Safety Committee

219 Squadron AAFC Safety Committee

WHS Committee Member

Name

Rank
Committee Posting
Date of Appointment

Training Completed

USC Task List

USC Task List

Task

Task Required to be done?

Date Task Originated

Notes on task / Comments

Completed

Date Completed

Safety Improvement Action Register (SICAR)

Safety Improvement Action Register

Safety Improvement Action

SIA Number

File Reference

Date Raised / Issued

Auditing / Issuing Authority

Element Number

Non-Conformance

Who is tasked with corrective action?

Corrective Action

Preventative Action

Target Completion Date

Status OPEN or CLOSED?

Closure Date

Comments on Closure

First Aid Kits Register

First Aid Kit Checklist Log

Inspector

Name of Inspector

Rank
Role
Date Inpsected

Do the First Aid Kits need replenishment?

Signature of Inspector
219 Squadron First Aid Kits

Details of First Aid Kits held by 219SQN (checked against the First Aid Kit Checklist and Usage Log)

First Aid Kit
Date Checked
Photograph of First Aid Kit

Has anything from the First Aid Kit been used or is out of date?

Items USED

Items OUT OF DATE

Building Evacuation & FireDrill Register

Fire Drill & or Evacuation

Activity

Type of Activity

Date of Activity
Cause of Alarm
Rank

Name of Warden or OIC

WHS Role
Signed

Comments, Suggestions or Improvements?

Fire Exitinguisher and Smoke Detector Register

Register of all devices, Fire Extinguishers, Blankets and smoke detectors

Fire Protection Device
Type of Device
Smoke Detector Type
Date Battery Last Changed
Location of Equipment
Inspection Frequency
Inspection Date

Inspection Complete?

Date of Next Inspection

Comments

AC563 Register

AC563 Incident Register (will be logged into WHS Portal on CadetNet before we enter here)

Incident

Registration Number (Incident Number)

Date of Occurence

Incident Type

Brief Description of Incident

Supervisor Rank

Supervisor Name

Date Entered into WHS Portal

Immediate or Corrective Actions by Unit?

Closure Authority

Comments

AAFC Hazard, Risk Assessment & Issue Register

Task or Activity Description

Identify Hazards within the activity

Identify Stakeholders
LIKLIHOOD DEFINITION
Almost certain Is expected to occur, almost inevitable
Likely Will occur in most circumstances, not surprised if it happens
Possible Possible or likely to occur in some circumstances
Unlikely Could occur in some circumstances, surprised if it happens
Rare May occur only in rare or exceptional circumstances, but would be highly unexpected
DELIBERATE SAFETY CONSEQUENCE CRITERIA
CONSEQUENCE HEALTH & SAFETY OUTCOME
Minor Injury treatable in workplace (first aid)
Moderate Minor Injury requiring professional medical attention or lost time from workplace
Major Injury requiring hospitalisation
Critical Major injury requiring prolonged hospitalisation and rehabilitation
Catastrophic Injury causing significant permanent disability or death

Consequences of the Hazard

Likelihood of the hazard occurring

LOW RISK

LOW RISK

MEDIUM RISK

MEDIUM RISK

MEDIUM RISK

Likelihood of the hazard occurring

LOW RISK

MEDIUM RISK

MEDIUM RISK

HIGH RISK

HIGH RISK

Likelihood of the hazard occurring

LOW RISK

LOW RISK

LOW RISK

MEDIUM RISK

MEDIUM RISK

Likelihood of the hazard occurring

LOW RISK

MEDIUM RISK

HIGH RISK

HIGH RISK

EXTREME RISK

Likelihood of the hazard occurring

LOW RISK

MEDIUM RISK

HIGH RISK

EXTREME RISK

EXTREME RISK

Assessed Risk


HEIRACHY OF CONTROLS (As per WHS Regulations 2011)

ELIMINATION Elect to not undertake the task presenting the hazard
Removal of the hazard from the workplace
Effectiveness: 100%

SUBSTITUTION    Replace the hazard with another less hazardous item/system/process Effectiveness: dependent on substitution

ENGINEERING CTRL / ISOLATION Design and installation of equipment to counteract the hazard (engineer) Use of barriers to shield or isolate the hazard (isolate)
Effectiveness: 70% - 90%

ADMINSTRATION Providing administrative procedure to control exposure to hazards
Effectiveness: 10% - 50%

PERSONAL PROTECTIVE EQPT(PPE)   Use of PPE whilst undertaking the task presenting the hazard
·        Effectiveness: less than 20%

Controls for the hazard

Is the RISK LEVEL as low as reasonably possible? (ALARP)

Consultation (detail how information of hazard and controls mechanisms have been communicated)

Monitoring (detail how hazard controls will be monitored for effectiveness and review)

Name

Rank
Role
Signed
Reviewed By

Name

Rank
Role
Signed
Approved By

Name

Rank
Role
Signed

Lessons Learnt

Lessons Learned through experience

Lesson

Incident

Where Incident Occured

Was Activity Risk Assessed prior?

Hazards Identified from Incident (list)

Control Measures put in place

Comments

Details Passed on to relevant Stakeholders?

Induction Training Register

Induction Training

Trainee
Rank

Name

Induction Conducted By

Date of Induction

Remarks

Plant, Equipment & Electrical Register

Type of Plant or Equipment

Plant or Equipment

Equipment

License Required?

Type of Maintenance

Maintenance Frequency
Last Maintenance Date
Next Scheduled Maintenance Date

Comments

Workplace Inspection & CO Safety Walk

CO Walk around and Workplace Inspections are necessary to check that the culture of safety is being practiced and not forgotten. The Annual training and the checklist only work if there is buy in from all stakeholders in the AAFC .
Area or Room that has been checked.
Inspection Date

Name of Inpsector

Rank
Title

Inspection Findings / Shortfall

Corrective Action

Responsible Entity

Included or Added on WHS Committee Meeting Agenda?

Date of Review

Current Status?

Closure Date
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.