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Host Employer WHS Assessment
Host Employer WHS Assessment
"
*
" indicates required fields
Step
1
of
7
14%
HOST EMPLOYER WHS ASSESSMENT
Client
*
Client Site Address
Street Address
Address Line 2
Suburb
Postcode
Client Representative Name & Title
*
Date of Assessment
*
DD slash MM slash YYYY
Type of Business
*
WHS Systems
When providing a job brief to Henderson Healthcare the following information will be provided:
Job title & summary of tasks
Yes
No
N/A
Qualifications, and experience the on-hire worker should possess
Yes
No
N/A
Other selection criteria (medial/literacy/numeracy)
Yes
No
N/A
Equipment, substances, and materials to be used
Yes
No
N/A
Hours of work and intended duration of the contract
Yes
No
N/A
Supervisor contact details and the level of supervision to be provided
Yes
No
N/A
Training provided before commencing work
Yes
No
N/A
PPE requirements
Yes
No
N/A
Comments / Observations
WHS Policies & Procedures
Do you have documented policies and procedures for:
Risk management
Yes
No
N/A
Consultation
Yes
No
N/A
Work health and safety issue resolution
Yes
No
N/A
Aggression and violence prevention and response
Yes
No
N/A
Bullying prevention and response
Yes
No
N/A
Sexual harassment prevention and response
Yes
No
N/A
Trauma and vicarious trauma prevention and response
Yes
No
N/A
Infection prevention and control
Yes
No
N/A
Fitness for Work
Yes
No
N/A
Patient/resident handling and equipment use
Yes
No
N/A
Comments / Observations
Remote & Isolated Work
Do you have documented policies and procedures for:
Is there the potential for workers to work alone, in isolation, and/or remotely?
Yes
No
N/A
If yes, please confirm the additional systems of work to ensure the health and safety of workers.
Protocols for working alone/remotely/in isolation
Yes
No
N/A
Workers are provided with a personal duress alarm or similar
Yes
No
N/A
Provision of communication systems example: mobile phone, monitoring checks
Yes
No
N/A
Comments / Observations
Supervision
Adequate arrangements are in place to provide supervision to on-hire workers
Yes
No
N/A
Induction and Training
On-hire workers will be provided with a workplace induction & task-specific training
Yes
No
N/A
The on-hire workers role and expectations of performance will be clearly defined
Yes
No
N/A
Consultation and Communication
As a shared duty holder, are you aware that we must consult, cooperate and coordinate activities to ensure the health and safety of on-hire workers?
Yes
No
N/A
As the host, you will consult with Henderson Healthcare and the on-hire worker before changing the workers’ duties or location of work
Yes
No
N/A
There are consultation arrangements to ensure on-hire workers are adequately consulted Example: handover meetings/team meetings/text messages/emails
Yes
No
N/A
If an on-hire worker identifies a WHS issue, who is the contact person within the business to report the issue to?
Yes
No
N/A
Monitoring
Processes are in place to periodically monitor health and safety in the workplace
Yes
No
N/A
Support
On-hire workers will be provided support from management, supervisors and co-workers
Yes
No
N/A
On-hire workers will be provided with training, equipment and resources to support their performance and safely perform the work
Yes
No
N/A
On-hire workers will be informed of where to access advice and assistance during a traumatic event
Yes
No
N/A
An employee assistance program is available to on-hire workers
Yes
No
N/A
Comments / Observations
Personal Protective Equipment
Personal protective equipment (PPE) is required
Yes
No
N/A
Provision of PPE details i.e., who will provide the PPE and fit testing
Incident & Emergency Response
Incident reporting and investigation processes are in place
Yes
No
N/A
As the host, you will notify Henderson Healthcare if an on-hire worker is involved in an incident at the workplace
Yes
No
N/A
Arrangements are in place for first aid and emergency response
Yes
No
N/A
Any additional comments / observations