219SQN AAFC WHS Management Tool Copy Checklist

• 219 Squadron AAFC Safety Committee

WHS Committee Member

• Name

• Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Committee Posting

  Select USC CUSC Fire Warden ECO First Aid Warden WHS Committee Member

  • USC
  • CUSC
  • Fire Warden
  • ECO
  • First Aid Warden
  • WHS Committee Member

• Date of Appointment

  Date

• Training Completed

• USC Task List

Task

• Task Required to be done?

• Date Task Originated

  Date

• Notes on task / Comments

• Completed

• Date Completed

  Date

• Safety Improvement Action Register
  

Safety Improvement Action

• SIA Number

• File Reference

• Date Raised / Issued

  Date

• Auditing / Issuing Authority

• Element Number

• Non-Conformance

• Who is tasked with corrective action?

• Corrective Action

• Preventative Action

• Target Completion Date

  Date

• Status OPEN or CLOSED?

  OPEN

  CLOSED

• Closure Date

  Date

• Comments on Closure

• First Aid Kit Checklist Log

Inspector

• Name of Inspector

• Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Role

  Select USC CUSC Fire Warden ECO First Aid Warden WHS Committee Member

  • USC
  • CUSC
  • Fire Warden
  • ECO
  • First Aid Warden
  • WHS Committee Member

• Date Inpsected

  Date

• Do the First Aid Kits need replenishment?

  Yes

  No

  N/A

• Signature of Inspector

  Sign

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

  Date

• Photograph of First Aid Kit

  Media

• Has anything from the First Aid Kit been used or is out of date?

  USED

  OUT OF DATE

• Items USED

• Items OUT OF DATE

• Fire Drill & or Evacuation

Activity

• Type of Activity

  Fire Drill

  Real Fire

  Emergency Response

  Evacuation

• Date of Activity

  Date

• Cause of Alarm

  Select FIRE FIRST AID BOMB THREAT AIRCRAFT VEHICLE SUSPICIOUS PERSON(S) HAZCHEM TEST / DRILL

  • FIRE
  • FIRST AID
  • BOMB THREAT
  • AIRCRAFT
  • VEHICLE
  • SUSPICIOUS PERSON(S)
  • HAZCHEM
  • TEST / DRILL

• Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Name of Warden or OIC

• WHS Role

  Select USC CUSC Fire Warden ECO First Aid Warden WHS Committee Member

  • USC
  • CUSC
  • Fire Warden
  • ECO
  • First Aid Warden
  • WHS Committee Member

• Signed

  Sign

• Comments, Suggestions or Improvements?

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

Fire Protection Device

• Type of Device

  Select Fire Extinguisher Water Fire Extinguisher Foam Spray Fire Extinguisher ABC Dry Powder Fire Extinguisher Class D Powder Fire Extinguisher Class Wet Chemical Fire Extinguisher Class Co2 Fire Blanket Fire Hose Reel Smoke Detector

  • Fire Extinguisher Water
  • Fire Extinguisher Foam Spray
  • Fire Extinguisher ABC Dry Powder
  • Fire Extinguisher Class D Powder
  • Fire Extinguisher Class Wet Chemical
  • Fire Extinguisher Class Co2
  • Fire Blanket
  • Fire Hose Reel
  • Smoke Detector

• Smoke Detector Type

  Select Ionisation - Battery Ionisation - Wired Laser Radiation Photo-Thermal Heat/Thermal Carbon Monoxide

  • Ionisation - Battery
  • Ionisation - Wired
  • Laser
  • Radiation
  • Photo-Thermal
  • Heat/Thermal
  • Carbon Monoxide

• Date Battery Last Changed

  Date

• Location of Equipment

  Select Kitchen Entry Doors Corridor(Between Classrooms Outside Log Store Shed Breifing Area / Rear 2 Wing SOMS Office CO's Office TRGO/CI/XO Office OC 2 Wing Office Toilets Showers Admin Office

  • Kitchen
  • Entry Doors
  • Corridor(Between Classrooms
  • Outside Log Store
  • Shed
  • Breifing Area / Rear
  • 2 Wing SOMS Office
  • CO's Office
  • TRGO/CI/XO Office
  • OC 2 Wing Office
  • Toilets
  • Showers
  • Admin Office

• Inspection Frequency

  Select Monthly Bi- Monthly Quarterly 6 Monthly Annually

  • Monthly
  • Bi- Monthly
  • Quarterly
  • 6 Monthly
  • Annually

• Inspection Date

  Date

• Inspection Complete?

• Date of Next Inspection

  Date

• Comments

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

Incident

• Registration Number (Incident Number)

• Date of Occurence

  Date

• Incident Type

• Brief Description of Incident

• Supervisor Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Supervisor Name

• Date Entered into WHS Portal

  Date

• Immediate or Corrective Actions by Unit?

• Closure Authority

• Comments

• Task or Activity Description

• Identify Hazards within the activity

• Identify Stakeholders

  Select HQ AAFC AFLO 219SQN 2 WING Electrical Contractor Plumber Builder Airport Management Cadets Parents

  • HQ AAFC
  • AFLO
  • 219SQN
  • 2 WING
  • Electrical Contractor
  • Plumber
  • Builder
  • Airport Management
  • Cadets
  • Parents

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

  Minor (First Aid)

  Moderate

  Major

  Critical

  Catastrophic (inc. death)

• Likelihood of the hazard occurring

  Rare

  Unlikely

  Possible

  Likely

  Almost Certain

• LOW RISK

• LOW RISK

• MEDIUM RISK

• MEDIUM RISK

• MEDIUM RISK

• Likelihood of the hazard occurring

  Rare

  Unlikely

  Possible

  Likely

  Almost Certain

• LOW RISK

• MEDIUM RISK

• MEDIUM RISK

• HIGH RISK

• HIGH RISK

• Likelihood of the hazard occurring

  Rare

  Unlikely

  Possible

  Likely

  Almost Certain

• LOW RISK

• LOW RISK

• LOW RISK

• MEDIUM RISK

• MEDIUM RISK

• Likelihood of the hazard occurring

  Rare

  Unlikely

  Possible

  Likely

  Almost Certain

• LOW RISK

• MEDIUM RISK

• HIGH RISK

• HIGH RISK

• EXTREME RISK

• Likelihood of the hazard occurring

  Rare

  Unlikely

  Possible

  Likely

  Almost Certain

• 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)

  Yes

  No

  N/A

• 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

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Role

  Select USC CUSC Fire Warden ECO First Aid Warden WHS Committee Member

  • USC
  • CUSC
  • Fire Warden
  • ECO
  • First Aid Warden
  • WHS Committee Member

• Signed

  Sign

Reviewed By

• Name

• Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Role

  Select USC CUSC Fire Warden ECO First Aid Warden WHS Committee Member

  • USC
  • CUSC
  • Fire Warden
  • ECO
  • First Aid Warden
  • WHS Committee Member

• Signed

  Sign

Approved By

• Name

• Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Role

  Select USC CUSC Fire Warden ECO First Aid Warden WHS Committee Member

  • USC
  • CUSC
  • Fire Warden
  • ECO
  • First Aid Warden
  • WHS Committee Member

• Signed

  Sign

• Lessons Learned through experience

Lesson

• Incident

• Where Incident Occured

• Was Activity Risk Assessed prior?

  Yes

  No

  N/A

• Hazards Identified from Incident (list)

• Control Measures put in place

• Comments

• Details Passed on to relevant Stakeholders?

• Induction Training

Trainee

• Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Name

• Induction Conducted By

• Date of Induction

  Date

• Remarks

• Type of Plant or Equipment

Plant or Equipment

• Equipment

• License Required?

  Yes

  No

  N/A

• Type of Maintenance

  External Service

  Visual Inspection

  Minor Disassembly

  Specialist

  No maintenance required

• Maintenance Frequency

  Select Monthly Bi- Monthly Quarterly 6 Monthly Annually

  • Monthly
  • Bi- Monthly
  • Quarterly
  • 6 Monthly
  • Annually

• Last Maintenance Date

  Date

• Next Scheduled Maintenance Date

  Date

• Comments

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.

  Select Kitchen Entry Doors Corridor(Between Classrooms Outside Log Store Shed Breifing Area / Rear 2 Wing SOMS Office CO's Office TRGO/CI/XO Office OC 2 Wing Office Toilets Showers Admin Office

  • Kitchen
  • Entry Doors
  • Corridor(Between Classrooms
  • Outside Log Store
  • Shed
  • Breifing Area / Rear
  • 2 Wing SOMS Office
  • CO's Office
  • TRGO/CI/XO Office
  • OC 2 Wing Office
  • Toilets
  • Showers
  • Admin Office

• Inspection Date

  Date

• Name of Inpsector

• Rank

  Select SQN LDR FLT LT FLG OFF PLT OFF CUO CWOFF CFSGT CSGT CCPL LCDT

  • SQN LDR
  • FLT LT
  • FLG OFF
  • PLT OFF
  • CUO
  • CWOFF
  • CFSGT
  • CSGT
  • CCPL
  • LCDT

• Title

  Select USC CUSC Fire Warden ECO First Aid Warden WHS Committee Member

  • USC
  • CUSC
  • Fire Warden
  • ECO
  • First Aid Warden
  • WHS Committee Member

• Inspection Findings / Shortfall

• Corrective Action

• Responsible Entity

  Select HQ AAFC AFLO 219SQN 2 WING Electrical Contractor Plumber Builder Airport Management Cadets Parents

  • HQ AAFC
  • AFLO
  • 219SQN
  • 2 WING
  • Electrical Contractor
  • Plumber
  • Builder
  • Airport Management
  • Cadets
  • Parents

• Included or Added on WHS Committee Meeting Agenda?

• Date of Review

  Date

• Current Status?

  SAFE

  AT RISK

  WIP (Contractor)

  WIP (AAFC)

  Training / Admin

• Closure Date

  Date