Title Page

  • Name of Contractor

  • Define scale (size) of contractor. e.g. single operator, small business (2-5 staff) moderate business (5-15 staff) large business (16 + staff)

  • Outline of services provided

  • Conducted on

  • Prepared by

  • Location

Health and Safety Assessment – Tier 1 Contractors

Hazard identification and risk management

  • a. Is the Safety Risk Register contemporary and, reflect the activities of the contractor?

  • Detail anomalies or deficiencies?

  • b. Does your Safety Risk Register capture, prioritise high severity risks and incorporate (realistic) control measures to mitigate the risks?

  • Detail anomalies or deficiencies?

  • c. Are you; monitoring workplace safety issues by reviewing incident/hazard reports, ensuring incidents/hazards are reported and encouraging workers to provide feedback on safety issues?

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

  • e. Do you regularly review and update your risk assessments, and where required, introduce new or additional 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 licences, qualifications and/or skills for their assigned tasks?

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

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

  • d. Are workers 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 workers training activities?

3. Safety procedures policies and plans

  • a. Does your organisation have a documented Health and Safety Management Plan (HSMP)?

  • Is the HSMP contemporary with relevant legislation, regulation and standards and been reviewed in the past 3 years?

  • What aspects of the HSMP require updating?

  • b. Are your policies and procedures aligned with relevant legislation, regulations and/or 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/inductions sessions which introduce workers to your 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 incidents, near-miss and/or hazard reports submitted by your workers?

  • 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.

  • What CoP or other documents require embedding or integration into business practices?

4. Incident investigation and corrective actions

  • a. In the past 2 years, have you had an incident, hazards or near miss that required a safety investigation and/or corrective actions to be implemented.

  • What was the nature of the incidents, hazards or near misses?

  • Did you implement corrective actions to prevent recurrence of similar event?

  • Why did you not implement corrective actions?

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

  • Why were the corrective actions not prioritised?

  • c. Did you have any incidents and near misses related to RAC's operations?

  • Was the RAC made aware of the incident or near miss that related to RAC's 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?

  • Did 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?

  • Provide information in regard to the infringements, improvement notices or enforceable undertakings?

  • 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?

  • Provide information in regard to the notification made to another regulator?

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.