Title Page

  • Conducted on

  • Prepared by

  • Location
  • Name of Supervisors on Site

  • Name of Activity

  • Name of person undertaking monitoring visit

  • Have any changes to activity tasks or environment been made since last visit?

  • Has there been any changes to supervision arrangements since last visit?

  • Are you, and is the Host Organisation, satisfied that there are appropriate processes in place to ensure that the job seeker is aware of the relevant work health and safety issues and how to report, prevent and manage those issues and concerns (i.e. induction/consultations/toolbox meetings)?

  • Have there been any incidents since last visit?

  • Does the Place/Activity involve work that is inherently dangerous (i.e. working with electricity, heavy machinery or at heights; or work that requires formal competency assessment or operator tickets)?

  • Is personal protection equipment and clothing required to undertake the Place/Activity?

  • Is the required safety equipment noted in the Risk Assessment (Place) available and adequate?.

  • Are the appropriate facilities available for use by participants? (i.e. access to drinking water, lunchroom facilities and toilets) to the job seeker at all times during the course of the Place/Activity?

  • Does the Place/Activity require checks (e.g. National Police Check, Working with Vulnerable People Check) to be undertaken for job seekers and are they currently available for sighting for activities that require them?

  • For activities that require WWCC - Have you requested and sighted a valid WWCC during your visit today? Please provide comments

  • Does the Place/Activity involve close proximity to Children, the elderly or other vulnerable cohorts as per the Deed and Guidelines?

  • Are you and the Host Organisation satisfied that the supervisor(s) are appropriate and adequate for the specific Place/Activity, as per the Deed and Guidelines?

  • Are you satisfied the Host Organisation is compliant with legislative and regulatory obligations imposed on it in relation to work health and safety?

  • Have you advised the Host Organisation that it must immediately contact the Lead Provider if the circumstances or tasks being undertaken by the job seeker change and that another risk assessment of the Place/Activity will be required?

  • Are you satisfied the Host Organisation has adequate work health and safety processes in place to deliver the activity safely?

  • Is the Supervisor App/Tablet in good working order?

  • Does the Supervisor require any training regarding Supervisor App or Work for the Dole?

  • Is the Test and Tag still current?

  • Are the fire extinguisher available and services within the last year?

  • Is the Material Safety Data Sheet (MSDS) accessible and all documents in date?

  • Is the first aid kit adequately stocked and items are in date?

  • Is there anything that participants have reported that require action?

  • Have your requested feedback from participants to see how the activity is progressing?

  • Are there any concerns regarding participant attendance or reaching the activity outcome in the desired timeframe?

  • Are there any concerns regarding the budget or expenditure?

  • Will a review of the current risk assessment (Place), be required under the Deed and Guidelines based on changes noted during this visit?

  • Further Comments

  • Is there anything else that the Supervisor/Host has reported that requires action?

  • Date of Risk Assessment review by Community Partnerships Manager (if required)

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.