Assessment Guide

Assessment Guide
SITXWHS003
Implement and monitor work health and
safety practices
SIT Version 1 1 of 22
©Futura Group 2016
Assessment Tasks and Instructions
Student Name
Student Number
Course and Code
Unit(s) of Competency and Code(s) SITXWHS003 Implement and monitor work health
and safety practices
Stream/Cluster
Trainer/Assessor
Assessment for this Unit of Competency/Cluster Details

Assessment 1 Assignment
Assessment 2 Project
Assessment 3
Assessment conducted in this instance: Assessment 1 2 3
Reasonable Adjustment
1. Has reasonable adjustment been applied to this assessment?
No No further information required
Yes Complete 2.
2. Provide details for the requirements and provisions for adjustment of assessment:
Student to complete
My assessor has discussed the adjustments with me
I agree to the adjustments applied to this assessment
Signature Date
2nd Assessor to complete

I agree the adjustments applied to this assessment are reasonable
©Futura Group 2016
Name
Signature Date
Assessment Guidelines
What will be assessed
The purpose of this assessment is to assess your ability to complete tasks outlined in elements and
performance criteria of this unit in the context of the job role, and:
 implement and monitor adherence to workplace health and safety procedures in three of the following real or
simulated situations:
o evacuation of staff and customers
o security management of cash, documents, equipment, keys or people
o handling chemicals and hazardous substances
o hazard identification and reporting
o incident and accident reporting
o risk assessment and reporting
 coordinate consultative processes for managing the above workplace health, safety and security issues
 coordinate risk assessments, WHS training, and the maintenance of records relating to above situations
 monitor the effectiveness of the WHS system and identify:
o required adjustments
o staff training needs
 demonstrate management practices that must be implemented for compliance with state or territory
occupational health and safety (OHS) or WHS legislation during above situations.
Place/Location where assessment will be conducted
Resource Requirements
Refer to the Assessment conditions attached to the Futura Group Mapping Document located in the teacher
support tools folder or the “Assessment Conditions” for this unit in the SIT 1.0 Training Package.
For this assessment access to the following resources are essential:

 access to a computer
 internet access
 a workplace, real or simulated, with workers or students present
 risk assessment templates (attached)
 relevant state or territory WHS legislation
 current plain English regulatory documents distributed by the local WHS government regulator
 codes of practice and standards issued by government regulators or industry groups
 WHS information and business management manuals issued by industry associations or commercial
publishers
 current commercial WHS policies and procedures
Instructions for assessment including WHS requirements
The assessment for this project consists of 2 Parts, Part A and Part B.
©Futura Group 2016
Part A requires you to plan for 3 situations of your choice as outlined below:
1. You are required to select 3 situations as listed in the task description on the following pages.
2. Once your situations have been selected, you need to access the relevant codes of practice from the
Safework website or the website governing WHS relevant for your state.
3. After you have identified the specific requirements for each situation you will need to:
a. plan, develop and implement consultation processes with your staff/ colleagues;
b. conduct risk assessment for each;
c. apply the relevant risk control measures; and
d. implement each situation in instances as instructed by tour trainer.
4. During implementation of each situation you need to identify the effectiveness for each system,
identify any adjustments required and identify any further staff training needs.
5. For each situation you need to provide:
a) Clear reference to websites or sources including sections and pages where you located the
relevant legislation
b) An implementation plan that provides the steps and processes for planning consultation, risk
assessment and implementation for each situation
c) The actual records required to meet legislative requirements (for example consultation
records for staff consultation/ where incident reporting is selected the appropriate form(s)/
where chemicals and hazardous substances are selected the relevant SDS, PPE register,
training register etc./ where security management of any kind is selected the relevant SOPs,
emergency procedures, staff training records/ where evacuation is selected, the floorplan(s),
emergency procedures, wardens, forms for reports as relevant etc.)
Part B requires you to implement and monitor the effectiveness of each situation to identify the need for
adjustment and any training requirements for staff to overcome any shortfalls or non-compliance that is
identified
6. The observation criteria below provide a guideline for generic key criteria.
7. Additional criteria will be added by your trainer as relevant for the specific situations
Statement of Authenticity
I acknowledge that I understand the requirements to complete the assessment tasks
The assessment process including the provisions for re-submitting and academic appeals were explained
to me and I understand these processes
I understand the consequences of plagiarism and confirm that this is my own work and I have
acknowledged or referenced all sources of information I have used for the purpose of this assessment
Student Signature: Date: / /201
This assessment:
First Attempt 2nd Attempt 3nd Attempt Extension – Date: / /
©Futura Group 2016
RESULT OF Project Part A Satisfactory Not Yet Satisfactory
ASSESSMENT Project Part B Satisfactory Not Yet Satisfactory
Feedback to Student:
Assessor(s)
Date: / /
Signature(s):
Student Signature Date: / /
©Futura Group 2016
Assessment 2
Part A Planning WHS systems, consultation and risk assessment
Your Tasks
For the purpose of this assessment you need to provide for each situation listed below:
a) Clear references to websites or sources including sections and pages where you located the
relevant legislation
b) An implementation plan that provides the steps and processes for planning consultation, risk
assessment and implementation for each situation
c) The actual records required to meet legislative requirements (for example consultation records
for staff consultation/ where incident reporting is selected the appropriate form(s)/ where
chemicals and hazardous substances are selected the relevant SDS, PPE register, training
register etc./ where security management of any kind is selected the relevant SOPs, emergency
procedures, staff training records/ where evacuation is selected, the floorplan(s), emergency
procedures, wardens, forms for reports as relevant etc.)
1. You are required to plan the following situations:
1) evacuation of staff and customers

2) security management of cash, documents, equipment, keys or people
3) handling chemicals and hazardous substances
Instance Date Duration from ... to... Tasks to be completed

What will be observed?
Selection 1: Consultation
Risk Assessment Process
Implementation
Monitoring of processes
Identification of Training Needs
Evaluation
Recording of documentation
©Futura Group 2016
Implementation
Evaluation
Implementation
Evaluation
2. Once your situations have been selected, you need to access the relevant codes of practice from the
Safework website or the website governing WHS relevant for your state.
Situation Code/legislation/factsheet Reference
3. After you have identified the specific requirements for each situation you will need to plan, develop and
implement consultation processes with your staff/ colleagues.
1. Instance
Situation:
Describe the legal requirements set out by the relevant code/legislation that applies to this situation
©Futura Group 2016
Consultation Requirements: Where, when, what
Who is involved:
Risk assessment including Hazard Analysis – what will need to be assessed
Complete the risk assessment template marked “Situation_______________________
2. Instance
Situation:
Consultation Requirements:
Who is involved:
3. Instance
Situation:
Consultation Requirements:
Who is involved:
©Futura Group 2016
Planning WHS systems, consultation and risk assessment
Situation 1. : Evacuation of staff and customers
Marking Criteria 1.Attempt 2.Attempt 3.Attempt
Legal requirements set out in legislation S NYS S NYS S NYS Comments
The correct code, legislation or factsheet is identified
The source where the information is accessed is provided
The legal requirements for emergency procedures are identified:
 PCBUs must ensure that an emergency plan is prepared

for the workplace, including for workers who may work
at multiple workplaces
The inclusions listed in the emergency plan are identified and http://www.safeworkaustr
provided alia.gov.au/sites/swa/abo
 emergency procedures, including: ut/publications/Document
 an effective response to an emergency s/657/Emergency_plans_fa
 evacuation procedures ct_sheet.pdf
 notifying emergency service organisations at the earliest
opportunity
 medical treatment and assistance, and
 effective communication between the person
 authorised to coordinate the emergency response
 and all people at the workplace
 testing of the emergency procedure
 information, training and instructions for workers to
implement the emergency procedures
 a floor plan or outline of the area where evacuation is
planned is attached
Consultation
Details for the place and time for consultation are provided
Details of participants who participate in the consultation are
provided
The nature and details for consultation is provide in a clear format
The consultation plan is clear and meets legal requirements
(information/contribution/actions/ outcomes)
Risk Assessment
The risk assessment includes the critical inclusions identified in
legislation for emergency procedures listed above
The hazards or potential hazards are realistically identified for

each process/ procedure
The hazards identified include physical hazards relevant or
potential for each process/ procedure
The hazards identified include equipment hazards relevant or
potential for process/ procedure
Security hazards are identified as relevant
The list provided reflects consultation reflecting on the tasks
undertaken in the workplace and information provided by the
student
Any existing controls in place to reduce risks for hazards identified
are described clearly
©Futura Group 2016
The risk scores entered must reflect the details provided though
consultation with colleagues
The risk level and risk score is determined for each hazard
identified in the risk assessment and listed in the template on the
last page
The actions for each hazard identified are determined and listed
in the template for each hazard
The implementation requirements for actions determined for
each hazard are outlined
The implementation strategy reflects the priorities according to
level of risks identified
The implementation strategy reflects the steps outlined in the
hierarchy of controls
The risk assessment template is submitted complete
List additional criteria as relevant
©Futura Group 2016
Situation 2. : Security management of cash, documents, equipment, keys or people
The legal requirements for the select type of security
management are identified: (for example Safety of workers in a
workplace or as relevant
List the criteria for legal requirements here
Consultation
provided
The nature and details for consultation is provided in a clear
format
Risk Assessment

student
©Futura Group 2016
last page
©Futura Group 2016
Situation 3. : Handling chemicals and hazardous substances
The legal requirements for duties in relation to hazardous
chemicals are identified as relevant for the nature of the
organisation:
 correct labelling of containers and pipework, using warning http://www.safework.nsw
placards and outer warning placards and displaying of safety .gov.au/__data/assets/pdf
signs _file/0018/52155/managin
 maintaining a register and manifest (where relevant) of g-risks-hazardous-
hazardous chemicals and providing notification to the chemicals-code-3837.pdf
regulator of manifest quantities if required
 identifying risk of physical or chemical reaction of hazardous
chemicals and ensuring the stability of hazardous chemicals
 ensuring that exposure standards are not exceeded
 provision of health monitoring to workers
 provision of information, training, instruction and supervision
to workers
 provision of spill containment system for hazardous chemicals
if necessary
 obtaining the current Safety Data Sheet (SDS) from the
manufacturer, importer or supplier of the chemical
 controlling ignition sources and accumulation of flammable
and combustible substances
 provision and availability of fire protection, fire fighting
equipment and emergency and safety equipment
 preparing an emergency plan if the quantity of a class of
hazardous chemical at a workplace exceeds the
 manifest quantity for that hazardous chemical
 stability and support of containers for bulk hazardous
chemicals including pipework and attachments
 decommissioning of underground storage and handling
systems
 notifying the regulator as soon as practicable of abandoned
tanks in certain circumstances
Consultation
provided
The nature and details for consultation is provide in a clear format
Risk Assessment
©Futura Group 2016
student
last page
©Futura Group 2016
Part B – Implementing, monitoring and evaluating WHS systems
Your Tasks
You are required to implement each situation based on the work you have planned and completed in Part A.
1. Brief all relevant staff before implementation to provide a refresher of the procedures that were
finalised and determined during consultation and risk assessment
2. Monitor each situation and ensure that any breaches are identified promptly.
3. Use relevant templates or a log to document progress and incidents for each situation.
4. Take appropriate actions to prevent any potential incidents, accidents or other hazards where a safety
risk has been identified.
5. Document each breach or shortfall you identify for each instance.
6. Write a report summary for each situation and clearly outline the requirements for changes for each
procedure based on the results in 4. and which type of training this will require as a result for each
situation.
7. Attach your completed templates or log as relevant.
8. Attach your final summary report.
©Futura Group 2016
Implementing, monitoring and evaluating WHS systems
Situation 1. : Evacuation of staff and customers
Implementation S NYS S NYS S NYS Comments
Staff is briefed on evacuation procedures
Each role is clearly defined
All equipment is checked and prepared
All PPE is checked and available as identified
The evacuation procedure is trialled
Monitoring
Each process is monitored
Define steps monitored:
Any breaches are identified

Corrective action is taken:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Staff is informed or actioned for breaches as relevant:
Issue: Action:
Issue: Action:
Issue: Action:
Evaluation
Breaches or issues are documented
Participants are de-briefed/feedback
A summary report is submitted
Each breach or shortfall is identified
Steps for rectification are summarised in report
Training requirements are identified in the report
The documentation/templates used for monitoring are attached
to this assessment
The final report is attached to this assessment
©Futura Group 2016
Situation 2. : Security management of cash, documents, equipment, keys or people
Implementation S NYS S NYS S NYS Comments
Staff is briefed on _________________ procedures
Define the steps required for implementation relevant for the
selected procedure
Monitoring

Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Evaluation
to this assessment
©Futura Group 2016
Situation 3. : Handling chemicals and hazardous substances
Implementation and Monitoring S NYS S NYS S NYS Comments
Staff is briefed on handling chemicals and hazardous substances
All equipment is checked and prepared
All PPE is checked and available as identified
The use and application of chemicals is trialled during service
instance(s)
Correct dispensing is monitored
The disposal of chemicals is monitored

Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Issue: Action:
Evaluation
to this assessment
©Futura Group 2016
WHS Risk Assessment Template
Organisation Hotel Futura Risk Assessment completed by
Department Catering Date
Section Review date
Workplace Activity
Step 1 Step 2 Step 3 Step 4 Existing Step 5 Risk Score Implementation

Activity Hazards Potential risks Existing controls Risk Action required
Score Hierarchy of Controls
If relevant
Date
(describe/name the (describe the (describe (describe existing risk control Action by Due Date
Completed
activity, task or hazard) consequences and measures in place)
process with the impacts of the risk)
associated risk)
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If relevant
Date
Completed
associated risk)
©Futura Group 2016
If relevant
Date
Completed
associated risk)
Risk Analysis matrix – Level of risk
Risk Score Risk Level Action

Identified Hazards Risk Assessment
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Likelihood Consequence LxC
(L) (C)
Definitions
Likelihood L Score Consequence C Score Risk Score (L x C) Hierarchy of Risk Controls
Rare (Monthly) 1 Minor – e.g. small cut, first aid 1 Elimination is a permanent solution and should be attempted in the first instance.
treatment only
Occasionally (Weekly) 2 Moderate – e.g. sprained 2 Substitution involves replacing the hazard or environmental aspect by one of lower risk.
ankle, one day off required
Frequent (Daily) 3 Major – e.g. loss of limb or 3 Engineering controls involve physical barriers or structural changes to the environment or
bodily function process.
Constant (Hourly) 4 Catastrophic – e.g. fatality 4 Administrative controls reduce hazard by altering procedures and providing instructions.
Personal protective equipment last resort or temporary control.
LEGEND
• Minor/no risk (risk score 1-2) – is acceptable. No further action on risk control measures is necessary
• Moderate risk (risk score 3-4) - indicates conditional acceptability. Further risk control measures should be considered and existing controls monitored
• Major risk (risk score 5-6) - indicates unacceptable level of risk. Controls and measures must be developed and implemented in the short to medium term
• Catastrophic risk (risk score 7-16) - indicates unacceptable level of risk. Controls must be immediately implemented or the risk eliminated (i.e. cease activity)
©Futura Group 2016

Assessment Guide

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Assessment Guide

Assessment for this Unit of Competency/Cluster Details

2nd Assessor to complete

For this assessment access to the following resources are essential:

Student Signature Date: / /

Part A Planning WHS systems, consultation and risk assessment

1. You are required to plan the following situations:

1) evacuation of staff and customers

Instance Date Duration from ... to... Tasks to be completed

Situation Code/legislation/factsheet Reference

Risk assessment including Hazard Analysis – what will need to be assessed

Complete the risk assessment template marked “Situation_______________________

Risk assessment including Hazard Analysis – what will need to be assessed

Complete the risk assessment template marked “Situation_______________________

Risk assessment including Hazard Analysis – what will need to be assessed

Complete the risk assessment template marked “Situation_______________________

 PCBUs must ensure that an emergency plan is prepared

The hazards or potential hazards are realistically identified for

List the criteria for legal requirements here

The hazards or potential hazards are realistically identified for

5. Document each breach or shortfall you identify for each instance.

7. Attach your completed templates or log as relevant.

8. Attach your final summary report.

Any breaches are identified

List additional criteria as relevant

Any breaches are identified

List additional criteria as relevant

Any breaches are identified

List additional criteria as relevant

Organisation Hotel Futura Risk Assessment completed by

Department Catering Date

Section Review date

Step 1 Step 2 Step 3 Step 4 Existing Step 5 Risk Score Implementation

Risk Analysis matrix – Level of risk

Risk Score Risk Level Action

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