Host Safety Self-Assessment [GF 101-6] (1)

• 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 Work Health and Safety which in turn allows us to make the safest decision about supply. This profile is designed to give us an overview of your safety systems. Once you have completed this and arrangements to supply are confirmed, we may need to verify your systems with a workplace site inspection (risk assessment). By proactively working together, we effectively are managing hazards and reducing the likelihood of illness and injury.

• Host business name:

• Host ABN:

• Workplace location:

• Date completed:

  Date

• Worker's job title/s:

• Assessment completed by:

• Assessor's job title:

• Preferred contact details (please list your phone number or email address):

• Maxima consultant's name:

• A representative of the Host Employer is to complete each section of the self-assessment prior to placement of Maxima worker.
  
  To successfully complete this self-assessment, you must:
  1. Either possess an in-depth knowledge of the role and tasks to be completed by the Maxima worker or complete this self-assessment in consultation with an employee that does (i.e. The Supervisor of the Maxima worker).
  2. Consider the hazards involved with completing each job task and visually inspecting their controls.
  3. Provide evidence of your health and safety management system, including control implementation, where possible, photographic evidence is best or alternatively relevant documentation (i.e. Standard Operating Procedures / SWMS, Completed workplace induction, SDS's, etc) can be emailed to WHSAction@Maxima.com.au along with this completed self-assessment.
  4. Physically inspect the workplace for any additional hazards, visually confirming that the amenities provided are clean and adequate and all basic safety systems (i.e. evacuation plans, first aid facilities, fire extinguisher test tag) are in working order and readily available.
  5. Provide photographic evidence of amenities (Sections 2.1 & 2.2).
  6. Add any additional relevant details in the "Note" section.
  7. Complete the Host Declaration, sign and date this assessment, check that all mandatory items have been completed, and then mark the assessment as complete.
  10. Download the pdf version of the this completed self-assessment and email it to WHSAction@maxima.com.au for review.

• PLEASE NOTE: Any answers in red text or are followed by an orange exclamation image (as per below) will require further information, justification and evidence to be included and or may trigger a workplace inspection.

  

Tips on Use

• - You can complete one profile for multiple roles, however, you must create a new Section 3.1 for each role separately.
  - You can add additional details in the "Note" section to accurately describe the workplace, job task or provide extra context to an answer.
  - Profiles can be completed offline (i.e. in airplane mode), however, you must sign in before you can access the templates.
  - Instructions on how to export this Profile can be found here: https://support.safetyculture.com/reports/export-inspection-reports-to-pdf-and-word/

Privacy & Information Collection Notice

• All documents, pictures, evidence provided are kept in a secure location and are only accessible by select employees of Maxima Group. 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.

• 1.1 Does your organisation have a structured and documented safety management system containing policies and procedures?

  Yes

  No

1.2 Safety Management System Evidence

• Confirm that the safety management system has the following elements and provide photo evidence of its implementation

• 1.2.1 Written Health and Safety Policy:

  Select Photographic evidence attached A copy will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not available at this time Not Applicable

  • Photographic evidence attached
  • A copy will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not available at this time
  • Not Applicable

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

  

• Please describe why this is not applicable:

• 1.2.2 Consultation with Maxima's workers: (select all that apply and provide evidence)

  Select Daily Prestart Meetings Designated work areas are determined and communicated to all workers Documented consultation, cooperation and communication procedure Health and Safety Representative Permits for high risk work Regular WHS Meetings Representatives from all PCBU's (businesses) who work in the same location meet to discuss upcoming / relevant work that may impact each other. Safety Alerts (via noticeboard, text, email, etc) Toolbox Talks The Principle Contractor provides a documented procedure WHS Committee WHS Management Plan for Construction Project details the arrangements in place for consultation, cooperation and coordination between the PCBUs / other businesses at the site. WHS Noticeboard Worker participates during the development of Risk Assessments / JSA's / Standard Operating Procedures / SWMS Workers are provided with robust JSAs/SWMSs/Risk Assessments/SOPs and are encouraged to voice concerns whilst reviewing it. Other No consultation method in place

  • Daily Prestart Meetings
  • Designated work areas are determined and communicated to all workers
  • Documented consultation, cooperation and communication procedure
  • Health and Safety Representative
  • Permits for high risk work
  • Regular WHS Meetings
  • Representatives from all PCBU's (businesses) who work in the same location meet to discuss upcoming / relevant work that may impact each other.
  • Safety Alerts (via noticeboard, text, email, etc)
  • Toolbox Talks
  • The Principle Contractor provides a documented procedure
  • WHS Committee
  • WHS Management Plan for Construction Project details the arrangements in place for consultation, cooperation and coordination between the PCBUs / other businesses at the site.
  • WHS Noticeboard
  • Worker participates during the development of Risk Assessments / JSA's / Standard Operating Procedures / SWMS
  • Workers are provided with robust JSAs/SWMSs/Risk Assessments/SOPs and are encouraged to voice concerns whilst reviewing it.
  • Other
  • No consultation method in place

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

  

• Please describe other methods for consulting with workers:

• Provide evidence of implemented consultation process:

  Select Photographic evidence attached A copy of the document/s detailing incident management / hazard identification process will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site No evidence available

  • Photographic evidence attached
  • A copy of the document/s detailing incident management / hazard identification process will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site
  • No evidence available

• 1.2.3 Recorded, investigated and actioned incidents and hazards: (select all that apply and provide evidence)

  Select In Writing - hard copy / paper forms In Writing - Via email or text Informal process that is communicated to worker (i.e. during induction) Online reporting system As per documented process Reported to Safety Officer Reported to Supervisor Verbally - raised during toolbox / meetings Verbally - to supervisor / safety officer / other Other No system in place

  • In Writing - hard copy / paper forms
  • In Writing - Via email or text
  • Informal process that is communicated to worker (i.e. during induction)
  • Online reporting system
  • As per documented process
  • Reported to Safety Officer
  • Reported to Supervisor
  • Verbally - raised during toolbox / meetings
  • Verbally - to supervisor / safety officer / other
  • Other
  • No system in place

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

  

• Provide evidence of implemented hazard and incident reporting and investigation process:

  Select Photographic evidence attached A copy of the document/s detailing incident management / hazard identification process will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site No evidence available

  • Photographic evidence attached
  • A copy of the document/s detailing incident management / hazard identification process will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site
  • No evidence available

• Please describe:

• 1.2.4 Risk Assessments: (select all that apply and provide evidence)

  Select Documented risk management system with hazard identification and risk assessment procedures Job Dictionary / Manual Tasks Job Profile Job Safety Analysis Position Description Risk controls are consistent with the ‘hierarchy’ of control (elimination, isolation, substitution, engineering, administrative, personal protective equipment). Risk Register - identifying major workplace hazards Risk Assessment Safe Operating Procedures Other No assessment of the risks has been completed

  • Documented risk management system with hazard identification and risk assessment procedures
  • Job Dictionary / Manual Tasks Job Profile
  • Job Safety Analysis
  • Position Description
  • Risk controls are consistent with the ‘hierarchy’ of control (elimination, isolation, substitution, engineering, administrative, personal protective equipment).
  • Risk Register - identifying major workplace hazards
  • Risk Assessment
  • Safe Operating Procedures
  • Other
  • No assessment of the risks has been completed

• Please describe:

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

  

• Provide evidence of implemented risk management process:

  Select Photographic evidence attached A copy will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not available at this time Not Applicable

  • Photographic evidence attached
  • A copy will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not available at this time
  • Not Applicable

• 1.2.5 Provide evidence of the site induction content:

  Select Photographic evidence attached A copy will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not available at this time Not Applicable

  • Photographic evidence attached
  • A copy will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not available at this time
  • Not Applicable

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

  

• Please describe why this is not applicable:

• A Maxima WHS Consultant may be in contact to discuss the your safety management system and arrange a workplace inspection and risk assessment.

  

1.3 Safety Roles / Rehabilitation Return to Work Coordinator

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

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

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

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

  Select Photograph attached Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not currently available to worker Not Applicable

  • Photograph attached
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not currently available to worker
  • Not Applicable

• Please advise why this is not available or applicable:

• 2.1.2 Toilets with adequate facilities, privacy and security

  Select Photograph attached Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not currently available to worker Not Applicable

  • Photograph attached
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not currently available to worker
  • Not Applicable

• Please advise why this is not available or applicable:

• 2.1.3 Filtered and / or cool drinking water

  Select Photograph attached Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not currently available to worker Not Applicable

  • Photograph attached
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not currently available to worker
  • Not Applicable

• Please advise why this is not available or applicable:

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

  Select Photograph attached Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not currently available to worker Not Applicable

  • Photograph attached
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not currently available to worker
  • Not Applicable

• Please advise why this is not available or applicable:

• 2.1.5 Storage for personal belongings

  Select Photograph attached Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not currently available to worker Not Applicable

  • Photograph attached
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not currently available to worker
  • Not Applicable

• Please advise why this is not available or applicable:

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

  Select In a hygienic manner Free from unpleasant odours Reasonably clean and tidy Free of trip hazards (i.e. cords across walkways) Free of unevenly / hazardously stacked items (i.e. boxes)

  • In a hygienic manner
  • Free from unpleasant odours
  • Reasonably clean and tidy
  • Free of trip hazards (i.e. cords across walkways)
  • Free of unevenly / hazardously stacked items (i.e. boxes)

• Provide photo evidence of workplace / workstation:

  Media

2.2 Emergency Response

• 2.2.1 The first aid facilities available are:

  Select Burns Kit Chemical Shower Defibrillator Eye wash First aid kit readily available, regularly checked, with in date items and stocked with all necessary items relevant to the risks (i.e. snake bite, burns, etc) First aid kit signage applied correctly First Aid Officer / Trained Staff First Aid Officer Photo Board Displayed First Aid Procedures / Signage Displayed First Aider Sign above First Aider Snake Bite Kit Other First aid equipment has expired, requires testing/maintenance or not functioning as required No first aid equipment / facilities available Not Applicable

  • Burns Kit
  • Chemical Shower
  • Defibrillator
  • Eye wash
  • First aid kit readily available, regularly checked, with in date items and stocked with all necessary items relevant to the risks (i.e. snake bite, burns, etc)
  • First aid kit signage applied correctly
  • First Aid Officer / Trained Staff
  • First Aid Officer Photo Board Displayed
  • First Aid Procedures / Signage Displayed
  • First Aider Sign above First Aider
  • Snake Bite Kit
  • Other
  • First aid equipment has expired, requires testing/maintenance or not functioning as required
  • No first aid equipment / facilities available
  • Not Applicable

• Additional first aid facilities available:

• Provide photographic evidence of the first aid kit being checked / items are in date.

  Media

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

• 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

  

• Provide photographic evidence:

  Media

• 2.2.2 The fire fighting equipment available are:

  Select Axe Deluge Suppression / Fire System Emergency Response Team Sign - Identifies Fire Wardens Fire blanket in test date Fire command centre Fire extinguisher/s in date and appropriate to the type of fires possible Fire reel / hose On site fire fighting team PPE - specialised for fighting fires (jackets, hard hats) Respiratory Protective Equipment Signage correctly placed above fire suppression equipment Smoke detectors Sprinkler system Other Fire fighting equipment is out of date (i.e. extinguishers should be tested every 6 months) No fire fighting equipment available Not Applicable

  • Axe
  • Deluge Suppression / Fire System
  • Emergency Response Team Sign - Identifies Fire Wardens
  • Fire blanket in test date
  • Fire command centre
  • Fire extinguisher/s in date and appropriate to the type of fires possible
  • Fire reel / hose
  • On site fire fighting team
  • PPE - specialised for fighting fires (jackets, hard hats)
  • Respiratory Protective Equipment
  • Signage correctly placed above fire suppression equipment
  • Smoke detectors
  • Sprinkler system
  • Other
  • Fire fighting equipment is out of date (i.e. extinguishers should be tested every 6 months)
  • No fire fighting equipment available
  • Not Applicable

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

• Provide photographic evidence of equipment having been tested (i.e. extinguisher test tag, maintenance schedule) / what is available:

  Media

• Briefly describe what additional equipment is available

• 2.2.3 The emergency response facilities available are:

  Select Alarm / Warning System (i.e. AV system that plays beeping and/or verbal instructions; airhorn). Emergency Alarm Activation Points Emergency Exit Signs Emergency Lighting (i.e. flashes during emergency or lights up pathways in power outage) Emergency procedures that reflect the types of emergencies that could be encountered Emergency procedures consider all nearby external PCBUs / Businesses / Individuals, their potential emergencies and communication with them during an emergency. Emergency Response PPE - Coloured Hard Hats, vests, etc Emergency response procedures captured in JSA / SWMS / SOPs (i.e. Vehicle as a workplace) Emergency Response Team Sign Evacuation Route Plans / Signage External Emergency Response Team (i.e. managed by the facility the host is based in) Personal Emergency Alarm (i.e. Duress alarm, mobile phone, IVMS) Regular Evacuation Drills Other Emergency response item out of date or not functioning as required No emergency response facilities in place Not Applicable

  • Alarm / Warning System (i.e. AV system that plays beeping and/or verbal instructions; airhorn).
  • Emergency Alarm Activation Points
  • Emergency Exit Signs
  • Emergency Lighting (i.e. flashes during emergency or lights up pathways in power outage)
  • Emergency procedures that reflect the types of emergencies that could be encountered
  • Emergency procedures consider all nearby external PCBUs / Businesses / Individuals, their potential emergencies and communication with them during an emergency.
  • Emergency Response PPE - Coloured Hard Hats, vests, etc
  • Emergency response procedures captured in JSA / SWMS / SOPs (i.e. Vehicle as a workplace)
  • Emergency Response Team Sign
  • Evacuation Route Plans / Signage
  • External Emergency Response Team (i.e. managed by the facility the host is based in)
  • Personal Emergency Alarm (i.e. Duress alarm, mobile phone, IVMS)
  • Regular Evacuation Drills
  • Other
  • Emergency response item out of date or not functioning as required
  • No emergency response facilities in place
  • Not Applicable

• 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.

  

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

• Please describe why this is not applicable:

• 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.

  

• 2.2.4 Are emergency exits / routes free of obstructions?

  Yes

  No

  N/A

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

  

2.3 Incidents and Injuries

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

Additional Comments:

• Add additional comments here:

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.

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

• 3.2 Select the Work Activity:

  Select Accommodation / Hotel Management - Category 2 Airport Operations (Baggage, Freight, Ground Crew) - Cate 3 Allied Health / Physio - Category 2 Animal Services - Category 3 Arboriculture, Horticulture, Landscaping and Gardening - Cate 3 Cleaner - Domestic / Commercial Building or Workplace - Category 2 Conservation and Land Management - Cate 3 Construction - (Civil, Road, Plant), Plant Operator, Builder, Labourer, Bricklayer, Carpenter - Cate 3 Construction - Foreman/Site Supervisor, Engineer, Maintenance Planner - Cate 3 Customer Service - Airline / Airport - Category 2 Customer Service - Financial / Banking - Category 2 Customer Service - Post Office - Category 2 Customer Service - Public Administration / Government - Category 2 Customer Service - Retail - Category 2 Education and Training - Category 2 Electrical, Data, Telecommunications or Solar Trade - Cate 3 Engineering / Mechanical technician / Servicing Work - Automotive, Heavy Vehicle, Mobile Plant - Cate 3 Event Management / Arts and Recreation - Category 2 Event, stage or live production assistant - Cate 3 Financial or insurance services (via phone only) - Category 1 Food and Beverage Service - Category 2 Food Service - Commercial or Industrial Cooking - Category 2 Forestry, Agriculture and Farming - Cate 3 Healthcare and Social Assistance - Category 2 Information Technology - support, repair & maintenance of computers / communication equipment - Cate 1 Library or Community Services - Category 2 Manufacturing, Sign Making - Cate 3 Marketing, information, media and telecommunications (Interact with public)- Category 2 Marketing, information, media and telecommunications (Not public facing) - Category 1 Mining - Cate 3 Painting or Plastering - Cate 3 Pest Control - Cate 3 Plumbing - Cate 3 Postal Operations (Mail delivery and freight) - Cate 3 Professional, managerial, clerical or administrative work - Government, office or other administrative setting - Cate 1 Professional, managerial, clerical or administrative work - High risk location (i.e. Warehouse, Manufacturer, etc) - Cate 2 Professional, managerial, clerical or administrative work - Public facing office - Cate 2 Public Safety - Security, Correctional Services - Cate 3 Rental, Hiring and Real Estate Services - Category 2 Sports and Recreation - Category 2 Transport, Logistics, Professional Drivers, Water Carters, Oil/Gas Tankers - Cate 3 Warehouse / Stores Operations - Cate 3 Waste Management, Industrial Cleaning or Hazardous Chemicals Manufacturing - Cate 3 Water Treatment Operations - Cate 3 Other

  • Accommodation / Hotel Management - Category 2
  • Airport Operations (Baggage, Freight, Ground Crew) - Cate 3
  • Allied Health / Physio - Category 2
  • Animal Services - Category 3
  • Arboriculture, Horticulture, Landscaping and Gardening - Cate 3
  • Cleaner - Domestic / Commercial Building or Workplace - Category 2
  • Conservation and Land Management - Cate 3
  • Construction - (Civil, Road, Plant), Plant Operator, Builder, Labourer, Bricklayer, Carpenter - Cate 3
  • Construction - Foreman/Site Supervisor, Engineer, Maintenance Planner - Cate 3
  • Customer Service - Airline / Airport - Category 2
  • Customer Service - Financial / Banking - Category 2
  • Customer Service - Post Office - Category 2
  • Customer Service - Public Administration / Government - Category 2
  • Customer Service - Retail - Category 2
  • Education and Training - Category 2
  • Electrical, Data, Telecommunications or Solar Trade - Cate 3
  • Engineering / Mechanical technician / Servicing Work - Automotive, Heavy Vehicle, Mobile Plant - Cate 3
  • Event Management / Arts and Recreation - Category 2
  • Event, stage or live production assistant - Cate 3
  • Financial or insurance services (via phone only) - Category 1
  • Food and Beverage Service - Category 2
  • Food Service - Commercial or Industrial Cooking - Category 2
  • Forestry, Agriculture and Farming - Cate 3
  • Healthcare and Social Assistance - Category 2
  • Information Technology - support, repair & maintenance of computers / communication equipment - Cate 1
  • Library or Community Services - Category 2
  • Manufacturing, Sign Making - Cate 3
  • Marketing, information, media and telecommunications (Interact with public)- Category 2
  • Marketing, information, media and telecommunications (Not public facing) - Category 1
  • Mining - Cate 3
  • Painting or Plastering - Cate 3
  • Pest Control - Cate 3
  • Plumbing - Cate 3
  • Postal Operations (Mail delivery and freight) - Cate 3
  • Professional, managerial, clerical or administrative work - Government, office or other administrative setting - Cate 1
  • Professional, managerial, clerical or administrative work - High risk location (i.e. Warehouse, Manufacturer, etc) - Cate 2
  • Professional, managerial, clerical or administrative work - Public facing office - Cate 2
  • Public Safety - Security, Correctional Services - Cate 3
  • Rental, Hiring and Real Estate Services - Category 2
  • Sports and Recreation - Category 2
  • Transport, Logistics, Professional Drivers, Water Carters, Oil/Gas Tankers - Cate 3
  • Warehouse / Stores Operations - Cate 3
  • Waste Management, Industrial Cleaning or Hazardous Chemicals Manufacturing - Cate 3
  • Water Treatment Operations - Cate 3
  • Other

• 3.3 Summary of job tasks:

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

  Select General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc) Specialised office equipment (i.e. Drill punch, laminator, guillotine, document binder) Hand tools Powered / electric hand tools Machinery (i.e. lathes, manufacturing equipment, robotic arms, etc). Mobile plant (i.e. Forklift, excavator, elevated work platform, etc) Motor vehicle for business purposes (this does not include commuting to/from work) Other Not Applicable

  • General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc)
  • Specialised office equipment (i.e. Drill punch, laminator, guillotine, document binder)
  • Hand tools
  • Powered / electric hand tools
  • Machinery (i.e. lathes, manufacturing equipment, robotic arms, etc).
  • Mobile plant (i.e. Forklift, excavator, elevated work platform, etc)
  • Motor vehicle for business purposes (this does not include commuting to/from work)
  • Other
  • Not Applicable

• Please describe:

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

• 3.4.2 Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely. Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute) Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped. Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. (i.e. Photoelectric light beams, laser scanners and foot pressure mats, etc) Eng - Captive key system Eng - Critical safety systems/ high integrity fail-safe control, etc Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work. Admin - Training, information and instruction to workers who use the plant. Admin - Supervision Admin - Work Group / Spotter / Work Colleague Admin - Consultation with workers on the plant and work processes being used. Admin - Signage to warn people of a hazard (i.e. a pinch point) PPE - Hearing protection PPE - Protective clothing (i.e. 100% cotton, high vis) PPE - Respirator (half face, full, dust mask) PPE - Gloves PPE - Safety Glasses / Eye protection Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely.
  • Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute)
  • Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped.
  • Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator
  • Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. (i.e. Photoelectric light beams, laser scanners and foot pressure mats, etc)
  • Eng - Captive key system
  • Eng - Critical safety systems/ high integrity fail-safe control, etc
  • Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use
  • Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work.
  • Admin - Training, information and instruction to workers who use the plant.
  • Admin - Supervision
  • Admin - Work Group / Spotter / Work Colleague
  • Admin - Consultation with workers on the plant and work processes being used.
  • Admin - Signage to warn people of a hazard (i.e. a pinch point)
  • PPE - Hearing protection
  • PPE - Protective clothing (i.e. 100% cotton, high vis)
  • PPE - Respirator (half face, full, dust mask)
  • PPE - Gloves
  • PPE - Safety Glasses / Eye protection
  • Other
  • No 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.

  

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

• 3.4.2 List any controls in place to avoid injury (i.e. Warning label on hot areas, written work instruction, etc):

• Select the controls in place for motor vehicle use:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Additional lights mounted for fog or low light conditions Air-conditioned vehicle Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances. Driver behaviour consequence matrix / discipline procedure Driver training Drivers licence is checked as part of induction process Emergency response procedure / JSA for driving Expectations of driving behaviour communicated (i.e. during induction or prior to driving) Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded) GPS Tracking In vehicle monitoring system (IVMS) / duress button or system that alerts of injury Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day) Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts. Kilometers driven are monitored Leased vehicles (maintenance and repairs are tracked and managed externally) Minimum licence requirements (e.g.2nd year of P Plates) Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar Motor vehicle maintenance schedule New vehicles (less than 1 year) No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night) No lone driving Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence Regular vehicle inspections Satellite phone Sun glasses to reduce glare and avoid objects from entering eye Sun visor to reduce glare Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy Vehicle specifications defined, including minimum safety standards required Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Additional lights mounted for fog or low light conditions
  • Air-conditioned vehicle
  • Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc
  • Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic
  • Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time
  • Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances.
  • Driver behaviour consequence matrix / discipline procedure
  • Driver training
  • Drivers licence is checked as part of induction process
  • Emergency response procedure / JSA for driving
  • Expectations of driving behaviour communicated (i.e. during induction or prior to driving)
  • Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded)
  • GPS Tracking
  • In vehicle monitoring system (IVMS) / duress button or system that alerts of injury
  • Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day)
  • Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather
  • Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts.
  • Kilometers driven are monitored
  • Leased vehicles (maintenance and repairs are tracked and managed externally)
  • Minimum licence requirements (e.g.2nd year of P Plates)
  • Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar
  • Motor vehicle maintenance schedule
  • New vehicles (less than 1 year)
  • No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night)
  • No lone driving
  • Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence
  • Regular vehicle inspections
  • Satellite phone
  • Sun glasses to reduce glare and avoid objects from entering eye
  • Sun visor to reduce glare
  • Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy
  • Vehicle specifications defined, including minimum safety standards required
  • Other
  • No 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.

  

• 3.5 Substances, chemicals and materials to be used:

  Select Hazardous chemicals are present on site, however worker will not use as part of usual tasks. Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc) Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement) Other hazardous chemicals / substances (i.e. fuel, oil, acid, pressurised gas, etc) Not Applicable

  • Hazardous chemicals are present on site, however worker will not use as part of usual tasks.
  • Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc)
  • Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement)
  • Other hazardous chemicals / substances (i.e. fuel, oil, acid, pressurised gas, etc)
  • Not Applicable

• Attach photos above of:
  1. The substances / chemicals or materials present in their storage area; and
  2. Any spill containment kits
  3. Safety Data Sheet location

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Controlling ignition sources and accumulation of flammable and combustible substances Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs Decommissioning of underground storage and handling systems Ensuring that exposure standards are not exceeded Health monitoring for workers Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment Provision of information, training, instruction and supervision to workers Provision of spill containment system for hazardous chemicals if necessary Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Controlling ignition sources and accumulation of flammable and combustible substances
  • Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure
  • Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs
  • Decommissioning of underground storage and handling systems
  • Ensuring that exposure standards are not exceeded
  • Health monitoring for workers
  • Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals
  • Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required
  • Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances
  • Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical
  • Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical
  • Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments
  • Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment
  • Provision of information, training, instruction and supervision to workers
  • Provision of spill containment system for hazardous chemicals if necessary
  • Other
  • No 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.

  

• 3.6 Work Arrangements:

  Select Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays Shift work - 38-40 hours per week, irregular or rotating start/end times Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift Casual - up to 38 hours per week, irregular start/end times Part-time - up to 4 days per week, regular start/end times between 6am-6pm Overtime required occasionally (once a month or less) Overtime required regularly (at least once a fortnight) Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying) On-call Fly-in Fly-out (FIFO) Other

  • Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times
  • Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times
  • 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays
  • Shift work - 38-40 hours per week, irregular or rotating start/end times
  • Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift
  • Casual - up to 38 hours per week, irregular start/end times
  • Part-time - up to 4 days per week, regular start/end times between 6am-6pm
  • Overtime required occasionally (once a month or less)
  • Overtime required regularly (at least once a fortnight)
  • Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying)
  • On-call
  • Fly-in Fly-out (FIFO)
  • Other

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

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

• 3.9 Level of supervision to be provided:

  Select Continuous Frequent (hourly) Occasional (every few hours) Minimal (daily) None

  • Continuous
  • Frequent (hourly)
  • Occasional (every few hours)
  • Minimal (daily)
  • None

• 3.10 Training provided by your organisation before commencing work:

  Select External formalised training (Apprenticeship / Traineeship) Formal Qualification / License (e.g. First Aid, Forklift Ticket) Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls. Initial task supervision Ongoing supervision On-the-job / task-specific / informal internal training Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot) Task-specific training for new/additional tasks Other Not Applicable No Training / Instruction Provided

  • External formalised training (Apprenticeship / Traineeship)
  • Formal Qualification / License (e.g. First Aid, Forklift Ticket)
  • Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls.
  • Initial task supervision
  • Ongoing supervision
  • On-the-job / task-specific / informal internal training
  • Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions
  • Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot)
  • Task-specific training for new/additional tasks
  • Other
  • Not Applicable
  • No Training / Instruction Provided

• 3.10.1 Provide evidence of all applicable safe work procedures:

  Select Photographic evidence attached A copy will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not available at this time Not Applicable

  • Photographic evidence attached
  • A copy will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not available at this time
  • Not Applicable

• 3.11 If personal protective equipment is required, who will provide it?

  Select Maxima Host employer (your organisation) Worker A combination of Maxima and Host Employer as stipulated in the terms of business Not Applicable, no personal protective equipment is required

  • Maxima
  • Host employer (your organisation)
  • Worker
  • A combination of Maxima and Host Employer as stipulated in the terms of business
  • Not Applicable, no personal protective equipment is required

• Please describe who will provide what:

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

  Select 2+ Years in similar role or industry ASIC Driver's Licence First Aid Police Check Trade qualification in field White Card Other Not Applicable

  • 2+ Years in similar role or industry
  • ASIC
  • Driver's Licence
  • First Aid
  • Police Check
  • Trade qualification in field
  • White Card
  • Other
  • Not Applicable

• Please describe:

• 3.13 Will your organisation arrange and or provide pre-employment screening, functional capacity or health monitoring? (i.e. pre–employment medical, hearing tests, drug & alcohol testing)

  Yes

  No

  N/A

• 3.13.1 Please describe what screening or monitoring will be provided by your organisation for Maxima worker/s:

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

• Please describe:

• 3.13.1 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.

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

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:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc) Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage) Exclusion Zones / Barricading Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria) Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc) Mechanical aid to pick up needles / waste, etc Regular water testing and analysis by certified tester Risks communicated during induction Sharps container Signage Toolbox Talks Training Worker not expected to have direct contact with hazard during usual work tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc)
  • Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage)
  • Exclusion Zones / Barricading
  • Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria)
  • Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc)
  • Mechanical aid to pick up needles / waste, etc
  • Regular water testing and analysis by certified tester
  • Risks communicated during induction
  • Sharps container
  • Signage
  • Toolbox Talks
  • Training
  • Worker not expected to have direct contact with hazard during usual work tasks.
  • Other
  • No 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.

  

• Confined Spaces

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space. Atmospheric monitoring device (i.e. personal gas monitor) Clear entry / exit Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS. Confined space is purged or ventilated prior to entry Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated. Continuous communication with worker from outside of the space Emergency procedures, including rescue that have been practiced as necessary Exclusion zone / barricading Monitoring of atmospheric conditions by spotter outside No ignition sources in or within the vicinity of the confined space Safe Work Procedure / SWMS Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit Training in CSE Work carried out from outside the confined space Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space.
  • Atmospheric monitoring device (i.e. personal gas monitor)
  • Clear entry / exit
  • Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS.
  • Confined space is purged or ventilated prior to entry
  • Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated.
  • Continuous communication with worker from outside of the space
  • Emergency procedures, including rescue that have been practiced as necessary
  • Exclusion zone / barricading
  • Monitoring of atmospheric conditions by spotter outside
  • No ignition sources in or within the vicinity of the confined space
  • Safe Work Procedure / SWMS
  • Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit
  • Training in CSE
  • Work carried out from outside the confined space
  • Other
  • No 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.

  

• Conveyor belt use

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely. Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute) Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped. Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. Photoelectric light beams, laser scanners and foot pressure mats are examples of these safety guards. They rely on sensitive trip mechanisms and the machine being able to stop quickly. Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work. Admin - Training, information and instruction to workers who use the plant. Admin - Supervision Admin - Consultation with workers on the plant and work processes being used. Admin - Signage to warn people of a hazard (i.e. a pinch point) Personal protective equipment (i.e. gloves) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely.
  • Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute)
  • Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped.
  • Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator
  • Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. Photoelectric light beams, laser scanners and foot pressure mats are examples of these safety guards. They rely on sensitive trip mechanisms and the machine being able to stop quickly.
  • Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use
  • Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work.
  • Admin - Training, information and instruction to workers who use the plant.
  • Admin - Supervision
  • Admin - Consultation with workers on the plant and work processes being used.
  • Admin - Signage to warn people of a hazard (i.e. a pinch point)
  • Personal protective equipment (i.e. gloves)
  • Other
  • No 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.

  

• Electricity or electrical shock hazards

• Select the controls in place:

  Select See attached photographic evidence Lock out / Tag Out Process Safety Switches Testing and Tagging completed regularly Visual inspection of cords and electrical equipment. Other No controls in place

  • See attached photographic evidence
  • Lock out / Tag Out Process
  • Safety Switches
  • Testing and Tagging completed regularly
  • Visual inspection of cords and electrical equipment.
  • Other
  • No 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.

  

• Falling objects

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au Iso - Designated walkways Iso - Barricading Eng - Speed restricted plant Admin - communication between work group Admin - Risk and controls covered during induction Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC) Admin - Mobile plant licensing & training Admin - Training - load restraint / packing Admin - Supervision Admin - Safe work procedures / JSA / SOP / SWMS Admin - Traffic management plan (including speed limit signage) PPE - Drop nets PPE - Hard hat Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au
  • Iso - Designated walkways
  • Iso - Barricading
  • Eng - Speed restricted plant
  • Admin - communication between work group
  • Admin - Risk and controls covered during induction
  • Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC)
  • Admin - Mobile plant licensing & training
  • Admin - Training - load restraint / packing
  • Admin - Supervision
  • Admin - Safe work procedures / JSA / SOP / SWMS
  • Admin - Traffic management plan (including speed limit signage)
  • PPE - Drop nets
  • PPE - Hard hat
  • Other
  • No 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.

  

• Fast pace

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adequate training on how to conduct work with plant / equipment driving pace Alternative work is available during low work activity Documented procedure / work instruction Job rotation More workers are scheduled during peak times Plant / machinery speed has been reduced to an acceptable level Regular breaks Short time exposure Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adequate training on how to conduct work with plant / equipment driving pace
  • Alternative work is available during low work activity
  • Documented procedure / work instruction
  • Job rotation
  • More workers are scheduled during peak times
  • Plant / machinery speed has been reduced to an acceptable level
  • Regular breaks
  • Short time exposure
  • Other
  • No 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.

  

• Fatigue

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Certain amount of hours break required between shifts Covered during induction Documented fatigue management procedure Fatigue awareness/management training Fatigue toolbox talk Informal arrangement where worker starts later the next day / has time off Supervisor / team members look out for signs of fatigue in colleagues Supervisor actively encourages workers to speak up if feeling fatigued Time off in lieu (TOIL) process (formalised) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Certain amount of hours break required between shifts
  • Covered during induction
  • Documented fatigue management procedure
  • Fatigue awareness/management training
  • Fatigue toolbox talk
  • Informal arrangement where worker starts later the next day / has time off
  • Supervisor / team members look out for signs of fatigue in colleagues
  • Supervisor actively encourages workers to speak up if feeling fatigued
  • Time off in lieu (TOIL) process (formalised)
  • Other
  • No 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.

  

• Hazardous manual tasks (i.e. computer work)

• Select how the hazard could occur:

  Select Please see attached photo of risk assessment / standard operating procedure or hazards Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover. Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use) Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind) Handling animals Handling people High job demands Inadequate workplace training Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare) Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments) Increased work pace to meet deadline / time constraints Limited resources and guidance available (i.e. PPE or equipment) Limited staff numbers Load is difficult to grip because of unsuitable handles, handholds or surface textures Maintaining an awkward posture while carrying a load for a sustained period of time Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported) Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns) Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design) Organisation of work (poorly scheduled / arranged) Poor housekeeping (i.e. obstructions in walkway, cleaning practices) Poorly designed mobile plant (i.e. operator controls, seating, etc) Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull) Shift arrangements / fatigue Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel) The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine) Unstable or unwieldy loads which may create sudden or high muscle force Using unsuitable tools for the task Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used) Worker lacking skill or experience for job task Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift) Workers unable to influence routines/organisation of work, workload / pace, work methods, etc. Working in a hot, cold or humid environment Other

  • Please see attached photo of risk assessment / standard operating procedure or hazards
  • Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover.
  • Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use)
  • Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind)
  • Handling animals
  • Handling people
  • High job demands
  • Inadequate workplace training
  • Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare)
  • Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments)
  • Increased work pace to meet deadline / time constraints
  • Limited resources and guidance available (i.e. PPE or equipment)
  • Limited staff numbers
  • Load is difficult to grip because of unsuitable handles, handholds or surface textures
  • Maintaining an awkward posture while carrying a load for a sustained period of time
  • Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported)
  • Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns)
  • Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design)
  • Organisation of work (poorly scheduled / arranged)
  • Poor housekeeping (i.e. obstructions in walkway, cleaning practices)
  • Poorly designed mobile plant (i.e. operator controls, seating, etc)
  • Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull)
  • Shift arrangements / fatigue
  • Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel)
  • The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine)
  • Unstable or unwieldy loads which may create sudden or high muscle force
  • Using unsuitable tools for the task
  • Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used)
  • Worker lacking skill or experience for job task
  • Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift)
  • Workers unable to influence routines/organisation of work, workload / pace, work methods, etc.
  • Working in a hot, cold or humid environment
  • Other

• Please describe:

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adjustable height desk / standing desk Adjustable seating Changed the work process so that loads do not have to be lifted or moved by hand Covered during induction Footrest Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks Mechanical aid (i.e. trolley) Multiple person lift Pre-employment medical Safe work procedure / SOP / JSA / SWMS Signage / Label Smaller containers to reduce the weight of the load Supervision Toolbox talk Tools with comfortable none slip handles Training in safe manual handling techniques Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adjustable height desk / standing desk
  • Adjustable seating
  • Changed the work process so that loads do not have to be lifted or moved by hand
  • Covered during induction
  • Footrest
  • Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks
  • Mechanical aid (i.e. trolley)
  • Multiple person lift
  • Pre-employment medical
  • Safe work procedure / SOP / JSA / SWMS
  • Signage / Label
  • Smaller containers to reduce the weight of the load
  • Supervision
  • Toolbox talk
  • Tools with comfortable none slip handles
  • Training in safe manual handling techniques
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Air-conditioned work area Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed Cool shaded or air-conditioned area to take break when required at or near work location Cooling neck / wrist bands Covered during induction Documented heat/cold stress procedure Heavy or strenuous work is scheduled for cooler times of the day or year Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace) Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor Light breathable clothing Local exhaust ventilation used to remove heated air or steam No lone work, one or more workers to look out for heat/cold stress signs Plant is allowed to cool down prior to use Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie) Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes Regular breaks / work-rest schedules Rotate tasks Safe work procedures / JSA / SWMS / SOPs Shaded areas or able to erect shade to work under Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc) Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days) Use of automated equipment or processes to access hot locations. Use of plant or other equipment to reduce manual labour. Warning signs for hot / cold equipment, plant or areas Water available at work location Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories) Wide brim hat Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders Workers are encouraged to pace themselves and manage work schedule. Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents). Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Air-conditioned work area
  • Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed
  • Cool shaded or air-conditioned area to take break when required at or near work location
  • Cooling neck / wrist bands
  • Covered during induction
  • Documented heat/cold stress procedure
  • Heavy or strenuous work is scheduled for cooler times of the day or year
  • Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace)
  • Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor
  • Light breathable clothing
  • Local exhaust ventilation used to remove heated air or steam
  • No lone work, one or more workers to look out for heat/cold stress signs
  • Plant is allowed to cool down prior to use
  • Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie)
  • Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes
  • Regular breaks / work-rest schedules
  • Rotate tasks
  • Safe work procedures / JSA / SWMS / SOPs
  • Shaded areas or able to erect shade to work under
  • Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion
  • Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc)
  • Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days)
  • Use of automated equipment or processes to access hot locations.
  • Use of plant or other equipment to reduce manual labour.
  • Warning signs for hot / cold equipment, plant or areas
  • Water available at work location
  • Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories)
  • Wide brim hat
  • Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders
  • Workers are encouraged to pace themselves and manage work schedule.
  • Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents).
  • Other
  • No 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.

  

• 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:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Cease work directive if area gets too loud Hearing protection Induction - risks and locations of loud areas discussed during induction Job / Task Rotation Noise maps Open air area PPE / Warning Signage Pre-employment medical hearing check Regular hearing tests Request no / little talking / noise whilst conducting task SOPs / JSAs / Risk Assessments Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Cease work directive if area gets too loud
  • Hearing protection
  • Induction - risks and locations of loud areas discussed during induction
  • Job / Task Rotation
  • Noise maps
  • Open air area
  • PPE / Warning Signage
  • Pre-employment medical hearing check
  • Regular hearing tests
  • Request no / little talking / noise whilst conducting task
  • SOPs / JSAs / Risk Assessments
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps) Covered during induction Covered during job task training Noticeboard alerts Permit to work system / work approval process / simultaneous operations procedure Safe work procedures / JSA / SWMS Supervisor communicates key works that could impact that worker Toolbox / Prestart meeting with a representative for each work / all workers each morning Other No communication strategies in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps)
  • Covered during induction
  • Covered during job task training
  • Noticeboard alerts
  • Permit to work system / work approval process / simultaneous operations procedure
  • Safe work procedures / JSA / SWMS
  • Supervisor communicates key works that could impact that worker
  • Toolbox / Prestart meeting with a representative for each work / all workers each morning
  • Other
  • No communication strategies in place

• Other controls in place are:

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

  

• On or near water

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Barricading / no exposed edges Fall protection Flat / calm bodies of water (i.e. dam, etc) Life jackets Safe operating procedures / SWMS / JSA, etc Supervision Training and instruction Travel at slow speed Warning label / signage Water rescue devices (i.e. lifesaver) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Barricading / no exposed edges
  • Fall protection
  • Flat / calm bodies of water (i.e. dam, etc)
  • Life jackets
  • Safe operating procedures / SWMS / JSA, etc
  • Supervision
  • Training and instruction
  • Travel at slow speed
  • Warning label / signage
  • Water rescue devices (i.e. lifesaver)
  • Other
  • No controls in place

• Other controls in place are:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Any issues are escalated to manager/supervisor Bullying and or harassment policy / procedure Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage) Covered during induction EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour Easy route to retreat to a safe place provided Emergency communication system (i.e. Duress alarm, mobile phone) Emergency plan / procedure discusses personal security process Glass / Physical barrier between worker and general public Lock down procedures and system Never works alone or in isolated situations Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal) Safe work procedures / JSAs / Risk Assessment discusses and controls risk Secure area accessible only via swipe card / key, etc Security Guard Surveillance systems in place (i.e. CCTV) Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity Training to manage or resolve potential conflicts / having difficult conversations, etc Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace Width and or height of desk / work area creates safe distance between worker and general public Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Any issues are escalated to manager/supervisor
  • Bullying and or harassment policy / procedure
  • Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage)
  • Covered during induction
  • EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour
  • Easy route to retreat to a safe place provided
  • Emergency communication system (i.e. Duress alarm, mobile phone)
  • Emergency plan / procedure discusses personal security process
  • Glass / Physical barrier between worker and general public
  • Lock down procedures and system
  • Never works alone or in isolated situations
  • Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying
  • Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal)
  • Safe work procedures / JSAs / Risk Assessment discusses and controls risk
  • Secure area accessible only via swipe card / key, etc
  • Security Guard
  • Surveillance systems in place (i.e. CCTV)
  • Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity
  • Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity
  • Training to manage or resolve potential conflicts / having difficult conversations, etc
  • Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace
  • Width and or height of desk / work area creates safe distance between worker and general public
  • Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass
  • Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places)
  • Other
  • No 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.

  

• Pinch points

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Induction and Training Supervision Toolbox Talk /WHS Notice / Safety Alert Warning Signage / colouring Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Induction and Training
  • Supervision
  • Toolbox Talk /WHS Notice / Safety Alert
  • Warning Signage / colouring
  • Other
  • No 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.

  

• Poor lighting / glare

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Able to change the position of existing lighting Able to change the type/colour of lighting used Able to increase or decrease number of lights as required Additional lighting is available as required Computer screen cover with light diffusing surface to avoid glare Computer screen has been tilted so the reflection is directed below eye level Covered during induction / onboarding training Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes) No barriers (i.e. overhead shelving) to light falling on work area. Notices / Safety Alerts / Toolbox talks PPE - Tinted safety glasses / sunglasses PPE - Wide brim hat / hard hat visor Safe work procedure / risk assessment / JSA / SWMS Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source Short term exposure / Job Rotation Suitable workplace design with adequate lighting / protection from glare Sun visor (vehicle) Tinted windows Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Able to change the position of existing lighting
  • Able to change the type/colour of lighting used
  • Able to increase or decrease number of lights as required
  • Additional lighting is available as required
  • Computer screen cover with light diffusing surface to avoid glare
  • Computer screen has been tilted so the reflection is directed below eye level
  • Covered during induction / onboarding training
  • Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights
  • Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes)
  • No barriers (i.e. overhead shelving) to light falling on work area.
  • Notices / Safety Alerts / Toolbox talks
  • PPE - Tinted safety glasses / sunglasses
  • PPE - Wide brim hat / hard hat visor
  • Safe work procedure / risk assessment / JSA / SWMS
  • Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source
  • Short term exposure / Job Rotation
  • Suitable workplace design with adequate lighting / protection from glare
  • Sun visor (vehicle)
  • Tinted windows
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Call in procedure / buddy system Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event) Journey Management Plan Meetings held in public places Mobile phone Radio (UHF) Risks covered during induction Safe work procedure / JSA / Risk Assessment Satellite phone Table or item between worker and general public / client Vehicle GPS Tracking Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Call in procedure / buddy system
  • Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event)
  • Journey Management Plan
  • Meetings held in public places
  • Mobile phone
  • Radio (UHF)
  • Risks covered during induction
  • Safe work procedure / JSA / Risk Assessment
  • Satellite phone
  • Table or item between worker and general public / client
  • Vehicle GPS Tracking
  • Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Adequate cleaning process / procedure for cleaning PPE and/or RPE Covered during induction Cutting sequences are modified to reduce amount of exposure Exclusion zones Good housekeeping - regular cleaning to avoid build up of contaminants in areas Health monitoring / surveillance Job or shift rotation Local exhaust system or dust collection attachment suitable to the job task (i.e. equipment mounted exhausts, exhaust in work area that does not allow for contaminants to enter breathing zone, etc) Non-toxic chemicals used Pre-employment medical Respiratory Protective Equipment appropriate to the job tasks (i.e. Half-face respirator with P2 cartridge / dust mask / Oxygen-fed respirator, etc, ) Safe work procedures / JSAs / SWMS / SOPs Short exposure Signage Toolbox talk Training / Licence / Ticket Using enclosures / shields / barriers around areas where airborne contaminants are generated. Water suppression (i.e. wet cutting, water truck used to we roads) Work clothing that does not collect dust Worker does not conduct tasks that produce airborne contaminates, only works in vicinity on occasion Worker has been fit tested for tight-fitting respirators within the last 12 months Working in open area with sufficient airflow Workplace design - designated areas for tasks that generate dust and appropriate worker positioning during these tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Adequate cleaning process / procedure for cleaning PPE and/or RPE
  • Covered during induction
  • Cutting sequences are modified to reduce amount of exposure
  • Exclusion zones
  • Good housekeeping - regular cleaning to avoid build up of contaminants in areas
  • Health monitoring / surveillance
  • Job or shift rotation
  • Local exhaust system or dust collection attachment suitable to the job task (i.e. equipment mounted exhausts, exhaust in work area that does not allow for contaminants to enter breathing zone, etc)
  • Non-toxic chemicals used
  • Pre-employment medical
  • Respiratory Protective Equipment appropriate to the job tasks (i.e. Half-face respirator with P2 cartridge / dust mask / Oxygen-fed respirator, etc, )
  • Safe work procedures / JSAs / SWMS / SOPs
  • Short exposure
  • Signage
  • Toolbox talk
  • Training / Licence / Ticket
  • Using enclosures / shields / barriers around areas where airborne contaminants are generated.
  • Water suppression (i.e. wet cutting, water truck used to we roads)
  • Work clothing that does not collect dust
  • Worker does not conduct tasks that produce airborne contaminates, only works in vicinity on occasion
  • Worker has been fit tested for tight-fitting respirators within the last 12 months
  • Working in open area with sufficient airflow
  • Workplace design - designated areas for tasks that generate dust and appropriate worker positioning during these tasks.
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones Iso - Barricading and railings Eng - Non-slip coating to increase slip resistance applied to floors Admin - Floor surfaces are even Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways Admin - Signage used for wet or slippery areas Admin - Warning signage Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding Admin - Adequate lighting throughout workplace Admin - Covered during induction Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied) Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills) Admin - Leaks from plant and equipment are stopped/fixed Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up) Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced) Admin - Safe work procedure / JSA / SWMS Admin - Supervision / no lone work Admin - Training and instruction Admin - Working at heights rescue plan Admin - Toolbox talk / Notices / Safety Alerts PPE - Fall protection safety devices PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones
  • Iso - Barricading and railings
  • Eng - Non-slip coating to increase slip resistance applied to floors
  • Admin - Floor surfaces are even
  • Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways
  • Admin - Signage used for wet or slippery areas
  • Admin - Warning signage
  • Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding
  • Admin - Adequate lighting throughout workplace
  • Admin - Covered during induction
  • Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied)
  • Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills)
  • Admin - Leaks from plant and equipment are stopped/fixed
  • Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up)
  • Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced)
  • Admin - Safe work procedure / JSA / SWMS
  • Admin - Supervision / no lone work
  • Admin - Training and instruction
  • Admin - Working at heights rescue plan
  • Admin - Toolbox talk / Notices / Safety Alerts
  • PPE - Fall protection safety devices
  • PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels)
  • Other
  • No 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.

  

• With or near animals / exposed to bites or stings.

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Appropriate PPE to be worn (i.e. gloves, long sleeved shirts, boots, long pants) Exclusion Zones / Barricading / Cages Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria) Good hygiene practices (i.e washing hands technique and frequency, clean clothing, etc) Induction and training Safe work procedures / SWMS / JSA, etc Signage Toolbox Talks Vacinations Worker not expected to have direct contact with hazard during usual work tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Appropriate PPE to be worn (i.e. gloves, long sleeved shirts, boots, long pants)
  • Exclusion Zones / Barricading / Cages
  • Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria)
  • Good hygiene practices (i.e washing hands technique and frequency, clean clothing, etc)
  • Induction and training
  • Safe work procedures / SWMS / JSA, etc
  • Signage
  • Toolbox Talks
  • Vacinations
  • Worker not expected to have direct contact with hazard during usual work tasks.
  • Other
  • No controls in place

• Please describe:

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

  

• Working at Heights

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones Iso - Barricading and railings Eng - Non-slip coating to increase slip resistance applied to floors Admin - Floor surfaces are even Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways Admin - Signage used for wet or slippery areas Admin - Warning signage Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding Admin - Adequate lighting throughout workplace Admin - Covered during induction Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied) Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills) Admin - Leaks from plant and equipment are stopped/fixed Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up) Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced) Admin - Safe work procedure / JSA / SWMS Admin - Supervision / no lone work Admin - Training and instruction Admin - Working at heights rescue plan Admin - Toolbox talk / Notices / Safety Alerts PPE - Fall protection safety devices PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones
  • Iso - Barricading and railings
  • Eng - Non-slip coating to increase slip resistance applied to floors
  • Admin - Floor surfaces are even
  • Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways
  • Admin - Signage used for wet or slippery areas
  • Admin - Warning signage
  • Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding
  • Admin - Adequate lighting throughout workplace
  • Admin - Covered during induction
  • Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied)
  • Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills)
  • Admin - Leaks from plant and equipment are stopped/fixed
  • Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up)
  • Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced)
  • Admin - Safe work procedure / JSA / SWMS
  • Admin - Supervision / no lone work
  • Admin - Training and instruction
  • Admin - Working at heights rescue plan
  • Admin - Toolbox talk / Notices / Safety Alerts
  • PPE - Fall protection safety devices
  • PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels)
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Adequate supervision Continuous beeping when in use Designated walkways Flashing lights on mobile plant / vehicles Mirrors for blind spots / corners (on plant / wall mounted) PPE such as hard hats and hi vis safety vests are to be worn at all times Restricted access to areas with mobile plant / vehicles Risk and controls explained during induction Safe work procedures / JSA / SOP Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery Short exposure / rotating tasks Signage Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner) Sounds or flashing lights on wall/door when plant or vehicles are operating in the area Speed limits Toolbox talk Traffic management plan Training / mobile plant license Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use) Walkie talkies / headsets / communication device to communicate with operator Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Adequate supervision
  • Continuous beeping when in use
  • Designated walkways
  • Flashing lights on mobile plant / vehicles
  • Mirrors for blind spots / corners (on plant / wall mounted)
  • PPE such as hard hats and hi vis safety vests are to be worn at all times
  • Restricted access to areas with mobile plant / vehicles
  • Risk and controls explained during induction
  • Safe work procedures / JSA / SOP
  • Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery
  • Short exposure / rotating tasks
  • Signage
  • Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner)
  • Sounds or flashing lights on wall/door when plant or vehicles are operating in the area
  • Speed limits
  • Toolbox talk
  • Traffic management plan
  • Training / mobile plant license
  • Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use)
  • Walkie talkies / headsets / communication device to communicate with operator
  • Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc)
  • Other
  • No controls in place

• Please describe:

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

  

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

• Please describe how the hazard may occur:

• What controls are in place?

• Please describe work activity:

• 3.3 Summary of job tasks:

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

  Select General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc) Specialised office equipment (i.e. Drill punch, laminator, guillotine, document binder) Hand tools Powered / electric hand tools Machinery (i.e. lathes, manufacturing equipment, robotic arms, etc). Mobile plant (i.e. Forklift, excavator, elevated work platform, etc) Motor vehicle for business purposes (this does not include commuting to/from work) Other Not Applicable

  • General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc)
  • Specialised office equipment (i.e. Drill punch, laminator, guillotine, document binder)
  • Hand tools
  • Powered / electric hand tools
  • Machinery (i.e. lathes, manufacturing equipment, robotic arms, etc).
  • Mobile plant (i.e. Forklift, excavator, elevated work platform, etc)
  • Motor vehicle for business purposes (this does not include commuting to/from work)
  • Other
  • Not Applicable

• Please describe:

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

• 3.4.2 Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely. Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute) Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped. Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. (i.e. Photoelectric light beams, laser scanners and foot pressure mats, etc) Eng - Captive key system Eng - Critical safety systems/ high integrity fail-safe control, etc Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work. Admin - Training, information and instruction to workers who use the plant. Admin - Supervision Admin - Work Group / Spotter / Work Colleague Admin - Consultation with workers on the plant and work processes being used. Admin - Signage to warn people of a hazard (i.e. a pinch point) PPE - Hearing protection PPE - Protective clothing (i.e. 100% cotton, high vis) PPE - Respirator (half face, full, dust mask) PPE - Gloves PPE - Safety Glasses / Eye protection Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely.
  • Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute)
  • Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped.
  • Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator
  • Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. (i.e. Photoelectric light beams, laser scanners and foot pressure mats, etc)
  • Eng - Captive key system
  • Eng - Critical safety systems/ high integrity fail-safe control, etc
  • Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use
  • Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work.
  • Admin - Training, information and instruction to workers who use the plant.
  • Admin - Supervision
  • Admin - Work Group / Spotter / Work Colleague
  • Admin - Consultation with workers on the plant and work processes being used.
  • Admin - Signage to warn people of a hazard (i.e. a pinch point)
  • PPE - Hearing protection
  • PPE - Protective clothing (i.e. 100% cotton, high vis)
  • PPE - Respirator (half face, full, dust mask)
  • PPE - Gloves
  • PPE - Safety Glasses / Eye protection
  • Other
  • No 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.

  

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

• 3.4.2 List any controls in place to avoid injury (i.e. Warning label on hot areas, written work instruction, etc):

• Select the controls in place for motor vehicle use:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Additional lights mounted for fog or low light conditions Air-conditioned vehicle Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances. Driver behaviour consequence matrix / discipline procedure Driver training Drivers licence is checked as part of induction process Emergency response procedure / JSA for driving Expectations of driving behaviour communicated (i.e. during induction or prior to driving) Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded) GPS Tracking In vehicle monitoring system (IVMS) / duress button or system that alerts of injury Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day) Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts. Kilometers driven are monitored Leased vehicles (maintenance and repairs are tracked and managed externally) Minimum licence requirements (e.g.2nd year of P Plates) Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar Motor vehicle maintenance schedule New vehicles (less than 1 year) No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night) No lone driving Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence Regular vehicle inspections Satellite phone Sun glasses to reduce glare and avoid objects from entering eye Sun visor to reduce glare Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy Vehicle specifications defined, including minimum safety standards required Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Additional lights mounted for fog or low light conditions
  • Air-conditioned vehicle
  • Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc
  • Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic
  • Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time
  • Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances.
  • Driver behaviour consequence matrix / discipline procedure
  • Driver training
  • Drivers licence is checked as part of induction process
  • Emergency response procedure / JSA for driving
  • Expectations of driving behaviour communicated (i.e. during induction or prior to driving)
  • Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded)
  • GPS Tracking
  • In vehicle monitoring system (IVMS) / duress button or system that alerts of injury
  • Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day)
  • Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather
  • Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts.
  • Kilometers driven are monitored
  • Leased vehicles (maintenance and repairs are tracked and managed externally)
  • Minimum licence requirements (e.g.2nd year of P Plates)
  • Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar
  • Motor vehicle maintenance schedule
  • New vehicles (less than 1 year)
  • No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night)
  • No lone driving
  • Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence
  • Regular vehicle inspections
  • Satellite phone
  • Sun glasses to reduce glare and avoid objects from entering eye
  • Sun visor to reduce glare
  • Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy
  • Vehicle specifications defined, including minimum safety standards required
  • Other
  • No 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.

  

• 3.5 Substances, chemicals and materials to be used:

  Select Hazardous chemicals are present on site, however worker will not use as part of usual tasks. Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc) Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement) Other hazardous chemicals / substances (i.e. fuel, oil, acid, pressurised gas, etc) Not Applicable

  • Hazardous chemicals are present on site, however worker will not use as part of usual tasks.
  • Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc)
  • Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement)
  • Other hazardous chemicals / substances (i.e. fuel, oil, acid, pressurised gas, etc)
  • Not Applicable

• Attach photos above of:
  1. The substances / chemicals or materials present in their storage area; and
  2. Any spill containment kits
  3. Safety Data Sheet location

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Controlling ignition sources and accumulation of flammable and combustible substances Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs Decommissioning of underground storage and handling systems Ensuring that exposure standards are not exceeded Health monitoring for workers Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment Provision of information, training, instruction and supervision to workers Provision of spill containment system for hazardous chemicals if necessary Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Controlling ignition sources and accumulation of flammable and combustible substances
  • Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure
  • Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs
  • Decommissioning of underground storage and handling systems
  • Ensuring that exposure standards are not exceeded
  • Health monitoring for workers
  • Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals
  • Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required
  • Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances
  • Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical
  • Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical
  • Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments
  • Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment
  • Provision of information, training, instruction and supervision to workers
  • Provision of spill containment system for hazardous chemicals if necessary
  • Other
  • No 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.

  

• 3.6 Work Arrangements:

  Select Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays Shift work - 38-40 hours per week, irregular or rotating start/end times Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift Casual - up to 38 hours per week, irregular start/end times Part-time - up to 4 days per week, regular start/end times between 6am-6pm Overtime required occasionally (once a month or less) Overtime required regularly (at least once a fortnight) Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying) On-call Fly-in Fly-out (FIFO) Other

  • Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times
  • Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times
  • 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays
  • Shift work - 38-40 hours per week, irregular or rotating start/end times
  • Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift
  • Casual - up to 38 hours per week, irregular start/end times
  • Part-time - up to 4 days per week, regular start/end times between 6am-6pm
  • Overtime required occasionally (once a month or less)
  • Overtime required regularly (at least once a fortnight)
  • Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying)
  • On-call
  • Fly-in Fly-out (FIFO)
  • Other

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

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

• 3.9 Level of supervision to be provided:

  Select Continuous Frequent (hourly) Occasional (every few hours) Minimal (daily) None

  • Continuous
  • Frequent (hourly)
  • Occasional (every few hours)
  • Minimal (daily)
  • None

• 3.10 Training provided by your organisation before commencing work:

  Select External formalised training (Apprenticeship / Traineeship) Formal Qualification / License (e.g. First Aid, Forklift Ticket) Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls. Initial task supervision Ongoing supervision On-the-job / task-specific / informal internal training Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot) Task-specific training for new/additional tasks Other Not Applicable No Training / Instruction Provided

  • External formalised training (Apprenticeship / Traineeship)
  • Formal Qualification / License (e.g. First Aid, Forklift Ticket)
  • Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls.
  • Initial task supervision
  • Ongoing supervision
  • On-the-job / task-specific / informal internal training
  • Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions
  • Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot)
  • Task-specific training for new/additional tasks
  • Other
  • Not Applicable
  • No Training / Instruction Provided

• 3.10.1 Provide evidence of all applicable safe work procedures:

  Select Photographic evidence attached A copy will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not available at this time Not Applicable

  • Photographic evidence attached
  • A copy will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not available at this time
  • Not Applicable

• 3.11 If personal protective equipment is required, who will provide it?

  Select Maxima Host employer (your organisation) Worker A combination of Maxima and Host Employer as stipulated in the terms of business Not Applicable, no personal protective equipment is required

  • Maxima
  • Host employer (your organisation)
  • Worker
  • A combination of Maxima and Host Employer as stipulated in the terms of business
  • Not Applicable, no personal protective equipment is required

• Please describe who will provide what:

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

  Select 2+ Years in similar role or industry ASIC Driver's Licence First Aid Police Check Trade qualification in field White Card Other Not Applicable

  • 2+ Years in similar role or industry
  • ASIC
  • Driver's Licence
  • First Aid
  • Police Check
  • Trade qualification in field
  • White Card
  • Other
  • Not Applicable

• Please describe:

• 3.13 Will your organisation arrange and or provide pre-employment screening, functional capacity or health monitoring? (i.e. pre–employment medical, hearing tests, drug & alcohol testing)

  Yes

  No

  N/A

• 3.13.1 Please describe what screening or monitoring will be provided by your organisation for Maxima worker/s:

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

• Please describe:

• 3.13.1 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.

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

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:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc) Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage) Exclusion Zones / Barricading Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria) Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc) Mechanical aid to pick up needles / waste, etc Regular water testing and analysis by certified tester Risks communicated during induction Sharps container Signage Toolbox Talks Training Worker not expected to have direct contact with hazard during usual work tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc)
  • Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage)
  • Exclusion Zones / Barricading
  • Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria)
  • Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc)
  • Mechanical aid to pick up needles / waste, etc
  • Regular water testing and analysis by certified tester
  • Risks communicated during induction
  • Sharps container
  • Signage
  • Toolbox Talks
  • Training
  • Worker not expected to have direct contact with hazard during usual work tasks.
  • Other
  • No 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.

  

• Confined Spaces

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space. Atmospheric monitoring device (i.e. personal gas monitor) Clear entry / exit Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS. Confined space is purged or ventilated prior to entry Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated. Continuous communication with worker from outside of the space Emergency procedures, including rescue that have been practiced as necessary Exclusion zone / barricading Monitoring of atmospheric conditions by spotter outside No ignition sources in or within the vicinity of the confined space Safe Work Procedure / SWMS Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit Training in CSE Work carried out from outside the confined space Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space.
  • Atmospheric monitoring device (i.e. personal gas monitor)
  • Clear entry / exit
  • Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS.
  • Confined space is purged or ventilated prior to entry
  • Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated.
  • Continuous communication with worker from outside of the space
  • Emergency procedures, including rescue that have been practiced as necessary
  • Exclusion zone / barricading
  • Monitoring of atmospheric conditions by spotter outside
  • No ignition sources in or within the vicinity of the confined space
  • Safe Work Procedure / SWMS
  • Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit
  • Training in CSE
  • Work carried out from outside the confined space
  • Other
  • No 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.

  

• Conveyor belt use

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely. Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute) Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped. Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. Photoelectric light beams, laser scanners and foot pressure mats are examples of these safety guards. They rely on sensitive trip mechanisms and the machine being able to stop quickly. Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work. Admin - Training, information and instruction to workers who use the plant. Admin - Supervision Admin - Consultation with workers on the plant and work processes being used. Admin - Signage to warn people of a hazard (i.e. a pinch point) Personal protective equipment (i.e. gloves) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely.
  • Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute)
  • Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped.
  • Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator
  • Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. Photoelectric light beams, laser scanners and foot pressure mats are examples of these safety guards. They rely on sensitive trip mechanisms and the machine being able to stop quickly.
  • Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use
  • Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work.
  • Admin - Training, information and instruction to workers who use the plant.
  • Admin - Supervision
  • Admin - Consultation with workers on the plant and work processes being used.
  • Admin - Signage to warn people of a hazard (i.e. a pinch point)
  • Personal protective equipment (i.e. gloves)
  • Other
  • No 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.

  

• Electricity or electrical shock hazards

• Select the controls in place:

  Select See attached photographic evidence Lock out / Tag Out Process Safety Switches Testing and Tagging completed regularly Visual inspection of cords and electrical equipment. Other No controls in place

  • See attached photographic evidence
  • Lock out / Tag Out Process
  • Safety Switches
  • Testing and Tagging completed regularly
  • Visual inspection of cords and electrical equipment.
  • Other
  • No 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.

  

• Falling objects

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au Iso - Designated walkways Iso - Barricading Eng - Speed restricted plant Admin - communication between work group Admin - Risk and controls covered during induction Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC) Admin - Mobile plant licensing & training Admin - Training - load restraint / packing Admin - Supervision Admin - Safe work procedures / JSA / SOP / SWMS Admin - Traffic management plan (including speed limit signage) PPE - Drop nets PPE - Hard hat Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au
  • Iso - Designated walkways
  • Iso - Barricading
  • Eng - Speed restricted plant
  • Admin - communication between work group
  • Admin - Risk and controls covered during induction
  • Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC)
  • Admin - Mobile plant licensing & training
  • Admin - Training - load restraint / packing
  • Admin - Supervision
  • Admin - Safe work procedures / JSA / SOP / SWMS
  • Admin - Traffic management plan (including speed limit signage)
  • PPE - Drop nets
  • PPE - Hard hat
  • Other
  • No 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.

  

• Fast pace

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adequate training on how to conduct work with plant / equipment driving pace Alternative work is available during low work activity Documented procedure / work instruction Job rotation More workers are scheduled during peak times Plant / machinery speed has been reduced to an acceptable level Regular breaks Short time exposure Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adequate training on how to conduct work with plant / equipment driving pace
  • Alternative work is available during low work activity
  • Documented procedure / work instruction
  • Job rotation
  • More workers are scheduled during peak times
  • Plant / machinery speed has been reduced to an acceptable level
  • Regular breaks
  • Short time exposure
  • Other
  • No 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.

  

• Fatigue

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Certain amount of hours break required between shifts Covered during induction Documented fatigue management procedure Fatigue awareness/management training Fatigue toolbox talk Informal arrangement where worker starts later the next day / has time off Supervisor / team members look out for signs of fatigue in colleagues Supervisor actively encourages workers to speak up if feeling fatigued Time off in lieu (TOIL) process (formalised) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Certain amount of hours break required between shifts
  • Covered during induction
  • Documented fatigue management procedure
  • Fatigue awareness/management training
  • Fatigue toolbox talk
  • Informal arrangement where worker starts later the next day / has time off
  • Supervisor / team members look out for signs of fatigue in colleagues
  • Supervisor actively encourages workers to speak up if feeling fatigued
  • Time off in lieu (TOIL) process (formalised)
  • Other
  • No 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.

  

• Hazardous manual tasks (i.e. computer work)

• Select how the hazard could occur:

  Select Please see attached photo of risk assessment / standard operating procedure or hazards Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover. Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use) Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind) Handling animals Handling people High job demands Inadequate workplace training Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare) Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments) Increased work pace to meet deadline / time constraints Limited resources and guidance available (i.e. PPE or equipment) Limited staff numbers Load is difficult to grip because of unsuitable handles, handholds or surface textures Maintaining an awkward posture while carrying a load for a sustained period of time Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported) Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns) Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design) Organisation of work (poorly scheduled / arranged) Poor housekeeping (i.e. obstructions in walkway, cleaning practices) Poorly designed mobile plant (i.e. operator controls, seating, etc) Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull) Shift arrangements / fatigue Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel) The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine) Unstable or unwieldy loads which may create sudden or high muscle force Using unsuitable tools for the task Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used) Worker lacking skill or experience for job task Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift) Workers unable to influence routines/organisation of work, workload / pace, work methods, etc. Working in a hot, cold or humid environment Other

  • Please see attached photo of risk assessment / standard operating procedure or hazards
  • Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover.
  • Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use)
  • Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind)
  • Handling animals
  • Handling people
  • High job demands
  • Inadequate workplace training
  • Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare)
  • Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments)
  • Increased work pace to meet deadline / time constraints
  • Limited resources and guidance available (i.e. PPE or equipment)
  • Limited staff numbers
  • Load is difficult to grip because of unsuitable handles, handholds or surface textures
  • Maintaining an awkward posture while carrying a load for a sustained period of time
  • Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported)
  • Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns)
  • Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design)
  • Organisation of work (poorly scheduled / arranged)
  • Poor housekeeping (i.e. obstructions in walkway, cleaning practices)
  • Poorly designed mobile plant (i.e. operator controls, seating, etc)
  • Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull)
  • Shift arrangements / fatigue
  • Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel)
  • The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine)
  • Unstable or unwieldy loads which may create sudden or high muscle force
  • Using unsuitable tools for the task
  • Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used)
  • Worker lacking skill or experience for job task
  • Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift)
  • Workers unable to influence routines/organisation of work, workload / pace, work methods, etc.
  • Working in a hot, cold or humid environment
  • Other

• Please describe:

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adjustable height desk / standing desk Adjustable seating Changed the work process so that loads do not have to be lifted or moved by hand Covered during induction Footrest Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks Mechanical aid (i.e. trolley) Multiple person lift Pre-employment medical Safe work procedure / SOP / JSA / SWMS Signage / Label Smaller containers to reduce the weight of the load Supervision Toolbox talk Tools with comfortable none slip handles Training in safe manual handling techniques Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adjustable height desk / standing desk
  • Adjustable seating
  • Changed the work process so that loads do not have to be lifted or moved by hand
  • Covered during induction
  • Footrest
  • Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks
  • Mechanical aid (i.e. trolley)
  • Multiple person lift
  • Pre-employment medical
  • Safe work procedure / SOP / JSA / SWMS
  • Signage / Label
  • Smaller containers to reduce the weight of the load
  • Supervision
  • Toolbox talk
  • Tools with comfortable none slip handles
  • Training in safe manual handling techniques
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Air-conditioned work area Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed Cool shaded or air-conditioned area to take break when required at or near work location Cooling neck / wrist bands Covered during induction Documented heat/cold stress procedure Heavy or strenuous work is scheduled for cooler times of the day or year Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace) Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor Light breathable clothing Local exhaust ventilation used to remove heated air or steam No lone work, one or more workers to look out for heat/cold stress signs Plant is allowed to cool down prior to use Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie) Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes Regular breaks / work-rest schedules Rotate tasks Safe work procedures / JSA / SWMS / SOPs Shaded areas or able to erect shade to work under Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc) Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days) Use of automated equipment or processes to access hot locations. Use of plant or other equipment to reduce manual labour. Warning signs for hot / cold equipment, plant or areas Water available at work location Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories) Wide brim hat Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders Workers are encouraged to pace themselves and manage work schedule. Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents). Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Air-conditioned work area
  • Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed
  • Cool shaded or air-conditioned area to take break when required at or near work location
  • Cooling neck / wrist bands
  • Covered during induction
  • Documented heat/cold stress procedure
  • Heavy or strenuous work is scheduled for cooler times of the day or year
  • Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace)
  • Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor
  • Light breathable clothing
  • Local exhaust ventilation used to remove heated air or steam
  • No lone work, one or more workers to look out for heat/cold stress signs
  • Plant is allowed to cool down prior to use
  • Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie)
  • Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes
  • Regular breaks / work-rest schedules
  • Rotate tasks
  • Safe work procedures / JSA / SWMS / SOPs
  • Shaded areas or able to erect shade to work under
  • Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion
  • Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc)
  • Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days)
  • Use of automated equipment or processes to access hot locations.
  • Use of plant or other equipment to reduce manual labour.
  • Warning signs for hot / cold equipment, plant or areas
  • Water available at work location
  • Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories)
  • Wide brim hat
  • Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders
  • Workers are encouraged to pace themselves and manage work schedule.
  • Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents).
  • Other
  • No 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.

  

• 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:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Cease work directive if area gets too loud Hearing protection Induction - risks and locations of loud areas discussed during induction Job / Task Rotation Noise maps Open air area PPE / Warning Signage Pre-employment medical hearing check Regular hearing tests Request no / little talking / noise whilst conducting task SOPs / JSAs / Risk Assessments Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Cease work directive if area gets too loud
  • Hearing protection
  • Induction - risks and locations of loud areas discussed during induction
  • Job / Task Rotation
  • Noise maps
  • Open air area
  • PPE / Warning Signage
  • Pre-employment medical hearing check
  • Regular hearing tests
  • Request no / little talking / noise whilst conducting task
  • SOPs / JSAs / Risk Assessments
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps) Covered during induction Covered during job task training Noticeboard alerts Permit to work system / work approval process / simultaneous operations procedure Safe work procedures / JSA / SWMS Supervisor communicates key works that could impact that worker Toolbox / Prestart meeting with a representative for each work / all workers each morning Other No communication strategies in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps)
  • Covered during induction
  • Covered during job task training
  • Noticeboard alerts
  • Permit to work system / work approval process / simultaneous operations procedure
  • Safe work procedures / JSA / SWMS
  • Supervisor communicates key works that could impact that worker
  • Toolbox / Prestart meeting with a representative for each work / all workers each morning
  • Other
  • No communication strategies in place

• Other controls in place are:

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

  

• On or near water

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Barricading / no exposed edges Fall protection Flat / calm bodies of water (i.e. dam, etc) Life jackets Safe operating procedures / SWMS / JSA, etc Supervision Training and instruction Travel at slow speed Warning label / signage Water rescue devices (i.e. lifesaver) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Barricading / no exposed edges
  • Fall protection
  • Flat / calm bodies of water (i.e. dam, etc)
  • Life jackets
  • Safe operating procedures / SWMS / JSA, etc
  • Supervision
  • Training and instruction
  • Travel at slow speed
  • Warning label / signage
  • Water rescue devices (i.e. lifesaver)
  • Other
  • No controls in place

• Other controls in place are:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Any issues are escalated to manager/supervisor Bullying and or harassment policy / procedure Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage) Covered during induction EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour Easy route to retreat to a safe place provided Emergency communication system (i.e. Duress alarm, mobile phone) Emergency plan / procedure discusses personal security process Glass / Physical barrier between worker and general public Lock down procedures and system Never works alone or in isolated situations Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal) Safe work procedures / JSAs / Risk Assessment discusses and controls risk Secure area accessible only via swipe card / key, etc Security Guard Surveillance systems in place (i.e. CCTV) Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity Training to manage or resolve potential conflicts / having difficult conversations, etc Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace Width and or height of desk / work area creates safe distance between worker and general public Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Any issues are escalated to manager/supervisor
  • Bullying and or harassment policy / procedure
  • Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage)
  • Covered during induction
  • EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour
  • Easy route to retreat to a safe place provided
  • Emergency communication system (i.e. Duress alarm, mobile phone)
  • Emergency plan / procedure discusses personal security process
  • Glass / Physical barrier between worker and general public
  • Lock down procedures and system
  • Never works alone or in isolated situations
  • Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying
  • Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal)
  • Safe work procedures / JSAs / Risk Assessment discusses and controls risk
  • Secure area accessible only via swipe card / key, etc
  • Security Guard
  • Surveillance systems in place (i.e. CCTV)
  • Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity
  • Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity
  • Training to manage or resolve potential conflicts / having difficult conversations, etc
  • Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace
  • Width and or height of desk / work area creates safe distance between worker and general public
  • Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass
  • Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places)
  • Other
  • No 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.

  

• Pinch points (i.e. Safe doors, filing compactum, double hinged doors, etc)

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Induction and Training Supervision Toolbox Talk /WHS Notice / Safety Alert Warning Signage / colouring Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Induction and Training
  • Supervision
  • Toolbox Talk /WHS Notice / Safety Alert
  • Warning Signage / colouring
  • Other
  • No 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.

  

• Poor lighting / glare

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Able to change the position of existing lighting Able to change the type/colour of lighting used Able to increase or decrease number of lights as required Additional lighting is available as required Computer screen cover with light diffusing surface to avoid glare Computer screen has been tilted so the reflection is directed below eye level Covered during induction / onboarding training Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes) No barriers (i.e. overhead shelving) to light falling on work area. Notices / Safety Alerts / Toolbox talks PPE - Tinted safety glasses / sunglasses PPE - Wide brim hat / hard hat visor Safe work procedure / risk assessment / JSA / SWMS Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source Short term exposure / Job Rotation Suitable workplace design with adequate lighting / protection from glare Sun visor (vehicle) Tinted windows Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Able to change the position of existing lighting
  • Able to change the type/colour of lighting used
  • Able to increase or decrease number of lights as required
  • Additional lighting is available as required
  • Computer screen cover with light diffusing surface to avoid glare
  • Computer screen has been tilted so the reflection is directed below eye level
  • Covered during induction / onboarding training
  • Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights
  • Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes)
  • No barriers (i.e. overhead shelving) to light falling on work area.
  • Notices / Safety Alerts / Toolbox talks
  • PPE - Tinted safety glasses / sunglasses
  • PPE - Wide brim hat / hard hat visor
  • Safe work procedure / risk assessment / JSA / SWMS
  • Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source
  • Short term exposure / Job Rotation
  • Suitable workplace design with adequate lighting / protection from glare
  • Sun visor (vehicle)
  • Tinted windows
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Call in procedure / buddy system Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event) Journey Management Plan Meetings held in public places Mobile phone Radio (UHF) Risks covered during induction Safe work procedure / JSA / Risk Assessment Satellite phone Table or item between worker and general public / client Vehicle GPS Tracking Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Call in procedure / buddy system
  • Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event)
  • Journey Management Plan
  • Meetings held in public places
  • Mobile phone
  • Radio (UHF)
  • Risks covered during induction
  • Safe work procedure / JSA / Risk Assessment
  • Satellite phone
  • Table or item between worker and general public / client
  • Vehicle GPS Tracking
  • Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Adequate cleaning process / procedure for cleaning PPE and/or RPE Covered during induction Cutting sequences are modified to reduce amount of exposure Exclusion zones Good housekeeping - regular cleaning to avoid build up of contaminants in areas Health monitoring / surveillance Job or shift rotation Local exhaust system or dust collection attachment suitable to the job task (i.e. equipment mounted exhausts, exhaust in work area that does not allow for contaminants to enter breathing zone, etc) Non-toxic chemicals used Pre-employment medical Respiratory Protective Equipment appropriate to the job tasks (i.e. Half-face respirator with P2 cartridge / dust mask / Oxygen-fed respirator, etc, ) Safe work procedures / JSAs / SWMS / SOPs Short exposure Signage Toolbox talk Training / Licence / Ticket Using enclosures / shields / barriers around areas where airborne contaminants are generated. Water suppression (i.e. wet cutting, water truck used to we roads) Work clothing that does not collect dust Worker does not conduct tasks that produce airborne contaminates, only works in vicinity on occasion Worker has been fit tested for tight-fitting respirators within the last 12 months Working in open area with sufficient airflow Workplace design - designated areas for tasks that generate dust and appropriate worker positioning during these tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Adequate cleaning process / procedure for cleaning PPE and/or RPE
  • Covered during induction
  • Cutting sequences are modified to reduce amount of exposure
  • Exclusion zones
  • Good housekeeping - regular cleaning to avoid build up of contaminants in areas
  • Health monitoring / surveillance
  • Job or shift rotation
  • Local exhaust system or dust collection attachment suitable to the job task (i.e. equipment mounted exhausts, exhaust in work area that does not allow for contaminants to enter breathing zone, etc)
  • Non-toxic chemicals used
  • Pre-employment medical
  • Respiratory Protective Equipment appropriate to the job tasks (i.e. Half-face respirator with P2 cartridge / dust mask / Oxygen-fed respirator, etc, )
  • Safe work procedures / JSAs / SWMS / SOPs
  • Short exposure
  • Signage
  • Toolbox talk
  • Training / Licence / Ticket
  • Using enclosures / shields / barriers around areas where airborne contaminants are generated.
  • Water suppression (i.e. wet cutting, water truck used to we roads)
  • Work clothing that does not collect dust
  • Worker does not conduct tasks that produce airborne contaminates, only works in vicinity on occasion
  • Worker has been fit tested for tight-fitting respirators within the last 12 months
  • Working in open area with sufficient airflow
  • Workplace design - designated areas for tasks that generate dust and appropriate worker positioning during these tasks.
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones Iso - Barricading and railings Eng - Non-slip coating to increase slip resistance applied to floors Admin - Floor surfaces are even Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways Admin - Signage used for wet or slippery areas Admin - Warning signage Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding Admin - Adequate lighting throughout workplace Admin - Covered during induction Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied) Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills) Admin - Leaks from plant and equipment are stopped/fixed Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up) Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced) Admin - Safe work procedure / JSA / SWMS Admin - Supervision / no lone work Admin - Training and instruction Admin - Working at heights rescue plan Admin - Toolbox talk / Notices / Safety Alerts PPE - Fall protection safety devices PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones
  • Iso - Barricading and railings
  • Eng - Non-slip coating to increase slip resistance applied to floors
  • Admin - Floor surfaces are even
  • Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways
  • Admin - Signage used for wet or slippery areas
  • Admin - Warning signage
  • Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding
  • Admin - Adequate lighting throughout workplace
  • Admin - Covered during induction
  • Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied)
  • Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills)
  • Admin - Leaks from plant and equipment are stopped/fixed
  • Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up)
  • Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced)
  • Admin - Safe work procedure / JSA / SWMS
  • Admin - Supervision / no lone work
  • Admin - Training and instruction
  • Admin - Working at heights rescue plan
  • Admin - Toolbox talk / Notices / Safety Alerts
  • PPE - Fall protection safety devices
  • PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels)
  • Other
  • No 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.

  

• With or near animals / exposed to bites or stings.

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Appropriate PPE to be worn (i.e. gloves, long sleeved shirts, boots, long pants) Exclusion Zones / Barricading / Cages Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria) Good hygiene practices (i.e washing hands technique and frequency, clean clothing, etc) Induction and training Safe work procedures / SWMS / JSA, etc Signage Toolbox Talks Vacinations Worker not expected to have direct contact with hazard during usual work tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Appropriate PPE to be worn (i.e. gloves, long sleeved shirts, boots, long pants)
  • Exclusion Zones / Barricading / Cages
  • Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria)
  • Good hygiene practices (i.e washing hands technique and frequency, clean clothing, etc)
  • Induction and training
  • Safe work procedures / SWMS / JSA, etc
  • Signage
  • Toolbox Talks
  • Vacinations
  • Worker not expected to have direct contact with hazard during usual work tasks.
  • Other
  • No controls in place

• Please describe:

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

  

• Working at Heights

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones Iso - Barricading and railings Eng - Non-slip coating to increase slip resistance applied to floors Admin - Floor surfaces are even Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways Admin - Signage used for wet or slippery areas Admin - Warning signage Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding Admin - Adequate lighting throughout workplace Admin - Covered during induction Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied) Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills) Admin - Leaks from plant and equipment are stopped/fixed Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up) Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced) Admin - Safe work procedure / JSA / SWMS Admin - Supervision / no lone work Admin - Training and instruction Admin - Working at heights rescue plan Admin - Toolbox talk / Notices / Safety Alerts PPE - Fall protection safety devices PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones
  • Iso - Barricading and railings
  • Eng - Non-slip coating to increase slip resistance applied to floors
  • Admin - Floor surfaces are even
  • Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways
  • Admin - Signage used for wet or slippery areas
  • Admin - Warning signage
  • Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding
  • Admin - Adequate lighting throughout workplace
  • Admin - Covered during induction
  • Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied)
  • Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills)
  • Admin - Leaks from plant and equipment are stopped/fixed
  • Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up)
  • Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced)
  • Admin - Safe work procedure / JSA / SWMS
  • Admin - Supervision / no lone work
  • Admin - Training and instruction
  • Admin - Working at heights rescue plan
  • Admin - Toolbox talk / Notices / Safety Alerts
  • PPE - Fall protection safety devices
  • PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels)
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Adequate supervision Continuous beeping when in use Designated walkways Flashing lights on mobile plant / vehicles Mirrors for blind spots / corners (on plant / wall mounted) PPE such as hard hats and hi vis safety vests are to be worn at all times Restricted access to areas with mobile plant / vehicles Risk and controls explained during induction Safe work procedures / JSA / SOP Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery Short exposure / rotating tasks Signage Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner) Sounds or flashing lights on wall/door when plant or vehicles are operating in the area Speed limits Toolbox talk Traffic management plan Training / mobile plant license Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use) Walkie talkies / headsets / communication device to communicate with operator Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Adequate supervision
  • Continuous beeping when in use
  • Designated walkways
  • Flashing lights on mobile plant / vehicles
  • Mirrors for blind spots / corners (on plant / wall mounted)
  • PPE such as hard hats and hi vis safety vests are to be worn at all times
  • Restricted access to areas with mobile plant / vehicles
  • Risk and controls explained during induction
  • Safe work procedures / JSA / SOP
  • Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery
  • Short exposure / rotating tasks
  • Signage
  • Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner)
  • Sounds or flashing lights on wall/door when plant or vehicles are operating in the area
  • Speed limits
  • Toolbox talk
  • Traffic management plan
  • Training / mobile plant license
  • Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use)
  • Walkie talkies / headsets / communication device to communicate with operator
  • Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc)
  • Other
  • No controls in place

• Please describe:

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

  

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

• Please describe how the hazard may occur:

• What controls are in place?

• 3.3 Summary of job tasks:

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

  Select General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc) Specialised office equipment (i.e. Drill punch, laminator, guillotine, document binder) Hand tools Powered / electric hand tools Machinery (i.e. lathes, manufacturing equipment, robotic arms, etc). Mobile plant (i.e. Forklift, excavator, elevated work platform, etc) Motor vehicle for business purposes (this does not include commuting to/from work) Other Not Applicable

  • General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc)
  • Specialised office equipment (i.e. Drill punch, laminator, guillotine, document binder)
  • Hand tools
  • Powered / electric hand tools
  • Machinery (i.e. lathes, manufacturing equipment, robotic arms, etc).
  • Mobile plant (i.e. Forklift, excavator, elevated work platform, etc)
  • Motor vehicle for business purposes (this does not include commuting to/from work)
  • Other
  • Not Applicable

• Please describe:

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

• 3.4.2 Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely. Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute) Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped. Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. (i.e. Photoelectric light beams, laser scanners and foot pressure mats, etc) Eng - Captive key system Eng - Critical safety systems/ high integrity fail-safe control, etc Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work. Admin - Training, information and instruction to workers who use the plant. Admin - Supervision Admin - Work Group / Spotter / Work Colleague Admin - Consultation with workers on the plant and work processes being used. Admin - Signage to warn people of a hazard (i.e. a pinch point) PPE - Hearing protection PPE - Protective clothing (i.e. 100% cotton, high vis) PPE - Respirator (half face, full, dust mask) PPE - Gloves PPE - Safety Glasses / Eye protection Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely.
  • Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute)
  • Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped.
  • Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator
  • Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. (i.e. Photoelectric light beams, laser scanners and foot pressure mats, etc)
  • Eng - Captive key system
  • Eng - Critical safety systems/ high integrity fail-safe control, etc
  • Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use
  • Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work.
  • Admin - Training, information and instruction to workers who use the plant.
  • Admin - Supervision
  • Admin - Work Group / Spotter / Work Colleague
  • Admin - Consultation with workers on the plant and work processes being used.
  • Admin - Signage to warn people of a hazard (i.e. a pinch point)
  • PPE - Hearing protection
  • PPE - Protective clothing (i.e. 100% cotton, high vis)
  • PPE - Respirator (half face, full, dust mask)
  • PPE - Gloves
  • PPE - Safety Glasses / Eye protection
  • Other
  • No 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.

  

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

• 3.4.2 List any controls in place to avoid injury (i.e. Warning label on hot areas, written work instruction, etc):

• Select the controls in place for motor vehicle use:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Additional lights mounted for fog or low light conditions Air-conditioned vehicle Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances. Driver behaviour consequence matrix / discipline procedure Driver training Drivers licence is checked as part of induction process Emergency response procedure / JSA for driving Expectations of driving behaviour communicated (i.e. during induction or prior to driving) Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded) GPS Tracking In vehicle monitoring system (IVMS) / duress button or system that alerts of injury Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day) Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts. Kilometers driven are monitored Leased vehicles (maintenance and repairs are tracked and managed externally) Minimum licence requirements (e.g.2nd year of P Plates) Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar Motor vehicle maintenance schedule New vehicles (less than 1 year) No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night) No lone driving Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence Regular vehicle inspections Satellite phone Sun glasses to reduce glare and avoid objects from entering eye Sun visor to reduce glare Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy Vehicle specifications defined, including minimum safety standards required Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Additional lights mounted for fog or low light conditions
  • Air-conditioned vehicle
  • Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc
  • Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic
  • Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time
  • Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances.
  • Driver behaviour consequence matrix / discipline procedure
  • Driver training
  • Drivers licence is checked as part of induction process
  • Emergency response procedure / JSA for driving
  • Expectations of driving behaviour communicated (i.e. during induction or prior to driving)
  • Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded)
  • GPS Tracking
  • In vehicle monitoring system (IVMS) / duress button or system that alerts of injury
  • Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day)
  • Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather
  • Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts.
  • Kilometers driven are monitored
  • Leased vehicles (maintenance and repairs are tracked and managed externally)
  • Minimum licence requirements (e.g.2nd year of P Plates)
  • Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar
  • Motor vehicle maintenance schedule
  • New vehicles (less than 1 year)
  • No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night)
  • No lone driving
  • Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence
  • Regular vehicle inspections
  • Satellite phone
  • Sun glasses to reduce glare and avoid objects from entering eye
  • Sun visor to reduce glare
  • Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy
  • Vehicle specifications defined, including minimum safety standards required
  • Other
  • No 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.

  

• 3.5 Substances, chemicals and materials to be used:

  Select Hazardous chemicals are present on site, however worker will not use as part of usual tasks. Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc) Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement) Other hazardous chemicals / substances (i.e. fuel, oil, acid, pressurised gas, etc) Not Applicable

  • Hazardous chemicals are present on site, however worker will not use as part of usual tasks.
  • Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc)
  • Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement)
  • Other hazardous chemicals / substances (i.e. fuel, oil, acid, pressurised gas, etc)
  • Not Applicable

• Attach photos above of:
  1. The substances / chemicals or materials present in their storage area; and
  2. Any spill containment kits
  3. Safety Data Sheet location

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Controlling ignition sources and accumulation of flammable and combustible substances Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs Decommissioning of underground storage and handling systems Ensuring that exposure standards are not exceeded Health monitoring for workers Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment Provision of information, training, instruction and supervision to workers Provision of spill containment system for hazardous chemicals if necessary Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Controlling ignition sources and accumulation of flammable and combustible substances
  • Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure
  • Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs
  • Decommissioning of underground storage and handling systems
  • Ensuring that exposure standards are not exceeded
  • Health monitoring for workers
  • Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals
  • Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required
  • Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances
  • Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical
  • Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical
  • Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments
  • Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment
  • Provision of information, training, instruction and supervision to workers
  • Provision of spill containment system for hazardous chemicals if necessary
  • Other
  • No 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.

  

• 3.6 Work Arrangements:

  Select Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays Shift work - 38-40 hours per week, irregular or rotating start/end times Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift Casual - up to 38 hours per week, irregular start/end times Part-time - up to 4 days per week, regular start/end times between 6am-6pm Overtime required occasionally (once a month or less) Overtime required regularly (at least once a fortnight) Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying) On-call Fly-in Fly-out (FIFO) Other

  • Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times
  • Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times
  • 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays
  • Shift work - 38-40 hours per week, irregular or rotating start/end times
  • Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift
  • Casual - up to 38 hours per week, irregular start/end times
  • Part-time - up to 4 days per week, regular start/end times between 6am-6pm
  • Overtime required occasionally (once a month or less)
  • Overtime required regularly (at least once a fortnight)
  • Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying)
  • On-call
  • Fly-in Fly-out (FIFO)
  • Other

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

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

• 3.9 Level of supervision to be provided:

  Select Continuous Frequent (hourly) Occasional (every few hours) Minimal (daily) None

  • Continuous
  • Frequent (hourly)
  • Occasional (every few hours)
  • Minimal (daily)
  • None

• 3.10 Training provided by your organisation before commencing work:

  Select External formalised training (Apprenticeship / Traineeship) Formal Qualification / License (e.g. First Aid, Forklift Ticket) Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls. Initial task supervision Ongoing supervision On-the-job / task-specific / informal internal training Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot) Task-specific training for new/additional tasks Other Not Applicable No Training / Instruction Provided

  • External formalised training (Apprenticeship / Traineeship)
  • Formal Qualification / License (e.g. First Aid, Forklift Ticket)
  • Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls.
  • Initial task supervision
  • Ongoing supervision
  • On-the-job / task-specific / informal internal training
  • Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions
  • Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot)
  • Task-specific training for new/additional tasks
  • Other
  • Not Applicable
  • No Training / Instruction Provided

• 3.10.1 Provide evidence of all applicable safe work procedures:

  Select Photographic evidence attached A copy will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not available at this time Not Applicable

  • Photographic evidence attached
  • A copy will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not available at this time
  • Not Applicable

• 3.11 If personal protective equipment is required, who will provide it?

  Select Maxima Host employer (your organisation) Worker A combination of Maxima and Host Employer as stipulated in the terms of business Not Applicable, no personal protective equipment is required

  • Maxima
  • Host employer (your organisation)
  • Worker
  • A combination of Maxima and Host Employer as stipulated in the terms of business
  • Not Applicable, no personal protective equipment is required

• Please describe who will provide what:

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

  Select 2+ Years in similar role or industry ASIC Driver's Licence First Aid Police Check Trade qualification in field White Card Other Not Applicable

  • 2+ Years in similar role or industry
  • ASIC
  • Driver's Licence
  • First Aid
  • Police Check
  • Trade qualification in field
  • White Card
  • Other
  • Not Applicable

• Please describe:

• 3.13 Will your organisation arrange and or provide pre-employment screening, functional capacity or health monitoring? (i.e. pre–employment medical, hearing tests, drug & alcohol testing)

  Yes

  No

  N/A

• 3.13.1 Please describe what screening or monitoring will be provided by your organisation for Maxima worker/s:

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

• Please describe:

• 3.13.1 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.

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

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:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc) Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage) Exclusion Zones / Barricading Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria) Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc) Mechanical aid to pick up needles / waste, etc Regular water testing and analysis by certified tester Risks communicated during induction Sharps container Signage Toolbox Talks Training Worker not expected to have direct contact with hazard during usual work tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc)
  • Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage)
  • Exclusion Zones / Barricading
  • Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria)
  • Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc)
  • Mechanical aid to pick up needles / waste, etc
  • Regular water testing and analysis by certified tester
  • Risks communicated during induction
  • Sharps container
  • Signage
  • Toolbox Talks
  • Training
  • Worker not expected to have direct contact with hazard during usual work tasks.
  • Other
  • No 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.

  

• Confined Spaces

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space. Atmospheric monitoring device (i.e. personal gas monitor) Clear entry / exit Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS. Confined space is purged or ventilated prior to entry Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated. Continuous communication with worker from outside of the space Emergency procedures, including rescue that have been practiced as necessary Exclusion zone / barricading Monitoring of atmospheric conditions by spotter outside No ignition sources in or within the vicinity of the confined space Safe Work Procedure / SWMS Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit Training in CSE Work carried out from outside the confined space Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space.
  • Atmospheric monitoring device (i.e. personal gas monitor)
  • Clear entry / exit
  • Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS.
  • Confined space is purged or ventilated prior to entry
  • Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated.
  • Continuous communication with worker from outside of the space
  • Emergency procedures, including rescue that have been practiced as necessary
  • Exclusion zone / barricading
  • Monitoring of atmospheric conditions by spotter outside
  • No ignition sources in or within the vicinity of the confined space
  • Safe Work Procedure / SWMS
  • Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit
  • Training in CSE
  • Work carried out from outside the confined space
  • Other
  • No 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.

  

• Conveyor belt use

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely. Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute) Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped. Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. Photoelectric light beams, laser scanners and foot pressure mats are examples of these safety guards. They rely on sensitive trip mechanisms and the machine being able to stop quickly. Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work. Admin - Training, information and instruction to workers who use the plant. Admin - Supervision Admin - Consultation with workers on the plant and work processes being used. Admin - Signage to warn people of a hazard (i.e. a pinch point) Personal protective equipment (i.e. gloves) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Iso – workers separated either by distance or physical barrier. For example: constructing a booth from which the plant can be operated remotely.
  • Eng - a permanently fixed guard for areas not required to be accessed during use, maintenance or cleaning (i.e. distance guards on a feed chute)
  • Eng - an interlock guard for areas requiring access during operation, maintenance or cleaning, that is connected to the plant's operating controls, so the plant can't operate when the guard is open or be removed/opened until all moving parts (i.e.cutting blade) have stopped.
  • Eng - a fixed guard, which can only be altered or removed with a tool not normally available to the operator
  • Eng - a presence sensing system which detects when a person (or part of someone’s body) enters the danger zone and stops a machine. Photoelectric light beams, laser scanners and foot pressure mats are examples of these safety guards. They rely on sensitive trip mechanisms and the machine being able to stop quickly.
  • Admin - Safe Work Procedure / SWMS / JSA provided to workers prior to use
  • Admin - Lock out/tag-out procedures to ensure the plant is isolated from all energy sources and cannot be operated while maintenance or cleaning work is being done. This must be done before accessing any parts of the plant for maintenance or cleaning work.
  • Admin - Training, information and instruction to workers who use the plant.
  • Admin - Supervision
  • Admin - Consultation with workers on the plant and work processes being used.
  • Admin - Signage to warn people of a hazard (i.e. a pinch point)
  • Personal protective equipment (i.e. gloves)
  • Other
  • No 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.

  

• Electricity or electrical shock hazards

• Select the controls in place:

  Select See attached photographic evidence Lock out / Tag Out Process Safety Switches Testing and Tagging completed regularly Visual inspection of cords and electrical equipment. Other No controls in place

  • See attached photographic evidence
  • Lock out / Tag Out Process
  • Safety Switches
  • Testing and Tagging completed regularly
  • Visual inspection of cords and electrical equipment.
  • Other
  • No 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.

  

• Falling objects

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au Iso - Designated walkways Iso - Barricading Eng - Speed restricted plant Admin - communication between work group Admin - Risk and controls covered during induction Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC) Admin - Mobile plant licensing & training Admin - Training - load restraint / packing Admin - Supervision Admin - Safe work procedures / JSA / SOP / SWMS Admin - Traffic management plan (including speed limit signage) PPE - Drop nets PPE - Hard hat Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au
  • Iso - Designated walkways
  • Iso - Barricading
  • Eng - Speed restricted plant
  • Admin - communication between work group
  • Admin - Risk and controls covered during induction
  • Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC)
  • Admin - Mobile plant licensing & training
  • Admin - Training - load restraint / packing
  • Admin - Supervision
  • Admin - Safe work procedures / JSA / SOP / SWMS
  • Admin - Traffic management plan (including speed limit signage)
  • PPE - Drop nets
  • PPE - Hard hat
  • Other
  • No 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.

  

• Fast pace

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adequate training on how to conduct work with plant / equipment driving pace Alternative work is available during low work activity Documented procedure / work instruction Job rotation More workers are scheduled during peak times Plant / machinery speed has been reduced to an acceptable level Regular breaks Short time exposure Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adequate training on how to conduct work with plant / equipment driving pace
  • Alternative work is available during low work activity
  • Documented procedure / work instruction
  • Job rotation
  • More workers are scheduled during peak times
  • Plant / machinery speed has been reduced to an acceptable level
  • Regular breaks
  • Short time exposure
  • Other
  • No 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.

  

• Fatigue

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Certain amount of hours break required between shifts Covered during induction Documented fatigue management procedure Fatigue awareness/management training Fatigue toolbox talk Informal arrangement where worker starts later the next day / has time off Supervisor / team members look out for signs of fatigue in colleagues Supervisor actively encourages workers to speak up if feeling fatigued Time off in lieu (TOIL) process (formalised) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Certain amount of hours break required between shifts
  • Covered during induction
  • Documented fatigue management procedure
  • Fatigue awareness/management training
  • Fatigue toolbox talk
  • Informal arrangement where worker starts later the next day / has time off
  • Supervisor / team members look out for signs of fatigue in colleagues
  • Supervisor actively encourages workers to speak up if feeling fatigued
  • Time off in lieu (TOIL) process (formalised)
  • Other
  • No 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.

  

• Hazardous manual tasks (i.e. computer work)

• Select how the hazard could occur:

  Select Please see attached photo of risk assessment / standard operating procedure or hazards Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover. Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use) Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind) Handling animals Handling people High job demands Inadequate workplace training Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare) Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments) Increased work pace to meet deadline / time constraints Limited resources and guidance available (i.e. PPE or equipment) Limited staff numbers Load is difficult to grip because of unsuitable handles, handholds or surface textures Maintaining an awkward posture while carrying a load for a sustained period of time Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported) Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns) Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design) Organisation of work (poorly scheduled / arranged) Poor housekeeping (i.e. obstructions in walkway, cleaning practices) Poorly designed mobile plant (i.e. operator controls, seating, etc) Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull) Shift arrangements / fatigue Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel) The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine) Unstable or unwieldy loads which may create sudden or high muscle force Using unsuitable tools for the task Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used) Worker lacking skill or experience for job task Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift) Workers unable to influence routines/organisation of work, workload / pace, work methods, etc. Working in a hot, cold or humid environment Other

  • Please see attached photo of risk assessment / standard operating procedure or hazards
  • Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover.
  • Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use)
  • Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind)
  • Handling animals
  • Handling people
  • High job demands
  • Inadequate workplace training
  • Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare)
  • Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments)
  • Increased work pace to meet deadline / time constraints
  • Limited resources and guidance available (i.e. PPE or equipment)
  • Limited staff numbers
  • Load is difficult to grip because of unsuitable handles, handholds or surface textures
  • Maintaining an awkward posture while carrying a load for a sustained period of time
  • Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported)
  • Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns)
  • Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design)
  • Organisation of work (poorly scheduled / arranged)
  • Poor housekeeping (i.e. obstructions in walkway, cleaning practices)
  • Poorly designed mobile plant (i.e. operator controls, seating, etc)
  • Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull)
  • Shift arrangements / fatigue
  • Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel)
  • The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine)
  • Unstable or unwieldy loads which may create sudden or high muscle force
  • Using unsuitable tools for the task
  • Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used)
  • Worker lacking skill or experience for job task
  • Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift)
  • Workers unable to influence routines/organisation of work, workload / pace, work methods, etc.
  • Working in a hot, cold or humid environment
  • Other

• Please describe:

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adjustable height desk / standing desk Adjustable seating Changed the work process so that loads do not have to be lifted or moved by hand Covered during induction Footrest Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks Mechanical aid (i.e. trolley) Multiple person lift Pre-employment medical Safe work procedure / SOP / JSA / SWMS Signage / Label Smaller containers to reduce the weight of the load Supervision Toolbox talk Tools with comfortable none slip handles Training in safe manual handling techniques Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adjustable height desk / standing desk
  • Adjustable seating
  • Changed the work process so that loads do not have to be lifted or moved by hand
  • Covered during induction
  • Footrest
  • Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks
  • Mechanical aid (i.e. trolley)
  • Multiple person lift
  • Pre-employment medical
  • Safe work procedure / SOP / JSA / SWMS
  • Signage / Label
  • Smaller containers to reduce the weight of the load
  • Supervision
  • Toolbox talk
  • Tools with comfortable none slip handles
  • Training in safe manual handling techniques
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Air-conditioned work area Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed Cool shaded or air-conditioned area to take break when required at or near work location Cooling neck / wrist bands Covered during induction Documented heat/cold stress procedure Heavy or strenuous work is scheduled for cooler times of the day or year Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace) Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor Light breathable clothing Local exhaust ventilation used to remove heated air or steam No lone work, one or more workers to look out for heat/cold stress signs Plant is allowed to cool down prior to use Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie) Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes Regular breaks / work-rest schedules Rotate tasks Safe work procedures / JSA / SWMS / SOPs Shaded areas or able to erect shade to work under Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc) Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days) Use of automated equipment or processes to access hot locations. Use of plant or other equipment to reduce manual labour. Warning signs for hot / cold equipment, plant or areas Water available at work location Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories) Wide brim hat Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders Workers are encouraged to pace themselves and manage work schedule. Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents). Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Air-conditioned work area
  • Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed
  • Cool shaded or air-conditioned area to take break when required at or near work location
  • Cooling neck / wrist bands
  • Covered during induction
  • Documented heat/cold stress procedure
  • Heavy or strenuous work is scheduled for cooler times of the day or year
  • Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace)
  • Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor
  • Light breathable clothing
  • Local exhaust ventilation used to remove heated air or steam
  • No lone work, one or more workers to look out for heat/cold stress signs
  • Plant is allowed to cool down prior to use
  • Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie)
  • Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes
  • Regular breaks / work-rest schedules
  • Rotate tasks
  • Safe work procedures / JSA / SWMS / SOPs
  • Shaded areas or able to erect shade to work under
  • Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion
  • Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc)
  • Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days)
  • Use of automated equipment or processes to access hot locations.
  • Use of plant or other equipment to reduce manual labour.
  • Warning signs for hot / cold equipment, plant or areas
  • Water available at work location
  • Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories)
  • Wide brim hat
  • Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders
  • Workers are encouraged to pace themselves and manage work schedule.
  • Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents).
  • Other
  • No 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.

  

• 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:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Cease work directive if area gets too loud Hearing protection Induction - risks and locations of loud areas discussed during induction Job / Task Rotation Noise maps Open air area PPE / Warning Signage Pre-employment medical hearing check Regular hearing tests Request no / little talking / noise whilst conducting task SOPs / JSAs / Risk Assessments Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Cease work directive if area gets too loud
  • Hearing protection
  • Induction - risks and locations of loud areas discussed during induction
  • Job / Task Rotation
  • Noise maps
  • Open air area
  • PPE / Warning Signage
  • Pre-employment medical hearing check
  • Regular hearing tests
  • Request no / little talking / noise whilst conducting task
  • SOPs / JSAs / Risk Assessments
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps) Covered during induction Covered during job task training Noticeboard alerts Permit to work system / work approval process / simultaneous operations procedure Safe work procedures / JSA / SWMS Supervisor communicates key works that could impact that worker Toolbox / Prestart meeting with a representative for each work / all workers each morning Other No communication strategies in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps)
  • Covered during induction
  • Covered during job task training
  • Noticeboard alerts
  • Permit to work system / work approval process / simultaneous operations procedure
  • Safe work procedures / JSA / SWMS
  • Supervisor communicates key works that could impact that worker
  • Toolbox / Prestart meeting with a representative for each work / all workers each morning
  • Other
  • No communication strategies in place

• Other controls in place are:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Any issues are escalated to manager/supervisor Bullying and or harassment policy / procedure Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage) Covered during induction EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour Easy route to retreat to a safe place provided Emergency communication system (i.e. Duress alarm, mobile phone) Emergency plan / procedure discusses personal security process Glass / Physical barrier between worker and general public Lock down procedures and system Never works alone or in isolated situations Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal) Safe work procedures / JSAs / Risk Assessment discusses and controls risk Secure area accessible only via swipe card / key, etc Security Guard Surveillance systems in place (i.e. CCTV) Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity Training to manage or resolve potential conflicts / having difficult conversations, etc Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace Width and or height of desk / work area creates safe distance between worker and general public Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Any issues are escalated to manager/supervisor
  • Bullying and or harassment policy / procedure
  • Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage)
  • Covered during induction
  • EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour
  • Easy route to retreat to a safe place provided
  • Emergency communication system (i.e. Duress alarm, mobile phone)
  • Emergency plan / procedure discusses personal security process
  • Glass / Physical barrier between worker and general public
  • Lock down procedures and system
  • Never works alone or in isolated situations
  • Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying
  • Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal)
  • Safe work procedures / JSAs / Risk Assessment discusses and controls risk
  • Secure area accessible only via swipe card / key, etc
  • Security Guard
  • Surveillance systems in place (i.e. CCTV)
  • Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity
  • Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity
  • Training to manage or resolve potential conflicts / having difficult conversations, etc
  • Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace
  • Width and or height of desk / work area creates safe distance between worker and general public
  • Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass
  • Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places)
  • Other
  • No 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.

  

• Pinch points (i.e. Safe doors, filing compactum, double hinged doors, etc)

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Induction and Training Supervision Toolbox Talk /WHS Notice / Safety Alert Warning Signage / colouring Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Induction and Training
  • Supervision
  • Toolbox Talk /WHS Notice / Safety Alert
  • Warning Signage / colouring
  • Other
  • No 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.

  

• Poor lighting / glare

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Able to change the position of existing lighting Able to change the type/colour of lighting used Able to increase or decrease number of lights as required Additional lighting is available as required Computer screen cover with light diffusing surface to avoid glare Computer screen has been tilted so the reflection is directed below eye level Covered during induction / onboarding training Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes) No barriers (i.e. overhead shelving) to light falling on work area. Notices / Safety Alerts / Toolbox talks PPE - Tinted safety glasses / sunglasses PPE - Wide brim hat / hard hat visor Safe work procedure / risk assessment / JSA / SWMS Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source Short term exposure / Job Rotation Suitable workplace design with adequate lighting / protection from glare Sun visor (vehicle) Tinted windows Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Able to change the position of existing lighting
  • Able to change the type/colour of lighting used
  • Able to increase or decrease number of lights as required
  • Additional lighting is available as required
  • Computer screen cover with light diffusing surface to avoid glare
  • Computer screen has been tilted so the reflection is directed below eye level
  • Covered during induction / onboarding training
  • Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights
  • Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes)
  • No barriers (i.e. overhead shelving) to light falling on work area.
  • Notices / Safety Alerts / Toolbox talks
  • PPE - Tinted safety glasses / sunglasses
  • PPE - Wide brim hat / hard hat visor
  • Safe work procedure / risk assessment / JSA / SWMS
  • Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source
  • Short term exposure / Job Rotation
  • Suitable workplace design with adequate lighting / protection from glare
  • Sun visor (vehicle)
  • Tinted windows
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Call in procedure / buddy system Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event) Journey Management Plan Meetings held in public places Mobile phone Radio (UHF) Risks covered during induction Safe work procedure / JSA / Risk Assessment Satellite phone Table or item between worker and general public / client Vehicle GPS Tracking Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Call in procedure / buddy system
  • Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event)
  • Journey Management Plan
  • Meetings held in public places
  • Mobile phone
  • Radio (UHF)
  • Risks covered during induction
  • Safe work procedure / JSA / Risk Assessment
  • Satellite phone
  • Table or item between worker and general public / client
  • Vehicle GPS Tracking
  • Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones Iso - Barricading and railings Eng - Non-slip coating to increase slip resistance applied to floors Admin - Floor surfaces are even Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways Admin - Signage used for wet or slippery areas Admin - Warning signage Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding Admin - Adequate lighting throughout workplace Admin - Covered during induction Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied) Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills) Admin - Leaks from plant and equipment are stopped/fixed Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up) Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced) Admin - Safe work procedure / JSA / SWMS Admin - Supervision / no lone work Admin - Training and instruction Admin - Working at heights rescue plan Admin - Toolbox talk / Notices / Safety Alerts PPE - Fall protection safety devices PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones
  • Iso - Barricading and railings
  • Eng - Non-slip coating to increase slip resistance applied to floors
  • Admin - Floor surfaces are even
  • Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways
  • Admin - Signage used for wet or slippery areas
  • Admin - Warning signage
  • Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding
  • Admin - Adequate lighting throughout workplace
  • Admin - Covered during induction
  • Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied)
  • Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills)
  • Admin - Leaks from plant and equipment are stopped/fixed
  • Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up)
  • Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced)
  • Admin - Safe work procedure / JSA / SWMS
  • Admin - Supervision / no lone work
  • Admin - Training and instruction
  • Admin - Working at heights rescue plan
  • Admin - Toolbox talk / Notices / Safety Alerts
  • PPE - Fall protection safety devices
  • PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels)
  • Other
  • No 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.

  

• With or near animals / exposed to bites or stings.

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Appropriate PPE to be worn (i.e. gloves, long sleeved shirts, boots, long pants) Exclusion Zones / Barricading / Cages Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria) Good hygiene practices (i.e washing hands technique and frequency, clean clothing, etc) Induction and training Safe work procedures / SWMS / JSA, etc Signage Toolbox Talks Vacinations Worker not expected to have direct contact with hazard during usual work tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Appropriate PPE to be worn (i.e. gloves, long sleeved shirts, boots, long pants)
  • Exclusion Zones / Barricading / Cages
  • Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria)
  • Good hygiene practices (i.e washing hands technique and frequency, clean clothing, etc)
  • Induction and training
  • Safe work procedures / SWMS / JSA, etc
  • Signage
  • Toolbox Talks
  • Vacinations
  • Worker not expected to have direct contact with hazard during usual work tasks.
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Adequate supervision Continuous beeping when in use Designated walkways Flashing lights on mobile plant / vehicles Mirrors for blind spots / corners (on plant / wall mounted) PPE such as hard hats and hi vis safety vests are to be worn at all times Restricted access to areas with mobile plant / vehicles Risk and controls explained during induction Safe work procedures / JSA / SOP Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery Short exposure / rotating tasks Signage Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner) Sounds or flashing lights on wall/door when plant or vehicles are operating in the area Speed limits Toolbox talk Traffic management plan Training / mobile plant license Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use) Walkie talkies / headsets / communication device to communicate with operator Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Adequate supervision
  • Continuous beeping when in use
  • Designated walkways
  • Flashing lights on mobile plant / vehicles
  • Mirrors for blind spots / corners (on plant / wall mounted)
  • PPE such as hard hats and hi vis safety vests are to be worn at all times
  • Restricted access to areas with mobile plant / vehicles
  • Risk and controls explained during induction
  • Safe work procedures / JSA / SOP
  • Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery
  • Short exposure / rotating tasks
  • Signage
  • Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner)
  • Sounds or flashing lights on wall/door when plant or vehicles are operating in the area
  • Speed limits
  • Toolbox talk
  • Traffic management plan
  • Training / mobile plant license
  • Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use)
  • Walkie talkies / headsets / communication device to communicate with operator
  • Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc)
  • Other
  • No controls in place

• Please describe:

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

  

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

• Please describe how the hazard may occur:

• What controls are in place?

• 3.3 Summary of job tasks:

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

  Select Commercial cooking hand held equipment (knives, peelers, etc) Powered / electric / gas commercial cooking equipment (ovens, stove top, fryer, mixing equipment, etc) General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc) Motor vehicle for business purposes (this does not include commuting to/from work) Other Not Applicable

  • Commercial cooking hand held equipment (knives, peelers, etc)
  • Powered / electric / gas commercial cooking equipment (ovens, stove top, fryer, mixing equipment, etc)
  • General office equipment: Computer, printer, desk phone, stationary (stapler, pens, paper, hole punch, etc)
  • Motor vehicle for business purposes (this does not include commuting to/from work)
  • Other
  • Not Applicable

• Please describe:

• 3.4.2 Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Eng - Non-slip handles Eng - Non-slip flooring Admin - Designated walkways Admin - Training and instruction Admin - Supervison Admin - Warning labels (i.e. identifying hot areas) PPE - Hand protection (i.e. Oven mits / tea towels / metal glove) PPE - Foot protection (i.e. reinforced toe shoes) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Eng - Non-slip handles
  • Eng - Non-slip flooring
  • Admin - Designated walkways
  • Admin - Training and instruction
  • Admin - Supervison
  • Admin - Warning labels (i.e. identifying hot areas)
  • PPE - Hand protection (i.e. Oven mits / tea towels / metal glove)
  • PPE - Foot protection (i.e. reinforced toe shoes)
  • Other
  • No 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.

  

• Select the controls in place for motor vehicle use:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Additional lights mounted for fog or low light conditions Air-conditioned vehicle Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances. Driver behaviour consequence matrix / discipline procedure Driver training Drivers licence is checked as part of induction process Emergency response procedure / JSA for driving Expectations of driving behaviour communicated (i.e. during induction or prior to driving) Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded) GPS Tracking In vehicle monitoring system (IVMS) / duress button or system that alerts of injury Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day) Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts. Kilometers driven are monitored Leased vehicles (maintenance and repairs are tracked and managed externally) Minimum licence requirements (e.g.2nd year of P Plates) Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar Motor vehicle maintenance schedule New vehicles (less than 1 year) No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night) No lone driving Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence Regular vehicle inspections Satellite phone Sun glasses to reduce glare and avoid objects from entering eye Sun visor to reduce glare Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy Vehicle specifications defined, including minimum safety standards required Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Additional lights mounted for fog or low light conditions
  • Air-conditioned vehicle
  • Compliance / assurance activities to ensure vehicle is properly maintained, has in-date safety equipment, driver licence is still valid, etc
  • Conduct vehicle familiarisation training with new makes and models which also includes setting up the vehicle to be ergonomic
  • Documented Journey Management Plan / Procedure with planned routes and times, hazards identified, contact numbers, time of departure and estimated arrival, dedicated person to follow up if destination not reached by estimated time
  • Documented procedure / policy on the safe use of vehicles that highlights applicable driving hazards, includes fatigue management / recommended driving lengths or distances.
  • Driver behaviour consequence matrix / discipline procedure
  • Driver training
  • Drivers licence is checked as part of induction process
  • Emergency response procedure / JSA for driving
  • Expectations of driving behaviour communicated (i.e. during induction or prior to driving)
  • Fatigue management system (i.e. driver eye-monitoring or IVMS that notifies when driving time without break has been exceeded)
  • GPS Tracking
  • In vehicle monitoring system (IVMS) / duress button or system that alerts of injury
  • Informal journey management plan (i.e. work schedule management (allocated times to be at each location), buddy system/call in procedure at beginning and end of each day)
  • Informal understanding that there is no driving in adverse weather conditions / no work or office work is conducted during adverse weather
  • Items are restrained either by being kept outside of the driver cabin (i.e in the boot or tray of vehicle) or the use of cargo nets or seat belts.
  • Kilometers driven are monitored
  • Leased vehicles (maintenance and repairs are tracked and managed externally)
  • Minimum licence requirements (e.g.2nd year of P Plates)
  • Mobile phone use policy (i.e. not allowed to use whilst driving) or Bluetooth connection with steering wheel mounted answer button or similar
  • Motor vehicle maintenance schedule
  • New vehicles (less than 1 year)
  • No driving outside of usual business hours (i.e. only during the day, not at dawn, dusk or night)
  • No lone driving
  • Private vehicle use process. Ensuring vehicle details such as the vehicle is registered, insured for work purposes, vehicle is roadworthy / appropriately serviced, valid drivers licence
  • Regular vehicle inspections
  • Satellite phone
  • Sun glasses to reduce glare and avoid objects from entering eye
  • Sun visor to reduce glare
  • Undocumented procedure / understanding of safe vehicle use and requirement for vehicles to be road worthy
  • Vehicle specifications defined, including minimum safety standards required
  • Other
  • No 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.

  

• 3.5 Substances, chemicals and materials to be used:

  Select Hazardous chemicals are present on site, however worker will not use as part of usual tasks. Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc) Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement) Other hazardous chemicals / substances (i.e. fuel, acid, pressurised gas, etc) Other Not Applicable

  • Hazardous chemicals are present on site, however worker will not use as part of usual tasks.
  • Domestic use cleaning products (i.e. dish washing liquid / tablets, hand soap, kitchen surface spray, floor cleaner, etc)
  • Industrial strength cleaning products / Hazardous chemicals or substances (i.e. oven cleaner / items that have GHS labelling and warnings: signal word ("Danger"), pictogram, hazard code and statement)
  • Other hazardous chemicals / substances (i.e. fuel, acid, pressurised gas, etc)
  • Other
  • Not Applicable

• Attach photos above of:
  1. The substances / chemicals or materials present in their storage area; and
  2. Any spill containment kits
  3. Safety Data Sheet location

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Controlling ignition sources and accumulation of flammable and combustible substances Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs Decommissioning of underground storage and handling systems Ensuring that exposure standards are not exceeded Health monitoring for workers Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment Provision of information, training, instruction and supervision to workers Provision of spill containment system for hazardous chemicals if necessary Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Controlling ignition sources and accumulation of flammable and combustible substances
  • Controls are reviewed and/or revised following any change to the SDS or Hazardous Chemical Register; or a health monitoring report shows a worker has been exposed to hazardous chemicals or they have contracted a work-related illness as a result of exposure
  • Correct labelling of containers and pipework, using warning placards and outer warning placards and displaying of safety signs
  • Decommissioning of underground storage and handling systems
  • Ensuring that exposure standards are not exceeded
  • Health monitoring for workers
  • Identifying risk of physical or chemical reaction of hazardous chemicals and ensuring the stability of hazardous chemicals
  • Maintaining a register and manifest (where relevant) of hazardous chemicals and providing notification to the regulator of manifest quantities if required
  • Notifying the regulator as soon as practicable of abandoned tanks in certain circumstances
  • Obtaining the current Safety Data Sheet (SDS) from the manufacturer, importer or supplier of the chemical
  • Preparing an emergency plan if the quantity of a class of hazardous chemical at a workplace exceeds the manifest quantity for that hazardous chemical
  • Providing stability and support of containers for bulk hazardous chemicals including pipework and attachments
  • Provision and availability of fire protection, fire fighting equipment and emergency and safety equipment
  • Provision of information, training, instruction and supervision to workers
  • Provision of spill containment system for hazardous chemicals if necessary
  • Other
  • No 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.

  

• 3.6 Work Arrangements:

  Select Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays Shift work - 38-40 hours per week, irregular or rotating start/end times Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift Casual - up to 38 hours per week, irregular start/end times Part-time - up to 4 days per week, regular start/end times between 6am-6pm Overtime required occasionally (once a month or less) Overtime required regularly (at least once a fortnight) Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying) On-call Fly-in Fly-out (FIFO) Other

  • Standard full-time - 5 day week, 38-40 hours, work between 6am-6pm/consistent start/end times
  • Full-time - 9 day fortnight, 76-80 hours, work between 6am-6pm/consistent start/end times
  • 1 day per week (School-based Trainee/Apprentice) with optional additional hours during holidays
  • Shift work - 38-40 hours per week, irregular or rotating start/end times
  • Afternoon/Night shift - 76-80 hours per fortnight, consistently work on afternoon/night shift
  • Casual - up to 38 hours per week, irregular start/end times
  • Part-time - up to 4 days per week, regular start/end times between 6am-6pm
  • Overtime required occasionally (once a month or less)
  • Overtime required regularly (at least once a fortnight)
  • Additional hours required during peak times / projects / certain times of the year (i.e. plant shutdowns, seasonal requirements - insect spraying)
  • On-call
  • Fly-in Fly-out (FIFO)
  • Other

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

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

• 3.9 Level of supervision to be provided:

  Select Continuous Frequent (hourly) Occasional (every few hours) Minimal (daily) None

  • Continuous
  • Frequent (hourly)
  • Occasional (every few hours)
  • Minimal (daily)
  • None

• 3.10 Training provided by your organisation before commencing work:

  Select External formalised training (Apprenticeship / Traineeship) Formal Qualification / License (e.g. First Aid, Forklift Ticket) Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls. Initial task supervision Ongoing supervision On-the-job / task-specific / informal internal training Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot) Task-specific training for new/additional tasks Other Not Applicable No Training / Instruction Provided

  • External formalised training (Apprenticeship / Traineeship)
  • Formal Qualification / License (e.g. First Aid, Forklift Ticket)
  • Host Workplace Induction - detailing the workplace, emergency response procedures and equipment, work tasks their hazards and controls.
  • Initial task supervision
  • Ongoing supervision
  • On-the-job / task-specific / informal internal training
  • Safe work procedures / JSA / SOP / SWMS / Risk Assessment / Work Instructions
  • Site-specific Induction - for longer term job sites that are not privately owned residential homes (i.e. construction site, plant or depot)
  • Task-specific training for new/additional tasks
  • Other
  • Not Applicable
  • No Training / Instruction Provided

• 3.10.1 Provide evidence of all applicable safe work procedures/ work instruction / SWMS / JSA:

  Select Photographic evidence attached A copy will be emailed with this assessment to WHSAction@maxima.com.au Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site. Not available at this time Not Applicable

  • Photographic evidence attached
  • A copy will be emailed with this assessment to WHSAction@maxima.com.au
  • Evidence will be shown via videoconference with Maxima Representative or in person when Maxima Representative is on site.
  • Not available at this time
  • Not Applicable

• 3.11 If personal protective equipment is required, who will provide it?

  Select Maxima Host employer (your organisation) Worker A combination of Maxima and Host Employer as stipulated in the terms of business Not Applicable, no personal protective equipment is required

  • Maxima
  • Host employer (your organisation)
  • Worker
  • A combination of Maxima and Host Employer as stipulated in the terms of business
  • Not Applicable, no personal protective equipment is required

• Please describe who will provide what:

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

  Select 2+ Years in similar role or industry ASIC Driver's Licence First Aid Police Check Trade qualification in field White Card Other Not Applicable

  • 2+ Years in similar role or industry
  • ASIC
  • Driver's Licence
  • First Aid
  • Police Check
  • Trade qualification in field
  • White Card
  • Other
  • Not Applicable

• Please describe:

• 3.13 Will your organisation arrange and or provide pre-employment screening, functional capacity or health monitoring? (i.e. pre–employment medical, hearing tests, drug & alcohol testing)

  Yes

  No

  N/A

• 3.13.1 Please describe what screening or monitoring will be provided by your organisation for Maxima worker/s:

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

• Please describe:

• 3.13.1 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.

  Select Asbestos Health Surveillance Drug & Alcohol - Pre-screening Drug & Alcohol - Random Tests Lung Functionality Manual Tasks / Physical Fitness / Capability Pre-employment Medical Regular Hearing Tests Other No screening or monitoring required to be completed

  • Asbestos Health Surveillance
  • Drug & Alcohol - Pre-screening
  • Drug & Alcohol - Random Tests
  • Lung Functionality
  • Manual Tasks / Physical Fitness / Capability
  • Pre-employment Medical
  • Regular Hearing Tests
  • Other
  • No screening or monitoring required to be completed

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:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc) Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage) Exclusion Zones / Barricading Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria) Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc) Mechanical aid to pick up needles / waste, etc Regular water testing and analysis by certified tester Risks communicated during induction Sharps container Signage Toolbox Talks Training Worker not expected to have direct contact with hazard during usual work tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Appropriate PPE to be worn (i.e. gloves, respiratory protection - medical mask, P2 half face mask, etc)
  • Appropriate safe work procedures (i.e. needle stick process, procedure on diseases or infections and how to identify, avoid and manage)
  • Exclusion Zones / Barricading
  • Good housekeeping practices (i.e. keep areas clean and tidy to avoid build up of any bacteria or dust/debris housing bacteria)
  • Good hygiene practices (i.e be vigilant on not drinking potable water, washing hands technique and frequency, clean clothing, etc)
  • Mechanical aid to pick up needles / waste, etc
  • Regular water testing and analysis by certified tester
  • Risks communicated during induction
  • Sharps container
  • Signage
  • Toolbox Talks
  • Training
  • Worker not expected to have direct contact with hazard during usual work tasks.
  • Other
  • No 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.

  

• Confined Spaces

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space. Atmospheric monitoring device (i.e. personal gas monitor) Clear entry / exit Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS. Confined space is purged or ventilated prior to entry Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated. Continuous communication with worker from outside of the space Emergency procedures, including rescue that have been practiced as necessary Exclusion zone / barricading Monitoring of atmospheric conditions by spotter outside No ignition sources in or within the vicinity of the confined space Safe Work Procedure / SWMS Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit Training in CSE Work carried out from outside the confined space Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • A documented risk assessment conducted by a competent person that includes the risks associated with entering, working in, on or in the vicinity of the confined space, including risk of a person inadvertently entering the confined space.
  • Atmospheric monitoring device (i.e. personal gas monitor)
  • Clear entry / exit
  • Confined space entry permit that is completed by a competent person, in writing, identifies the confined space, names the persons permitted to enter the space, the period of time for entry, control measures including safe entry, the work required and method to be used, emergency procedures including rescue and an acknowledgement that work has been completed and all persons have left the CS.
  • Confined space is purged or ventilated prior to entry
  • Confined space register or documentation stating: the nature of the confined space and concentration of oxygen or airborne contaminants anticipated.
  • Continuous communication with worker from outside of the space
  • Emergency procedures, including rescue that have been practiced as necessary
  • Exclusion zone / barricading
  • Monitoring of atmospheric conditions by spotter outside
  • No ignition sources in or within the vicinity of the confined space
  • Safe Work Procedure / SWMS
  • Signage - erected next to entry prior to entering and remain present during work, identifies the confined space and states no entry unless have a CSE permit
  • Training in CSE
  • Work carried out from outside the confined space
  • Other
  • No 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.

  

• Electricity or electrical shock hazards

• Select the controls in place:

  Select See attached photographic evidence Lock out / Tag Out Process Safety Switches Testing and Tagging completed regularly Visual inspection of cords and electrical equipment. Other No controls in place

  • See attached photographic evidence
  • Lock out / Tag Out Process
  • Safety Switches
  • Testing and Tagging completed regularly
  • Visual inspection of cords and electrical equipment.
  • Other
  • No 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.

  

• Falling objects

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au Iso - Designated walkways Iso - Barricading Eng - Speed restricted plant Admin - communication between work group Admin - Risk and controls covered during induction Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC) Admin - Mobile plant licensing & training Admin - Training - load restraint / packing Admin - Supervision Admin - Safe work procedures / JSA / SOP / SWMS Admin - Traffic management plan (including speed limit signage) PPE - Drop nets PPE - Hard hat Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed risk assessment to WHSAction@maxima.com.au
  • Iso - Designated walkways
  • Iso - Barricading
  • Eng - Speed restricted plant
  • Admin - communication between work group
  • Admin - Risk and controls covered during induction
  • Admin - Mobile plant operator skills and capabilities are assessed prior to operating any plant (i.e. VOC)
  • Admin - Mobile plant licensing & training
  • Admin - Training - load restraint / packing
  • Admin - Supervision
  • Admin - Safe work procedures / JSA / SOP / SWMS
  • Admin - Traffic management plan (including speed limit signage)
  • PPE - Drop nets
  • PPE - Hard hat
  • Other
  • No 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.

  

• Fast pace

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adequate training on how to conduct work with plant / equipment driving pace Alternative work is available during low work activity Documented procedure / work instruction Job rotation More workers are scheduled during peak times Plant / machinery speed has been reduced to an acceptable level Regular breaks Short time exposure Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adequate training on how to conduct work with plant / equipment driving pace
  • Alternative work is available during low work activity
  • Documented procedure / work instruction
  • Job rotation
  • More workers are scheduled during peak times
  • Plant / machinery speed has been reduced to an acceptable level
  • Regular breaks
  • Short time exposure
  • Other
  • No 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.

  

• Fatigue

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Certain amount of hours break required between shifts Covered during induction Documented fatigue management procedure Fatigue awareness/management training Fatigue toolbox talk Informal arrangement where worker starts later the next day / has time off Supervisor / team members look out for signs of fatigue in colleagues Supervisor actively encourages workers to speak up if feeling fatigued Time off in lieu (TOIL) process (formalised) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Certain amount of hours break required between shifts
  • Covered during induction
  • Documented fatigue management procedure
  • Fatigue awareness/management training
  • Fatigue toolbox talk
  • Informal arrangement where worker starts later the next day / has time off
  • Supervisor / team members look out for signs of fatigue in colleagues
  • Supervisor actively encourages workers to speak up if feeling fatigued
  • Time off in lieu (TOIL) process (formalised)
  • Other
  • No 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.

  

• Hazardous manual tasks (i.e. lifting, sustained postures)

• Select how the hazard could occur:

  Select Please see attached photo of risk assessment / standard operating procedure or hazards Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover. Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use) Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind) Handling animals Handling people High job demands Inadequate workplace training Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare) Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments) Increased work pace to meet deadline / time constraints Limited resources and guidance available (i.e. PPE or equipment) Limited staff numbers Load is difficult to grip because of unsuitable handles, handholds or surface textures Maintaining an awkward posture while carrying a load for a sustained period of time Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported) Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns) Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design) Organisation of work (poorly scheduled / arranged) Poor housekeeping (i.e. obstructions in walkway, cleaning practices) Poorly designed mobile plant (i.e. operator controls, seating, etc) Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull) Shift arrangements / fatigue Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel) The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine) Unstable or unwieldy loads which may create sudden or high muscle force Using unsuitable tools for the task Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used) Worker lacking skill or experience for job task Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift) Workers unable to influence routines/organisation of work, workload / pace, work methods, etc. Working in a hot, cold or humid environment Other

  • Please see attached photo of risk assessment / standard operating procedure or hazards
  • Continued use of any hand tool, plant or equipment for prolonged time without adequate time to recover.
  • Cumulative damage to workers body tissue (i.e. muscles weakened over time due to repetitive use)
  • Exposure to wind forces or adverse weather conditions may increase force required to handle items, particularly those that are large and or flexible during sudden gusts of wind)
  • Handling animals
  • Handling people
  • High job demands
  • Inadequate workplace training
  • Inappropriate lighting (i.e. low or high levels, glare, reflection may lead to awkward or sustained postures to improve vision or avoid glare)
  • Incorrect or inappropriate PPE (i.e. Gloves that get slippery in humid environments)
  • Increased work pace to meet deadline / time constraints
  • Limited resources and guidance available (i.e. PPE or equipment)
  • Limited staff numbers
  • Load is difficult to grip because of unsuitable handles, handholds or surface textures
  • Maintaining an awkward posture while carrying a load for a sustained period of time
  • Operating heavy hand tools, particularly for long periods of time (i.e. 3 kg power drill used unsupported)
  • Operating plant, tools or equipment that deliver impacts (i.e. hammers, hammer drills, nail guns)
  • Operating tools or equipment with the heaviest part in front of the wrist; handle diameter is too large, too small or too short; handle orientation does not place wrist in a handshake position; or cannot be used by either hand (i.e. right-handed design)
  • Organisation of work (poorly scheduled / arranged)
  • Poor housekeeping (i.e. obstructions in walkway, cleaning practices)
  • Poorly designed mobile plant (i.e. operator controls, seating, etc)
  • Poorly maintained or irregularly serviced tools, plant or equipment with potential to increase the force required to operate (i.e. blunt drill bits, an unsharpened knife, triggers/buttons/levers required to push/pull)
  • Shift arrangements / fatigue
  • Slippery, uneven or unsuitable floor surfaces (i.e. required to push heavy trolley over carpet / gravel)
  • The size, shape and weight of the load (i.e. large, bulky or heavy load that cannot be held close to the body, has asymmetrical sides or puts an uneven force on the spine)
  • Unstable or unwieldy loads which may create sudden or high muscle force
  • Using unsuitable tools for the task
  • Work area design and layout (i.e. positioning / height or width of workbenches, conveyors, furniture, fittings and the equipment used)
  • Worker lacking skill or experience for job task
  • Worker physical characteristics (i.e. mismatch between worker and task; mismatched heights and strength of workers carrying out a team lift)
  • Workers unable to influence routines/organisation of work, workload / pace, work methods, etc.
  • Working in a hot, cold or humid environment
  • Other

• Please describe:

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Adjustable height desk / standing desk Adjustable seating Changed the work process so that loads do not have to be lifted or moved by hand Covered during induction Footrest Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks Mechanical aid (i.e. trolley) Multiple person lift Pre-employment medical Safe work procedure / SOP / JSA / SWMS Signage / Label Smaller containers to reduce the weight of the load Supervision Toolbox talk Tools with comfortable none slip handles Training in safe manual handling techniques Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Adjustable height desk / standing desk
  • Adjustable seating
  • Changed the work process so that loads do not have to be lifted or moved by hand
  • Covered during induction
  • Footrest
  • Frequent short rest breaks, job rotation and or a mixture of repetitive and none repetitive tasks
  • Mechanical aid (i.e. trolley)
  • Multiple person lift
  • Pre-employment medical
  • Safe work procedure / SOP / JSA / SWMS
  • Signage / Label
  • Smaller containers to reduce the weight of the load
  • Supervision
  • Toolbox talk
  • Tools with comfortable none slip handles
  • Training in safe manual handling techniques
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Air-conditioned work area Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed Cool shaded or air-conditioned area to take break when required at or near work location Cooling neck / wrist bands Covered during induction Documented heat/cold stress procedure Heavy or strenuous work is scheduled for cooler times of the day or year Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace) Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor Light breathable clothing Local exhaust ventilation used to remove heated air or steam No lone work, one or more workers to look out for heat/cold stress signs Plant is allowed to cool down prior to use Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie) Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes Regular breaks / work-rest schedules Rotate tasks Safe work procedures / JSA / SWMS / SOPs Shaded areas or able to erect shade to work under Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc) Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days) Use of automated equipment or processes to access hot locations. Use of plant or other equipment to reduce manual labour. Warning signs for hot / cold equipment, plant or areas Water available at work location Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories) Wide brim hat Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders Workers are encouraged to pace themselves and manage work schedule. Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents). Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Air-conditioned work area
  • Building is insulated and or sources of radiant heat/cool (i.e. pipework) are cladded or enclosed
  • Cool shaded or air-conditioned area to take break when required at or near work location
  • Cooling neck / wrist bands
  • Covered during induction
  • Documented heat/cold stress procedure
  • Heavy or strenuous work is scheduled for cooler times of the day or year
  • Hot machinery or surfaces are isolated using shields, barriers and guards (i.e. around a furnace)
  • Informal procedure for managing heat/cold stress (verbal / understanding) that is actively encouraged by Supervisor
  • Light breathable clothing
  • Local exhaust ventilation used to remove heated air or steam
  • No lone work, one or more workers to look out for heat/cold stress signs
  • Plant is allowed to cool down prior to use
  • Protective clothing (cold): Jackets, long warm pants, enclosed shoes, gloves, head wear (i.e. beanie)
  • Protective clothing (heat): long sleeved shirts, long pants, wide brim hat/hard hat visor, enclosed shoes
  • Regular breaks / work-rest schedules
  • Rotate tasks
  • Safe work procedures / JSA / SWMS / SOPs
  • Shaded areas or able to erect shade to work under
  • Targets and work rates are modified during hot/cold days / seasons to reduce physical exertion
  • Task specific PPE (i.e. welders mask, fire-resistant clothing, gloves, apron, etc)
  • Toolbox talk (i.e. given at the start of summer/winter or on expected hot/cold days)
  • Use of automated equipment or processes to access hot locations.
  • Use of plant or other equipment to reduce manual labour.
  • Warning signs for hot / cold equipment, plant or areas
  • Water available at work location
  • Where possible, workers do the work elsewhere (i.e. prefabricate materials in air conditioned factories)
  • Wide brim hat
  • Work is organised to minimise physically demanding tasks, for example conduct work at ground level to minimise climbing up and down stairs or ladders
  • Workers are encouraged to pace themselves and manage work schedule.
  • Workplace has good air flow (i.e. fans, windows, whirly birds and/or vents).
  • Other
  • No 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.

  

• 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:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Cease work directive if area gets too loud Hearing protection Induction - risks and locations of loud areas discussed during induction Job / Task Rotation Noise maps Open air area PPE / Warning Signage Pre-employment medical hearing check Regular hearing tests Request no / little talking / noise whilst conducting task SOPs / JSAs / Risk Assessments Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Cease work directive if area gets too loud
  • Hearing protection
  • Induction - risks and locations of loud areas discussed during induction
  • Job / Task Rotation
  • Noise maps
  • Open air area
  • PPE / Warning Signage
  • Pre-employment medical hearing check
  • Regular hearing tests
  • Request no / little talking / noise whilst conducting task
  • SOPs / JSAs / Risk Assessments
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps) Covered during induction Covered during job task training Noticeboard alerts Permit to work system / work approval process / simultaneous operations procedure Safe work procedures / JSA / SWMS Supervisor communicates key works that could impact that worker Toolbox / Prestart meeting with a representative for each work / all workers each morning Other No communication strategies in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Clearly defined or known work area boundaries (i.e. Always allocated the same work space, barricades, ground markings, signage, maps)
  • Covered during induction
  • Covered during job task training
  • Noticeboard alerts
  • Permit to work system / work approval process / simultaneous operations procedure
  • Safe work procedures / JSA / SWMS
  • Supervisor communicates key works that could impact that worker
  • Toolbox / Prestart meeting with a representative for each work / all workers each morning
  • Other
  • No communication strategies in place

• Other controls in place are:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Any issues are escalated to manager/supervisor Bullying and or harassment policy / procedure Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage) Covered during induction EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour Easy route to retreat to a safe place provided Emergency communication system (i.e. Duress alarm, mobile phone) Emergency plan / procedure discusses personal security process Glass / Physical barrier between worker and general public Lock down procedures and system Never works alone or in isolated situations Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal) Safe work procedures / JSAs / Risk Assessment discusses and controls risk Secure area accessible only via swipe card / key, etc Security Guard Surveillance systems in place (i.e. CCTV) Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity Training to manage or resolve potential conflicts / having difficult conversations, etc Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace Width and or height of desk / work area creates safe distance between worker and general public Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Any issues are escalated to manager/supervisor
  • Bullying and or harassment policy / procedure
  • Communicated expected standard of behaviour to clients (i.e. via contracts/agreements, email/text prior to receiving service, visible signage)
  • Covered during induction
  • EAP / support systems provided to workers who are or have been exposed to unreasonable behaviour
  • Easy route to retreat to a safe place provided
  • Emergency communication system (i.e. Duress alarm, mobile phone)
  • Emergency plan / procedure discusses personal security process
  • Glass / Physical barrier between worker and general public
  • Lock down procedures and system
  • Never works alone or in isolated situations
  • Regular consultation with workers and, where they exist, health and safety representatives and health and safety committees, including discussions aimed at finding out if bullying is occurring or if there are factors likely to increase the risk of workplace bullying
  • Removed / replaced equipment that could be used as a weapon (i.e. plastic cutlery instead of metal)
  • Safe work procedures / JSAs / Risk Assessment discusses and controls risk
  • Secure area accessible only via swipe card / key, etc
  • Security Guard
  • Surveillance systems in place (i.e. CCTV)
  • Training (for Supervisors) - Bullying / harassment / cultural awareness / diversity
  • Training (for workers) - Code of conduct / bullying / harassment / cultural awareness / diversity
  • Training to manage or resolve potential conflicts / having difficult conversations, etc
  • Valuables (i.e. drugs, cash, etc) are removed, limited or secured in the workplace
  • Width and or height of desk / work area creates safe distance between worker and general public
  • Withdrawing or amending the service to clients who have exhibited signs or are known to be violent, aggressive or harass
  • Workplace was designed to prevent assaults / provide security for workers (i.e. worker is behind glass/barrier separated from public, furniture is fixed to floor or wall, service counter has an increased width & height, effective lighting to eliminate hiding places)
  • Other
  • No 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.

  

• Pinch points (i.e. Safe doors, filing compactum, double hinged doors, etc)

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Induction and Training Supervision Toolbox Talk /WHS Notice / Safety Alert Warning Signage / colouring Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Induction and Training
  • Supervision
  • Toolbox Talk /WHS Notice / Safety Alert
  • Warning Signage / colouring
  • Other
  • No 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.

  

• Poor lighting / glare

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au Able to change the position of existing lighting Able to change the type/colour of lighting used Able to increase or decrease number of lights as required Additional lighting is available as required Computer screen cover with light diffusing surface to avoid glare Computer screen has been tilted so the reflection is directed below eye level Covered during induction / onboarding training Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes) No barriers (i.e. overhead shelving) to light falling on work area. Notices / Safety Alerts / Toolbox talks PPE - Tinted safety glasses / sunglasses PPE - Wide brim hat / hard hat visor Safe work procedure / risk assessment / JSA / SWMS Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source Short term exposure / Job Rotation Suitable workplace design with adequate lighting / protection from glare Sun visor (vehicle) Tinted windows Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed WHS Profile to WHSAction@maxima.com.au
  • Able to change the position of existing lighting
  • Able to change the type/colour of lighting used
  • Able to increase or decrease number of lights as required
  • Additional lighting is available as required
  • Computer screen cover with light diffusing surface to avoid glare
  • Computer screen has been tilted so the reflection is directed below eye level
  • Covered during induction / onboarding training
  • Good workstation positioning - i.e. workers' line of sight is parallel to the window, work area located between rows of overhead lights
  • Lighting set up as per applicable part of AS/NZS 1680: Interior and workplace lighting (i.e. .2.2: Specific applications - Office and screen-based tasks | .5: Outdoor workplace lighting | .2.4: Industrial tasks and processes)
  • No barriers (i.e. overhead shelving) to light falling on work area.
  • Notices / Safety Alerts / Toolbox talks
  • PPE - Tinted safety glasses / sunglasses
  • PPE - Wide brim hat / hard hat visor
  • Safe work procedure / risk assessment / JSA / SWMS
  • Shade cloth / Umbrella / Curtains / Door / Barrier able to be erected in between worker and light source
  • Short term exposure / Job Rotation
  • Suitable workplace design with adequate lighting / protection from glare
  • Sun visor (vehicle)
  • Tinted windows
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Alarm system CCTV / Camera monitoring Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event) Induction and Training Mobile phone No lone work Safe work procedure / JSA / Risk Assessment Sign in / Sign out roster system Security Guard Well lit areas Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Alarm system
  • CCTV / Camera monitoring
  • Emergency communication system (i.e. duress alarm / In Vehicle Monitoring System that triggers during a crash event)
  • Induction and Training
  • Mobile phone
  • No lone work
  • Safe work procedure / JSA / Risk Assessment
  • Sign in / Sign out roster system
  • Security Guard
  • Well lit areas
  • Work schedule in place with destination arrival/departure times monitored by Supervisor/Peer/Client
  • Other
  • No controls in place

• Please describe:

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

  

• Respirable dusts and or vapours (i.e. flour / particles)

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Adequate cleaning process / procedure for cleaning PPE and/or RPE Covered during induction Cutting sequences are modified to reduce amount of exposure Exclusion zones Good housekeeping - regular cleaning to avoid build up of contaminants in areas Health monitoring / surveillance Job or shift rotation Local exhaust system or dust collection attachment suitable to the job task (i.e. equipment mounted exhausts, exhaust in work area that does not allow for contaminants to enter breathing zone, etc) Non-toxic chemicals used Pre-employment medical Respiratory Protective Equipment appropriate to the job tasks (i.e. Half-face respirator with P2 cartridge / dust mask / Oxygen-fed respirator, etc, ) Safe work procedures / JSAs / SWMS / SOPs Short exposure Signage Toolbox talk Training / Licence / Ticket Using enclosures / shields / barriers around areas where airborne contaminants are generated. Water suppression (i.e. wet cutting, water truck used to we roads) Work clothing that does not collect dust Worker does not conduct tasks that produce airborne contaminates, only works in vicinity on occasion Worker has been fit tested for tight-fitting respirators within the last 12 months Working in open area with sufficient airflow Workplace design - designated areas for tasks that generate dust and appropriate worker positioning during these tasks. Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Adequate cleaning process / procedure for cleaning PPE and/or RPE
  • Covered during induction
  • Cutting sequences are modified to reduce amount of exposure
  • Exclusion zones
  • Good housekeeping - regular cleaning to avoid build up of contaminants in areas
  • Health monitoring / surveillance
  • Job or shift rotation
  • Local exhaust system or dust collection attachment suitable to the job task (i.e. equipment mounted exhausts, exhaust in work area that does not allow for contaminants to enter breathing zone, etc)
  • Non-toxic chemicals used
  • Pre-employment medical
  • Respiratory Protective Equipment appropriate to the job tasks (i.e. Half-face respirator with P2 cartridge / dust mask / Oxygen-fed respirator, etc, )
  • Safe work procedures / JSAs / SWMS / SOPs
  • Short exposure
  • Signage
  • Toolbox talk
  • Training / Licence / Ticket
  • Using enclosures / shields / barriers around areas where airborne contaminants are generated.
  • Water suppression (i.e. wet cutting, water truck used to we roads)
  • Work clothing that does not collect dust
  • Worker does not conduct tasks that produce airborne contaminates, only works in vicinity on occasion
  • Worker has been fit tested for tight-fitting respirators within the last 12 months
  • Working in open area with sufficient airflow
  • Workplace design - designated areas for tasks that generate dust and appropriate worker positioning during these tasks.
  • Other
  • No controls in place

• Please describe:

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

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones Iso - Barricading and railings Eng - Non-slip coating to increase slip resistance applied to floors Admin - Floor surfaces are even Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways Admin - Signage used for wet or slippery areas Admin - Warning signage Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding Admin - Adequate lighting throughout workplace Admin - Covered during induction Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied) Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills) Admin - Leaks from plant and equipment are stopped/fixed Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up) Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced) Admin - Safe work procedure / JSA / SWMS Admin - Supervision / no lone work Admin - Training and instruction Admin - Working at heights rescue plan Admin - Toolbox talk / Notices / Safety Alerts PPE - Fall protection safety devices PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Iso - Access to high risk slip/trip/fall areas is restricted / exclusion zones
  • Iso - Barricading and railings
  • Eng - Non-slip coating to increase slip resistance applied to floors
  • Admin - Floor surfaces are even
  • Admin - Sufficient amount of power outlets to avoid cords/cables from having to cross walk ways
  • Admin - Signage used for wet or slippery areas
  • Admin - Warning signage
  • Admin - Adequate drainage in workplace to prevent pooling of contaminants / avoid flooding
  • Admin - Adequate lighting throughout workplace
  • Admin - Covered during induction
  • Admin - Edges of steps and changes in floor height are clearly marked (i.e. High visibility paint/tape/stair nosing applied)
  • Admin - Good housekeeping practices have been implemented (i.e. floors regularly cleaned sufficiently, clear access pathways, prompt clean up of spills)
  • Admin - Leaks from plant and equipment are stopped/fixed
  • Admin - Spill management process (spill kit / cleaning equipment, training on spill clean up)
  • Admin - Adequate floor maintenance conducted (i.e. floors have been resurfaced to make even / cracked or broken flooring is replaced)
  • Admin - Safe work procedure / JSA / SWMS
  • Admin - Supervision / no lone work
  • Admin - Training and instruction
  • Admin - Working at heights rescue plan
  • Admin - Toolbox talk / Notices / Safety Alerts
  • PPE - Fall protection safety devices
  • PPE - Appropriate footwear to be worn and expectations have been communicated to workers (i.e. safety boots / non-slip soles with adequate tread, height & heel width restriction on shoes/no high heels)
  • Other
  • No 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.

  

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

• Select the controls in place:

  Select See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au Adequate supervision Continuous beeping when in use Designated walkways Flashing lights on mobile plant / vehicles Mirrors for blind spots / corners (on plant / wall mounted) PPE such as hard hats and hi vis safety vests are to be worn at all times Restricted access to areas with mobile plant / vehicles Risk and controls explained during induction Safe work procedures / JSA / SOP Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery Short exposure / rotating tasks Signage Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner) Sounds or flashing lights on wall/door when plant or vehicles are operating in the area Speed limits Toolbox talk Traffic management plan Training / mobile plant license Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use) Walkie talkies / headsets / communication device to communicate with operator Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc) Other No controls in place

  • See attached photographic evidence / documentation attached via email with this completed Self-Assessment to WHSAction@maxima.com.au
  • Adequate supervision
  • Continuous beeping when in use
  • Designated walkways
  • Flashing lights on mobile plant / vehicles
  • Mirrors for blind spots / corners (on plant / wall mounted)
  • PPE such as hard hats and hi vis safety vests are to be worn at all times
  • Restricted access to areas with mobile plant / vehicles
  • Risk and controls explained during induction
  • Safe work procedures / JSA / SOP
  • Safety guards and bars are in place and function correctly prior to and during operation of plant or machinery
  • Short exposure / rotating tasks
  • Signage
  • Sounding the horn / alert warnings in visibly challenging areas (i.e. reversing out of an ally / driving around a corner)
  • Sounds or flashing lights on wall/door when plant or vehicles are operating in the area
  • Speed limits
  • Toolbox talk
  • Traffic management plan
  • Training / mobile plant license
  • Validation of competency prior to use (i.e. suitably experienced individual witnesses worker's capabilities with plant prior to use)
  • Walkie talkies / headsets / communication device to communicate with operator
  • Warning labels / high vis (i.e. identifying pinch points, head height parts of plant, etc)
  • Other
  • No controls in place

• Please describe:

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

  

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

• Please describe how the hazard may occur:

• What controls are in place?

4.1 Host Declaration

• I have provided to the best of my knowledge accurate information regarding the work tasks, hazards and controls involved.

• I understand that I must notify Maxima if the job or tasks changes which affects Maxima workers. Changes to job tasks may result in the need to reassess the safety provisions you have in place for the work performed by Maxima workers.

• I understand that Maxima may need to complete workplace inspections / risk assessments on site where the work will be completed.

• Host Representative Signature

  Sign

• Date & Time Completed:

  Date

• Completed Host Employer Safety Self-Assessments are to be forwarded to WHSAction@maxima.com.au with supporting documentation / evidence for review.

Version Control

• Version 2: Global Response answers have been replaced with Responses (that have exactly the same options) so they can be accessible when the template is in the public library. The name of the template has been kept as (1) instead of (2) so that the document link may remain the same.

• A secure Host file has been created and is located in: G:\Maxima WHS\Risk Assessments