No actions recorded Port Arthur N LTIFR 9 Sep 2012 Customer service staff new

lifting: 5 days’ leave. No actions recorded. Port Arthur N LTIFR 9 Sep 2012 Customer service staff (new) Staff member fall from lumber stacks. Sore back; 2 days’ leave. No actions recorded. Gold coast N FAI 10 Sep 2012 Customer service staff (new) Employee received minor cuts while demonstrating grinder to customer. Team leader initiated safety action meeting. Coburg N MTI 19 Sep 2012 Customer service staff (new) Employee panic attack/nervous breakdown/psychotic or drug induced; employee physically threatens another with lawn mower blade and unknown substance; Employee arrested, placed in psychiatric examination. No actions recorded. Ballarat Y LTI 23 Sep 2012 Customer service staff (new) Staff member hurt lifting vanity into customer vehicle; 1 day’s leave. Team leader initiated safety action meeting. Launcest on N LTI 22 Sep 2012 Customer service staff (new) Staff member hurt hands while stacking mortar; 2 days’ absence. Team leader initiated remedial training and coaching for employee. Mount Isa N © 2015 Innovation and Business Industry Skills Council Ltd 1 st edition version: 1 Page 11 of 15

Assessment Task 3 BSBWHS501 Ensure a safe workplace Incide nt Date Role Description Action Location Regulat or notificat ion LTI 3 Oct 2012 Forklift driver Driver hurt by falling boxes: 2 days’ leave Team leader initiated remedial training and coaching for employee. Adelaide N LTI 18 Oct 2012 Fork lift drivers Team complaining of headaches from forklift fumes; 5 days’ team total absence. No other actions recorded. Sydney N FAI 24 Oct 2012 Customer Customer fell in spilt petrol. First aid administered for bruising on left leg. Team leader initiated training and SAM for staff. Melbourn e N LTI 28 Oct 2012 Customer service staff (new) Staff member struck by falling object. Sore neck and shoulders; 1 day’s absence. Team leader initiated training and SAM for staff. Torquay N NMI 2 Nov 2012 Customer service staff (new) Customer service staff member nearly severs finger demonstrating bandsaw. Team leader initiated training and SAM for staff. Wollongo ng N MTI 13 Nov 2012 Forklift driver overcome by fumes Driver found unconscious. Hospitalisation. Possible brain injury. Other actions recorded. Hobart N LTI 17 Nov 2012 Customer service staff (new) Staff member struck by falling object. Sore neck and shoulders; 1 day’s absence. No action recorded. Byron Bay N © 2015 Innovation and Business Industry Skills Council Ltd 1 st edition version: 1 Page 12 of 15

Assessment Task 3 BSBWHS501 Ensure a safe workplace Incide nt Date Role Description Action Location Regulat or notificat ion NMI 8 Dec 2012 Customer service staff (new) Customer service staff member nearly severs finger demonstrating bandsaw. No action recorded. Port Macquari e N LTI 10 Dec 2012 Customer service staff (new) Staff member sore back from lifting: 53 days’ leave. No actions recorded. Geraldto n N LTI 13 Jan 2013 Customer service staff (new) Fell while carrying boxes. Minor cuts treated.