SITXWHS006-Workplace-Assessment-Task-3-Observation-Form-v1.0

Candidate Details Candidate Name Lalit 20220258 Title/Designation Assessor/Observer Details Candidate is observed and assessed by Training Organisation Relevant Qualifications Held Context of the Assessment Assessment Environment ☐ Real workplace/organisati on ☐ Simulated environment Mode of Observation ☐ Direct observation ☐ Observation via video recording Date of Observation Workplace/Organisation State/Territory Organisations’ policies and procedures for implementing control measures for workplace risks Policies: Assessor to list the organisation's policies here. Procedures: Assessor to list the procedures of the corresponding policy listed. Resources required for assessment  Risk Treatment Action Plan , or similar from the candidate’s workplace/organisation  Policies and procedures for implementing control measures for workplace risks ☐ People from the workplace to work with the candidate in implementing the identified risk control measures These must be the person/s responsible identified from the Risk Register Template/Risk Treatment Action Plan. Observation Form © Precision RTO Resources

OBSERVATION FORM During this workplace task: YES/N O Date O b s e r v e d Assessor’s comments 1. The candidate implements EACH of the recommended control measures to eliminate or minimise each identified workplace risk. Candidate must be observed implementing each control measure with the person indicated in their Risk Treatment Action Plan . a. Risk control for priority 1  YES ☐ NO b. Risk control for priority 2  YES ☐ NO c. Risk control for priority 3  YES ☐ NO d. Risk control for priority 4  YES ☐ NO 2. The candidate follows the organisation's policies and procedures when implementing each recommended control measure. These will vary depending on the candidate’s organisation. However, it can include one or more of the following: Check one or more boxes to reflect the steps followed by the candidate based on their organisation’s policy: ☒ Coordinate with person/s responsible for implementation, including referral to higher-level staf ☒ Follow safe work procedures used by the organisation when implementing certain control measures ☐ Complete additional WHS documentation as required by the organisation ☐ Conduct immediate follow-up activities after implementation  YES ☐ NO Observation Form Page 6