Assessmenttask implement and monitor whs policies

Assessment

	● Amended data sheet, graph and analysis of data ● Safety Inspection Form
	• Access to Microsoft Office suites or similar software • Learning material
Re-submission opportunities	You will be provided feedback on your performance by the Assessor.

Template 1 – Incident Report Form

Note: All sections of this form are to be completed. All incidents shall be advised within 12 hours of the incident to ensure appropriate action is initiated.

Personal details

		(h –if injured)
Occupation: Senior administrator

Briefly describe what happened: Rosie Thompson tripped over a loose computer cable as a result of newly added computers due to recent company growth. She sprained her wrist upon impact with the floor and was taken to the doctor’s afterwards.

This incident resulted in:

The incident was reported to (Supervisor):
Name of Supervisor: Benjamin Degryse Date: 07/06/2021


If an injury was sustained, what part of the body was affected; or if damage to property occurred, what was damaged? Rosie sustained injury to her wrist upon impact with the floor – sprained wrist.



Please describe the events and contributing factors that led to the incident (2): Rosie Thompson tripped over a loose computer cable as a result of newly added computers due to recent company growth. She sprained her wrist upon impact with the floor and was taken to the doctor’s afterwards.


Jack Cahill
Action plan

		Sign-off completed (signature required)
Risk awareness feedback system
	Yes

	Benjamin Degryse		Yes
◻ Feedback provided to affected person on outcome
Is rehabilitation required?◻ Yes ◻ No

		Date: 09/06/2021

b) Add the incident to a data sheet, represent the data graphically, and then analyse the data to

		Type	Who
			Bob	13/07

Muscle pull	Lifting paper
	Moving bins	FAI
		LTI	Laszlo
			Greg	17/09
				01/10
Cut
Slip/trip	Cables on floor

Graphical Representation of Data:


RTO Provider: 91153 - CRICOS Code: 02672K

	Yes	No	Comments
EMERGENCY PROCEDURES
	Yes		All details are posted on the notice board
Are instructions posted for calling emergency services?	Yes
	Yes
	Yes		On notice board
Have all staff been inducted and trained in emergency procedures?	Yes
	Yes
		No	There were some school bags left in the corridor which could be a hazard
	Yes
	Yes
Are first aid kit/s stocked to contents list?		No


	Yes
Is the kitchen and eating area clean and tidy?	no

	yes
Are rubbish bins sufficient?

		no	there is not enough recycling bins


ERGONOMICS
Is furniture fit for purpose?

Is furniture adjustable for keyboard operators? ● straight back ● forearms parallel to the floor● upper legs parallel to the floor

	yes
Are computer screens positioned to avoid glare?