Consent for Drug/Alcohol Testing
I consent to undergo an on-site screening drug/alcohol test, to be undertaken by an accredited agency, as described in section 1.9 of %The_Company% Health and Safety Policy. I acknowledge that these tests are to determine whether drugs/alcohol are present in my urine at concentration(s) higher than the accepted international standards. The drugs being tested for […]
Employee Medical Check Consent Form
By signing this form, the Worker gives their consent for medical information about themselves as assessed by a Health Professional to be released to %The_Company%’s Health and Safety Representative. Where this information indicates that the Worker may not be able to perform their job functions safely or that their health may have been adversely affected, […]
Pre-Employment Questionnaire
Checklist Yes No 1. Are you currently engaged in any other employment, which will continue if you are successful in gaining this position? 2. Have you ever been diagnosed with and/or treated for Occupational Overuse Syndrome or any other similar condition? 3. Do you, or have you ever suffered from any back problems? 4. Do […]
Contractor KPIs
Key Performance Indicators are quantifiable measurements that provide a measure of health and safety performance of contractors. They are often categorised into lagging (reactive) and leading (proactive) indicators. For example: Lead (Positive Indicators): Safety management activity completed Audits and inspections completed Training completed Corrective action completion rates Behaviour/attitude surveys completed Lag (Negative) Indicators Injury frequency […]
Work Method Statement (WMS)
Work Method Statement (WMS) is a written description of how significant packages of work will be carried out by an organisation (sometimes in conjunction with their sub-contractors) and how hazards or risks are to be controlled. They may be best viewed as falling between a Site-Specific Safety Plan and a Job Safety Analysis. WMS’s are […]
Injury/Incident Trend Chart
Use the charts below at the quarterly safety meetings, to assist in determining any incident trends. If any trends are discovered, use form 10.2 to decide on further actions to be taken, to either eliminate or minimise the risk. Fill in the number section with a different colour or design to help determine the period. […]
Management Health and Safety Review
Management are to be reviewed every 6 months, to assess their involvement and effectiveness in the development of safe workplace practices. Questions Y/N Have the management representative(s) attended health and safety meetings regularly? Have all staff been trained and inducted into the health and safety policy? Are health and safety meeting findings being included in […]
Health and Safety Representative Review
The Health and Safety Representatives are to be reviewed every 6 months, to assess their involvement and effectiveness in the development of safe workplace practices. Questions Y/N Have the health and safety representative(s) been nominated by staff? Are regular safety meetings being held, with representation from management and staff? Are the health and safety representative(s) […]
Health and Safety Annual Review/Internal Audit
Time Period Covered From: To: Present (Staff Health and Safety Representatives, Management Representatives) Name Position Name Position Meeting topics Topic Action Y/N Notes Industry changes • Have there been any industry changes, internal or external? • Has relevant legislation been updated? • Have systems and documentation been amended to account for changes? Legal Requirements • […]
Objectives
Objective Resources Required Method of measurement Evaluation Actions Taken Assigned to Planned completion date Completion date Objective Resources Required Method of measurement Evaluation Actions Taken Assigned to Planned completion date Completion date Objective Resources Required Method of measurement Evaluation Actions Taken Assigned to Planned completion date Completion date