Title Page

  • Company Name

  • Location
  • Type of business

  • Company Representative (name and title)

  • Conducted on

  • Prepared by

Review

Initial Client WHS Assessment

  • What date was the initial Client WHS Assessment completed for this client?

  • Is this the first review since the initial Client WHS Assessment?

  • Upload a copy of previous review(s)

  • Are there any actions from the previous assessment that remain outstanding?

  • Identify the outstanding actions, and provide information about when these will be actioned by the company.

Injuries

  • Have any injuries occurred in the 6 months?

  • What type of injuries have occurred?

  • Are MADEC workers working in areas or performing tasks where these injuries have occurred?

  • Describe these areas and/or tasks

  • What risk controls are in place to prevent similar injuries?

  • Have there been incidents in the past 6 months involving a MADEC worker

  • Are the incident report/investigation documented?

WHS System Documentation

  • With reference to the initial Client WHS Assessment, and any previous reviews, are there any changes to the company's systems for managing health and safety that MADEC should be aware of?

  • Describe the changes

  • The company understands its obligation to consult with MADEC before changing the workers’ duties or location.

Safe Work Procedures

  • MADEC workers continue to have access to Safe Work Procedures describing how to do their tasks safely

Consultation (WHS discussions with workers)

  • The company continues to involve MADEC workers in discussion related to WHS

  • Please provide a list of the incidents that have occurred

Task Observation + Worker Consultation

  • Examine the previously completed JSAs for positions associated with this client

  • Do the previously completed JSAs still accurately reflect the work performed by the workers and have the agreement of MADEC?

  • Have the previously created JSAs been updated using the SafetyCulture template?

  • Update the JSA(s) using the SafetyCulture template

  • Talk with MADEC workers working at the workplace.

  • Are there any health and safety concerns raised by MADEC workers during the discussion?

  • Observe the tasks being performed by MADEC workers

  • Are the tasks performed by MADEC workers in accordance with the JSA MADEC has prepared?

  • Consult with the company, and instruct the MADEC worker(s) to cease tasks not within the JSA until MADEC has completed a thorough WHS review of these activities.

Workplace Hazards

  • Are there any hazards at the workplace that are not adequately controlled?

  • Describe the hazards that MADEC believe are not adequately controlled

Next Review

  • MADEC requires reviews 6 monthly or at the end of an assignment (whichever is earlier).

  • Next Review

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.