nursing – SYDNEY REGION
Student Numbe
Student Name
Unit code
HLTWHS003
Unit name and release numbe
Maintain work health and safety
Please note that TAFE NSW is required to retain copies of all completed assessments, where practical, for a minimum period of three (3) years (or in accordance with regulatory/licencing requirements) after the completion of a learner’s studies. Refer to procedure to determine the retention period required.
Assessment Instructions
This is assessment event number 1 of 2 assessment events for this unit
Type of Assessment
Assessment 1 – Written Assessment Task (4 reporting tasks)
Instructions for Written Assessment
Students are required to answer the following questions related to WHS issues in the workplace. It is suggested that you visit the websites referenced in this guide and use hard copy resources to assist you to answer each question
References – Use the APA style for referencing
Write your name on each page of this assessment task
ALWAYS keep a copy of your work
Assignments are to be submitted by the due date
Submission instructions
Fill in the assessment cover sheet with signed declaration and submit with your completed assessment task
Submit assessment with the following file naming convention Surname.Firstname_Group_HLTWHS003_dd/mm/yyyy
What do I need to do to achieve a satisfactory result?
To successfully complete this assessment event all questions must be answered co
ectly
Due date/time allowed
As per Assessment Timetable
Assessment feedback, review or appeals
Feedback must be provided to you no later than 10 days after all assessment activities have been conducted.
If you want a review of your results or if you have any concerns about your results, you can contact the teache
assessor or your Head Teacher.
You have three weeks from the date you receive your results in which to make an appeal and/or request a review.
You should receive a response within 10 days of the receipt of the request.
Teachers and their Head Teacher will address any appeal in accordance with Assessment Guidelines for TAFE NSW.
Knowledge assessment
Learner and assessor document
Knowledge assessment
Learner and assessor document
Assessment-knowledge-V02 Last Updated: 23 Jan 2018 Page 11 of 11
ASSESSMENT COVER SHEET
Qualification:
Diploma Nursing
Assessment Date/Submission date:
STUDENT DECLARATION:
This assignment is my original work and no part of it has been copied from any other source except where due acknowledgement is made.
No part of this assignment has been written for me by any other person except where such collaboration has been authorised by the assessor concerned.
I understand that plagiarism in the presentation of the work, idea or creation of another person as though it is your own. Plagiarism occurs when the origin of the material used is not appropriately cited. No part of this assignment is plagiarised.
Student Name:
Student ID:
Student Signature:
Date:
Assessment Outcome:
For UOC being assessed by multiple assessment activities, each activity will be reported as Satisfactory or Not Satisfactory
[Satisfactory] [Not Satisfactory] [Resubmission]
For UOC being assessed for the final result it will be reported as AC (Competent) or NC (Not yet competent)
[Competent] [Not Yet Competent] [Resubmission]
Assessor Name/ Signature:
Date:
ASSIGNMENT EXTENSION REQUEST:
A request must be made in writing to the head teacher prior to the assignment due date of submission with reasonable explanations concerning delay. If granted the late submission is limited to a maximum of one (1) week from the original submission date. No assignment will be accepted after the seven (7) day period. Non-submission of the assignment on the due date will result in failure of that unit.
XXXXXXXXXXFEEDBACK:
TASK 1: WORKPLACE RISK ASSESSMENT ☐ Satisfactory ☐ Not Satisfactory
Use this checklist to assist you when completing routine workplace inspections of your environment. Ca
ying out regular workplace inspections is one way to identify workplace hazards. Apply the Hierarchy of Hazard Control to address safety issues and implement the best measure possible for your situation.
Date of inspection
Click here to enter a date. Time of inspection
Area inspected
Department/ location
Inspected by
Hazard code
5 = SERIOUS: Could result in death, permanent disability, or i
eversible damages that violate law or regulations.
4 = MAJOR: Could result in permanent partial disability, injuries or occupational illness resulting in hospitalisation of at least 3 personnel, or reversible damage causing a injuries or occupational illness.
3 = MODERATE: Could result in injury or occupational illness resulting in one or more lost work days, or damage without violation of law or regulation where restoration activities can be accomplished.
2 = MINOR: Could result in injury or illness not resulting in a lost workday. Does not violate law or regulation. The effect of such changes is easily recoverable or self-recovering and there is no lasting damage.
1 = INSIGNIFICANT: Unlikely to cause injury or illness.
Hierarchy of hazard control
Hierarchy
Control Measure
Detail
1
Elimination
Eliminate the risk by removing the hazard.
2
Substitution
Substitute less hazardous materials, equipment, processes or substances.
3
Engineering Controls
Make structural changes to the work environment, work systems, tools or equipment to make them safer.
Use mechanical aids or manual handling devices.
Enclose or isolate the hazard with guards or remote handling techniques.
Provide local or general exhaust ventilation.
4
Administrative Controls
Establish appropriate administrative procedures such as policies, guidelines, standard operating procedures (SOPs), registers, work permits, signage, job rotation, job timing, routine maintenance and housekeeping.
Provide training on hazards and co
ect work procedures.
Keep training registers and individual training records.
Supervise for compliance with set standards.
5
Personal Protective Equipment (PPE)
Provide co
ectly fitted and properly maintained personal protective equipment (PPE), and/or protective clothing and the training in its use.
ID#
Hazard
Description of Hazard
Hazard Code
Recommended Action
(Use Hierarchy of Control)
Report hazard to
(insert name of staff member to report hazard to)
1
Workplace is clean & tidy
2
Floor surfaces are in good repai
3
Floor surfaces are not cluttered with cords, stores etc.
4
All power plugs, cords and sockets in good order.
Any electrical equipment has been tagged and tested and is in date.
5
There are no trip hazards present
6
Adequate & accessible storage space
7
Frequent use and heavy items are stored between thigh and shoulder height
8
Exits and co
idors free from obstruction
9
Fire equipment inspected within last 6 months
10
Fire exits well marked
11
Exit lights are operational
12
Safety data sheets available for all stored chemicals
13
Work area well lit
14
Adequate working space
15
No protruding hazardous objects
16
Emergency stop buttons on equipment are visible and functioning
17
Safe work practice guidelines available for all hazardous equipment and tasks.
TASK 2: INCIDENT REPORT ☐ Satisfactory ☐ Not Satisfactory
1. Analyse the scenario below and complete the incident report using today’s date:
Scenario: Ian Miller, a visitor to your workplace tripped over a waste bin that was placed near an exit point from the outpatient clinic to keep the door jammed open. Injuries sustained include:
· injury to their right knee causing pain
· minor superficial laceration to their left elbow
The minor superficial laceration to their left elbow required first aid treatment by their partner, Sam Piper who was in attendance.
Report completed by
Date of report
Click here to enter a date.
Position
Contact details
Incident details
Incident location
Date of incident
Click here to enter a date.
Details of individual/s involved/ affected by the accident
Name
Name
MRN (if applicable)
MRN (if applicable)
Contact details
Contact details
☐ Injury / medical condition #
☐ Accident
☐ Near miss incident
☐ Policy/procedure/legislation non-compliance
☐ Evacuation
☐ Hazard identification
☐ Lost person
☐ Lost/found property
☐ Property/plant/ equipment maintenance
☐ Property/plant/ equipment damage
☐ Product/service failure
☐ Complaint
☐ Aggression / bullying
☐ Security / theft
☐ Emergency e.g. fire
☐ Threats
☐ Other ________________
Describe how the incident occu
ed.
Consequences of the incident and initial actions taken to manage the incident.
Action taken to prevent reoccu
ence.
Who has been notified of the incident? Name/ Position.
Details of individual reporting incident.
Reported by
Date
Click here to enter a date.
Position/ role
Signature
Contact details
Details of witnesses (if any)
Witnessed by
Witnessed by
Position/ role
Position/ role
Contact details
Contact details
Incident report from submitted to:
Name
Date
Time
ASSESSMENT TASK 3 – Written Task Action Plan ☐ Satisfactory ☐ Not Satisfactory
Instructions
Read the scenario below and respond by developing an Action plan (using the table on the next page).
You must address each of the issues listed in the scenario below.
Scenario
You have just been appointed as health and safety representative (HSR) in your workplace. It is apparent after reviewing the cu
ent legislation and regulations that the organisation is not compliant. After further analysis of the situation you have determined that the following issues need to be addressed urgently:
1. Workers are unsure of the organisations cu
ent WHS policies and procedures and of the health and safety legislation, regulations and codes of practice that relate to them.
1. They have not had any training or consultation about WHS for at least two years.
1. Workers are unsure of who to go to, or what to do in the event of an