Safety Systems - Bus

• Contractor's Name

• Assessor

• Conducted on

  Date

• Front Cover Title (Contractor Entity Name)

Service Description

• Service Name

• Contract Number

• Contract Type

• Education Support Service

  No

  Yes

• Is this bus currently carrying students who require wheelchairs?

  No

  Yes

• Mainstream Service

  No

  Yes

• Does a Bus Aide travel on this service?

  No

  Yes

• Is this service operated in a remote location of WA?

  No

  Yes

• Is this service operated remotely from the Contractor's main place of business?

  No

  Yes

• Role of the person responding to the questionaire?

  Select Driver Relief Driver Bus Aide Relief Bus Aide Other

  • Driver
  • Relief Driver
  • Bus Aide
  • Relief Bus Aide
  • Other

• What is the role of the respondent?

1.0 - Vehicle Checking and Roadworthiness

• 1.1 - Vehicle Daily Checks

• Scope (Information for Assessor)
  Confirm whether a driver or a suitably qualified individual undertakes the vehicle pre-start checks.
  

• 1.1.1 - Are vehicle pre-start checks done before the bus is used each day?

  No

  Yes

• How are vehicle checks completed?

• Evidence

  Evidence

  No Evidence

• Vehicle Pre-start Checklist - completed example

  Media

• How do you know the vehicle is safe to drive?

• 1.2 - Vehicle Defect Reporting

• Scope (Information for Assessor)
  Determine if a system of vehicle defect checking, reporting and tagging out of unroadworthy vehicles is in place.
  Note: Tagging out of vehicles is normally used where a person other than the allocated driver can have access to the vehicle., e.g. the vehicle is in a depot. Therefore, it may not be necessary for single operator to have a formal tagging out process.

• 1.2.1 - Do you report vehicle defects?

  No

  Yes

• How do you report vehicle defects?

• Where a vehicle is unsafe to use, how would you know not to use the vehicle?

• How do you know when repairs have been completed and it's safe to use?

• Evidence

  Evidence

  No Evidence

• Evidence - Defect Notice

  Media

• 1.2.2 - How do you know the bus is safe to drive?

• Recommendations

  Yes

  No

• Recommended Actions:

• Vehicle Checking and Roadworthiness

  Safe

  At Risk

• Corrective Actions Required

  Yes

  No

• Corrective Action

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

2.0 - Passenger Management

• Scope (Information for Assessor)
  Determine if Bus Staff are able to readily access information on students to enable them to manage individual circumstances of the students that travel on the service.

• Type of Service

  Mainstream

  Education Support

• 2.1 - Do you have a passenger list?

  No

  Yes

• 2.1.1 - How do you know whose on your bus each day?

• 2.1.2 - How do you manage student information? Particularly, contact details and the individual needs of students.

• 2.1.2 - How do you keep the passenger list up to date?

• 2.2 - Do you check the bus at the end of each run?

  No

  Yes

• 2.2.1 - Where do you check the bus?

  Terminus

  Depot

  Other

• If other, where is the bus checked at the end of each run?

• 2.2.2 - Do you use a list to check students on and off the bus?

  No

  Yes

• Evidence - student checklist

  Media

• 2.2.3. - How do you know all of the students have left the bus and are not at risk of being left on the bus?

• 2.3 - Are there any students who travel on the school bus that have medical conditions?

  No

  Yes

• 2.3.1 - If yes, how do you manage students with medical conditions?

• Evidence - Medical Action Plan

  Media

• 2.4 - What action would you take if you were advised that a student was diagnosed with a medical condition?

• 2.5 - Do you carry students who have special needs?

  No

  Yes

• 2.5.1 - What special requirements do these students have while travelling on the bus?

  Select Education Support Physical Mobility Other Impairment Other

  • Education Support
  • Physical Mobility
  • Other Impairment
  • Other

• 2.5.2 - Have you been given instructions on how to manage the circumstances of these students?

  No

  Yes

• If you aren't provided with instructions on how to manage these students, how do you know what to do?

• Evidence - Integrated Care Plan

  Media

• 2.1 - Do you have a passenger list that contains current contact details?

  No

  Yes

• 2.1.1 - How do you keep the passenger list information up to date?

• 2.2 - Do you check the bus at the end of each run?

  No

  Yes

• 2.2.1 - Where do you check the bus?

  Terminus

  Depot

  Other

• If other, where is the bus checked at the end of each run?

• 2.2.2 - How do you know all of the students have left the bus and are not at risk of being left on the bus?

• 2.3 - Do you have Integrated Care plans for the students that travel on your bus?

  No

  Yes

• Evidence - Instructions / Care Plans

  Media

• How do you manage these students and their needs?

• Recommendations

  Yes

  No

• Recommended Actions

• Student Management is managed appropriately

  Safe

  At Risk

• Corrective Actions Required

  Yes

  No

• Corrective Action

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

3.0 - Service Contingency Planning

• Scope (Information for Assessor)
  Issues that may interrupt the provision of the service have been identified and appropriate instructions have been provided to the driver.
  Contact details for individuals and/or organisations that may be needed in the event of a service delay/interruption have been identified, recorded and are easily accessible in the school bus.

• 3.1 - Have you been given information and instructions on what actions to take if delays or interruptions occur during the bus run?

  No

  Yes

• 3.1.1 - What contingency issues have been identified that specifically relate to this service?

  Select Vehicle Breakdown Student Medical Emergency Vehicle Accident Bush FIre Fire on the Bus Student Behaviour Incident Environmental Incident: Cyclone/Flood etc Other

  • Vehicle Breakdown
  • Student Medical Emergency
  • Vehicle Accident
  • Bush FIre
  • Fire on the Bus
  • Student Behaviour Incident
  • Environmental Incident: Cyclone/Flood etc
  • Other

• Other identified contingencies:

• 3.1.2 - How do you know what actions to take?

• 3.2 - Do you have the contact details for people you may need to contact if the service is delayed?

  No

  Yes

• 3.2.1 - How do you advise people that you're delayed?

• Evidence - Contact List

  Media

• Recommendations

  Yes

  No

• Recommended Actions

• Is the contingency planning appropriate for the type and location of the service?

  Safe

  At Risk

• Corrective Action Required

  Yes

  No

• Corrective Actions

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

4.0 - Student Behaviour Management

• Scope:
  1. Confirm the PTA's Behaviour Management Guidelines have been implemented and specifically in context of the types of students that travel on the school bus,
  2. Behaviour Management Notices are used appropriately, and
  3. families are effectively communicated with as a result of a student's poor behaviour.
  

• Type of Service

  Mainstream

  Education Support

• 4.1 - Do you use the PTA's Behaviour Management Guidelines to manage student behaviour?

  No

  Yes

  Partially

• How do you manage students' poor behaviours?

• Evidence of alternative instructions

  Media

• What areas of the BMGs are being used?

• Do you issue Behaviour Management Notices?

  No

  Yes

• Evidence - Behaviour Management Notice

  Media

• How do you report student's poor behaviours?

• Evidence - Alternative Behaviour Management Notice (if any)

  Media

• Do you issue Behaviour Management Notices?

  No

  Yes

• Evidence - Behaviour Management Notice

  Media

• How do you report students' poor behaviours?

• Evidence - Alternative Behaviour Management Notice (if any)

  Media

• 4.1 - Do you use the PTA's Behaviour Management Guidelines to manage student behaviour?

  No

  Yes

• How do you manage students' poor behaviours?

• Evidence of alternative instructions

  Media

• 4.1.2 - Do you use Behaviour Management Notices to report poor performance?

  No

  Yes

• Evidence: Behaviour Management Notice

  Media

• What forms do you use to report students' poor behaviours?

• 4.2 - Do you communicate with parents/carers in relation to students' poor behaviours?

  No

  Yes

• 4.3 - What types of special needs do the students on your bus have?

  Select None Education Support Medical Condition Physical Mobility Issue Hearing Impairment Vision Impairment Other

  • None
  • Education Support
  • Medical Condition
  • Physical Mobility Issue
  • Hearing Impairment
  • Vision Impairment
  • Other

• Other (list)

• How do you alter your behaviour management strategies?

• Recommendations

  Yes

  No

• Recommended Actions

• Is Student misconduct managed appropriately?

  Safe

  At Risk

• Corrective Actions Required

  Yes

  No

• Corrective Action

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

5.0 - Incident and Hazard Management

• Scope:
  Determine if appropriate systems are in place for bus staff to record, report and manage incidents and hazards.

• 5.1 - Have you been given training and instruction on managing and reporting incidents and hazards?

  No

  Yes

• 5.2 - Do you report incidents, hazards and near misses?

  No

  Yes

• 5.3 - Do you have access to forms for reporting incidents and hazards?

  No

  Yes

• Incident or Hazard Report Form

  Media

• After you report incidents/hazards are you advised of the outcome?

  No

  Yes

• How do you receive feedback?

• How do you know if the hazard has been managed?

• How do you report Incidents and Hazards?

• Recommendations

  Yes

  No

• Recommended Actions

• Incident and Hazard Management systems in place and appropriate for use in this service?

  Safe

  At Risk

• Corrective Action Required

  Yes

  No

• Corrective Action

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

6.0 - Bus Staff Instructions

• Role

  Driver

  Bus Aide

  Bus Warden

  Contractor

  Other

• Role of Respondent

• Name:

• Type of Service

  Mainstream

  Education Support

• 6.1 - Do you have a set of instructions regarding your role?

  No

  Yes

• How do you know how to do your job?

• Evidence of Job Description Statements

  Media

• 6.2 - Do you sign off each day before commencing work that you are fit for work, that is you are not affected by fatigue and have a BAC of zero?

  No

  Yes

• Evidence - Fitness for Work sign off

  Media

• What do you do to manage your fatigue?

• 6.1 - Do you have a set of instructions regarding your role?

  No

  Yes

• How do you know how to do your job?

• Evidence of Job Description Statements

  Media

• Role

  Select Driver Bus Aide Bus Warden Contractor Other

  • Driver
  • Bus Aide
  • Bus Warden
  • Contractor
  • Other

• Role of Respondent

• 6.2 - Do you sign off each day before commencing work that you are fit for work, that is you are not affected by fatigue and have a BAC of zero?

  No

  Yes

• What do you do to manage your fatigue?

• Recommendations

  Yes

  No

• Recommendations

• Do the bus staff have the appropriate instructions and information to undertake their roles safely?

  Safe

  At Risk

• Corrective Action Required

  Yes

  No

• Corrective Action

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

7.0 - Induction

• 7.1 - Before you started work on the school bus, were you inducted into the role?

  No

  Yes

• 7.1.1 - If there is no formal induction process, how did you know how to do your job?

• 7.2 - Where you informed how to report a workplace injury?

  No

  Yes

• Recommendations

  Yes

  No

• Recommendations

• Is the Induction process appropriate for the service?

  Safe

  At Risk

• Corrective Action Required

  Yes

  No

• Corrective Action

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

8.0 - Emergency Planning

• Scope:
  To determine whether all potential emergency situations have been considered and that bus staff have been given appropriate instructions and training in emergency procedures.

• 8.1 - Have you been given instructions on what actions you should take in the event of an emergency?

  No

  Yes

• How do you know what to do?

• What are the potential emergencies that have been identified?

  Select Vehicle Breakdown Student Medical Emergency Vehicle Accident Bush FIre Fire on the Bus Student Behaviour Incident Environmental Incident: Cyclone/Flood etc Other

  • Vehicle Breakdown
  • Student Medical Emergency
  • Vehicle Accident
  • Bush FIre
  • Fire on the Bus
  • Student Behaviour Incident
  • Environmental Incident: Cyclone/Flood etc
  • Other

• What are the other emergencies that have been identified?

• 8.2 - Do you undertake emergency drills or give instructions on the various types of emergencies to your passengers?

  No

  Yes

• How often do you do this?

• Who is involved in any practice drills?

• How do you know what to do?

• Recommendations

  Yes

  No

• Enter recommendations

• Emergency planning is appropriate for the type and location of the service provided

  Safe

  At Risk

• Corrective Actions Required

  Yes

  No

• Corrective Actions

• Action Date

  Select Specify date Immediate 1 week 2 weeks 1 month On going

  • Specify date
  • Immediate
  • 1 week
  • 2 weeks
  • 1 month
  • On going

• Select date

  Date

Overall Comments

• Comments:

• Follow Up Actions

• Assessor's signature

  Sign