HLTWHS002_AE_Prt3of3 (AutoRecovered)

Work Placement Portfolio Assessment Criteria Unit code, name, and release number HLTWHS002 Follow safe work practices for direct client care (2) Qualification/Course code, name, and release number Student details Student number Student name Assessment Declaration Note: If you are an online student, you will be required to complete this declaration on the TAFE NSW online learning platform when you upload your assessment. This assessment is my original work and has not been:  Plagiarised or copied from any source without providing due acknowledgement.  Written for me by any other person except where such collaboration has been authorised by the teacher/assessor concerned. Student signature and date Document title: HLTWHS002_AE_Prt3of3 Page 1 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Version: 20230627 Date created: 20211007 © 2023 TAFE NSW, Sydney RTO Provider Number 90003 | CRICOS Provider Code: 00591E This assessment can be found in the: Learning Bank The contents in this document are copyright © TAFE NSW 2023, and should not be reproduced without the permission of the TAFE NSW. Information contained in this document is correct at the time of printing 15 February 2024. For current information please refer to our website or your teacher as appropriate. Document title: HLTWHS002_AE_Prt3of3 Page 2 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Assessment details Instructions declaration when submitting the assessment. What do I need to do to achieve a satisfactory result? To achieve a satisfactory result for this assessment all questions must be answered correctly and all parts of the observable components must be performed to a satisfactory level as indicated in the criteria section of the Observation Checklists. If your assessment is not satisfactory you will be provided with feedback and asked to resubmit responses to those questions you answered incorrectly within two weeks, unless otherwise agreed with the Head Teacher where there are extenuating circumstances. What do I need to provide? Pens or a computer with access to a printer, internet access if submitting the assessment online, learning notes, student ID. What the assessor will provide? Assessment guidance and feedback. Due date Teacher/Assessor to complete as per the assessment schedule. Time allowed Indicative time: Total of 4 hours: Part 1: 30 minutes Part 2: 2 hours 30 minutes Part 3: 1 hour Assessment feedback, review or appeals In accordance with the TAFE NSW policy Manage Assessment Appeals, all students have the right to appeal an assessment decision in relation to how the assessment was conducted and the outcome of the assessment. Appeals must be lodged within 14 working days of the formal notification of the result of the assessment. If you would like to request a review of your results or if you have any concerns about your results, contact your Teacher/Assessor or Head Teacher. If they are unavailable, contact the Student Administration Officer. Document title: HLTWHS002_AE_Prt3of3 Page 4 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Assessment details Instructions Contact your Head Teacher for the assessment appeals procedures at your college/campus. Task instructions You are required to provide evidence of how you have participated in safe work practices to ensure the health and safety of themselves and others. To do this you must complete and submit: 1. One workplace incident report based on either a real incident or the scenario provided. 2. One workplace risk assessment using the templates provided. 3. Responses to short answer questions. If your responses are based on a TAFE-approved work placement you must sign the declaration at the end of the assessment and ask a workplace representative to sign it to verify the authenticity of your assessment. Your assessor will mark your performance using the Assessment Checklists provided. You should refer to the Checklists to understand what you need to demonstrate. All the task assessment criteria must be met. In the Assessor Comments, your assessor will describe how you have demonstrated the required skills and knowledge. Document title: HLTWHS002_AE_Prt3of3 Page 5 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Workplace incident report form template Table 1 incident report Information About the Person Involved Name: Ian White Address: 23 Rylands Dr, Orange NSW 2800 Date of birth: 01/01/1999 Phone: 0265650011 Date of incident: 8/11/23 Time of incident: 12:00pm Location of incident: Foyer Activity engaged in: Ian tripped on a waste bin in the foyer when visiting the workplace midday today Description of the Incident Description of the incident: Ian was visiting the centre today and he has tripped on a waste bin in the foyer which resulted in him cutting his left elbow which is bleeding and complaining of a sore right knee. The receptionist, Piper Holdings, witnessed the event and attended first aid, piper advice ian to see the gp for the pain in his knee Nature of injury: (e.g. burn, sprain, cut etc.): Cut to his left elbow which is bleeding and sore right knee How injury occurred: (e.g. fall, slip, assault by another client): Ian tripped on a waste bin in the foyer Location of injury site on the body: Left elbow and right knee Other contributing factors/ causes: Treatment Provided Document title: HLTWHS002_AE_Prt3of3 Page 7 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

First Aid Provided: Yes x No  Treatment Provider’s Name: piper holdings Treatment: (Your answer should be a minimum of 30 words but no longer than. apply pressure with sterile gauze for 10 minutes. Cleaned the wound then apply a clean dressing and bandage, icepack was giving for sore knee. Next of Kin Informed: Yes  No  Date and Time Contacted: N/A Name of Next Of Kin: next of kin didn’t need to be contacted Name of Supervisor: Fred smith Date: 8/11/23 Signature: fsmith Witness Details: (at least one must be provided) Name: piper holding Name: Address: are 5/7 Honsy Dr, Bathurst NSW 2795 Address: Phone 0277665543 Phone Table 2 Workplace Supervisor Declaration Student and Workplace Supervisor Declaration I declare that the content of Part 1 is the product of my own work. Student Name Signature Date I verify the student completed a workplace incident report as documented in their responses to this part of the assessment. Supervisor Name Signature Date Assessment Checklist 1: Workplace incident report Document title: HLTWHS002_AE_Prt3of3 Page 8 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Part 2: Workplace risk assessment You are required to provide evidence of how you have conducted a workplace risk assessment and recorded the results, either while on work placement or in a simulated workplace at TAFE NSW. Refer to their class Teams site for further information about how the assessment is to be conducted. There are 2 components to this task: 1. Using the template provided on the following pages, conduct a workplace hazard identification and risk assessment and identify and record at least one existing hazard and at least one potential hazard. 2. Choose one existing hazard and one potential hazard that you identified in your hazard identification and risk assessment, and complete the risk assessment template provided, identifying: a) existing risk control measures b) current level of risk using the risk assessment matrix shown below c) at least one additional risk control measure using the hierarchy of control d) residual level of risk once the additional risk control measure has been applied e) who you reported this risk to, and when. Risk matrix This matrix is to be used when assessing the risk of an actual or potential hazard. Table 4 Risk matrix TAFE 1. Severity of injury 2. What can happen? HIGHLY LIKELY Could happen any time LIKELY Could happen occasionally UNLIKELY Could happen very rarely HIGHLY UNLIKELY Probably never will happen Person dies or permanent damage occurs 1 1 2 3 Serious injury or long lasting damage 1 2 3 4 First aid required 2 3 4 5 No injury occurred 3 4 5 6 Document title: HLTWHS002_AE_Prt3of3 Page 10 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Hazard identification and risk assessment template Table 5 risk assessment template Name of Student: Jayde hancock Name of Workplace: Tafe nsw Date and time of risk assessment 1/1/24 11:20pm For each of the items listed below, indicate “yes” if the statement is true and “no” if it is not true. If you indicate “no” (i.e. the statement is NOT true) you must describe the hazard and associated risk, and indicate the action required. Item Yes ü No û Description of hazard Associated risk Action required (more than one item may be chosen) Workplace is clean and tidy x ☐  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Floor surfaces are in good repair X ☐  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Floor surfaces are not cluttered with cords, stores, etc. ☐ X Cords uncovered in walk way Someone can trip  Urgent – report to supervisor immediately x I can remove the hazard myself x Discuss at a WHS meeting All power plugs, cords and sockets in good order ☐ X Overloaded sockets Unload of power cords can cause fire  Urgent – report to supervisor immediately  I can remove the hazard myself x Discuss at a WHS meeting Document title: HLTWHS002_AE_Prt3of3 Page 11 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Item Yes ü No û Description of hazard Associated risk Action required (more than one item may be chosen) Fire exits are well marked ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Exit lights are operational ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Emergency procedure charts are available near all phones ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Hazard signs are available ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Material safety data sheets are available for all stored chemicals ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Work area is well lit X ☐  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting There is adequate working space X ☐  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting There are no protruding hazardous objects ☐ X  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Document title: HLTWHS002_AE_Prt3of3 Page 13 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Item Yes ü No û Description of hazard Associated risk Action required (more than one item may be chosen) Emergency stop buttons on equipment are available, visible and functioning ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Safe work practice guidelines are available for all hazardous equipment and tasks ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Defective equipment tags are available ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Food is stored in fridges as per food safety guidelines ☐ ☐ N/A  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Room temperature is comfortable for the tasks being performed X ☐  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Suitable computer desks are in use X ☐  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Workstations are not affected by glare X  Urgent – report to supervisor immediately  I can remove the hazard myself ¨ Discuss at a WHS meeting Document title: HLTWHS002_AE_Prt3of3 Page 14 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Table 7 Workplace Supervisor Declaration Student and Workplace Supervisor Declaration I declare that the content of Part 2 of this Portfolio is the product of my own work. Student Name Signature Date I verify the student undertook a workplace risk assessment as documented in their responses to this part of the assessment. Supervisor Name Signature Date Document title: HLTWHS002_AE_Prt3of3 Page 16 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Assessment Checklist 2: Workplace risk assessment Table 8 Workplace risk assessment # Task/Activity Performed Did the student: Yes  No  1. Complete a workplace hazard identification and risk assessment. ☐ ☐ 2. Identify one actual hazard and one potential hazard. ☐ ☐ 3. Identify existing risk control measures and level of risk. ☐ ☐ 4. Identify issues with existing risk control measures. ☐ ☐ 5. Identify additional risk control measures and residual level of risk in line with hierarchy of risk control. ☐ ☐ 6. Report the risk assessment outcome to an appropriate responsible person. ☐ ☐ Feedback / Comments for Improvement: Result – Part 2 (TAFE NSW assessor use only) Final Result and Comments S  ☐ US  ☐ Assesso r Name: Assessor Signature: Date: Student Name: Student Signature: Date: Document title: HLTWHS002_AE_Prt3of3 Page 17 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

2. Describe a situation where you encountered client-related risk factors or behaviours of concern such as physical aggression, verbal assault or confusion. In your answer explain how you reported and recorded this according to workplace procedures, and discussed this with your workplace supervisor as a means of debriefing. ( If this did not happen , research the workplace procedure manual and explain what you would have done had this situation occurred.) Your answer must be between 50 – 100 words in length. 3. Identify three ways you can keep up-to-date with WHS policies and safe work practices in your job role. Your answer must be between 25 – 50 words in length. Document title: HLTWHS002_AE_Prt3of3 Page 19 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3

Table 9 Declaration DECLARATION I declare that the content of this section of the Portfolio is the product of my own work and is a true and accurate recounting of the activities I have undertaken during this work placement. No part of the evidence I have provided has been copied from any other person’s work or has been written for me by any other person. Student Name Signature Date Workplace Supervisor declaration  I declare that, to the extent of my knowledge, the information the student has provided is true and accurate to their experience in the workplace.  I discussed /debriefed with the student about any levels of stress and fatigue they have experienced on work placement and workplace procedures for support such as EAS.  The student consistently applied workplace safety procedures in the day-to-day work activities required by the job role, including infection control, hazardous manual tasks and use of personal protective equipment. Supervisor Name Signature Date Document title: HLTWHS002_AE_Prt3of3 Page 20 of 22 Resource ID: PRJ0011582_HLTWHS002_AE_Prt3of3