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 Evaluation completed for this client?

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

  • Upload a copy of previous review(s)

  • Upload a copy of the initial Client WHS Evaluation

  • 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 12 months?

  • What type of injuries have occurred?

  • Are Haylo People 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 year involving a Haylo People 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 Haylo People should be aware of?

  • Describe the changes

  • Does the company understand its obligation to consult with Haylo People before changing the workers’ duties or location?

Safe Work Procedures

  • Do Haylo People workers continue to have access to WHS Policies and Procedures

Consultation (WHS discussions with workers)

  • Does the company continue to involve Haylo People workers in discussions related to WHS?

  • Either photograph the record of worker consultation or describe your observations in the notes.

Task Observation + Worker Consultation

  • Examine the most recent Job Order for jobs associated with this client

  • Do the Job Orders still accurately reflect the work performed by the workers and have the agreement of Haylo People?

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

  • Talk with Haylo People workers working at the workplace.

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

  • List any health and safety concerns mentioned. Create a separate action for each concern.

Workplace Hazards

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

  • Describe the hazards that Haylo People believe are not adequately controlled

Next Review

  • 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.