Title Page

  • Self Assessment - Element 7 + 8

  • Conducted on

  • Prepared by

  • Location
  • Personnel involved

1. There is a documented emergency plan that identifies potential emergency situations and meets relevant emergency service requirements.

  • 1. Evidence of identification of the range of potential emergency situations in the workplace that considers the type and location of the employer (eg. chemical spills, earthquakes, management of emergency situations for employees working alone).
    2. Evidence of consideration of emergency service requirements.
    3. An emergency plan that includes the response required for the relevant identified emergency situations

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

2. Emergency procedures have been implemented and communicated with all employees and contract staff

  • 1. Evidence that the emergency procedures have been implemented and communicated (eg. signage, communications, training).

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

3. Designated employee/s or wardens for each work area trained to take control in an emergency.

  • 1. List of designated employees known to all staff.
    2. Training schedules and records.
    3. Evidence that review or refresher emergency training has been undertaken with designated employees within the previous year.
    4. Evidence of specific emergency training for designated staff according to identified potential emergencies in the workplace (eg. civil defence emergency training, advanced first aid certificates).

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

4. There is periodic testing of emergency evacuation procedures at regular intervals – of no greater than six months apart.

  • 1. Record of emergency evacuation drills.

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

5. There is a consultative review of emergency response procedures, after any practice drills and after any actual emergency event.

  • 1. Minutes of review meetings, particularly post-critical event.
    2. Evidence of update to procedures and plans (where applicable).

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

Critical Element 8 - Protection of Employees from On Site from work undertaken by contractors and subcontractors

1. Induction to on-site health and safety procedures is co-ordinated by a designated person(s) for all contracted staff, including one-off maintenance contractors or similar.

  • 1. Process for the induction of contractors and their staff, according to their level of involvement with employees in the workplace, and including sign-off by employer and contractor or subcontractor.
    2. Designated person(s) to co-ordinate health and safety induction for contractors.
    3. Evidence of completed contractor induction (where applicable).

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

2. Criteria to select and manage contractors include assessment of health and safety performance.

  • 1. Documented procedures (e.g.. selection checklist or similar).
    2. Contractor plans include:
    – Staff training and competencies
    – Current certification and permits
    – Declaration of the above signed by contractor.

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

3. Health and safety expectations and responsibilities are written into contracts.

  • 1. Evidence that health and safety responsibilities are written into contracts (eg. procedures, signed contracts).

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

4. There is a process to actively monitor the health and safety performance of the contractor at agreed regular intervals for the duration for the contract where relevant. (NB: Only applies to contract work undertaken on a site where there are employees of the principal present.)

  • 1. Evidence of review of work site health and safety performance including dates and responsibilities
    2. Evidence of feedback from the contractor into hazard identification and incident and injury reporting (where applicable).

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

5. Post-contract evaluations include health and safety as part of the evaluation.

  • 1. Process for post-contract evaluation
    2. Evidence of completed post-contract evaluations (where applicable

  • Enter your findings, evidence reviewed and recommendations below

  • Select your judgment based on your findings

  • Enter any notes if you wish

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.