BSBMGT605: Provide Leadership Assessment Task Templates and Reports

This document presents a comprehensive solution for the BSBMGT605: Provide Leadership Across the Organisation assessment. It includes completed templates and reports for all four assessment tasks. Task 1 covers incident reporting, risk assessment, and risk register updates related to a workplace incident at Max Lionel Realty. Task 2 involves developing an action plan and budget for an organizational change strategy, focusing on influencing groups and individuals. Task 3 provides roles and responsibilities and a budget related to building and supporting teams. Task 4 includes a professional development plan and a third-party report demonstrating personal and professional competence. The document offers detailed examples and completed forms to aid in understanding and completing the assessments successfully.

© 2012 Innovation and Business Industry Skills
Council Ltd
1st edition
version: 2
Page 1 of 21
Appendix 2
Templates

1st edition
version: 2
Page 2 of 21
© 2012 Innovation and Business Industry Skills
Council Ltd
Table of Contents
Assessment Task 1 Templates..........................................................3
Incident report................................................................................... 3
Injury report....................................................................................... 5
Risk assessment form..................................................................8
Risk register..................................................................................... 10
Assessment Task 2 Templates........................................................11
Action/implementation plan.............................................................11
Budget....................................................................................... 12
Communication plan (example).......................................................13
Assessment Task 3 Templates........................................................14
Roles and responsibilities................................................................14
Budget....................................................................................... 15
Assessment Task 4 Templates........................................................16
Professional development plan........................................................16
Third party report............................................................................21

Assessment Task 1
Templates
1st edition
version: 2
Page 3 of 21
© 2012 Innovation and Business Industry Skills
Council Ltd
BSBMGT605B Provide leadership across the
organisation
Assessment Task 1 Templates
Incident report
1. DETAILS OF PERSON MAKING REPORT
Name: PLEASE FILL
Position: Supervisor Job Title: Operations GM
2. DETAILS OF INCIDENT
Date: PLEASE FILL Time: PLEASE FILL
Location: Commercial Office, Max Lionel Realty
Describe what happened and how: One of the clients tried to exit the
office in a hurry through the emergency exit. It has been discovered that
the exit was blocked by several boxes and in hurry, she tripped and fell
down the stairs, breaking her wrist. In addition, it has also been found
that the stairwell near the emergency exit gate door had some smelly
and oily liquid that can easily make anyone trip and fall down the
stairwell.
SUGGEST CORRECTIVE ACTIONS
The boxes must be removed from the exit gate and the stairwell area must
be cleaned regularly to remove any oily substances that may cause
anyone passing through the area to trip.

Assessment Task 1
Templates
BSBMGT605B Provide leadership across the
organisation
1st edition
version: 2
Page 4 of 21
© 2012 Innovation and Business Industry Skills
Council Ltd
3. DETAILS OF WITNESSES
Name: Jim Harris Job title: Agent
Name: Job title:
Name: Job title:
Sign: Date:

Assessment Task 1
Templates
BSBMGT605B Provide leadership across the
organisation
1st edition
version: 2
Page 5 of 21
© 2012 Innovation and Business Industry Skills
Council Ltd
Injury report
Status:  Employee  Contractor √Other
Outcome:  Near miss √Injury
1. DETAILS OF INJURED PERSON
Name: Rachel Zane Phone: (H) 5465 879854
(W)
Address: 6, Koala Road, Brisbane, Australia Sex:  M √F
Date of birth: 25/04/1982
Job Title: Client
Start time:  am  pm
Work
arrangement:
 Casual  Full-time  Part-time √Other
2. DETAILS OF INCIDENT
Date: 16/01/2020 Time: 3:22 PM
Location: Commercial Office, Max Lionel Realty
Describe what happened and how: Rachel, after conducting her business
with the company, tried to exit the office in a hurry through the
emergency exit. It was found that the emergency exit gate was blocked
by several boxes and in hurry, she tripped and fell down the stairs,
breaking her wrist.
3. DETAILS OF WITNESSES
Name: Jim Harris Phone: (H) 8787 546654
(W)
Address: 25, Bridgetown, Brisbane, Australia
4. DETAILS OF INJURY
Nature of injury (e.g. burn, cut, sprain) Broken Bone
Cause of injury (e.g. fall, grabbed by person) Tripping and falling through
the stairwell

Assessment Task 1
Templates
BSBMGT605B Provide leadership across the
organisation
1st edition
version: 2
Page 6 of 21
© 2012 Innovation and Business Industry Skills
Council Ltd
Location on body (e.g. back, left forearm) Wrist

Assessment Task 1
Templates
BSBMGT605B Provide leadership across the
organisation
6. DID THE INJURED PERSON STOP WORK?
1st edition
version: 2
Page 7 of 21
© 2012 Innovation and Business Industry Skills
Council Ltd
5. TREATMENT ADMINISTERED
First aid given √Yes  No
First aider name: Keith Kelvin
Treatment: Initial medication for pain reduction
Referred to: Royal Women’s Hospital
SECTIONS 6–9 MUST BE COMPLETED BY EMPLOYER
√Yes  No If yes, state date: 16/01/2020 Time: 3:22 PM
Outcome:
 Treated by doctor √Hospitalised  Workers compensation claim
 Returned to normal work  Alternative duties  Rehabilitation
7. INCIDENT INVESTIGATION (comments to include causal factors):
From the investigation, it has been found that the emergency exit gate
was blocked by several boxes that should not have been there in the first
place. Further investigation has shown that the top of the stairs had some
oily and smelly liquid that can easily lead to slip.
8. RISK ASSESSMENT
Likelihood of recurrence: High
Severity of outcome: High
Level of risk: High
9. ACTIONS TO PREVENT RECURRENCE
Action By whom By when Date completed

Assessment Task 1
Templates
BSBMGT605B Provide leadership across the
organisation
1st edition
version: 2
Page 8 of 21
© 2012 Innovation and Business Industry Skills
Council Ltd
Remove the boxes
and clean the
stairs
Cleaning staff Within 1 hour
from notice
31/01/2020

BSBMGT605B Provide leadership across the
organisation
Assessment Task 1
Templates
© 2012 Innovation and Business Industry Skills
Council Ltd
1st edition
version: 2
Page 9 of 21
10. ACTIONS COMPLETED
Signed (Manager):
Title: Cleaning and removing obstructions from the emergency exit gate
Date:
 Feedback to person involved Date:
11. REVIEW COMMENTS
WHS committee / staff meeting: Scheduled on 25/01/2020
Reviewed by site Manager (signed): Date: 20/01/2020
Reviewed by Health & Safety Rep.(signed): Date: 20/01/2020

BSBMGT605B Provide leadership across the
organisation
Assessment Task 1
Templates
© 2012 Innovation and Business Industry Skills
Council Ltd
1st edition
version: 2
Page 10 of 21
Risk assessment form
Details
Name: PLEASE FILL
_________________________________________________________________
Position: _ Operations General Manager ________________________
Risk
details
Risk ID: 201B Number allocated to this risk.
Raised by: Jim Harris Name of person who has raised the
risk.
Date raised: 16/01/2020 Date of completion of this form.
Description of risk:
A client, Rachel Zane, after conducting her business with the company,
tried to exit the office in a hurry through the emergency exit. The exit
was blocked by several boxes and in hurry, she tripped and fell down the
stairs, breaking her wrist. This incident can happen to anyone passing
through the area in the near future if the place is not cleaned and cleared
immediately.
Likelihood of risk:
This type of risk can occur to
anyone and the condition of the
place is very unsafe for people
to pass through. The likelihood
of occurrence of such risk is
very high.
Impact of risk:
The risk can be very serious to the
people passing through the area,
resulting in serious injuries
including broken bones. The impact
of the risk is thus very high.

BSBMGT605B Provide leadership across the
organisation
Assessment Task 1
Templates
© 2012 Innovation and Business Industry Skills
Council Ltd
1st edition
version: 2
Page 11 of 21
Risk mitigation
Preventative actions recommended:
i. There should be no obstructions in any of the exit gates.
ii. The stairs should be cleaned on regular basis.
Contingency actions recommended:
First aid should be readily available in the office and the attendants must
be trained to provide suitable first aid to people in need.
Approval details
Supporting documentation:
Risk Report detailing the risk, the incident and the possibility of the risk occurring
in the future.
Signature: Date: / /

BSBMGT605B Provide leadership across the
organisation
Assessment Task 1
Templates
© 2012 Innovation and Business Industry Skills
Council Ltd
1st edition
version: 2
Page 12 of 21
Risk register
This template is used to record identified risks associated with your project,
analyse the impact and determine resultant action to be taken.
Ris
k
Likelihood
(H/M/L)
Impact
(H/M/L)
Risk
response
(contingenc
y
strategies)
Responsible
Serious injuries Very High Very High Cleaning of
the stairwell,
removing
obstructions,
providing first
aid to injured
person
HR
Client
Dissatisfaction
Very High High Enforce WHS
policies and
develop a
better and
safe
environment
for the clients
Branch
Manager