Forum Recruitment Host Employer WHS Site Assessment

• Company Name

  Select

• Company Representative

• Prepared by

• Date of Assessment

  Date

• Worksite Address:

• Industry:

• Worksite Activity:

• Do you on-hire workers to other clients?

  Yes

  No

  N/A

• Do you assess the clients WHS systems and work environment to ensure it is a safe workplace?

  Yes

  No

Do you have a documented policy for:

• Work health and safety

  Yes

  No

• Bullying, harassment, sexual harassment and discrimination

  Yes

  No

• Alcohol and other drugs / Fitness for work

  Yes

  No

Do you have documented procedures for:

• Induction and training

  Yes

  No

• Risk Management (physical and psychosocial risks)

  Yes

  No

• Incident management

  Yes

  No

• Emergency response

  Yes

  No

Hazard Management

• If there is the possibility for remote or isolated work including working from home, and work-related travel, do you have a system to manage the associated risks?

  Yes

  No

  N/A

• Has the company prepared a traffic management plan for the loading dock or where there are areas of risk through traffic?

  Yes

  No

  N/A

• Do you have a permit system for work at heights? (if applicable)

  Yes

  No

  N/A

• Please identify any other site specific hazards Forum Recruitment need to be aware of and explain how these are managed.

Support

• Please describe what mental health support or information is provided to workers e.g., Employee Assistance Program, Mental Health First Aiders, Mental Health Support Services Contact List

Consultation, Cooperation & Coordination

• Are you aware that as an Employer (Vic) or a Person Conducting Business or Undertaking (NSW), you share a primary duty of care with us in respect to our on-hire workers that are working on your site?

  Yes

  No

• Are you aware that you are required to notify Forum Recruitment before the on-hire worker is required to perform alteranative duties, duties at a different site or when there are significant changes to the worksite the on hire worker is located at?

  Yes

  No

• Are you aware that you are required to notify Forum Recruitment if an on-hire worker is involved in an incident, including a near miss?

  Yes

  No

WALKTHROUGH ASSESSMENT DESK AND OFFICE AREA

• Work areas free slip/trip hazards

  Yes

  No

  N/A

• Adequate lighting, glare, noise, temperature control

  Yes

  No

  N/A

• WHS information (i.e. WHS policy, procedures, posters, emergency contact details) displayed/ accessible on site. Names and photos of Health and Safety Representatives, Fire Wardens and First Aiders displayed in the workplace

  Media

• Individuals can control how their workstation is set up and organised to meet the changing demands and variety of tasks they perform

  Yes

  No

  N/A

• Chairs support the body in a way which minimises awkward postures and provides comfort. Chairs are adjusted to provide optimum support. The design of office workstations provide flexibility and adjustability

  Yes

  No

  N/A

• No observed cable-trip hazards

  Yes

  No

  N/A

• Equipment, appliance, leads in good condition, tagged and tested. No observed broken plugs, sockets, switches

  Yes

  No

  N/A

• Emergency exit signs are illuminated

  Yes

  No

  N/A

WALK THROUGH ASSESSMENT GENERAL OFFICE AREA

• First aid signage displayed

  Yes

  No

  N/A

• Cabinets and contents clean and orderly, well stocked

  Yes

  No

  N/A

• First aid kit regularly inspected and treatment of supplies recorded

  Yes

  No

  N/A

• Clear and safe access and egress to building including emergency exits and security measures

  Yes

  No

  N/A

• Is there a documented site plan that illustrates the location of fire protection equipment, emergency exits and assembly points? Is the plan and contact details accessible to all workers and current?

  Yes

  No

  N/A

• Traffic management plan displayed/easily accessible and controls in place i.e. physical barriers, designated walkways, pedestrian exclusion zones

  Yes

  No

  N/A

• Accessibility to safe work procedures and workplace policies

  Media

WALK THROUGH ASSESSMENT GENERAL BUILDING/OR THE PARTS OF BUILDING THE ON HIRE WORKER WILL ACCESS

• Chemical registers/safety data sheets available and easily accessible

  Yes

  No

  N/A

• Steps, stairs and landings in good condition and clear of obstructions

  Yes

  No

  N/A

• Working at heights tasks are adequately controlled by use of fall prevention devices e.g. railings, anchor points and use of harnesses (for higher risk sites)

  Yes

  No

  N/A

• Residual Current Devices (RCD’s) are used (for higher risk workplaces)

  Yes

  No

  N/A

• Traffic management controls in place for loading dock and other traffic areas

  Yes

  No

  N/A

HOST EMPLOYER DETAILS AND SIGNATURE

• HOST EMPLOYER:

• HOST EMPLOYER REPRESENTATIVE:

• SIGNATURE:

  Sign

• FORUM RECRUITMENT REPRESENTATIVE:

• SIGNATURE:

  Sign

HOST WHS ASSESSMENT REVIEW

• When is the next review required?

  Date