Template Information
This safety assessment outlines a comprehensive study of your workplace and its operations to review safety processes and identify health and safety issues.
Category: education
Template Questions
- Executive Summary • This section can be used to provide a brief summary of the report, to highlight the how the ASA was undertaken and to draw attention to any particular issues if required. • Be sure to direct the reader to: - Appendix 1: Summary Results of the Annual Safety Assessment and - Appendix 2: Action Plan. ENTER TEXT IN NEXT FIELD
- Principal Signature:
- Select date Date
- Criterion 1: WORK HEALTH AND SAFETY POLICY
- Criterion Indicators are rated from 1 - NOT MET to 5 - FULLY MET
- Current strengths and things we do well:
- Issues of concern and recommendations for future improvement:
- Criterion 2: MANAGEMENT RESPONSIBILITY
- Criterion indicators are rated 1 - NOT MET to 5 FULLY MET
- Current Strengths and things we do well:
- Criterion 3: PLANNING PROCESSES
- Criterion 4: CONSULTATION
- Criterion 5: RISK MANAGEMENT
- Criterion Indicators are rated 1 - NOT MET to 5 - FULLY MET
- Criterion 6: HEALTHY LIFESTYLE PROGRAM
- Criterion 7: INFORMATION, INSTRUCTION AND TRAINING
- Criterion 8: INJURY TREATMENT AND MANAGEMENT
- Criterion 9: CLAIMS MANAGEMENT
- Criterion indicators are rated 1 - NOT MET to 5 - FULLY MET
- Criterion 10: INCIDENT RECORDING, INVESTIGATION, ANALYSIS AND REVIEW
- Criterion 11: MEASURING AND EVALUATING WHS PERFORMANCE
- Criterion 12: REVIEWING WHS PERFORMANCE
- Criterion 13: REPORTING OF WHS
- Location: Address
- Safety Assessment compiled by:
- SUMMARY RESULTS OF THE ANNUAL SAFETY ASSESSMENT 2014
- Top 3 issues of concern with key actions to be taken:
- Officer in Charge - signature and date:
- Add signature