ASSESSMENT 4 – WRITTEN ASSESSMENT / PROJECT
Student Name: ______________________________________________________________
Student ID No: _________________________________________ Date: _______________
Student Instructions
Written Assessment Project
• This assessment will be undertaken in the classroom, under test conditions.
• This is a closed book written assessment
• Time allocated: 2 hours • You are to research and answer all of the following questions. Be sure to:
• Please print / write legibly
• Make sure you all questions
• Black or blue pen is required to complete this assessment.
• Return your assessment by the date set by your assessor
• Do not plagiarise. Plagiarism is considered cheating. Please refer below for our policy in regards to cheating
• Do not cheat during this assessment. Anyone caught cheating will automatically be excluded under the Disciplinary Rules and their opportunity for assessment will be subject to the outcome of an Appeal Process or Disciplinary Hearing
• Ask your assessor if you do not understand a question. Whist your assessor cannot tell you the answer, he/she may be able to re-word the question for you
• Reasonable adjustment: If you require any adjustments to accommodate a need in order to complete this assessment, please talk to your assessor. Arrangements will be put in place to ensure a fair and flexible approach is undertaken for this assessment. Please note that the range or nature of the adjustment will ensure that the outcomes of the unit are not compromised.
• Re-assessment: If you do not achieve the required standard, you will be given the opportunity to be re-assessed by our Assessor. Arrangements will be made on an individual basis.
• Feedback: Your assessor will provide feedback to students after the completion of the assessment. The trainer assessor will explain the appeals process.
Questions Answer
1 What is the difference between a Hazard and a Risk? (1-2 sentences)
2
What does this sign mean? (1-2 sentences)
3
What does this sign mean? (1-2 sentences)

4 Detail 5 different potential safety hazards you could come across in on a job site. (1-2 sentences)
5
Describe how you would operate the following fire fighting equipment
(50-100 words)
6
When would you use a water fire extinguisher (pictured below)? (1-2 sentences)
7
When would you use a Foam Fire Extinguisher (Pictured Below)?
(1-2 sentences)
8 List 3 different types of fires (1-2 sentences)
9 Describe 4 different pieces of fire fighting equipment (1-2 sentences)
10 What does PPE stand for? (1-2 sentences)
11 List 6 pieces of PPE you would use in your workplace (1-2 sentences)
12 Who would you contact in the event of an emergency? (1-2 sentences)
13 What are the Australian Standards for emergency control (1-2 sentences)
14 Where would you find information regarding working with heights regulations (1-2 sentences)
15 Over what height must scaffolds or harnessing be used when working at heights
16 How should safely you use ladders when painting? (50-100 words)
17 How can you prevent your ladder slipping (1-2 sentences)
18 What is a MSDS? (1-2 sentences)
19 What are the Australian Standards for emergency control (1-2 sentences)
20 What would you do if you are instructed by emergency services to do something, but you are unsure if you should? (1-2 sentences)
21 What would you do if you smelt fumes in an enclosed space (1-2 sentences)
22 What should you do to ensure you use your ladder safely?
Minimum 4 different points
(50-100 words)
23 Outline the OH&S Hierarchy of Control, explaining how it effects OH&S.
(50-100 words)
24 List 3 risks and precautions associated with using manually-operated equipment (1-2 sentences)
25 List 5 things you can do to minimise the risk associated with manual handling / lifting.
26 What can you do to protect your back when manually handling goods? (List 5 ways) (50-100 words)
27 Describe why it is important to protect your spine when handling goods (50-100 words)
28 When assessing the risk prior to moving a load, what should you consider (list 8 things)? (50-100 words)
29 What are your legal responsibilities when working on roofs? (50-100 words)
30 What can you do to reduce the risk of falling when working on a roof? (1-2 sentences)
31 What hazards may you face when working in a confined space? (1-2 sentences)
32 How can you reduce the risks associated with working in a confined space? (1-2 sentences)
33 List 3 tools that must never be used near asbestos materials (1-2 sentences)
34 List 4 type of materials that may contain asbestos.
35 What is asbestosis? (1-2 sentences)
36 What prohibitions apply to removing asbestos? (50-100 words)
37 What should you do with asbestos contaminated clothing? (50-100 words)
38 What asbestos removal work does not require a license? (50-100 words)
39 What type of asbestos can you remove (1-2 sentences)
40 Describe how you would remove asbestos (that you are legally allowed to (50-100 words)
41 What are the roles and responsibilities of employers relating to OHS? (100-150 words)
Question 42
You are to complete this injury form as per the scenario below:
Scenario: Whilst plastering a residential property, you step on an old nail, causing it to go through your shoe. You take off your shoe and find that it has penetrated your foot. Your supervisor takes you to the doctor, who gives you a Tetanus Booster, and bandages your foot. You then return to work. (Please note – you can make up any details that are missing, but are required on the form)
PERSONAL DETAILS OF THE INJURED PERSON
Title: Dr Mr Ms Mrs Miss
Surname:_________________________ Given Names:_____________________________________
Gender: Male / Female Date of Birth ____________________( Date / Month / Year)
? Employee Employee No:__________________ FT / PT / Casual
? Independent Person
Home Address:________________________________________________________________________
Telephone: Home___________________ Work ___________________ Mob_____________________
Occupation:_______________________________ Email:___________________________________
PERSONAL DETAILS OF THE FIRST AIDER
Title: Dr Mr Ms Mrs Miss
Surname:_________________________ Given Names:_____________________________________
Gender: Male / Female Date of Birth ____________________( Date / Month / Year)
? Employee Employee No:__________________ FT / PT / Casual
? Independent Person
Home Address:________________________________________________________________________
Telephone: Home___________________ Work ___________________ Mob_____________________
Occupation:_______________________________ Email:___________________________________
DETAILS OF THE ACCIDENT
Day of Accident:_______________ Date of Accident:__________ Time of Accident:__________ am/pm
Location of Accident:___________________________________________________________________
What was the person doing leading up or at the time of the accident (e.g. sweeping leaves):____________
_____________________________________________________________________________________
What actually happened: (e.g. slipped on floor, struck by car):___________________________________
_____________________________________________________________________________________
What object/machine was being used at the time of the accident (e.g. guillotine): ____________________
_____________________________________________________________________________________

What safety equipment was being used at the time (e.g. gloves, goggles, earmuffs):__________________
_____________________________________________________________________________________
Was the hazard that caused the accident / injury previously reported? Yes / No / N/A
Has the hazard been resolved: Yes / No / N/A
INJURY / CONDITION / DISEASE DETAILS
Description of the injury / condition / disease:________________________________________________
_____________________________________________________________________________________
Bodily location of the injury / condition / disease
? Arm – Lower L/R ? Arm – Upper L/R ? Hand L/R ? Finger/s
? Leg – Lower L/R ? Leg – Upper L/R ? Foot L/R ? Toe/s
? Skull ? Face ? Eye L/R ? Nose
? Mouth ? Ear L/R ? Neck ? Shoulder/s L/R
? Chest ? Abdomen ? Hip L/R ? Internal Organs
? Back - Upper ? Back - Lower ? Buttocks ? Other
_____________________________________________________________________________________
Description of the injury / condition / disease:________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
WITNESSES/ES
Name: ___________________________________ Contact No: ¬________________________________
Name: ___________________________________ Contact No: ¬________________________________
ACTION TAKEN
Detail action taken as a result of this accident:________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
TO BE COMPLETED BY WORKER
Name: ___________________________________ Contact No: ¬_____________________________
Signature: ________________________________ Date: ¬___________________________________

Student Declaration: I declare that the work submitted is my own, and has not been copied or plagiarised from any person or source. Name: ________________________
Signature: ________________________
Date: ____/_____/_____
ASSESSOR USE ONLY
Comments
Assessment Method: WRITTEN / PROJECT
Result
(Please Circle) Satisfactory Not Satisfactory Incomplete
Assessor: I declare that I have conducted a fair, valid, reliable and flexible assessment with this student, and I have provided appropriate feedback Name: ________________________
Signature: ________________________
Date: ____/_____/_____