First Day Check

Step 1 of 8

12%

Company Name*

Site Address*

Street Address Suburb

Client Representative Name & Title*

Date of Assessment*

DD slash MM slash YYYY

Host WHS Induction

Applicant's Name

Has the Host provided you with a WHS induction?

Yes

N/A

Has this included any potential dangers of the job?

Yes

N/A

Has this included my health and safety responsibilities?

Yes

N/A

Has this included potential hazards?

Yes

N/A

Did the induction include the following:

An introduction to your supervisor, and the people you will be working with

Yes

N/A

Confirmation supervision has been provided to you by the client

Yes

N/A

Do you know who to speak to about WHS concerns?

Yes

N/A

Instructions on where to safely and securely store your personal property

Yes

N/A

A walkthrough of the workplace, the entry and exit points, amenities and meal room

Yes

N/A

Direction to speak to your supervisor if you do not understand the instructions you are given, are unsure of what to do or need help

Yes

N/A

The location of equipment you may be required to use/operate, and the safe operating procedures, including but not limited to manual handling equipment such as patient lifters, batteries and slings

Yes

N/A

Information on working at night, including access to the work area, car park and security features outside of the building

Yes

N/A

Infection and control procedures

Yes

N/A

Information required to manage the risk of injury when undertaking patient transfers

Yes

N/A

Raising an Issue

Did the induction include the following:

Hazard and incident reporting (including psychological and physical health and safety issues)

Yes

N/A

Information on what to do if you are injured or unwell at work, and where to get help

Yes

N/A

Supervision

Please confirm that you understand the scope of the role to be performed at the host site and that you have the knowledge and skills to perform the work safely and without risk to your health.

Yes

N/A

Supervisor Details

Supervisor Name

First Last

Supervisor Contact Number

Emergency Management

Did the induction include the following:

Information on what to do if there is an emergency, including the evacuation assembly point, location of fire extinguishers and emergency exits

Yes

N/A

Details on how to call fire or police to the location to provide emergency services

Yes

N/A

Information on what to do if there is an emergency and the patients/residents need to be evacuated

Yes

N/A

Personal Protective Equipment

Did the induction include the following:

Provision of all safety equipment you need including PPE

Yes

N/A

What PPE are you expected to wear

Yes

N/A

Information and instruction on how to use your PPE and wear it correctly, store it, discard it and where to get replacements

Yes

N/A

Provision of PPE for infection outbreaks and training on the PPE requirements, wearing, removing and discarding the PPE

Yes

N/A

Provision of a personal safety alarm if required, and demonstration on how to wear it and use it safely

Yes

N/A

Violence

Did the induction include the following:

Information on known violent behaviours and details on behaviour management plans in place for that resident/patient including, but not limited to, identifying patients/residents who may demonstrate a “resistance to care” and providing clear guidance of what you should do

Yes

N/A

Information on duress response protocols in place

Yes

N/A

Location of fixed duress alarm

Yes

N/A

Information on identifying and removing items that can be used as weapons by patients

Yes

N/A

Information on support available in the event of a distressing or violent behaviour from a patient, resident, visitor or other person

Yes

N/A

Accommodation

(If provided as part of contract)

Address

Street Address Suburb

Do you feel safe at the accommodation?

Yes

N/A

Do all locks on doors/windows work?

Yes

N/A

Has a fire extinguisher been provided?

Yes

N/A

Does all the plumbing work (toilets flush/hot water etc)?

Yes

N/A

Adequate lighting around car parking areas?

Yes

N/A

Are there any cleanliness issue?

Yes

N/A

First Day Check

2024 First Day Check – Henderson Healthcare

First Day Check

Host WHS Induction

Did the induction include the following:

Raising an Issue

Supervision

Supervisor Details

Emergency Management

Personal Protective Equipment

Violence

Accommodation