Title Page

  • Name of Contractor

  • Outline of services provided

  • Conducted on

  • Prepared by

  • Location

Health and Safety Assessment – Tier 1 Contractors

Hazard identification and risk management

  • a. Does your Safety Risk Register capture and prioritise high severity risks?

  • Do you have evidence the workplace is monitored, incident/hazard reports are reviewed, and workers are encouraged to provide feedback on safety issues?

  • b. Do you perform a risk assessment when there is a significant change or variation in your workplace or work task?

  • c. Have you introduced new control measures to mitigate identified risks?

  • Note: Consider whether your organisation continuously evaluates safety risk, adjusts control measures and implements preventive controls using the “hierarchy of control”.

2. Training competency and capability

  • a. Do your workers have the required qualifications and skills for their assigned tasks?

  • b. Do you maintain documentation or records to demonstrate the qualifications and skills of your workers?

  • c. Do you ensure that your workers qualifications and skills are kept up to date?

  • d. Are employees provided with information, instruction, training and supervision for the work being performed?

  • e. Do you have documented procedures that outline the work processes and provide guidance to workers?

  • f. Do you address identified training or knowledge gaps in your workforce?

  • g. Are records of training and competency assessments maintained. Do you track and document employee training activities?

3. Safety procedures policies and plans

  • a. Does your organisation have documented health and safety policies, procedures and a safety plan?

  • b. Do your policies and procedures comply with relevant legislation, regulation and standards?

  • Note: consider areas such as accident prevention, emergency response, hazard identification, risk assessment, and personal protective equipment (PPE)?

  • c. Are your workers aware of, and following your organisation’s safety policies and procedures?

  • d. During the onboarding process does your organisation provide training sessions to introduce employees to health and safety policies and procedures?

  • e. Do your Leaders and managers demonstrate their commitment and monitor workers adherence to health and safety policies and procedures?

  • f. Is your system for reporting and investigating incidents and near misses being utilised by workers?

  • g. Do you assess the number of incidents, near-miss and hazard observation reports being submitted?

  • h. Do you have a process to ensure serious incidents and near misses are investigated?

  • i. Are you complying with the relevant Codes of Practice applicable to your organisation e.g., Fatigue Management for Commercial Vehicle Drivers, Managing the Risk of Falls in the workplace, etc.

4. Incident investigation and corrective actions

  • a. Are corrective actions implemented to prevent recurrence of incidents?

  • b. Are corrective actions prioritised based on the potential effectiveness, feasibility, and urgency and plans developed outlining the specific actions to be taken?

  • c. Are lessons learned shared with workers to improve health and safety practices?

  • d. Have you notified RAC of incidents and near misses related to its operations?

5. Notification to Regulators

  • a. Have you had to report to WorkSafe an injury and/or dangerous incident as required under Part 3 of the Western Australian Work Health and Safety Act 2020?

  • b. Have you notified RAC of any matters notified to WorkSafe?

  • c. Have you received any infringements, improvement notices or enforceable undertakings issued by WorkSafe in the last 12 months?

  • d. Have you been required to notify another regulator due to an incident related to work completed for, or on behalf of the RAC, e.g., Office of Energy?

6. Where the following is a requirement of your contract with the RAC?

  • a. Have all personnel performing work on behalf of the RAC provided a national police clearance at the time of employment?

  • b. Do you have systems in place to identify and manage personnel who have a traffic or criminal conviction recorded against them since commencing employment?

  • c. Do all personnel required to drive have a current and valid Western Australian driver's licence required to operate the motor vehicle and / or equipment used to provide services? Yes/No/NA

7. Subcontractor management where applicable

  • a. Do you have processes in place to assess and manage the health and safety performance of your subcontractors?

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.