutions you have taken to overcome the challenges (indicate the list of solutions in bullet
points)?
 A proper policy must be drafted by an expert in this regard.
 It must cater all the issues relevant in the present day.
 After its drafting, a session must be arranged where the employees will be made aware about the
new policies that will be implemented such that the policies and procedures abide by it.
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

SECTION F: WSH EXPERIENCE RELEVANT TO WORK TO BE PERFORMED BY A WSHO
Please complete the following table as accurately as possible.
A B C D E F G
Date of
Employment1
Company Designation
and Contract
Title
(if applicable)
Job scope2 Duration of
Employment3
Extent of WSH
Contribution4
Months of WSH
Contribution
[(F/100) X E]
Example:
1/1/2008
To
31/12/2008
AAA (S) PTE
LTD
Clerk of Works
cum WSH
Coordinator
Condominium
Project at Lorong
BBBB
WSH Roles
1) Site Inspection
2) Accident Investigation
3) Safety Committee Member
4) Toolbox Meeting
5) ETC
Non-WSH Roles
1) Assist Project Manager to monitor work
progress
2) ETC
12 months 50% (50/100) x 12
= 6 months
Total Employment Duration __________ months
Total Duration of WSH Experience __________ months
~ Do not amend or modify the fields/table format. Indicate requested details only
1 Please indicate start and end date of employment.
2 Please highlight your job responsibilities for each appointment (both WSH and non-WSH) in point form.
3 Please indicate the total duration of employment by number of months.
4 Please estimate the percentage of time spent in each appointment on WSH related issues only.
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018

SECTION G: DECLARATION
I, _________________________________ holder of _________________ (NRIC/FIN/Work Pass No.) hereby declare that the
information contained in this professional review write-up is true and correct to the best of my knowledge. I am also aware that:
a) my application will be rejected if my application is incomplete and/or if there are missing supporting documents including the work
review write-up.
b) my application will be rejected if any information provided was misrepresented, and that legal actions may be taken against me if I
had knowingly provided any false information.
c) I have to fulfil the terms and conditions of the application (as stated on MOM website).
d) my application will be evaluated by the Commissioner for Workplace Safety and Health based on the required qualifications, work
experience (verified through employer testimonial) and the quality of the work review write-up submitted herein.
__________________________________ ___________________________________ ___________________________________
Name Signature Date
Professional Work Review Write-up template version 4.0 correct as at 25 October 2018