Participate in safe work practices

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STUDENT COPY- CR

Assessment Resource Summary
Unit Details SITXWHS001 Participate in safe work practices
Assessment
Type		 This is a summative assessment, which requires each
student to have adequate practice prior to undertaking this
assessment
Assessment
Methods		 Project Assessment 1
Part A.
(Incident Report Form)
Part B.
(1. Hazard & Risk Assessment)
(2. Evacuation Poster)
Observations Assessment 2
(Implementation of two Emergency Procedures)
Assessment 3
(Participating in WHS Meeting)
Written Assessment Assessment 4
(Written Assessment)

 

Issue Date January 2023 V 1.2

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Assessment Resource | SITXWHS001

Unit Summary
This unit describes the performance outcomes, skills and knowledge required to incorporate safe
work practices into all workplace activities. It requires the ability to follow predetermined health,
safety and security procedures and to participate in organisational (WHS) management practices.
This unit applies to all tourism, travel, hospitality and event sectors and to any small, medium or large
organisation. All personnel at all levels use this skill in the workplace during the course of their daily
activities.
The unit incorporates the requirement for all employees, under state and territory (WHS) legislation,
to participate in the management of their own health and safety, that of their colleagues and anyone
else in the workplace. They must cooperate with their employer and follow practices to ensure safety
at work.

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Assessment Resource | SITXWHS001
ASSESSMENT 1 – PART A STUDENT INFORMATION
This information is to be handed to each student to outline the assessment requirements
On 12 January 2017, you witnessed Joanne Smyth slip down the stairs at work and injured her left
ankle. The first aid officer (Ian Jones) applied ice, elevation and a pressure bandage to the injured
ankle. Joanne was then taken to the staff-room to rest her ankle, as she did not want to go home.
You heard that Joanne was distracted as she was talking on her telephone whilst approaching the
stairs, but you did not see this first hand. You also suggested she go to the doctors within the next
1-3 days for further evaluation of the injury
Please Note: You may add any missing facts or information for the purpose of this task
Using the following Accident Report Form you are to fill in the details from the scenario below.
INJURY SCENARIO:
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Assessment Resource | SITXWHS001
INCIDENT REPORT FORM (Page 1 of 2)
PERSONAL DETAILS OF THE INJURED PERSON
Title: Dr Mr Ms Mrs Miss
Surname:_________________________ Given Names:________________________________
Gender: Male / Female Date of Birth _______________( Date / Month / Year)
❑ Employee Employee No:__________________ FT / PT / Casual
❑ Independent Person
Home Address:___________________________________________________________________
Telephone: Home_________________ Work _________________ Mob____________________
Occupation:________________________________ Email:________________________________
PERSONAL DETAILS OF THE FIRST AIDER
Title: Dr Mr Ms Mrs Miss
Surname:_________________________ Given Names:_______________________________
Gender: Male / Female Date of Birth _______________( Date / Month / Year)
❑ Employee Employee No:__________________ FT / PT / Casual
❑ Independent Person
Home Address:___________________________________________________________________
Telephone: Home_________________ Work _________________ Mob____________________
Occupation:________________________________ Email:________________________________
DETAILS OF THE ACCIDENT
Day of Accident:_____________ Date of Accident:________ Time of Accident:_________ am/pm
Location of Accident:______________________________________________________________
What was the person doing leading up or at the time of the accident (e.g. sweeping leaves):_______
________________________________________________________________________________
What actually happened: (e.g. slipped on floor, struck by car):______________________________
________________________________________________________________________________
What object/machine was being used at the time of the accident (e.g. guillotine): _______________
________________________________________________________________________________
What safety equipment was being used at the time (e.g. gloves, goggles, earmuffs):_____________
________________________________________________________________________________
Was the hazard that caused the accident / injury previously reported? Yes / No / N/A
Has the hazard been resolved: Yes / No / N/A
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Assessment Resource | SITXWHS001
INCIDENT REPORT FORM (Page 2 of 2)
Signature: ______________________________ Date: __________________________________
INJURY / CONDITION / DISEASE DETAILS
Description of the injury / condition / disease:___________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Bodily location of the injury / condition / disease

Arm – Lower L/R
Leg – Lower L/R
Skull
Mouth
Chest
Back – Upper 		Arm – Upper L/R
Leg – Upper L/R
Face
Ear L/R
Abdomen
Back – Lower 		Hand L/R
Foot L/R
Eye L/R
Neck
Hip L/R
Buttocks 		Finger/s
Toe/s
Nose
Shoulder/s L/R
Internal Organs
Other

________________________________________________________________________________
INJURY / CONDITION / DISEASE DETAILS
Description of the injury / condition / disease:_____________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
WITNESSES/ES
Name: ________________________________ Contact No: _______________________________
Name: ________________________________ Contact No: _______________________________
Name: ________________________________ Contact No: _______________________________
Name: ________________________________ Contact No: _______________________________
ACTION TAKEN
Detail action taken as a result of this accident: ___________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
TO BE COMPLETED BY FIRST AIDER
Name: _________________________________ Contact No: _____________________________
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Assessment Resource | SITXWHS001
ASSESSMENT 1 Part A – ASSESSOR CHECKLIST
This checklist is to be used when assessing the students in the associated task. This checklist is to be completed for each student.
Please refer to separate mapping document for specific details relating to alignment of this task to the unit requirements.
Please complete below:

Student Name:
Student ID No:
Date:

 

In responding to the emergency, did the
student: 		Satisfactory Comments
Recognised the type of injury and specific details Yes No
Demonstrated correct procedures for filling in an incident
report form 		Yes No
Detailed incident correctly Yes No
Followed organisation’s incident report procedures Yes No
Situation was followed up Yes No
Seek assistance from colleagues or other authorities
where appropriate. 		Yes No

Assessor Use Only
Assessor Comments
Satisfactory (S) Not Satisfactory (NS)
Assessor Signature: _______________________________ Date: _____________
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Assessment Resource | SITXWHS001
ASSESSMENT 1 – (Part B) STUDENT INFORMATION
This information is to be handed to each student to outline the assessment requirements
You need to ensure that you are wearing your designated uniform and using the correct
and appropriate personal protective equipment before entering the kitchen.
1. Using the Hazard & Risk Checklist below you are to perform a Hazard & Risk
Assessment for the kitchen either in your workplace or the HTI Training Kitchen in
Abbotsford.
This assessment may incorporate both internal and external areas of your workplace or the
college.
2. For this task, the student must create a Poster stating the Emergency Evacuation
Procedures for your workplace, or HTI Training Kitchens in Abbotsford.
The poster MUST include:
• Evacuation Map showing emergency assembly point.
• Emergency Procedures that cover Fire Evacuation (in point form)
• Security Procedures that cover Bomb threats and Robbery in point form)
• Warden Details/Contacts
The trainer must ensure that the student liaises with peers and/or trainer(s) concerning this
subject and that the topic is noticeably researched prior to its creation.
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Assessment Resource | SITXWHS001
ASSESSMENT 1- (Part B)
1. Risk & Hazard Checklist (Kitchen)
Student Instructions:
Using this form, you are to conduct a Hazard & Risk Assessment on your working environment. Be sure to:
• You need to ensure that you are wearing your designated uniform
• You need to ensure that you are using the correct and appropriate personal protective equipment before
entering the kitchen.
• Look for all hazards and risks
• Detail all hazards and risks you can see on the form below
• Detail the most suitable and cost-effective control measure to limit the risk
• Ask your assessor for another form if you need more room.
Student Name: ______________________________________________________________
Student ID No: ______________________________________________________________

No. Hazards Identified
(Describe the situation
which could possibly
give rise to injury,
illness or disease)		 Is there any risk?
(Is there any likelihood of injury illness or disease occurring?)
No Yes List the control measures that could help minimise the risk
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

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Assessment Resource | SITXWHS001
ASSESSMENT 1 – (Part B) ASSESSOR CHECKLIST
This checklist is to be used when assessing the students in the associated task. This checklist is to be completed for each student.
Please refer to separate mapping document for specific details relating to alignment of this task to the unit requirements.
Please complete below:

Student Name:
Student ID No:
Date:

 

Whilst undertaking the hazard and risk
assessment, did the student ensure: 		Observation
Hazard and risk checklist accessed Yes No N/A
Consider hazards and risks associated with each task Yes No N/A
Identify / develop control actions per task Yes No N/A
Implement temporary measures when immediate fix not
available 		Yes No N/A
Identify non-task related risks and control as appropriate Yes No N/A
Comments:
ENSURE WORKSITE INSPECTION INCLUDES:
Floors
o Floors are even and clean
o Pits and drains are covered
o Floor free of obstructions
o Mats in good condition
o Work areas clean		 Yes No N/A
Comments:
Aisles
o Clear and adequately marked
o Clear of obstructions 		Yes No N/A
Comments:
Work Areas

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o Bench tops clear of rubbish
o Scraps cleaned up
o Sufficient rubbish bins
o No damaged tools & utensils		 Yes No N/A
Comments:
Stairs and Landings
o No damaged treads or rails
o Landings clear 		Yes No N/A
Comments:
Windows and Doors
o Clean with no broken panes
o Ledges free of dust 		Yes No N/A
Comments:
Electrical
o No double adapters
o All electrical items tagged
o Electric cables clear of water
o Switch boards clear
o Extension cables
o All lights work		 Yes No N/A
Comments:
Tools and Equipment
o Good condition
o Appropriate to task
o Storage adequate		 Yes No N/A
Comments:
Hazardous Substances

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o Handling
o Fumes contained
o Labelled adequately
o Ventilated (flammable products)
o Storage & Disposal
o MSDS & PPE available		 Yes No N/A
Comments:
Emergency
o Fire exits clear
o Exit signs working properly
o Extinguishers clear
o Extinguishers charged		 Yes No N/A
Comments:
Lighting
o Sufficient for tasks
o Natural light / reflections 		Yes No N/A
Comments:
Noise
o Difficult to hear within 1 metre distance
o Distractions / disruptive noises 		Yes No N/A
Comments:
Air Quality
o Temperature, draughts, odours or lack of
fresh air
o Fluctuating temperatures		 Yes No N/A
Comments:
Storage
o Not cluttered
o Labelled
o Ventilated (flammable products)		 Yes No N/A
Comments:
Housekeeping

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o Floors, passages, corridors, stairs free
from obstruction
o Floors, passages, corridors, stairs
adequately illuminated
o Cabinets stable
o Displays stable
o Sharp corners / extruding items		 Yes No N/A
Comments:
Manual Handling Processes
o Lifting
o Pushing
o Pulling
o Lowering
o Use of equipment		 Yes No N/A
Comments:
First Aid
o Clean cabinets
o Easy access
o Employee awareness
o Clearly labelled
o Emergency numbers displayed
o Adequate stocks		 Yes No N/A
The hazard assessment is attached to this checklist Yes No N/A
Comments:

Assessor Use Only
Assessor Comments
Satisfactory (S) Not Satisfactory (NS)
Assessor Signature: _______________________________ Date: _____________
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Assessment Resource | SITXWHS001
ASSESSMENT 2 – STUDENT INFORMATION
This information is to be handed to each student to outline the assessment requirements
Emergency Situations
Emergency situations can occur in any business, it is important to have policies and procedures in
place and to regularly practice them so that when an emergency occurs people will know what to do.
As a part of your assessment you will be following organisational procedures in the following role
plays.
Emergency Situation 1
Following emergency evacuation procedures students are to conduct a fire drill where you will need
to leave kitchens 1, 2 or 3 in a safe and secure manner and meet at the pre-designated assembly
area and complete any organisational procedures as required.
Following the fire drill students will need to fill out a fire and evacuation record.
During the Fire Drill your trainer will monitor the evacuation process.
Emergency situation 2
You are working in a restaurant and it is the end of the evening, all the customers have left the
building and only four staff members are still working. At 11:00 Pm the staff hear a loud bang at the
back door and are confronted by an armed robber. What Do You Do???
Students in groups of 3 or 4 are to simulate and follow emergency procedures in the case of an
armed robbery.
The trainer will monitor the students following the correct Procedure.
This observation will occur on: ______________________________________________
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Assessment Resource | SITXWHS001
ASSESSMENT 2 – ASSESSOR CHECKLIST
Emergency Situation 1 and 2
This checklist is to be used when assessing the students in the associated task. This checklist is to be completed for each student.
Please refer to separate mapping document for specific details relating to alignment of this task to the unit requirements.
Please complete below

Student Name:
Student ID No:
Date:

Emergency Situation 1
During the Fire Drill
Trainers are to monitor the evacuation process and note any of the following:

In responding to the emergency evacuation
drill, did the student: 		Satisfactory Comments
Are individuals closing the doors upon exiting rooms? Yes No
Are individuals remaining calm and proceeding towards
the nearest exit? 		Yes No
Are individuals assembling at the designated point? Yes No
Are fire wardens (if applicable) ensuring the safe
evacuation of all individuals? 		Yes No
Are all individuals being accounted for (if applicable)? Yes No
Are exits guarded to prevent re-entry into the building? Yes No
Seek assistance promptly from colleague(s)/trainer(s)
or other authorities where appropriate. 		Yes No

Assessor Comments
Assessor Signature: _______________________________ Date: _____________
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Assessment Resource | SITXWHS001
Emergency Situation 2
Armed Robbery
Assessor Comments
Satisfactory (S) Not Satisfactory (NS)
Assessor Signature: _______________________________ Date: _____________

In responding to the Armed Robbery drill, did the
student: 		Satisfactory Comments
Remain calm and quiet Yes No
Stand still and do not make any sudden movements Yes No
Obey the offender’s instructions Yes No
Do not draw attention to yourself, and speak only when
spoken to 		Yes No
Avoid direct eye contact and do not stare at the offender Yes No
When safe to do so advise security and the Manager/Or
who will ring the police 000 and contact head office 		Yes No
Seek assistance promptly from colleague(s)/trainer(s) or
other authorities where appropriate. 		Yes No

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Assessment Resource | SITXWHS001
ASSESSMENT 3 – STUDENT INFORMATION
This information is to be handed to each student to outline the assessment requirements
During this observation the trainer will observe the students conducting a WHS consultation
meeting.
In this Work Health & Safety Team Meeting you will be required to be actively involved in
this meeting, which includes raising any WHS / OHS issues and concerns.
Using your risk Identification check list in Assessment 2 you are to conduct a meeting in
relation to the Hazards and Risks you have Identified.
You will be required to fill in the WHS meeting template provided and include any issues
identified during the meeting followed by details of any possible solutions ready to be
handed to your supervisor or workplace WHS Representative.
This observation will occur on: ______________________________________________
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WHS Meeting notes
Further comments:
Signed by WHS Officer ___________________ Date: _______________________

Student Name: Date:
Items discussed/Identified Actions to be taken
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Assessment Resource | SITXWHS001
ASSESSMENT 3 – ASSESSOR CHECKLIST
This checklist is to be used when assessing the students in the associated task. This checklist is to be completed for each student.
Please refer to separate mapping document for specific details relating to alignment of this task to the unit requirements.
Please complete below

Student Name:
Student ID No:
Date:

 

Did the student Satisfactory Comments
Prepare for the WHS Meeting Yes No
Participate in the WHS Meeting and filled out form to
document any (hand out) 		Yes No
Raise WHS / OHS issues or concerns Yes No
Provide comment on rectifications or solutions to raised
issues 		Yes No
Communicate effectively throughout the meeting Yes No
Fill out documentation correctly Yes No
Comments:

Assessor Use Only
Assessor Comments
Satisfactory (S) Not Satisfactory (NS)
Assessor Signature: _______________________________ Date: _____________
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Assessment Resource | SITXWHS001
ASSESSMENT 4 – ASSESSOR INSTRUCTIONS
WRITTEN ASSESSMENT
This assessment may be undertaken in one of the following formats
Written assessment
1. Set a date for this written assessment.
2. Advise students of the topic and how the assessment will be conducted / marked
3. Provide the blank project to the student
4. Provide student the opportunity to ask questions prior to starting the assessment.
5. In the event that a question is not answered correctly, discuss the response with the candidate to
determine if the student did not know the answer, or did not understand the question.
6. Remember – assessments are a participatory process, so you can help re-word questions, but be
careful NOT TO LEAD. We are assessing the students, not you!
7. Once completed, mark the assessment accordingly. Refer to the sample answers as direction on
expected student responses
8. In order to achieve competency, all questions that are mapped in the associated mapping document
MUST be answered correctly.
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Assessment Resource | SITXWHS001
ASSESSMENT 4 – WRITTEN ASSESSMENT
Student Name: ______________________________________________________________
Student ID No: ______________________________________________________________
Date: ______________________________________________________________
Student Instructions:
For this task, you are to research and answer all the following questions in the spaces provided.
Make sure you:
1. Print Clearly
2. Answer all questions in your own words
3. Use a BLACK or BLUE pen. Assessments written in pencil will not be accepted.
4. This is an open Book Assessment.
5. Ask your assessor if you do not understand a question. Whist your assessor cannot tell you the
answer, he/she may be able to reword the question for you
6. Do not plagiarise anyone’s work. Anyone caught plagiarising the work of others will automatically
be marked Not Competent for this unit. There are NO EXCEPTIONS to this rule.

1 Describe the safe work techniques for handling knives.
2 Describe the safe working techniques for handling hot surfaces

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3 Describe and list safe working techniques when working in a commercial kitchen handling and
storing chemicals used in the kitchen.
HANDLING
STORAGE
4 List 5 pieces of protective clothing worn within a commercial kitchen?
1.
2.
3.
4.
5.
5 In the state that you live in, name the Act that employees and employers must adhere to in
regard to workplace safety?

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6 What is the difference between a Hazard and a Risk?
Explain your answer thoroughly:
7 List 4 pieces of PPE and how they protect the worker from harm.
1.
2.
3.
4.
8 Who would you contact in the event of an emergency?
9 What are the implications of ignoring WHS / OHS rules and regulations & organisational
policies and procedures?

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10 Outline the WHS / OHS Hierarchy of Control, explaining how it effects WHS / OHS.
What suggestions could you include to ensure staff WH&S management practises are
effective?
11 Describe the control measures including who would you report the incident to for the following
workplace hazards and risks:
A light fixture hanging from the ceiling:
A blocked fire exit door:
A water leak near the entrance of a premises:
An unsafe pile of “product” in a store in which you work, that may topple over:

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12 List 5 employer responsibilities relating to WHS?
13 Refer to Assessment 1 (part B) of this document and pick one of the hazards you have
identified and fill in the Following Hazard Report Form:
Hazard Report Form
1 Brief description of Hazard/Health and Safety issue:
(Include details, if any, of immediate action taken to ensure the safety of persons who
may be affected.)
2. Where is the hazard located in the workplace?
3. Time/date hazard identified
Date: ___/___/___ Time: am/pm
4. Recommended action to fix hazard/issue
5. Reported to Workplace Health and Safety Representative (WHSR)

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6. Has the hazard/issue been addressed? YES/NO
7. Do you consider the issue/hazard fixed? YES/NO
Signature:
Date: ___/___/___
Notes:
14 Following from Q13, what would you do once you have completed the form?
15 List 6 responsibilities that employees must adhere to in regard to work health and safety.
1.
2.
3.
4.
5.
6.

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16 Draw 3 workplace safety signs and explain what they are used for?
17 Draw a detailed floor plan for the establishment you work at showing emergency exit points

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18 Why would you seek assistance from colleagues and authorities during emergency situations?
Explain your answer thoroughly:
19 When starting a new job what WHS training should be covered in your induction?
20 What would be some of the security measures you would put into place to ensure the safety of
the following:
Keys:
Documents:
Equipment:
Cash:

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Assessment Resource | SITXWHS001
Assessor Use Only
Satisfactory (S) Not Yet Satisfactory (NS)
Assessor Signature: _______________________________ Date: _____________
Assessor Comments