SITXWHS003 Implement and monitor work health and safety practices

Assessment 1 – Practical Demonstration

Training Session Plan Template

Coach name:
Learner name:
Need for training: e.g.: Chicken Kiev going out not cooked through
Goals of the training program: To ensure Kiev’s are cooked through correctly
Facilitation techniques to be used:
Structure	Learning activities to be undertaken
Introduction to session
Final Meeting and coaching session
Tools and equipment needed:
Feedback
Methods to be used:

Assessment 2 – Risk Assessment

 

Use this template to complete the assessment

	Workplace Inspection Checklist
	Item	Yes	No	N/A
1	Fire
	– Extinguishers are in place
	– Are clearly marked
	– Have been serviced in the past 6 months
	– Area around extinguisher is clear for a 1-meter radius
	– Fire exit signs are in working order
	– Exit doors are not blocked
	– Exit doors can easily be opened
	– Fire alarm is in working order
	– Emergency plan is displayed
	– Emergency drill carried out within the last 6 months
2	Electrical
	– No broken plugs, sockets or switches
	– No frayed or damaged leads
	– Portable power tools in good condition
	– No temporary leads on the floor
	– Testing and tagging of electrical items has been attended within the last 12 months
3	General Lighting
	– There is adequate illumination in working areas
	– There is good natural lighting
	– There is no direct or reflected glare
	– Light fittings are in good working condition and are clean
	– Emergency lighting is operational
4	Walkways
	– No oil or grease
	– Walkways are clearly marked
	– Walkways are clear of obstructions
	– There is unobstructed vision at intersections
	– Stairs not blocked and are in good condition
5	Rubbish
	– Bins are located at suitable points
	– Bins are not overflowing
	– Bins are emptied regularly
6	Work Benches
	– Clear of rubbish
	– Tools are stored properly
	– Adequate work height
	– No sharp edges
7	Storage
	– Materials stored in racks in a safe manner
	– Pallets are in good condition (no broken wood)
	– Floor around racking is clear of rubbish or obstacles
	– Racking is in good condition, no damaged uprights, beams etc.
8	Chemicals
	– SDS for all chemicals
	– SDS Register is available and up to date
	– Containers are clearly and accurately labelled
	– All chemicals are stored in accordance with the SDS
9	First Aid
	– First aid kits and contents clean and orderly
	– First aid kit is adequately stocked (as per the Schedule in the kit)
	– Easy access to first aid kits
	– All employees are aware of location of first aid kits
	– At least one worker on site with current Senior First Aid cert
10	Floors
	– Even surface with no large cracks, holes or trip hazards
	– Floors are not obstructed
	– Floors are free from grease, oil, etc.
11	Office
	– No exposed leads
	– Air conditioning working adequately

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