Emergency Personnel and Contacts
Safety Representatives Name Area Phone Email Management Representative Staff Representative x x Fire Wardens Name Area Phone Email x x x x First Aiders Name Area Phone Email x x x x Emergency Locations Locations Locations First Aid Kit First Aid Kit Evacuation Point Emergency Contacts Contacts Contacts Civil Defence www.civildefence.govt.nz WorkSafe NZ 0800 030 […]
Emergency Plan and Procedures
Fire Warden Duties If you discover a fire in the building: Activate the Alarms. Put on your Fire Warden Identifier (Vest, Hat or Arm Band). Begin your patrol of the building and instruct all staff to evacuate immediately and proceed to the Assembly Point. This is at: _______________________ Once you have reached the assembly point, […]
Incident Register
Time Period Covered (One Year) From: To: Incidents/Near Miss Name Injury Type Machinery/ Process Involved Investigated x x x x x x x x x x x x x x x x x x x x x x x Quarterly Sign off: Quarter Date Title Name Signature Q1 Q1 Q1 Q1 All incidents (includes injuries […]
Incident Investigation
Particulars of incident Date of incident Time Reported by Location Date reported The injured person For details on injured parties refer to page 3.4 The incident Description Describe what happened x x x x x x x Analysis What were the causes of the incident? x x x x Potential severity of the incident Chance […]
Non-Notifiable Event Form
Complete in the case of an event which is non-notifiable i.e. incident or near miss Complete the following form in the case of a Notifiable Event worksafe.govt.nz/notify-worksafe Particulars of event Date of incident Time Reported by Location Date reported The injured person Name Date of Birth Sex (M/F) Address Occupation Period of employment Hours worked […]
First Aid Kits
Suggested minimum contents for a workplace first aid kit Here is a list of recommended contents for first aid kits for workplaces with no special risk: manual, giving general guidance on first aid individually wrapped moist wipes or saline solution 20 individually wrapped sterile adhesive dressings (assorted sizes), appropriate to the type of work in […]
First Aid Policy
First Aiders: Adequate first aid equipment and trained staff are required to be provided by the PCBU. A guide might be one first aider for every ten staff members/ site crew. Two per 25 workers in moderate risk workplaces. Assess company size and composition, nature of work, size and location of workplace, level of risk […]
Rehabilitation/Return to Work
%The_Company% actively supports rehabilitation by ensuring that the return to work is a part of the recovery process. To achieve this, our Rehabilitation Program seeks to provide appropriately selected duties for all injured employees, to enhance recovery. Injury Management/Return to Work (RTW) Coordinator %The_Company% will appoint an Injury Management/Return to Work Coordinator or other nominated […]
Notifiable Event Definitions
Notifiable Event Definitions Meaning of notifiable injury or illness “Unless the context otherwise requires, a notifiable injury or illness, in relation to a person, means— (a) any of the following injuries or illnesses that require the person to have immediate treatment (other than first aid). The amputation of any part of his or her body, […]
Incident Reporting and Investigation Procedures
An incident is an occurrence(s) arising out of or during work that could or does result in injury or ill health (also called an accident). An incident where no injury and ill health occurs, but has the potential to do so, may be referred to as a “near-miss”, “near-hit” or “close-call”. All incidents and near-miss […]