WHS Templates
Health and safety templates that form the basis of the health and safety management system for the organisation.
Authority for Release of Personal & Health Information
A form that employees complete to authorise the release of personal information to the employer.
- Microsoft Word format
- 1 page
- Easy to edit and use
- Template letter allowing the disclosure of personal and health information from any:
- Doctor
- Hospital ambulance service
- Rehabilitation
- Other medical service providers
- Letter which allows the disclosure by employee to employer
Contractor Induction Checklist
A checklist when employing Contractors.
- Microsoft Word format
- 2 pages
- Easy to use
- Checklist required to adhere that all induction topics have been addressed such as:
- Outline of site rules
- Outline of permit to work system
- Emergency procedures etc
Contractor WHS Evaluation Checklist
A checklist when employing Contractors.
- Microsoft Word format
- 3 pages
- Easy to use
- Checklist requiring the evaluation of WHS issues
- Addresses checks such as:
- Insurance requirements
- Contractor WHS management
- Contractor site safety
- General criteria
- Consultation and communication of WHS
- WHS inspections/monitoring
- WHS training and qualifications
- Evaluation
Defective Plant & Equipment Report
Ensures plant and equipment that has been inspected and found faulty is recorded and dated.
- Microsoft Word format
- 1 page
- Easy to use
- Form outlining defect of:
- Mechanical
- Electrical
- Plumbing
Electrical Equipment Inspection Checklist
A checklist for electrical equipment.
- Microsoft Word format
- 1 page
- Easy to use
- Checklist form which allows the listing and determination of risk ranking of electrical equipment
Electrical Equipment Register
A template / register to ensures that all electrical equipment brought on site is listed in the Electrical Equipment Register.
- Microsoft Word format
- 2 pages
- Easy to use
- Form to be used to ensure that all electrical equipments brought on site are listed in the Electrical Equipment register
Emergency Accident / Incident Contact Numbers
Listed Contact Telephone Numbers for all workers to use in the workplace in case of an emergency.
- Microsoft Word Format
- 1 page
- Easy to edit and use
- Form displaying contact details in cases of an emergency, accident or incident which needs reporting
- Template form with contacts for various emergency services including:
- Electricity
- Gas
- Poisons etc.
Enviromental Management Plan
This 8 page Microsoft Word format document consists of aspects and impacts of environmental issues, a monitoring and audit plan, legal and regulatory matters, emergency preparedness, and administrative files such as an environmental risk assessment worksheet and risk matrix.
Meeting Agenda & Minutes
Form for Agenda items, meeting minutes and action plans.
- Microsoft Word format
- 1 page
- Easy to use and edit
- Template outlining minutes taken during WHS meetings describing:
- Agenda item
- Details of the agenda item
- Action to be taken
Offer of Suitable Duties
A template to offer employees suitable duties when returning to work.
- Microsoft Word format
- 2 pages
- Easy to use
- Form outlining duties given to specific employees which require particular job description
- Outlines how to prepare for an offer of suitable duties so to comply with the law
Permit to Work
Allows workers into high risk or restricted areas providing they have been trained and have appropriate PPE.
- Microsoft Word format
- 1 page
- Easy to use
- Permit to work template for:
- Electrical
- Access to roof
- Trenching
- Contractor
- Depicts exact authorised details permissible
Record of Agreed Consultation
Sets out how you will consultation with your employees about WHS information and to take your workers’ views into account, before you make decisions.
- Microsoft Word format
- 1 page
- Easy to use
- Establishes record of:
- Consultation arrangement
- How employees will be consulted about WHS
- Establishment of consultation arrangements
- Review of consultation arrangements
Report That Hazard
Notice to employee advising who they should report all Hazards to.
- Microsoft Word format
- 1 page
- Easy to use
- Form outlining the importance of reporting something that you may think is dangerous
Risk Assessment Worksheet Form
A worksheet to assist in completing a risk assessment.
- Microsoft Word format
- 2 pages
- Easy to use
- Assessing risk by detailing the hazard identified and methods of control
- Risk matrix is also provided
Risk Rating Chart Matrix
Risk rating chart based on AS/NZS 4360 – Risk Management Standard.
- Microsoft Word format
- 1 page
- Easy to use
- Risk assessment chart convey the likelihood of risk and consequence
Risk Register
Lists the Hazard, rates the risk and controls applied to the risk.
- Microsoft Word format
- 3 pages
- Easy to edit and use
- Register which allows the documentation of:
- The hazard
- The risk involved
- Rating of the risk
- Risk control to be applied
Site Safety Inspection Checklist
The purpose of this inspection is to identify any WHS issues, unsafe equipment or work practices at the work site and to identify the appropriate corrective action required to eliminate or control the identified risk.
- Microsoft Word format
- 4 pages
- Easy to edit and use
- Checklist used to identify:
- WHS issues
- Unsafe equipment
- Work practices at the work site
- Checklist will identify and therefore allow for appropriate corrective action to eliminate or control the identified risk
Toolbox Pre-start talks
All Toolbox / Pre-start Talks are recorded on this form and signed by participants.
WHS Dispute Resolution
A procedure for WHS Dispute Resolution.
- Microsoft Word Format
- 3 pages
- Easy to edit and use
- Outlines clauses in relation to:
- Parties to the resolution of issues
- Agreed procedure for resolution of health and safety issues
- Procedure for reporting issues
- Procedure for resolving issues
- Nominated representatives
WHS Representative Nomination Form
Nomination form asking employees to vote on their WHS Representative.
- Microsoft Word format
- 1 page
- Easy to edit and use
- Form outlining the WHS representative to be selected
- File kept to comply with the WHS Act
Workplace Inspection checklist
Inspects the work activity(s) and work area, and provide a completed Workplace Inspection Checklist each week to the principal contractor for the duration of the works.
- Microsoft Word format
- 3 pages
- Easy to use
- Checklist ensuring the frequent inspection of the work activity(s) and work area
- Checklist should be completed frequently in hopes of sustaining high levels of workplace safety