AWX 001 - First Contact Checklist - Host Employer

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. THE CLIENT (HOST EMPLOYER)

• 1.1 Stuctured approach to managing safety is there a system for managing safety?

• 1.2 Is there a documented system for managing safety?

• 1.3 Historical WHS performance what is your WorkCover number?

• 1.4 What is your industry premium rate?

• 1.5 What is your premium rate?

• 1.6 Is your premium rating greater than your industry premium? (This can indicate poor workplace health and safety management)

• 1.7 Organisational size and structure of workforce - Do you know how many full-time workers you have?

• 1.8 Do you know how many casual and labour hire workers you have?

• 1.9 Is there a much greater number of casual and labour hire workers to full-time workers?

• 1.10 Historical claims performance do you know how many injuries you have had in the past year?

• 1.11 will labour hire workers be working in these areas where injuries were mostly sustained?

2. THE WORK

• 2.1 Job title:

• 2.2 Summary of tasks:

• 2.3 Plant and equipment to be used:

• 2.4 Subatances and materials to bo used:

• 2.5 Hours of work:

• 2.6 Intended duration of contract:

• 2.7 Supervisor (name, position and contact details):

• 2.8 Level of supervision to be provided (tick):

  Continuous

  Frequent

  Occasional

  Minimal

  None

• 2.9 Training provided before commencing work (tick):

  Induction

  On-the-job

  Formal

  None

• 2.10 Is personal protective equipment required? (tick):

  Yes

  No

3. THE WORKER

• 3.1 Qualifications the worker should possess:

• 3.2 Experience the worker should possess:

• 3.3 Other selection criteria (medical/literacy/numeracy):

4.THE WORK ENVIRONMENT

• 4.1 Physical location of work - address of workplace:

• 4.2 Physical location of work (e.g. workshop, plant number etc.)

• 4.3 To whom are safety issues to be reported? (name, role and contact details):

• 4.4 How are safety issues to be reported? (tick):

  verbally

  in writing

  other

• 4.5 Is there a safety coordinator? (tick):

  Yes

  No

• 4.6 Is the safety coordinator? (tick):

  full-time (safety only)

  part-time (inc. other duties)

  external consultant

5. HAZARDS IN THE WORKPLACE

• 5.1 Loud noise

  Yes

  No

  N/A

• 5.2 Lifting

  Yes

  No

  N/A

• 5.3 Electrical

  Yes

  No

  N/A

• 5.4 Chemicals

  Yes

  No

  N/A

• 5.5 People and vehicles in same area

  Yes

  No

  N/A

• 5.6 Falling objects

  Yes

  No

  N/A

• 5.7 Dangerous machinery

  Yes

  No

  N/A

• 5.8 Vehicles/plant

  Yes

  No

  N/A

• 5.9 Unguarded equipment

  Yes

  No

  N/A

• 5.10 Heavy tools

  Yes

  No

  N/A

• 5.11 Stretching or reaching

  Yes

  No

  N/A

• 5.12 Slippery or cluttered floors

  Yes

  No

  N/A

• 5.13 Hazardous substances

  Yes

  No

  N/A

• 5.14 Manual tasks

  Yes

  No

  N/A

• 5.15 Other

  Yes

  No

  N/A

WHO COMPLETED THE WORKPLACE VISIT AND VALIDATED THE INFORMATION PROVIDED BY THE CLIENT?

• Name:

• Add signature

  Sign

• Date:

  Date

• Proceed to placement (tick):

  Yes

  No