Potential Host ETC WHS Assessment (AiGTS Internal Form)

• Sharc/Chip No. (Mandatory)

• Client / Site

• Location
  Address

• Conducted on

  Date

• Host Representative, Title and Contact No.

• AiGTS Representative

• All sections are to be completed and sent to the safety team with the documented evidence, approval from the safety team is required BEFORE an apprentice/trainee can start at a Host organisation.

Position Details

• Trade Description

• What are the tasks and duties to be performed by the apprentice/trainee?

• List the plant and equipment that the apprentice/trainee will be operating?

• What is the environment that the apprentice/trainee will be working in?

Host WHS Management Systems

• All questions should be be answered with YES, NO or N/A, all YES answers will require a copy or photo of the document as evidence for the safety team to assess compliance.

• Is the host accredited to a certified safety management system? (AS 4801 or OHSAS 18001)

  Yes

  No

  N/A

• Does the host have an up to date, signed WHS policy?

  Yes

  No

  N/A

• Does the host have a hazard identification and risk assessment procedures?

  Yes

  No

  N/A

• Does the host have written safe work procedures? (JSA, SOP, SWMS or Work Permits)

  Yes

  No

  N/A

• Does the host have a documented induction process for new workers?

  Yes

  No

  N/A

• Does the host ensure that incidents are reported and investigated?

  Yes

  No

  N/A

• Does the host have emergency evacuation procedures that reflect the type of emergencies they could encounter?

  Yes

  No

  N/A

• Does the host have adequate amenities for the workers?

  Yes

  No

  N/A

• Does the host have safety signage in place?

  Yes

  No

  N/A

• Is housekeeping to a good standard?

  Yes

  No

  N/A

• Does plant and equipment have adequate guarding and emergency stops in place?

  Yes

  No

  N/A

• Take a photo of the plant or equipment.

  Media

Verification Statement

• This document is verification that a WHS site visit has been completed and the AiGTS Employment & Training Consultant conducting the assessment is satisfied that all the information is true & correct.
  Apprentices/Trainees can not start at the host organisation site until this assessment is approved and signed by the safety team and returned to the ETC.

• AiGTS Employment & Training Consultant

  Sign

Safety Team Sign Off & Approval

• Safety Team Member

  Sign