WH & S Assessment

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Will our candidates be required to work at worksites other than that listed above? (e.g. field work, customer worksites, etc.)<br><br>Note: If yes, the information provided on this Assessment is to include potential hazards, training needs, equipment, etc. the employee can expect to be exposed to whilst hosted by you, irrelevant of the location/s stated above.

  Yes

  No

• Role type/s this assessment covers: (e.g. Receptionist, Waitress, Labourer etc.)

• Client / Host Employer business name

• Do you have a Safety Representative

  Yes

  No

• Who is the safety representative on site?

• Reason for Assessment

• Site contact/s

• Client / Host Employer Signature

  Sign

• Is the overall safety of the worksite of an acceptable standard for our candidates?

  Yes

  No

• Do you have a written WHS policy?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you regularly audit/review your WHS management system?

  Yes

  No

• How often?

• Is your WHS management system certified by an external body? e.g. ISO9001, AS4801

  Yes

  No

• Is there a consultation, communication and collaboration process for WHS matters?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Have your site managers and supervisors been formally trained in regards to their WHS obligations?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you have any processes for employees to raise safety concerns?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you have a hazard identification & risk assessment policy/procedure?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you have a fitness for work, return to work and rehabilitation policy/procedure?

  Yes

  No

• How is this managed?

• Do you have a drug & alcohol policy/procedure?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you have a fatigue management policy/procedure?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you have an incident and investigation management policy/procedure?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Who will candidates notify of any hazards or incidents to?

• Who will notify Findstaff/Stockdale/Go2/Skill Hire of any incidents or hazards involving candidates?

• In accordance with legislative requirements for host employers to cooperate and provide our candidates with suitable duties, will you be able to provide suitable duties to our candidates in the event that they are involved in a workplace incident.

  Yes

  No

• What are the circumstances preventing this course of action?

• Do you have a hazardous manual tasks policy/procedure?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you have an emergency evacuation policy/procedure?

  Yes

  No

• How is this managed? Document response in detail in comment.

• Do you have any other policy/procedure which our candidates need to be aware of?

  Yes

  No

• List additional policies and procedures

• Do you undertake any high risk work activities, which require a high risk work licence, e.g. scaffolding, dogging and rigging, crane and hoist, reach stacker operation, forklift operation or pressure equipment operation, etc.

  Yes

  No

• What processes do you have in place for managing the risks associated with the relevant high risk activities applicable for the workplace, e.g. SWMS, SOPs, JSAs, etc.

• Do you have a system in place to check required licences, qualifications and competency of candidates?

  Select Bobcat Confined spaces Crane Licence Drivers Licence Electrical qualifications Excavator Licence Forklift - LF Forklift - LO Mechanic qualifications Plumbing qualifications S11 Scaffolding ticket Truck - LR Truck MR Truck - MC Truck - HR Truck - HC White Card Other Not applicable

  • Bobcat
  • Confined spaces
  • Crane Licence
  • Drivers Licence
  • Electrical qualifications
  • Excavator Licence
  • Forklift - LF
  • Forklift - LO
  • Mechanic qualifications
  • Plumbing qualifications
  • S11
  • Scaffolding ticket
  • Truck - LR
  • Truck MR
  • Truck - MC
  • Truck - HR
  • Truck - HC
  • White Card
  • Other
  • Not applicable

• What other licences/tickets/qualifications are required?

  Yes

  No

  Not applicable

• How is this managed? Document response in detail in comment.

• What is your procedure for inducting new candidates to your site or when candidates work in a new work area?

• Are there any specific training requirements that candidates will need to undertake?

  Yes

  No

• Please detail.

• How often will candidates be supervised?

  Hourly

  2-3 hourly

  4-6 hourly

  Unsupervised

• Please detail.

• Will the candidates receive instructions and training in performing all tasks required to be completed by a qualified/competent person?

  Yes

  No

  Not applicable

• Why not?

• Please detail.

• Do you have control measures in place to manage the risks associated with hazardous manual tasks?

  Yes

  No

• Why not?

• Please detail.

• Please detail the induction process that our candidates will undertake to ensure the safe use of plant and equipment. E.g. pre-starts, SOP’s.

• Do you have a process for the induction of candidates into site health and safety policies and procedures?

  Yes

  No

• Why not?

• Do you have a process for the induction of candidates into site general evacutation and emergency procedures?

  Yes

  No

• Why not?

• Do you have a process for the induction of candidates into reporting procedures for incidents, injuries and near misses?

  Yes

  No

• Why not?

• Do you have a process for the induction of our candidates on how to access first aid?

  Yes

  No

• Why not?

• Do you have a process for the induction of our candidates on hazard identification and control measures?

  Yes

  No

• Why not?

• Do you have a process for the induction of our candidates on Machinery, plant and equipment to be used by the candidate?

  Yes

  No

• Why not?

• Do you have a process for the induction of our candidates on chemicals and substances to be handled by the candidate?

  Yes

  No

• Why not?

• Do you have a process for the induction of our candidates on PPE requirements?

  Yes

  No

• Why not?

• Do you have a process for the induction of our candidates on workplace harrassment?

  Yes

  No

• Why not?

• Do you have a process for the induction of our candidates on toilets, washing and eating facilities and drinking water?

  Yes

  No

• Why not?

• In the event that our candidate is required to work within other areas of the workplace or at other work sites, do you provide safety inductions specific to those areas and/or sites?

  Yes

  No

• Why not?

• Will safe systems of work be maintained and communicated to our candidates?

  Yes

  No

• Why not?

• Has the company been convicted of a WHS related offence in the last 5 years?

  Yes

  No

• If yes, what was the breach(es) and penalties imposed?

• Have there been any LTI’s (Lost Time Injuries) in last 12 months? (Lost time injury: A lost-time injury is defined as an occurrence that resulted in a fatality, permanent disability or time lost from work of one day/shift or more.)

  Yes

  No

• How many?

• Please detail incidents.

• What corrective actions were put in place to prevent a reoccurrence?

• What is your TRI’s (Total Recordable Injuries) in the last 12 months? Total recordable injury is a metric used to gauge an organization’s safety performance. It reflects the number of fatalities, lost time injuries, substitute work, and injuries requiring treatment by a medical professional per million hours worked.

• Do you have a preferred medical provider/facility?

  Yes

  No

• Who is your preferred medical provider/facility?

• Have there been any notifiable incidents in the last three years?

  Yes

  No

• How many?

• Please detail incidents.

• What corrective actions were put in place to prevent a reoccurrence?

• Will our candidates be exposed to noise levels that are above 85db (average dose) e.g. power tools, grinders, jackhammers, nail guns, mobile plant and equipment, lathes, explosive blasting, lawnmowers, whipper snippers, pneumatic equipment, etc.?

  Yes

  No

• Has a noise assessment been completed to determine the actual noise exposure levels in the workplace?

  Yes

  No

  Not applicable

• When was the last assessment completed?

  Date

• Are hearing tests being conducted regularly (minimum two yearly)?

  Yes

  No

• How is our candidates' hearing protected? Please detail.

General

• What PPE is required on site?

  Select Closed in shoes Cold room coats Coveralls Dust mask Ear muffs Earplugs Face shield (inc. welding helmet) Fall arrestor/Harness Goggles Hairnet/cap/hat Hard hat Hi vis clothing Safety boots Gloves Gumboots Respirator Safety glasses Sunscreen Other - None supplied

  • Closed in shoes
  • Cold room coats
  • Coveralls
  • Dust mask
  • Ear muffs
  • Earplugs
  • Face shield (inc. welding helmet)
  • Fall arrestor/Harness
  • Goggles
  • Hairnet/cap/hat
  • Hard hat
  • Hi vis clothing
  • Safety boots
  • Gloves
  • Gumboots
  • Respirator
  • Safety glasses
  • Sunscreen
  • Other -
  • None supplied

• Will all required PPE be supplied to our candidates?

  Yes

  No

• If any PPE is supplied, please detail (for example - if the candidate is required to supply their own steel caps and welding gloves but is provided with a hi vis and safety glasses, select hi vis and safety glasses)

  Select Closed in shoes Cold room coats Coveralls Dust mask Ear muffs Earplugs Face shield (inc. welding helmet) Fall arrestor/Harness Goggles Hairnet/cap/hat Hard hat Hi vis clothing Safety boots Gloves Gumboots Respirator Safety glasses Sunscreen Other - None supplied

  • Closed in shoes
  • Cold room coats
  • Coveralls
  • Dust mask
  • Ear muffs
  • Earplugs
  • Face shield (inc. welding helmet)
  • Fall arrestor/Harness
  • Goggles
  • Hairnet/cap/hat
  • Hard hat
  • Hi vis clothing
  • Safety boots
  • Gloves
  • Gumboots
  • Respirator
  • Safety glasses
  • Sunscreen
  • Other -
  • None supplied

• Are the walkways free of any trip hazards such as items in walkways/stairs, oil/liquid/food spills, trailing leads, outdoors work, loose floor coverings, holes, etc.?

  Yes

  No

• What is the likelihood of our candidate being exposed to a trip hazard?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is good housekeeping evident? (clear of obstructions, litter, leads)

  Yes

  No

• What is the likelihood of our candidate being exposed to hazard as a result of poor housekeeping?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is electrical equipment regularly tested and tagged?

  Yes

  No

• What is the likelihood of our candidate being exposed to hazard as a result of failure to regularly test and tag?

  High Risk

  Medium Risk

  Low Risk

• What would be the outcomes if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

  Not applicable

• Please provide evidence of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Does electrical equipment appear to be in good condition and good working order?

  Yes

  No

• What is the likelihood of our candidate being exposed to a hazard as a result of poorly maintained electrical equipment?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Do you have a Residual Current Device (safety switch) installed? A Residual Current Device is a sensitive safety device that switches off the electricity within 10 to 50 milliseconds if there is an electrical fault. An RCD is is designed to protect against the risks of electrocution and fire caused by earth faults. This can look like a flip switch in a fuse box or a large levered switch.

  Yes

  No

• What is the likelihood of our candidate being exposed to a residual current?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as practicable?

  Yes

  No

• Please provide examples of control measures.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are there appropriate personal facilities on site? E.g. designated meal areas, toilets, potable water

  Yes

  No

  Not applicable

• Why not?

• Why is this not applicable?

WORKSTATION AREAS

• Is the equipment design appropriate for the tasks?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to an incident as a result of inappropriate equipment design?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are the work stations at appropriate heights and positions?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to a hazard as a result of inappropriate heights and positions of work stations?

  High Risk

  Medium Risk

  Low Risk

• what would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are the areas well ventilated and have appropriate lighting?

  Yes

  No

• What is the likelihood to our candidate being exposed to a hazard as a result of poor ventilation and lighting?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are light and power switches in good working order and accessible?

  Yes

  No

• What is the likelihood of our candidate being exposed as a result of poorly maintained power and light switches?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are the corridors and storage areas clear of obstructions and wide enough for traffic?

  Select Yes No

  • Yes
  • No

• What is the likelihood of our candidate being exposed to a hazard as a result of storage areas being obstructed?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are goods stored safely and securely?

  Yes

  No

• What is the likelihood of our candidate being exposed to a hazard as a result of incorrect storage of goods?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

EMERGENCY, FIRE AND FIRST AID

• Is there an emergency evacuation plan with appropriate assembly points clearly displayed?

  Yes

  No

• Why not?

• Are the exits clearly identified and clear of obstructions?

  Yes

  No

• Is there adequate emergency lighting, alarms and sprinklers?

  Yes

  No

• Are fire extinguishers appropriate for the hazards in the area and clearly signed?

  Yes

  No

• Are fire extinguishers, alarms, sprinklers, emergency lighting and first aid kits regularly serviced?

  Yes

  No

• Who is responsible for the emergency equipment servicing?

• Are vehicles equipped with first aid kits for mobile sites? (this question is specific to work vehicles that are used offsite e.g. trades vehicles, delivery vehicles, trucks)

  Yes

  No

  Not applicable

• Why not?

• Are vehicles equipped with fire extinguishers for mobile sites? (this question is specific to work vehicles that are used offsite e.g. trades vehicles, delivery vehicles, trucks)

  Yes

  No

  Not applicable

• Why not?

• Are there trained Fire Wardens on site?

  Yes

  No

  Not applicable

• Why not?

• Are there trained First Aiders on site?

  Yes

  No

  Not applicable

• Are the first aid kits clearly labelled and accessible to all employees?

  Yes

  No

• What are the locations?

• Is there a visitor’s register that is accessible in an emergency?

  Yes

  No

  Not applicable

MOBILE PLANT & EQUIPMENT

• Is all plant & equipment in good working order?

  Yes

  No

• What is the likelihood of our candidate being exposed to a hazard as a result of poor plant and equipment maintenance?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is all plant & equipment adequately guarded? (no access to moving parts)

  Yes

  No

• What is the likelihood of our candidate being exposed to a hazard as a result of inadequate equipment guards?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are there starting and stopping devices and are they easily accessible and clearly marked?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to a hazard as a result of a lack of stopping devices?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Are pre-start inspections conducted?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to a hazard as a result of a lack of pre-start inspections?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is there a regular inspection and maintenance schedule for the machinery?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to a hazard as a result of lack of inspection and maintenance of machinery?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is there machine tagging and lock out procedures in place for all maintenance on machinery?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to a hazard as a result of lack of tagging and lock out procedures?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

TRAFFIC MANAGEMENT

• Is there a suitable traffic management plan for the site?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to hazard due to a lack of a traffic management plan?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is there clear signage to direct traffic flow?

  Yes

  No

  Not applicable

• What is the likelihood of our candidate being exposed to a hazard due to lack of clear signage?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is all mobile plant separated from pedestrians?

  Yes

  No

  Not applicable

• Please provide details of how the mobile plant is separated from pedestrians.

• What it the likelihood of our candidate being exposed to a hazard due to lack of separation of mobile plant from pedestrians?

  High Risk

  Medium Risk

  Low Risk

• What would the outcomes be if an incident occurred?

• Are there control measures in place to reduce the risk so far as is reasonably practicable?

  Yes

  No

  Not applicable

• Please provide examples of control measures in place.

• Level of risk to our candidate?

  High Risk

  Medium Risk

  Low Risk

• Is there high risk work activity carried out by this host?

  Yes

  No

• Are candidates required to undertake any high risk work?

  Yes

  No

• Describe all high risk activities that candidates are required to undertake.

• Are hazards associated with high risk work activities identified?

  Yes

  No

• Have control measures been implemented for the high risk activities that have been identified?

  Yes

  No

• Risk assessment

  Yes

  No

• Permits

  Yes

  No

• Specific training

  Yes

  No

• Are fall prevention systems used where required?

  Yes

  No

  Not applicable

• Why not?

MANUAL HANDLING

• Are there any hazardous manual tasks?

  Yes

  No

• Detail the hazardous manual tasks required of our candidates.

• Is excessive manual handling eliminated?

  Yes

  No

  Not applicable

• Are staff trained on correct manual handling processes?

  Yes

  No

  Not applicable

• Provide details of training.

• Has a manual handing risk assessment been conducted on all manual tasks?

  Yes

  No

  Not applicable

• Provide examples of the risk assessments.

• Is there a rotation of tasks/breaks occurring?

  Yes

  No

  Not applicable

• Are there suitable mechanical lifting aids available?

  Yes

  No

  Not applicable

HAZARDOUS SUBSTANCES

• Are there hazardous substances present on site?

  Yes

  No

• Provide details of which hazardous substances are on site.

• Are hazardous substances stored correctly?

  Yes

  No

• Are there SDS (Safety Data Sheets) available for all chemicals?

  Yes

  No

NOISE MANAGEMENT AND HEALTH MONITORING

• Are workers exposed to any noise levels that requires hearing tests?

  Yes

  No

• How regularly are hearing tests conducted?

• Are there any medical checks required?

  Yes

  No

• Provide details of required medical checks.