Title Page

  • At Maxima Training Group (Aust) Ltd, our job is to make sure the workplaces where we place our workers are safe prior to placement and they remain safe during the assignment. To achieve this, in consultation with you, the host employer, we are required to evaluate your systematic approach to managing workplace Health and Safety, which in turn allows us to make the safest decision about the supply of workers. This form is designed to give us an overview of your safety systems and the amenities available to our workers. Only by proactively working together, can we effectively manage hazards and reduce the likelihood and severity of illness and injury.

  • Host Trading Name:

  • Host Business Name / Previous Name / Other Names (if applicable):

  • Host ABN:

  • Host Representative:

  • Risk Assessment Address and any Workplace location/s:

  • List the Area / Suburb/s and State this assessment is applicable to (i.e. "Forbes NSW" or "Hindmarsh / Prospect SA" or "Port Augusta Council Area SA"):

  • Date Completed:

  • Job Title of Placement/s:

  • Maxima Risk Assessor:

  • Risk Assessment Number (i.e. "01"):

  • Due date for next assessment:

Privacy & Information Collection Notice

  • Maxima are committed to preserving the confidentiality of information supplied to it by customers, potential customers, enterprises or individuals involved in joint or collaborative projects, trainees, on-hire employees, staff, jobseekers, participants and other agencies both government and non-government.

    Maxima will treat all such documents and information which comes to their knowledge, or to which they are exposed, as being strictly confidential. All documents, pictures, evidence gathered to complete this form are kept in a secure location and are only accessible by select employees of Maxima. Your information will not be given to any other person or agency unless you have given us permission or we are required to by law.

1. Host Work Health and Safety Systems

1.1 Safety Profile

  • Is there a current Safety Profile for this position and/or location with this host? (Maximum of 5 years expiry or less if there are any changes or at Maxima's discretion)

  • Have there been any changes to the WHS Management System, Supervisor or Safety Role Contacts since the completion of the Safety Profile? (Select all those that have changed)

  • No, the Safety Profile is up to date and requires no changes.

  • Yes, items within the Safety Management System require updating (i.e. Safe operating procedures, incident notification, etc).

  • Confirm that the current safety management system has the following elements by providing evidence of its implementation

  • Written Health and Safety Policy available to workers:

  • Please raise an action to develop a written health and safety policy that is readily available to all staff and satisfies the requirements as stated in WHS / OHS legislation.

    Hazard Picture.JPG
  • Please describe why this is not applicable:

  • Documented consultation, cooperation and communication procedure with an issue resolution process:

  • Please raise an action to develop and implement a written communication and consultation process with issue resolution that complies with the relevant: WHS / OHS legislation, workplace health and safety regulator requirements and the Code of Practice: Work health and safety consultation, co-operation and co-ordination

    Hazard Picture.JPG
  • Please describe why this is not applicable:

  • How will Maxima workers be consulted and communicated with?

  • Please describe the other methods for consulting with workers:

  • Documented incident management and investigation procedure:

  • Please raise an action to develop and implement an incident notification and investigation process that complies with the relevant: WHS / OHS legislation and workplace health and safety regulator requirements.

    Hazard Picture.JPG
  • How are incidents currently managed:

  • How will our workers notify your organisation of hazards and incidents:

  • Please describe:

  • Please describe why this is not applicable:

  • Documented hazard identification and risk assessment and management procedure/s:

  • Please describe why this is not applicable:

  • Please raise an action to develop and implement a risk management system that complies with the relevant: WHS / OHS legislation, workplace health and safety regulator requirements and the Code of Practice: How to manage work health and safety risks

    Hazard Picture.JPG
  • What is the current hazard and risk management process:

  • Please describe:

  • The provision of the necessary information, training or instruction for the worker/s by the host: (Select all that apply and provide evidence)

  • Provide evidence of all applicable safe work procedures:

  • Provide evidence of the site induction content / it's completion by worker:

  • Raise an action for host to develop and implement a host workplace induction prior to worker placement.

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  • Please describe why this is not applicable:

  • Raise an action for host to develop and implement a host workplace induction and relevant training prior to worker placement.

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  • Yes, the Supervisor details have changed.

  • Who will directly oversee the safety of our workers day-to-day? (Please list the name and contact details of all Supervisors)

  • Level of supervision to be provided:

  • Yes, the Safety Roles / RRTW Coordinator details have changed.

  • Please list the Name/s, Position/s and Contact Details (phone and or email) of the following:

  • Rehabilitation and Return to Work Coordinator (Name/s, Position/s, Contact/s):

  • Safety Officer (Name/s, Position/s, Contact/s):

1.2 Safety Management System Evidence

  • Confirm that the safety management system has the following elements by providing evidence of its implementation

  • 1.2.1 Written Health and Safety Policy available to workers:

  • Please raise an action to develop a written health and safety policy that is readily available to all staff and satisfies the requirements as stated in WHS / OHS legislation.

    Hazard Picture.JPG
  • Please describe why this is not applicable:

  • 1.2.2 Documented consultation, cooperation and communication procedure with an issue resolution process:

  • Please raise an action to develop and implement a written communication and consultation process with issue resolution that complies with the relevant: WHS / OHS legislation, workplace health and safety regulator requirements and the Code of Practice: Work health and safety consultation, co-operation and co-ordination

    Hazard Picture.JPG
  • Please describe why this is not applicable:

  • How will Maxima workers be consulted and communicated with?

  • Please describe the other methods for consulting with workers:

  • 1.2.3 Documented incident management and investigation procedure:

  • Please raise an action to develop and implement an incident notification and investigation process that complies with the relevant WHS / OHS legislation and workplace health and safety regulator requirements.

    Hazard Picture.JPG
  • How are incidents currently managed:

  • How will our workers notify your organisation of hazards and incidents:

  • Please describe:

  • Please describe why this is not applicable:

  • 1.2.4 Documented hazard identification and risk assessment and management procedure/s:

  • Please describe why this is not applicable:

  • Please raise an action to develop and implement a risk management system that complies with the relevant: WHS / OHS legislation, workplace health and safety regulator requirements and the Code of Practice: How to manage work health and safety risks

    Hazard Picture.JPG
  • What is the current hazard and risk management process:

  • Please describe:

  • 1.2.5 The provision of the necessary information, training or instruction for the worker/s by the host: (Select all that apply and provide evidence)

  • Provide evidence of all applicable safe work procedures:

  • Provide evidence of the site induction content / it's completion by worker:

  • Raise an action for host to develop and implement a host workplace induction prior to worker placement.

    Hazard Picture.JPG
  • Please describe why this is not applicable:

  • Raise an action for host to develop and implement a host workplace induction and relevant training prior to worker placement.

    Hazard Picture.JPG

1.3 Supervision

  • Who will directly oversee the safety of our workers day-to-day? (Please list the name and contact details of all Supervisors)

  • How will our workers be supported and supervised while on the job?

  • Workers will also be supervised by:

  • Please list the name, title and contact details of their Supervisor/s:

  • Level of supervision to be provided:

1.4 Safety Roles / RRTW Coordinator

  • Please list the Name/s, Position/s and Contact Details (phone and or email) of the following:

  • Rehabilitation and Return to Work Coordinator (Name/s, Position/s, Contact/s):

  • Safety Officer (Name/s, Position/s, Contact/s):

1.5 Skills, Experience and Checks

  • What experience or qualifications are required to perform this work?

  • Please describe:

1.6 Personal Protective Equipment (PPE) & Workwear

  • Select what PPE is required and who will provide it. Check against Supply Order (when available)

  • The Host will provide the following required PPE / Workwear:

  • List what class / type (i.e. Class 5, Double hearing protection, Earmuffs:

  • Additional items the Host is required to provide:

  • The Worker will provide the following required PPE / Equipment:

  • List what class / type (i.e. Class 5, Double hearing protection, Earmuffs:

  • Additional items the worker is required to provide:

  • Maxima will provide the following required PPE / Workwear:

  • List what class / type (i.e. Class 5, Double hearing protection, Earmuffs:

  • Additional items Maxima is required to provide:

1.7 Medicals and Health Monitoring

  • Is pre-employment screening, functional capacity or ongoing health monitoring required? (i.e. pre–employment medical, hearing tests, drug & alcohol testing)

  • HOST provided pre-employment screening or ongoing health monitoring (i.e. pre–employment medical, hearing tests, drug & alcohol testing).

  • Please describe:

  • MAXIMA provided pre-employment screening, functional capacity or ongoing health monitoring (i.e. pre–employment medical, hearing tests, drug & alcohol testing)

  • Please describe:

  • Do you require Maxima to arrange any pre-employment screening / medical prior to commencement? (Please list any special requirements (i.e. sleep test, full physical capabilities test, etc) in the "Note" section below.

Additional Comments & Photographic Evidence

  • Add additional comments here:

  • Additional Photos / Photographic Evidence

2. The Workplace

  • Have the Amenities (including First Aid and Emergency Response facilities) been checked within the last 12 months by Maxima?

2.1 Amenities

  • Provide photo evidence of the following amenities to show they are readily available to Maxima's worker/s and are provided in a safe, accessible and clean manner.

  • 2.1.1 Hand washing facilities

  • Please describe why this is not available or applicable:

  • Raise an action to rectify and describe or use a photo to explain the issue.

    Hazard Picture.JPG
  • 2.1.2 Toilets with adequate facilities, privacy and security

  • Please describe why this is not available or applicable:

  • Raise an action to rectify and describe or use a photo to explain the issue.

    Hazard Picture.JPG
  • 2.1.3 Filtered and / or cool drinking water

  • Please describe why this is not available or applicable:

  • Raise an action to rectify and describe or use a photo to explain the issue.

    Hazard Picture.JPG
  • 2.1.4 Eating facilities and appropriate areas to consume food (i.e. out of the sun)

  • Please describe why this is not available or applicable:

  • Raise an action to rectify and describe or use a photo to explain the issue.

    Hazard Picture.JPG
  • 2.1.5 Storage for personal belongings

  • Please describe why this is not available or applicable:

  • Raise an action to rectify and describe or use a photo to explain the issue.

    Hazard Picture.JPG
  • 2.1.6 The workplace (building, depot or vehicle) is kept: (select all that apply)

  • Provide photo evidence of workplace / workstation:

2.2 Emergency Response

  • 2.2.1 First Aid Facility Evidence:

  • The first aid facilities available:

  • Additional first aid facilities available:

  • Briefly describe what is in a poor condition / out of date or not available and raise action as required:

  • Appendix C of the First Aid in the Workplace Code of Practice outlines recommended first aid requirements, with the minimum for low risk workplaces being: 1 First Aider for every 50 workers, a basic first aid kit and a first aid room where there are 200 workers or more. Please note that a vehicle is considered a workplace when being driven for work purposes. https://www.safeworkaustralia.gov.au/system/files/documents/1908/code_of_practice_-_first_aid_in_the_workplace_0_0.pdf

    Hazard Picture.JPG
  • Please describe why this is not applicable:

  • Appendix C of the First Aid in the Workplace Code of Practice outlines recommended first aid requirements, with the minimum for low risk workplaces being: 1 First Aider for every 50 workers, a basic first aid kit and a first aid room where there are 200 workers or more. Please note that a vehicle is considered a workplace when being driven for work purposes. https://www.safeworkaustralia.gov.au/system/files/documents/1908/code_of_practice_-_first_aid_in_the_workplace_0_0.pdf

    Hazard Picture.JPG
  • 2.2.2 Fire Fighting Equipment Evidence:

  • The fire fighting equipment available:

  • Briefly describe what is in a poor condition / out of date or not available and raise action as required:

  • Briefly describe what additional equipment is available

  • Please describe what this is not applicable:

  • Please describe why this is not currently available or applicable:

  • 2.2.3 Emergency Response Evidence

  • The emergency response facilities available:

  • Additional emergency response equipment available:

  • Emergency plans and procedures relevant to the workplace must be implemented and tested at regular intervals for every workplace. Please note that a vehicle is considered a workplace when driven for work purposes.

    Hazard Picture.JPG
  • Briefly describe what is in a poor condition / out of date or not available and raise action as required:

  • Emergency plans and procedures relevant to the workplace must be implemented and tested at regular intervals for every workplace. Please note that a vehicle is considered a workplace when driven for work purposes.

    Hazard Picture.JPG
  • Please describe why this is not available or applicable:

  • 2.2.4 Are emergency exits / routes free of obstructions?

  • Immediately rectify or raise action if cannot be completed during the assessment.

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2.3 Incidents and Injuries

  • 2.3.1 What is the most common cause/s of injuries and/or incidents in the workplace:

2.1 Incidents and Injuries

  • 2.1.1 What is the most common cause/s of injuries and/or incidents in the workplace:

Additional Comments & Photographic Evidence

  • Add additional comments here:

  • Additional Photos / Photographic Evidence

3. The Work

    3.1 The Work

When completing this profile for more than 1 position, a separate "3.1 The Work" section must be completed for each job title.

  • 3.2 Job Title (only 1 can be listed in each section):

  • 3.3 Summary of job tasks:

  • 3.4 Work Arrangements:

  • 3.5 Shift Start Time/s - Finish Time/s: Break Time/s or break duration:

  • 3.6 Select the Work Activity:

  • 3.7 Equipment, tools and plant to be used (Please list or provide a photo of all plant/equipment/machinery/tools to be used):

  • Please describe:

  • Please describe or provide a photo of the tools / equipment above:

  • Select the controls in place:

  • Describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of plant in the workplace, Abrasive Blasting, Spray painting and powder coating, Welding processes, Excavation work, Demolition work, Construction work, etc) and their recommended controls, and raise an action for implementation if required.

    Hazard Picture.JPG
  • Select the controls in place for motor vehicle use:

  • Describe what other controls are in place:

  • A Maxima WHS Consultant may contact you for further information or to schedule a workplace inspection and risk assessment.

    Hazard Picture.JPG

4. Hazards in the workplace

  • Will the Job/Task require our worker to undertake or be exposed to any of the following? (select all that apply):

  • Biological materials (human waste, needle stick injury, blood, etc)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Confined Spaces

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Conveyor belt use

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Electricity or electrical shock hazards

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Falling objects

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

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  • Fast pace

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

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  • Fatigue

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Use / Store / Manufacture / Transport by worker

  • Attach photos below of:
    1. The hazardous substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk of injury through the contact, inhalation, ingestion and or physical reaction of hazardous chemicals or substances?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Stored on site, but worker would not have any contact with under usual work conditions.

  • Attach photos below of:
    1. The substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current level of risk from an incident involving the hazardous chemicals or substances on site?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous manual tasks (i.e. computer work)

  • Select how the hazard could occur:

  • Please describe:

  • Select the controls in place:

  • Please describe:

  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hot / cold work environments (i.e. cold air conditioning, near heat generating equipment)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Loud noise levels which exceed the regulated standard in the general work environment (i.e. large crowd in a hall, using a phone headset, etc)

  • Select the controls in place and provide photographic evidence:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

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  • Multiple PCBU's / businesses operating in the same work area

  • Select the controls in place:

  • Other controls in place are:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • On or near water

  • Select the controls in place:

  • Other controls in place are:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Personal threat / duress (i.e. interacting with members of the public either face-to-face or on the phone)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Pinch points

  • Select how the hazard could occur:

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Poor lighting / glare

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

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  • Remote or Isolated (being alone – work, travel etc)

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Respirable dusts and or vapours (i.e. silica dust, asbestos, dust from abrasive blasting)

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Slips, Trips or Falls (i.e. Stair use, uneven/slippery ground)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • With or near animals / exposed to bites or stings.

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Working at Heights

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

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  • Working from Home

  • Is or has a Maxima worker worked from home with this host?

  • Has the worker's home office / host's processes been previously assessed by Maxima and deemed appropriate?

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to review the process and ensure the worker has a safe home office if not all information is available.

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  • A separate review and assessment of the Host's working from home process is required. Please note, the worker may need to adhere to Maxima's process. Please attach all Policies, Procedures, Forms / Documents regarding working from home or send through to WHSAction@maxima.com.au.

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  • Working in the vicinity of mobile plant / vehicles / traffic

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

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  • Any other site specific hazards that Maxima need to be aware of?

  • Additional Hazards
  • Please describe how the hazard may occur:

  • What controls are in place?

  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Please describe work activity:

  • 3.7 Equipment, tools and plant to be used (Please list or provide a photo of all plant/equipment/machinery/tools to be used):

  • Please describe:

  • Please describe or provide a photo of the tools / equipment above:

  • 3.4.2 Select the controls in place:

  • Describe what other controls are in place:

  • A Maxima WHS Consultant may contact you for further information or to schedule a workplace inspection and risk assessment.

    Hazard Picture.JPG
  • Select the controls in place for motor vehicle use:

  • Describe what other controls are in place:

  • A Maxima WHS Consultant may contact you for further information or to schedule a workplace inspection and risk assessment.

    Hazard Picture.JPG

4. Hazards in the workplace

  • Will the Job/Task require our worker to undertake or be exposed to any of the following? (select all that apply):

  • Biological materials (human waste, needle stick injury, blood, etc)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Confined Spaces

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Conveyor belt use

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Electricity or electrical shock hazards

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Falling objects

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Fast pace

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Fatigue

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Use / Store / Manufacture / Transport by worker

  • Attach photos below of:
    1. The hazardous substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk of injury through the contact, inhalation, ingestion and or physical reaction of hazardous chemicals or substances?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Stored on site, but worker would not have any contact with under usual work conditions.

  • Attach photos below of:
    1. The substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current level of risk from an incident involving the hazardous chemicals or substances on site?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous manual tasks (i.e. computer work)

  • Select how the hazard could occur:

  • Please describe:

  • Select the controls in place:

  • Please describe:

  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hot / cold work environments (i.e. cold air conditioning, near heat generating equipment)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Loud noise levels which exceed the regulated standard in the general work environment (i.e. large crowd in a hall, using a phone headset, etc)

  • Select the controls in place and provide photographic evidence:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Multiple PCBU's / businesses operating in the same work area

  • Select the controls in place:

  • Other controls in place are:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • On or near water

  • Select the controls in place:

  • Other controls in place are:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Personal threat / duress (i.e. interacting with members of the public either face-to-face or on the phone)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Pinch points

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Poor lighting / glare

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Remote or Isolated (being alone – work, travel etc)

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Respirable dusts and or vapours (i.e. silica dust, asbestos, dust from abrasive blasting)

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Slips, Trips or Falls (i.e. Stair use, uneven/slippery ground)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • With or near animals / exposed to bites or stings.

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Working at Heights

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Working from Home

  • Is or has a Maxima worker worked from home with this host?

  • Has the worker's home office / host's processes been previously assessed by Maxima and deemed appropriate?

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to review the process and ensure the worker has a safe home office if not all information is available.

    Hazard Picture.JPG
  • A separate review and assessment of the Host's working from home process is required. Please note, the worker may need to adhere to Maxima's process. Please attach all Policies, Procedures, Forms / Documents regarding working from home or send through to WHSAction@maxima.com.au.

    Hazard Picture.JPG
  • Working in the vicinity of mobile plant / vehicles / traffic

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Any other site specific hazards that Maxima need to be aware of?

  • Please describe how the hazard may occur:

  • What controls are in place?

  • 3.7 Equipment, tools and plant to be used (Please list or provide a photo of all plant/equipment/machinery/tools to be used):

  • Please describe:

  • Please describe or provide a photo of the equipment above:

  • 3.4.2 Select the controls in place:

  • Describe what other controls are in place:

  • A Maxima WHS Consultant may contact you for further information or to schedule a workplace inspection and risk assessment.

    Hazard Picture.JPG
  • Select the controls in place for motor vehicle use:

  • Describe what other controls are in place:

  • A Maxima WHS Consultant may contact you for further information or to schedule a workplace inspection and risk assessment.

    Hazard Picture.JPG

4. Hazards in the workplace

  • Will the Job/Task require our worker to undertake or be exposed to any of the following? (select all that apply):

  • Biological materials (human waste, needle stick injury, blood, etc)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Confined Spaces

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Conveyor belt use

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Electricity or electrical shock hazards

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Falling objects

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Fast pace

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Fatigue

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Used / Handled by worker

  • Attach photos below of:
    1. The substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current level of risk from an incident involving the hazardous chemicals or substances on site?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Stored on site, but worker would not have any contact with under usual work conditions.

  • Attach photos below of:
    1. The substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current level of risk from an incident involving the hazardous chemicals or substances on site?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous manual tasks (i.e. computer work)

  • Select how the hazard could occur:

  • Please describe:

  • Select the controls in place:

  • Please describe:

  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hot / cold work environments (i.e. cold air conditioning, near heat generating equipment)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Loud noise levels which exceed the regulated standard in the general work environment (i.e. large crowd in a hall, using a phone headset, etc)

  • Select the controls in place and provide photographic evidence:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Multiple PCBU's / businesses operating in the same work area

  • Select the controls in place:

  • Other controls in place are:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Personal threat / duress (i.e. interacting with members of the public either face-to-face or on the phone)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Pinch points

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Poor lighting / glare

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Remote or Isolated (being alone – work, travel etc)

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Respirable dusts and or vapours (i.e. silica dust, asbestos, dust from abrasive blasting)

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Slips, Trips or Falls (i.e. Stair use, uneven/slippery ground)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • With or near animals / exposed to bites or stings.

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Working at Heights

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Working from Home

  • Is or has a Maxima worker worked from home with this host?

  • Has the worker's home office / host's processes been previously assessed by Maxima and deemed appropriate?

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to review the process and ensure the worker has a safe home office if not all information is available.

    Hazard Picture.JPG
  • A separate review and assessment of the Host's working from home process is required. Please note, the worker may need to adhere to Maxima's process. Please attach all Policies, Procedures, Forms / Documents regarding working from home or send through to WHSAction@maxima.com.au.

    Hazard Picture.JPG
  • Working in the vicinity of mobile plant / vehicles / traffic

  • Select the controls in place:

  • Please describe:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Any other site specific hazards that Maxima need to be aware of?

  • Please describe how the hazard may occur:

  • What controls are in place?

  • 3.7 Equipment, tools and plant to be used (Please list or provide a photo of all plant/equipment/machinery/tools to be used):

  • Please describe:

  • 3.4.2 Select the controls in place:

  • Describe what other controls are in place:

  • A Maxima WHS Consultant may contact you for further information or to schedule a workplace inspection and risk assessment.

    Hazard Picture.JPG
  • Select the controls in place for motor vehicle use:

  • Describe what other controls are in place:

  • A Maxima WHS Consultant may contact you for further information or to schedule a workplace inspection and risk assessment.

    Hazard Picture.JPG

4. Hazards in the workplace

  • Will the Job/Task require our worker to undertake or be exposed to any of the following? (select all that apply):

  • Biological materials (human waste, needle stick injury, blood, etc)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Confined Spaces

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Conveyor belt use

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Electricity or electrical shock hazards

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Falling objects

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Fast pace

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Fatigue

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Use / Store / Manufacture / Transport by worker

  • Attach photos below of:
    1. The hazardous substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk of injury through the contact, inhalation, ingestion and or physical reaction of hazardous chemicals or substances?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous Chemicals - Stored on site, but worker would not have any contact with under usual work conditions.

  • Attach photos below of:
    1. The substances / chemicals or materials present in their storage area;
    2. Any PPE, spill clean up or spill containment kits and their contents; and
    3. Safety Data Sheets and their location.

    Review the changes to workplace chemical laws and any applicable guidance materials under GHS 7: https://www.safeworkaustralia.gov.au/collection/ghs-7-guidance-material
    NOTE: Users should not accept hazardous chemicals manufactured or imported on or after 1 January 2023 unless they are classified and labelled in accordance with GHS 7 and have SDS prepared in accordance with GHS 7.

  • List or photograph the type of chemicals or substances the worker may use / handle / come into contact with:

  • The other types of chemicals / substances the worker may come into contact with:

  • Select the controls in place and or provide photographic evidence:

  • Please describe what other controls are in place:

  • Review all applicable Codes of Practice (i.e. Managing risks of hazardous chemicals in the workplace, Labelling of workplace hazardous chemicals, etc) and raise an action to consider and implement additional controls to reduce the level of risk.

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  • What is the current level of risk from an incident involving the hazardous chemicals or substances on site?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hazardous manual tasks (i.e. computer work)

  • Select how the hazard could occur:

  • Please describe:

  • Select the controls in place:

  • Please describe:

  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • Hot / cold work environments (i.e. cold air conditioning, near heat generating equipment)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Loud noise levels which exceed the regulated standard in the general work environment (i.e. large crowd in a hall, using a phone headset, etc)

  • Select the controls in place and provide photographic evidence:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Multiple PCBU's / businesses operating in the same work area

  • Select the controls in place:

  • Other controls in place are:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • On or near water

  • Select the controls in place:

  • Other controls in place are:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.

    Hazard Picture.JPG
  • Personal threat / duress (i.e. interacting with members of the public either face-to-face or on the phone)

  • Select the controls in place:

  • Describe what other controls are in place:

  • What is the current risk?

  • Raise an action to consider and implement controls to reduce the level of risk.

    Hazard Picture.JPG
  • What is the residual risk?

  • Raise an action to consider and implement additional controls to reduce the level of risk.