BSBWHS401: Developing a Health and Safety Training Program Outline
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This document presents a workplace health and safety training program outline, including practical and theoretical training goals, underpinning legislation, and stakeholder consultations. It details coaching and mentoring principles, adult learning principles, and participant roles. The training content covers safety rules, measures, and practical application with associated costs. Reporting mechanisms for monitoring training effectiveness are outlined. Additionally, an incident report form illustrates a workplace injury, including details of the injured person, incident description, witnesses, injury nature, treatment, and investigation. The report concludes with risk assessment, actions to prevent recurrence, and review comments from the WHS committee.

Training Program Outline Appendix 1
Training Name: Timeframe: Training Type:
Workplace Health and Safety Training 2 weeks Practical as well as theoretical Training
Training Goals:
1. Providing the proper knowledge of the dangers involved in the workplace
2. Providing the employees the appropriate training to help them adapt to the workplace easily
3. Follow ethical and standard set of health procedures to avoid any accidents and hazards
Underpinning legislation and workplace policy:
Workers Compensation Act and the regulation must be followed
Employer must commit the protection of the health and safety of the workers
Must adhere to the aims and priorities of the OHS program
Stakeholders consulted and/or data and information reviewed:
Yes stakeholder have been consulted to let them have an idea of the programs
The consultation with the stakeholders helps to take decisions on the exact planning
List coaching and mentoring principles (to be incorporated in the training):
The coaching and mentoring program will be done by the experienced professionals
The program will include both practical as well as theoretical knowledge
List adult learning principles (to be incorporated in the training):
Safety principals in the workplace
Typical safety measures for using instruments
4 LA019751; Assessment 2, BSBWHS401, Edition number 1 © New South Wales
Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, July 2015
Training Name: Timeframe: Training Type:
Workplace Health and Safety Training 2 weeks Practical as well as theoretical Training
Training Goals:
1. Providing the proper knowledge of the dangers involved in the workplace
2. Providing the employees the appropriate training to help them adapt to the workplace easily
3. Follow ethical and standard set of health procedures to avoid any accidents and hazards
Underpinning legislation and workplace policy:
Workers Compensation Act and the regulation must be followed
Employer must commit the protection of the health and safety of the workers
Must adhere to the aims and priorities of the OHS program
Stakeholders consulted and/or data and information reviewed:
Yes stakeholder have been consulted to let them have an idea of the programs
The consultation with the stakeholders helps to take decisions on the exact planning
List coaching and mentoring principles (to be incorporated in the training):
The coaching and mentoring program will be done by the experienced professionals
The program will include both practical as well as theoretical knowledge
List adult learning principles (to be incorporated in the training):
Safety principals in the workplace
Typical safety measures for using instruments
4 LA019751; Assessment 2, BSBWHS401, Edition number 1 © New South Wales
Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, July 2015
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Appendix 1
Participants (job title/s):
Managers, Supervisors, old employees
New Employees and Trainees
Where will the coaching or mentoring training take place (e.g. on-the-job or off-the-job)
The theoretical part will take place in the conference room of the administrative building
The practical part will be taken in the company itself
Training content
Theoritical
Practical
Time / Section Description Equipment and Materials Comments
Duration
Goals/Results
2 days
To make the employees
accustomed to the safety rules What is Safety in workplace? Books
3 days
Different safety measures
knowledge What are the safety measures in workplace? Books and Journals
4 days Proper PowerPoint knowledge Presentation of the study Computer or Projector Slides
2 days Practical Knowledge Practical presentation of safety procedure in the company Equipments
3 days Application of the knowledge Practical Test Equipments
Cost of training participant/s:
Mangers- $200, Employees- $150, New Trainees- $ 50 (A total of 4 managers, 5 employees and 10 new trainees are present. The total amount incurred will be $2050)
List the reporting mechanisms that will be used to monitor the effectiveness of the coaching or mentoring training to ensure that WHS training actually happens and was
useful.
The OHS program and some internal assessment will be done by the management to see whether the training program was appropriate or not.
N.B. Append completed mentoring/coaching agreement
Adapted from Training Plan Template no. 4 http://trainersadvice.com/resources/training-plans-templates/ Retrieved 20 June 2014
LA019751; Assessment 2, BSBWHS401, Edition number 1 5
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1,
July 2015
Participants (job title/s):
Managers, Supervisors, old employees
New Employees and Trainees
Where will the coaching or mentoring training take place (e.g. on-the-job or off-the-job)
The theoretical part will take place in the conference room of the administrative building
The practical part will be taken in the company itself
Training content
Theoritical
Practical
Time / Section Description Equipment and Materials Comments
Duration
Goals/Results
2 days
To make the employees
accustomed to the safety rules What is Safety in workplace? Books
3 days
Different safety measures
knowledge What are the safety measures in workplace? Books and Journals
4 days Proper PowerPoint knowledge Presentation of the study Computer or Projector Slides
2 days Practical Knowledge Practical presentation of safety procedure in the company Equipments
3 days Application of the knowledge Practical Test Equipments
Cost of training participant/s:
Mangers- $200, Employees- $150, New Trainees- $ 50 (A total of 4 managers, 5 employees and 10 new trainees are present. The total amount incurred will be $2050)
List the reporting mechanisms that will be used to monitor the effectiveness of the coaching or mentoring training to ensure that WHS training actually happens and was
useful.
The OHS program and some internal assessment will be done by the management to see whether the training program was appropriate or not.
N.B. Append completed mentoring/coaching agreement
Adapted from Training Plan Template no. 4 http://trainersadvice.com/resources/training-plans-templates/ Retrieved 20 June 2014
LA019751; Assessment 2, BSBWHS401, Edition number 1 5
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1,
July 2015

Incident / injury report form Appendix 3
Please print clearly and tick the correct box
Status:
Employee Contractor Other
Outcome:
Near miss Injury
1. DETAILS OF INJURED PERSON
Name: MARY__________________________________________
Phone: (H) 02550 1149
(W)
025
504
735
Address: 14 Grandis Road Corangula New South Wales,
2440_______________________________________ Sex: M F
______________________________________________________ Date of birth:
___09/12/1986____________________
______________________________________________________ Position: ____Permanent Employer
(Production Executive)_______________________
Experience in the job: ________________3
years_____________________ (years/months)
Start time: ________________________10 Am to 6
PM______________________ am pm
Work arrangement:
Casual Full-time Part-time Other
2. DETAILS OF INCIDENT
Date: _________21st June
2017_____________
Time:
____12PM_________________________
Location: ____Near the Conveyor Belt of the
factory______________________________________________________________________________
Describe what happened and how: _______Mary was lifting the meat boxes from the conveyor belt one by one when
suddenly she slipped and injured her back badly. She was immediately taken to the doctor of the organization who
advised to take her to a nearby hospital. In the hospital the doctor advised her for a long rest of minimum 3
weeks______________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
3. DETAILS OF WITNESSES
Name: _________________Maria Gonzalez_______________________________ Phone: (H)
____025504532_______ (W)
025504735_________
Address: ________230 westmore lane, Craigs Place, New South Wales,
2440_________________________________________________________________________
4. DETAILS OF INJURY
Nature of injury (eg burn, cut, sprain) __A Sprain in the back part due to the injury Mary
recieved_________________________________________________________
Cause of injury (eg fall, grabbed by person) fell down while collecting the boxes packed with meat from the conveyor
belts________________________________________________
Please print clearly and tick the correct box
Status:
Employee Contractor Other
Outcome:
Near miss Injury
1. DETAILS OF INJURED PERSON
Name: MARY__________________________________________
Phone: (H) 02550 1149
(W)
025
504
735
Address: 14 Grandis Road Corangula New South Wales,
2440_______________________________________ Sex: M F
______________________________________________________ Date of birth:
___09/12/1986____________________
______________________________________________________ Position: ____Permanent Employer
(Production Executive)_______________________
Experience in the job: ________________3
years_____________________ (years/months)
Start time: ________________________10 Am to 6
PM______________________ am pm
Work arrangement:
Casual Full-time Part-time Other
2. DETAILS OF INCIDENT
Date: _________21st June
2017_____________
Time:
____12PM_________________________
Location: ____Near the Conveyor Belt of the
factory______________________________________________________________________________
Describe what happened and how: _______Mary was lifting the meat boxes from the conveyor belt one by one when
suddenly she slipped and injured her back badly. She was immediately taken to the doctor of the organization who
advised to take her to a nearby hospital. In the hospital the doctor advised her for a long rest of minimum 3
weeks______________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
3. DETAILS OF WITNESSES
Name: _________________Maria Gonzalez_______________________________ Phone: (H)
____025504532_______ (W)
025504735_________
Address: ________230 westmore lane, Craigs Place, New South Wales,
2440_________________________________________________________________________
4. DETAILS OF INJURY
Nature of injury (eg burn, cut, sprain) __A Sprain in the back part due to the injury Mary
recieved_________________________________________________________
Cause of injury (eg fall, grabbed by person) fell down while collecting the boxes packed with meat from the conveyor
belts________________________________________________
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Location on body (eg back, left forearm) Back part of the body suffered the
pain___________________________________________________
Agency (eg lounge chair, another person, hot water) _She slipped suddenly without the act of any
agency._____________________________________________
5. TREATMENT ADMINISTERED
First Aid given Yes No
First Aider name: ____Marlyn Moree
_______________________________________________________________________
Treatment: ________Rubbing the back with hot water and then applying a quick relief pain
gel________________________________________________________________________
Referred to: ___Dr. Rosanne
Smith____________________________________________________________________________
6 LA019751; Assessment 2, BSBWHS401, Edition number 1 © New South Wales
Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive
version 1, July 2015
pain___________________________________________________
Agency (eg lounge chair, another person, hot water) _She slipped suddenly without the act of any
agency._____________________________________________
5. TREATMENT ADMINISTERED
First Aid given Yes No
First Aider name: ____Marlyn Moree
_______________________________________________________________________
Treatment: ________Rubbing the back with hot water and then applying a quick relief pain
gel________________________________________________________________________
Referred to: ___Dr. Rosanne
Smith____________________________________________________________________________
6 LA019751; Assessment 2, BSBWHS401, Edition number 1 © New South Wales
Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive
version 1, July 2015
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SECTION 6-9 MUST BE COMPLETED BY EMPLOYER 6.
DID THE INJURED PERSON STOP WORK ?
The
Ye
s
N
o
If yes, state date: _21st June, 2017__________________________________ Time: 12
PM_____
Outcome:
Treated by doctor
Returned to normal work
Yes
Hospitalized
Alternative
Workers compensation
claim Rehabilitation
7 INCIDENT INVESTIGATION (comments to include causal factors):
8. RISK ASSESSMENT
Likelihood of recurrence: Though Mary is extra careful to not let the same thing happen again but the type of work she does
can again lead to such accidents_________________________________________________________
Severity of outcome: _________________________________________________________________________
Level of risk:
The risk inlved is not that high but also no that ACTIONS TO
PR
EVENT RECURRENCE
Action By whom By when Date completed
Operation Doctor of the hospital After 2 weeks 15th July, 2017
10. ACTIONS COMPLETED
Signed (Manager): _______________________________________________ Title:
Date:
DID THE INJURED PERSON STOP WORK ?
The
Ye
s
N
o
If yes, state date: _21st June, 2017__________________________________ Time: 12
PM_____
Outcome:
Treated by doctor
Returned to normal work
Yes
Hospitalized
Alternative
Workers compensation
claim Rehabilitation
7 INCIDENT INVESTIGATION (comments to include causal factors):
8. RISK ASSESSMENT
Likelihood of recurrence: Though Mary is extra careful to not let the same thing happen again but the type of work she does
can again lead to such accidents_________________________________________________________
Severity of outcome: _________________________________________________________________________
Level of risk:
The risk inlved is not that high but also no that ACTIONS TO
PR
EVENT RECURRENCE
Action By whom By when Date completed
Operation Doctor of the hospital After 2 weeks 15th July, 2017
10. ACTIONS COMPLETED
Signed (Manager): _______________________________________________ Title:
Date:

Feedback to person involved She can work but needs assistance and proper care Date:
_______________________
11. REVIEW COMMENTS
WHS committee / staff meeting: The staff of WHS decided to make the training procedures much broader and as Mary fell
down because of the constant work, the committee has decided to allow the workers extra time for taking some much needed
break.________________________________________________________
Reviewed by site Manager (signed): _________________________________ Date: _______________________
Reviewed by Health & Safety Rep.(signed): ___________________________ Date: _______________________
LA019751; Assessment 2, BSBWHS401, Edition number 1 7
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive
version 1, July 2015
_______________________
11. REVIEW COMMENTS
WHS committee / staff meeting: The staff of WHS decided to make the training procedures much broader and as Mary fell
down because of the constant work, the committee has decided to allow the workers extra time for taking some much needed
break.________________________________________________________
Reviewed by site Manager (signed): _________________________________ Date: _______________________
Reviewed by Health & Safety Rep.(signed): ___________________________ Date: _______________________
LA019751; Assessment 2, BSBWHS401, Edition number 1 7
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive
version 1, July 2015
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