Client WHS Evaluation - Systems

• Host Company

• Location
  Address

• Type of business

• Host representative (name and title)

• Conducted on

  Date

• Prepared by (name and title)

Scope

• The scope of this evaluation was confined to the review of observations recorded during the WHS documentation assessment. The primary objective of this report was to verify the availability of WHS systems, ensuring that the necessary documentation is in place for the health and safety of our contractors.

Confidentiality Statement

• In order to maintain the integrity and credibility of the risk analysis processes and to protect the parties involved, it is understood that our company and its representatives will not divulge to unauthorised persons any information obtained during this WHS Evaluation unless legally obliged to do so.

Copyright 2024

• All rights reserved. No part of this document may be reproduced or transmitted in any form by any means, electronic or mechanical, including photocopying and recording, or by an information storage or retrieval system, accept as may be permitted, in writing, by our company.

• 1. Have any injuries occurred in the past year? (note: this includes minor injuries such as cuts)

  No

  Yes

• 1.a) What are the most common causes of injury/illness at your worksite?

• 1.b) Will our contractors be working in the areas where there are high rates of injury/illness?

  No

  Yes

• Describe these areas

• 1. Is there a process in place to proactively identify hazards in the workplace e.g., regular workplace inspections, risk assessments, hazard reports, pre-start checks? TIP: Explain this process, and take a photo, or request a copy of completed workplace inspections, task risk assessments, hazard report form and/or pre-start check as evidence.

  Yes

  No

• 2. Are there written safe work procedures or Safe Work Method Statements (required for high risk construction work) or other measures that describes how jobs should be done to ensure safety, and workers are instructed and trained on these? TIP: view safe work procedures/safe work method statements that are applicable to the work your workers will perform. Take a photo of these procedures or request copies.

  Yes

  No

• 3. Is there a process in place to prevent and respond to inappropriate workplace behaviours e.g. bullying, sexual harassment, aggression, violence? TIP: Explain this process and take a photo, or request a copy of the standards of behaviour as evidence.

  Yes

  No

• 4. Is there a process in place to regularly consult (talk and get feedback) with workers on health and safety? e.g. via toolbox talks, and daily start up meetings. TIP: Explain this process, and take a photo, or request a copy of a completed toolbox talk or meeting minutes where workers are involved in health and safety discussions as evidence.

  Yes

  No

• 5. Are there processes in place to ensure fitness for work, such as management plans for fatigue and drug and alcohol use?

  Yes

  No

• 6. Has an emergency plan been prepared for the worksite and includes response procedures for the different types of emergencies that could occur? TIP: take a photo of the site emergency plan, or explain in the notes the types of emergencies covered by the plan, and how this information is provided to workers.

  Yes

  No

• 7. Are workers provided with a site-specific WHS induction prior to commencing work? TIP: Explain how the induction is delivered to workers, and take a photo of the induction content and/or induction record identifying the content, or explain in the notes what is covered in the induction.

  Yes

  No

• 8. Are workers provided with instruction regarding Safe Work Procedures and Safe Work Method Statements (where required for high risk construction work) to ensure they complete their tasks safely? TIP: Explain this process and take a photo, or request a copy of the training procedure, training materials or training record.

  Yes

  No

• 9. Is there a process in place to report incidents, investigate them, and implement risk controls? Additionally, does this process include procedures for notifying of notifiable incidents?

  Yes

  No

Outcome

• If you have answered “no” to any of the above criteria you must esclate to the Senior Leadership Team for review and consideration before the placement of contractors.

• Is all mandatory WHS criteria satisfied?

  Select Yes, all WHS criteria is satisfied No, not all WHS criteria is satisfied

  • Yes, all WHS criteria is satisfied
  • No, not all WHS criteria is satisfied

• Report to the Senior Leadership Team for next steps.

• Proceed with the Site Assessment

• Next review date Note: the review date is 12 months from the date the site assessment was completed.

  Date

• Set a reminder for the review

• Will we proceed with placement?

  Yes

  No

• Explain the reasons why we will not proceed with placement.