WHS ACTIVITIES CALENDAR 2017/18 Activity Frequency July August September October November December January February March April May June First Aid Kit Checklist Quarterly Initial Implementation Plan Annually Update or review Noticeboard and Forms 6 Monthly Workplace Inspections Quarterly Consultation: Safety / Team Meetings Quarterly Review Workplace Risk Register Quarterly Review Emergency Management Procedure 6 Monthly Emergency Evac Drill Annually Chemical/Hazardous Substance Register Annually Contractor Induction Annually or as required Safety Training Annually or as required Workstation Ergonomic Risk Assessment Annually or as required Workplace Traffic Hazard Management Annually or as required Managing Plant and Equipment Annually or as required Maintenance Check of Plant and Equipment 6 monthly Document Management Annually or as advised Assembled Product Review Biannually Internal Self Evaluation Annually
HAZARDOUS SUBSTANCES REGISTER Product Name Supplier Details See Label on product (Name, Address, Telephone) Where is the substance used & stored? (eg. Dishwashing Liquid in Kitchen) Quantity eg. 240mls General Nature of Product Risk Assessed? Risk Adequately Controlled? Dangerous Goods Class UN Number Date of SDS Issue Eg .Cleaner Lily Industries Ph: 02 9999 0000 Used throughout premises and stored in cleaning room 500ml Cleaning product S&O Date Yes Class 2 UN567 8 May 07 Location manager to maintain completed forms. Supervisors to maintain copies of this register for relevant substances in their area.
High Risk H Notify Senior Management immediately. Corrective actions should be taken immediately Moderate Risk M Notify Location Manager - is to follow up that corrective action is taken within 7 days. Low Risk L Notify Location Manager – is to follow up that corrective action is taken within a reasonable time. Review Controls Location manager verifies controls are effective……. Effective Not effective Date: / / Name: Signature: Employee representative verifies controls are effective……. Effective Not effective Date: / / Name: Signature: If not effective, a hazard report form is to be completed and the same reference number allocated for both forms for ease of cross referencing. Location manager to maintain completed forms and update the Workplace Risk Register. Self Evaluation Audit Dear Store Manager, It is important you and your managers become familiar with the MySafety WHS Management System and our compliance requirements. An audit to assess your implementation of MySafety will take place twice per year; by a Company representative (external audit)). The attached is a copy of the Self Evaluation Record Form, which doubles as your internal audit. The evaluation is important as it; Ensures we comply as Group with the WHS Strategic Plan Provides you with an opportunity to show your department managers how to access MySafety as a source of reference Familiarises your managers with their responsibilities and our Company requirements regarding MySafety
WHS Activities Calendar is drafted and is displayed on the MySafety noticeboard. Yes  No  N/A  Return to Work (RTW) Statement is displayed on the MySafety notice board. Yes  No  N/A  Emergency Summary Sheet is filled in and displayed on the MySafety notice board. Yes  No  N/A  Applicable WorkCover/WorkSafe poster (NSW / VIC / ACT) is displayed on the MySafety notice board. Yes  No  N/A  Initial Implementation Plan has been completed. Yes  No  N/A  WHS and RTW responsibilities are communicated to employees and signed off by employees. Yes  No  N/A  CONSULTATION AND COMMUNICATION Yes / No / NA Comment Safety Ambassador is identified and available at the site. Yes  No  N/A  Safety Ambassador has received instruction or guidance on MySafety responsibilities. Yes  No  N/A  Team meetings / WHS communication has occurred on a regular basis. Yes  No  N/A  Team meetings / WHS communication record of discussions are maintained. Yes  No  N/A  Team meetings / WHS communication record of discussions are displayed in an area accessible to employees after each meeting. Yes  No  N/A  Use of the Hazard Report Form and Incident Report is re-iterated regularly at team meetings (verified by inclusion as an agenda item), and submitted forms discussed if appropriate. Yes  No  N/A  WHS RISK MANAGEMENT Yes / No / NA Comment Incident & hazard management and reporting
For all non conformances identified, the Non Conformance Report has been completed. Yes  No  N/A  Workplace Inspection Workplace inspections are conducted at least quarterly by the Safety Ambassador and manager, or members of the WHS Committee and manager. Yes  No  N/A  Workplace inspections are documented on the Workplace Inspection Checklist. Yes  No  N/A  Non-conformances are noted on the inspection checklist and corrective action applied and signed off by the location manager. Yes  No  N/A  Hazards are transferred to the Workplace Risk Register and are reviewed. Yes  No  N/A  Plant & equipment The Plant Hazard Management Form has been completed for all old and new plant (machinery) & equipment hazards. Yes  No  N/A  Where appropriate, Safe Operating Procedures (SOPs) are developed for plant and equipment. Yes  No  N/A  Authorised users lists have been implemented and are up to date for all plant & equipment. Yes  No  N/A  Safe Work Practices Where appropriate, Safe Work Practices (SWPs) are developed for high risk tasks based on the results of the risk assessment. Yes  No  N/A  Employees have received training in relevant SWPs. This is to be documented. Yes  No  N/A  Confined spaces All work associated with confined spaces is managed using the permit to work. Yes  No  N/A  For all confined spaces tasks, associated risk assessments and controls are documented in the workplace risk register. Yes  No  N/A 
Ergonomics Workstation Ergonomic Risk Assessment Form has been completed for all Administration workers and all reported ergonomic hazards / issues. Yes  No  N/A  Hazardous substances A Hazardous Substances Register is available and current. Yes  No  N/A  All Safety Data Sheets (SDS) are available for hazardous substances and have been printed from MySafety. Yes  No  N/A  All SDS’s are less than 5 years old. Yes  No  N/A  All hazardous substances have been subject to risk assessment as indicated on the hazardous substances register. Yes  No  N/A  Relevant employees have been trained in the safety requirements of the SDS. Yes  No  N/A  All hazardous substances are stored appropriately as per the requirements of the SDS. Yes  No  N/A  Traffic management The Workplace Traffic Hazard Management Form has been completed for all traffic hazards. Yes  No  N/A  Maintenance procedures are in place for each fork lift. Yes  No  N/A  People working with and in the area of forklifts wear safety footwear. Yes  No  N/A  Drivers’ licenses are checked regularly for all company vehicle drivers. (NB for P plate and <25yr drivers excess is double). Yes  No  N/A  Electrical All portable electrical appliances are tested and tagged within the scheduled date. Yes  No  N/A  Emergency Management
A site specific emergency plan has been developed in line with emergency management procedure in MySafety. Yes  No  N/A  All employees have received training and information in the site specific emergency procedures. This is to be documented. Yes  No  N/A  Site emergency drills have been conducted at least annually. Yes  No  N/A  Debrief / results of the emergency drill are discussed at the next team meeting. Yes  No  N/A  Emergency team members have received formal training, i.e. wardens and first aiders. Yes  No  N/A  INDUCTION, ON-GOING TRAINING AND COMPETENCY Comment A training plan is in place for all employees. Yes  No  N/A  All employees have received WHS induction training. This is to be documented using the WHS Induction Checklist. Yes  No  N/A  All formal WHS Committee / elected WHS Representatives have received their statutory training. Yes  No  N/A  All training records are available (i.e.: training plan, record forms and completion certificates). Yes  No  N/A  DOCUMENT MANAGEMENT Comment A Records Folder is established. Yes  No  N/A  Documents are controlled and current. Yes  No  N/A  SELF EVALUATION Comment Self evaluations conducted as scheduled, records maintained, and actions assigned. Yes  No  N/A 
You do NOT need to reprint a risk register off the intranet each time you are required to review the risk register. However, if you do not have a risk register you can print one off as a starting point. You need to ensure that all hazards from workplace inspections and other calendar activities are transferred onto the risk register. 1. Details of person conducting review Name of person(s) conducting activity: Date Conducted: / / Store: Work Area / Task: 2. Risk register review Inspection Item Y / N N/A Comments Have all the hazards identified via hazard reports and incident reports been transferred onto the risk register? Yes  No  N/A  Are the controls for all the hazards still applicable and still relevant Yes  No  N/A  Have all hazards identified in monthly activities (eg workplace inspections) been transferred onto the risk register? Yes  No  N/A  Are there any risks on the register which require urgent attention of management? If yes, which ones? Yes  No  N/A  5. Register reviewed and up to date Location manager verifies risks are controlled and up to date……. Effective Not effective Date: / / Name: Signature: Employee representative verifies controls are effective……. Effective Not effective Date: / / Name: Signature:
March 2018 FIRST AID KIT CONTENTS CHECKLIST Location: ______________________ Kit Type (circle) A B C Tick items by month and replace if items have been used ITEMS REQUIRED IN KIT Kit A* Kit B* Kit C* J F M A M J J A S O N D Adhesive plastic dressing strips, sterile, packets of 50 2 1 1 Adhesive dressing tape, 2.5cm x 5cm 1 1 N/A Bags, plastic, for amputated parts Small 2 1 1 Medium 2 1 1 Large 2 1 N/A Dressing, non-adherent, sterile, 7.5cm x 7.5cm 5 2 N/A Eye pads, sterile 5 2 N/A Gauze bandages – 5cm 3 1 1 10cm 3 1 N/A Gloves, disposable, single 10 4 2 Rescue blanket, silver space 1 1 N/A Safety pins, packets 1 1 N/A Scissors, blunt/short-nosed, minimum length 12.5cm 1 1 N/A
Exposure to fungi / parasites. Yes  No  N/A  Short / long-term health effects. Yes  No  N/A  MECHANICAL/ ELECTRICAL HAZARDS Impact and crushing. Yes  No  N/A  Shearing. Yes  No  N/A  Entanglement. Yes  No  N/A  Laceration. Yes  No  N/A  Ejected Parts / Materials Yes  No  N/A  Controls - identification and ease of operation. Yes  No  N/A  Electricity. Yes  No  N/A  High frequency radiation source. Yes  No  N/A  Electro-magnetic radiation. Yes  No  N/A  2. Hazard Identification continued….. Inspection Item Y / N / NA Description and Location of the Hazard PSYCHOLOGICAL HAZARDS. Operator isolation. Yes  No  N/A  Noise. Yes  No  N/A  Interruptions. Yes  No  N/A  Boring tasks. Yes  No  N/A  Exposure to assault / verbal abuse. Yes  No  N/A  Work / production targets. Yes  No  N/A  3. Risk Assessment Information (please circle) HIGH MOD LOW High Risk Notify Senior Management immediately. Corrective actions should be taken immediately.
Completed Work Health and Safety Policy Yes  No  Emergency procedures Yes  No  Hazard and Incident reporting Yes  No  First Aid, personnel and facilities Yes  No  Use of Personal Protective Equipment (PPE) Yes  No  Security and Access arrangements Yes  No  Hazardous Substances on site Yes  No  Your site contact Yes  No  Car parking facilities Yes  No  Security requirements (entry and exit from the workplace) Yes  No  Site Operation Hours Yes  No  Nearest toilet Yes  No  Lunchroom plus general housekeeping Yes  No  The fire exits and evacuation procedures Yes  No  Who your First Aid Officer is Yes  No  Who your WHS Committee Representative is Yes  No  If you require any Personal Protective Equipment (PPE) to be worn Yes  No  Check of manual handling techniques Yes  No  Forklift Safety Procedures Yes  No  Appropriate site clothing and footwear Yes  No  Appropriate Safe Work Statements/Safe Operating Procedures Yes  No  Traffic management arrangements Yes  No  Pedestrian walkways and traffic management Yes  No  Information on the above listed items have been provided Contractor’s Representative Name: Signature: Location Manager Name: Signature:
Gauze bandages – 5cm 3 1 1 10cm 3 1 N/A Gloves, disposable, single 10 4 2 Rescue blanket, silver space 1 1 N/A Safety pins, packets 1 1 N/A Scissors, blunt/short-nosed, minimum length 12.5cm 1 1 N/A Splinter forceps, stainless steel 1 1 N/A Sterile eyewash solution, 10ml single use ampoules or sachets 12 6 N/A Swabs, prepacked, antiseptic, packs of 10 1 1 N/A Triangular bandages, minimum 90cm 8 4 1 Wound dressings, sterile, large 10 3 1 First-aid pamphlet (as issued by St John Ambulance/Australian Red Cross Society) 1 1 1 Initial of person doing check * Contents KIT A 100 or more employees KIT B Between 10 and 100 employees KIT C Up to 10 employees First Aid Attendant to maintain original completed forms and a copy maintained by location managers. RECORD OF WHS DISCUSSION (Photocopy this to your WHS Noticeboard) Instructions (PLEASE READ): Safety meetings form a critical aspect of engaging in two way conversation to staff. Use this agenda as a guide and tick or highlight the points you discussed. If something is not here you can add it below and any points raised on the second page. Ensure any follow up points and key info is recorded on page two as being raised in the meeting Hint: This does not need to be stand alone meeting, you may incorporate into your normal meetings if convenient. □ Identify people present □ Review of actions from last meeting □ Review all the outcomes of all WHS calendar activities undertaken since previous meetings. □ Matters raised by in-company inspection/audit and the results of new or revised risk assessments □ Review of any hazard report forms submitted □ Review of incident and investigation reports since last meeting – reminder to all to use hazard form and incident reporting on Freecomm □ Review of workplace Risk Register and where to find it □ Matters raised by Safety Ambassadors or other representatives of employees