SITXWHS005 Assessment Tasks

SITXWHS005 Participate in safe work practices
Assessment Tasks
What is the purpose of this document?

The Assessment Tasks is the document you, the student, needs to complete to demonstrate
competency. This document includes the context and conditions of your assessment, the tasks to be
completed by you and an outline of the evidence to be gathered.
The information includes the following:
 Information related to the unit of competency

 Guidelines and instructions to complete each task and activity
 A student evaluation form
Student Evaluation Form
These documents are designed after conducting thorough industry consultation. Students are
encouraged to evaluate this document and provide constructive feedback to YCA if they feel that this
document can be improved.
Link to other unit documents
 The Assessment Tasks is a document for students to complete to demonstrate their

competency. This document includes context and conditions of assessment, tasks to be
administered to the student, and an outline of the evidence to be gathered from the student.
 The Unit Mapping is a document that contains information and comprehensive mapping with the
training package requirements.
 The Unit Requirements is a document that contains information related to the unit of
competency for YCA staff and students.
Document Name: Assessment Tasks Created Date: July 23

Document No: Version No: V1 Last Modified Date: Aug 23
Yarra College Australia (YCA) | CRICOS 04115A | TOID: 45992 Page Sequence: Page 1 of 55
1. Student and trainer details
Student details
Full name:
Student ID:
Contact number:
Email address:
Trainer details
Full name:
2. Qualification and unit of competency

Qualification/Course/Program Details
Code:
Name:
Unit of competency
Code: SITXWHS005
Name: Participate in safe work practices
Releases: 1.0
Release date: 10/Jun/2022
3. Assessment Submission Method

By hand to trainer/assessor By email to trainer/assessor
Online submission via Learning Management System (LMS)
Any other method _________________________________________________
(Please describe here)
4. Student declaration
• I have read and understood the information in the Unit Requirements prior to commencing this
Assessment Tasks
• I certify that the work submitted for this assessment pack is my own. I have clearly referenced
any sources used in my submission. I understand that a false declaration is a form of
malpractice;
• I have kept a copy of this Assessment Tasks and all relevant notes, attachments, and reference
material that I used in the production of this Assessment Tasks;
• For the purposes of assessment, I give the trainer/assessor permission to:
o Reproduce this assessment and provide a copy to another member of staff; and
o Take steps to authenticate the assessment, including communicating a copy of this
assessment to a plagiarism checking service (which may retain a copy of the assessment on
its database for future plagiarism checking).

Student signature: ________________________________
Date: ____/_____/______________
5. Assessment Plan
The student must be assessed as satisfactory in each of the following assessment methods in order
to demonstrate competence in a variety of ways.
Evidence number/ Assessment method/ Type of evidence/ Sufficient evidence
Task number Task name recorded/Outcome
Assessment task 1 Knowledge Test (KT) S / NS (First Attempt)
S / NS (Second Attempt)
Assessment task 2 Practical demonstration S / NS (First Attempt)
S / NS (Second Attempt)
Outcome C NYC Date assessed: Trainer signature:
6. Completion of the Assessment Plan
Your trainer is required to fill out the Assessment Plan Outcome records above, when:
• You have completed and submitted all the requirements for the assessment tasks for this cluster
or unit of competency.
• Your work has been reviewed and assessed by your trainer/assessor.
• You have been assessed as either satisfactory or unsatisfactory for each assessment task within
the unit of competency.
• You have been provided with relevant and detailed feedback.
Every assessment has a “Feedback to Student” section used to record the following information. Your
trainer/assessor must also ensure that all sections are filled in appropriately, such as:
• Result of Assessment (satisfactory or unsatisfactory)

• Student name, signature and date
• Assessor name, signature and date
• Relevant and detailed feedback
7. Unit Requirements
You, the student, must read and understand all of the information in the Unit Requirements before
completing the Assessment Tasks. If you have any questions regarding the information, see your
trainer/assessor for further information and clarification.

Pre-Assessment Checklist: Task 1 - Knowledge Test
The purpose of this checklist
The pre-assessment checklist helps students determine if they are ready for assessment. The
trainer/assessor must review the checklist with the student before the student attempts the
assessment task. If any items of the checklist are incomplete or not clear to the student, the
trainer/assessor must provide relevant information to the student to ensure they understand the
requirements of the assessment task. The student must ensure they are ready for the assessment
task before undertaking it.
Section 1: Information for Students
Make sure you have completed the necessary prior learning before attempting this assessment.
Make sure your trainer/assessor clearly explained the assessment process and tasks to be
completed.
Make sure you understand what evidence is required to be collected and how.
Make sure you know your rights and the Complaints and Appeal process.
Make sure you discuss any special needs or reasonable adjustments to be considered during the
assessment (refer to the Reasonable Adjustments Strategy Matrix - Appendix A and negotiate
these with your trainer/assessor).
Make sure that you have access to a computer and the internet (if you prefer to type the
answers).
Make sure that you have all the required resources needed to complete this assessment task.
The due date of this assessment task is in accordance with your timetable.
In exceptional (compelling and compassionate) circumstances, an extension to submit an
assessment can be granted by the trainer/assessor. Evidence of the compelling and
compassionate circumstances must be provided together with your request for an extension to
submit your assessment work.
The request for an extension to submit your assessment work must be made before the due
date.
Section 2: Reasonable adjustments
I confirm that I have reviewed the Reasonable Adjustments guidelines and criteria as
provided in Appendix A and attached relevant evidence as required and select the correct
checkbox.
I do require reasonable adjustment
I do not require reasonable adjustment
Declaration (Student to complete)
I confirm that the purpose and procedure of this assessment task has been clearly explained to
me.
I confirm that I have been consulted about any special needs I might have in relation to the
assessment process.
I confirm that the criteria used for this assessment has been discussed with me, as have the
consequences and possible outcomes of this assessment.
I confirm I have accessed and understand the assessment information as provided in YCA
Student Handbook.
I confirm I have been given fair notice of the date, time, venue and/or other arrangements for
this assessment.
I confirm that I am ready for assessment.
Student Name: ______________________________________
Student Signature: ___________________________________

Assessment method-based instructions and guidelines: Knowledge Test
Assessment type
 Written Questions
Instructions provided to the student:
Assessment task description:
 This is the first (1) assessment task you must successfully complete to be deemed
competent in this unit of competency.
 The Knowledge Test is comprised of six (6) written questions
 You must respond to all questions and submit them to your Trainer/Assessor.
 You must answer all questions to the required level, e.g. provide an answer within the
allocated space or create extra space if required, to be deemed satisfactory in this task
 You will receive your feedback within two (2) weeks, and you will be notified by your
Trainer/Assessor when your results are available.
Applicable conditions:
 All knowledge tests are untimed and are conducted as open book assessment (this means
you can refer to your textbook during the test).
 You must read and respond to all questions.
 You may handwrite/use a computer to answer the questions.
 You must complete the task independently.
 No marks or grades are allocated for this assessment task. The outcome of the task will be
Satisfactory or Not Satisfactory.
 As you complete this assessment task, you are predominately demonstrating your written
skills and knowledge to your trainer/assessor.
Resubmissions and reattempts:
 Where a student’s answers are deemed not satisfactory after the first attempt, a
resubmission attempt will be allowed.
 After two (2) successive re-assessment attempts, if the student still faces difficulty in
demonstrating competence, then the student will be advised to undertake re-learning
arrangements in this unit.
 The student may speak to their trainer/assessor if they have any difficulty in completing
this task and require reasonable adjustments.
 For more information, please refer to YCA Student Handbook.
Location: Level 6, 190 Queen Street, Melbourne, 3000, Victoria | Australia.
 This assessment task may be completed in:

a classroom, training kitchen and or a simulation environment
learning management system (i.e. Moodle),
workplace,
or an independent learning environment.
 Your trainer/assessor will provide you with further information regarding the location for
completing this assessment task.

Instructions for answering the written questions:
 Complete a written assessment consisting of a series of questions.

 You will be required to answer all the questions correctly.
 Do not start answering questions without understanding what is required. Read the
questions carefully and critically analyse them for a few seconds; this will help you to
identify what information is needed in the answer.
 Your answers must demonstrate an understanding and application of the relevant concepts
and critical thinking.
 Be concise, to the point and write answers within the allocated space or create extra space
if required, to each question. Do not provide irrelevant information. Remember, quantity is
not quality.
 You must write your responses in your own words.
 Use non-discriminatory language. The language used should not devalue, demean, or
exclude individuals or groups based on attributes such as gender, disability, culture, race,
religion, sexual preference or age. Gender-inclusive language should be used.
 When you quote, paraphrase, summarise or copy information from other sources to write
your answers or research your work, always acknowledge the source.
Purpose of the assessment
This assessment task is designed to evaluate student’s knowledge essential to participate in safe
work practices in a range of contexts and industry settings and knowledge regarding the
following:
 Knowledge of the basic aspects of the relevant state or territory work health and safety (WHS)
legislation:
 actions that must be adhered to by businesses
 employer responsibilities
 employee responsibilities to participate in WHS practices
 employee responsibility to ensure safety of self, other workers and other people in the
workplace within the scope of own work role
 ramifications of failure to observe WHS legislation and organisational policies and
procedures
 Knowledge of the workplace hazards and associated health, safety and security risks
 Knowledge of the contents of health, safety and security procedures relating to:
 evacuation of staff and customers
 security management of cash, documents, equipment, keys or people
 Knowledge of the format and use of template reports for hazards and incident and accident
reporting
 Knowledge of the safe work practices for individual job roles
 Knowledge of the procedures for WHS management practices:
 hazard identification
 WHS induction training
 safe work practice training
 suggesting inclusions for WHS policies and procedures.
Task instructions

 This is an individual assessment.
 To ensure your responses are satisfactory, consult a range of learning resources and other
information such as handouts, textbooks, learner resources etc.
 To be assessed as Satisfactory in this assessment task, all questions must be answered
correctly.
Assessment Task 1: Knowledge Test

Provide your response to each question in the box below.
Q1 Answer the following questions regarding basic aspects of the relevant state Satisfactory
: or territory work health and safety (WHS) legislation: response
Yes ☐ No ☐
1.1. What are the different WHS actions that must be adhered to by
hospitality businesses? Discuss any four.
1.2. Explain the employer responsibilities regarding health and safety in

workplace.
1.3. Discuss any four (4) employee responsibilities to participate in WHS

practices.
1.4. How can an employee fulfil its responsibility to ensure safety of self,
other workers and other people in the workplace within the scope of own
work role? Write your answer.
1.5. Explain two (2) ramifications of failure to observe WHS legislation and
organisational policies and procedures for employees.

Q2: Identify any three (3) common workplace hazards and outline their Satisfactory
associated health, safety and security risks using 1-2 sentences each. response
Yes ☐ No ☐
Common Advantages: (Any two)
workplace
hazards
Q3: Explain the contents of health, safety and security procedures relating to Satisfactory
the following: response
Yes ☐ No ☐
a) evacuation of staff and customers
b) security management of cash, documents, equipment, keys or
people

Q4: Discuss the format and use of template reports for hazards and incident Satisfactory
and accident reporting. response
Yes ☐ No ☐

Q5: Discuss the WHS safe work practices for individual job roles mentioned in Satisfactory
the table. response
Yes ☐ No ☐
Job roles WHS safe work practices
Health and
safety officer
Office Worker
Q6: Discuss the procedures for WHS management practices mentioned in the Satisfactory
table. response
Yes ☐ No ☐
WHS Explanation
management
practices
Hazard
identification

WHS induction
training
Safe work
practice
training
Suggesting
inclusions for
WHS policies
and
procedures

Assessment Results Sheet
Outcome First attempt:
Outcome (make sure to tick the correct checkbox):
Satisfactory (S) or Not Satisfactory (NS)
Date: _______(day)/ _______(month)/ _______(year)
Feedback:
Second attempt:
Outcome (please make sure to tick the correct checkbox):

Date: _______(day)/ _______(month)/ _______(year)
Feedback:
Student  I declare that the answers I have provided are my own work. Where I
Declaration
have accessed information from other sources, I have provided
references and/or links to my sources.
 I have kept a copy of all relevant notes and reference material that I
used as part of my submission.
 I have provided references for all sources where the information is not
my own. I understand the consequences of falsifying documentation and
plagiarism. I understand how the assessment is structured. I accept that
the work I submit may be subject to verification to establish that it is my
own.
 I understand that if I disagree with the assessment outcome, I can
appeal the assessment process, and either re-submit additional evidence
undertake gap training and or have my submission re-assessed.
 All appeal options have been explained to me.
Student Signature
Date
Trainer/Assessor
Name
Trainer/Assessor I hold:
Declaration
Vocational competencies at least to the level being delivered
Current relevant industry skills
Current knowledge and skills in VET, and undertake
Ongoing professional development in VET
I declare that I have conducted an assessment of this student’s submission.

The assessment tasks were deemed current, sufficient, valid and reliable. I
declare that I have conducted a fair, valid, reliable, and flexible assessment.
I have provided feedback to the student.
Trainer/Assessor
Signature
Date
Office Use Only The outcome of this assessment has been entered into the Student
Management System
on _________________ (insert date)
by (insert Name) __________________________________

Pre-Assessment Checklist: Task 2 – Practical
demonstration
The purpose of this checklist
The pre-assessment checklist helps students determine if they are ready for assessment. The
trainer/assessor must review the checklist with the student before the student attempts the
assessment task. If any items of the checklist are incomplete or not clear to the student, the
trainer/assessor must provide relevant information to the student to ensure they understand the
requirements of the assessment task. The student must ensure they are ready for the assessment
task before undertaking it.
Section 1: Information for Students
Make sure you have completed the necessary prior learning before attempting this assessment.
Make sure your trainer/assessor clearly explained the assessment process and tasks to be
completed.
Make sure you understand what evidence is required to be collected and how.
Make sure you know your rights and the Complaints and Appeal process.
Make sure you discuss any special needs or reasonable adjustments to be considered during the
assessment (refer to the Reasonable Adjustments Strategy Matrix and negotiate these with your
trainer/assessor).
Make sure that you have access to a computer and the internet (if you prefer to type the
answers).
Make sure that you have all the required resources needed to complete this Assessment Task
(AT).
The due date of this assessment task is in accordance with your timetable.
In exceptional (compelling and compassionate) circumstances, an extension to submit an
assessment can be granted by the trainer/assessor. Evidence of the compelling and
compassionate circumstances must be provided together with your request for an extension to
submit your assessment work.
The request for an extension to submit your assessment work must be made before the due
date.
Section 2: Reasonable adjustments
I confirm that I have reviewed the Reasonable Adjustments guidelines and criteria as
provided in Appendix A and attached relevant evidence as required and select the correct
checkbox.
I do require reasonable adjustment
I do not require reasonable adjustment
Declaration (Student to complete)
I confirm that the purpose and procedures of this assessment task has been clearly explained to
me.
I confirm that I have been consulted about any special needs I might have in relation to the
assessment process.
I confirm that the criteria used for this assessment has been discussed with me, as have the
consequences and possible outcomes of this assessment.
I confirm I have accessed and understand the assessment information as provided in YCA
Student Handbook.
I confirm I have been given fair notice of the date, time, venue and/or other arrangements for
this assessment.
I confirm that I am ready for assessment.

Student Name: ______________________________________
Student Signature: ___________________________________
Assessment method-based instructions and guidelines: Practical demonstration

Assessment type
 Skill Test - Participate in safe work practices
Instructions provided to the student:
Assessment task description:
 This is the second (2) assessment task you must successfully complete to be deemed
competent in this unit of competency.
 This assessment task is a Skills Test.
 This assessment task consists of three (3) practical demonstration activities.
o Activity 1: Use predetermined health, safety and security procedures and safe work
practices in work functions on three (3) occasions.
o Activity 2: Respond to emergency in line with organisational security and
emergency procedures.
o Activity 3: Participate in work health and safety (WHS) consultation activities.
 You will receive your feedback within two (2) weeks, and you will be notified by your
trainer/assessor when your results are available.
 You must attempt all activities of the project for your trainer/assessor to assess your
competence in this assessment task.
Applicable conditions:
 This skill test is untimed and is conducted as an open book assessment (this means you
are able to refer to your textbook or other learner materials during the test).
 You will be assessed independently on this assessment task.
 No marks or grades are allocated for this assessment task. The outcome of the task will be
Satisfactory or Not Satisfactory.
 As you complete this assessment task, you are predominately demonstrating your skills,
techniques and knowledge to your trainer/assessor.
 Your trainer/assessor may ask you relevant questions during this assessment task.
Resubmissions and reattempts:
 Where a student’s answers are deemed not satisfactory after the first attempt, a
resubmission attempt will be allowed.
 After two (2) successive re-assessment attempts, if the student still faces difficulty in
demonstrating competence, then the student will be advised to undertake re-learning
arrangements in this unit.
 The student may speak to their trainer/assessor if they have any difficulty in completing
this task and require reasonable adjustments.
 For more information, please refer to YCA Student Handbook.
Location: Level 6, 190 Queen Street, Melbourne, 3000, Victoria | Australia.
 This assessment task may be completed in:
a classroom, training kitchen and or a simulation environment
learning management system (i.e. Moodle),
workplace,
or an independent learning environment.
 Your Trainer/Assessor will provide you with further information regarding the location for
completing this assessment task.
Purpose of the assessment
The purpose of this assessment task is to assess the student’s knowledge and skills essential to
participate in safe work practices in a range of contexts and industry settings.
 Skills to comply with the organization's health, safety, and security procedures.
 Skills to incorporate safe work practices into daily activities at the workplace.
 Skills to obey safety instructions from supervisors and managers, as well as workplace
safety warning signs.
 Skills to wear personal protective equipment and appropriate clothing or a designated
uniform.
 Skills to report unsafe work practices, issues, and violations of health, safety, and security
procedures as soon as possible.
 Skills to recognise and eliminate hazards in the immediate workplace area and report all
workplace hazards as they occur.
 Skills to recognise emergency and potentially dangerous situations.
 Skills to adhere to the organization's security and emergency procedures.
 Skills to seek help from co-workers or authorities in emergency situations.
 Skills to accurately complete emergency incident reports in accordance with organisational
procedures.
 Skills to participate in the organization's health, safety, and security management practices
to ensure a safe workplace.
 Skills to participate actively in the health, safety, and security consultation processes.
 Skills to report any health, safety, or security issues or concerns that arise.
Task instructions
 This is an individual assessment.
 This assessment task requires the student to incorporate safe work practices into own
workplace activities.
 The trainer/assessor (Supervisor) will induct you to the worksite.
 The templates for each activity are provided along with this assessment task.
 The student must wear appropriate PPE clothing when performing this task.
 The student must follow the instructions of the trainer/assessor (Supervisor).
 The trainer/assessor must assess the performance of the student as per the performance
checklist provided.

Assessment Task 2: Practical demonstration:
Practical demonstration:
This assessment task requires the student to incorporate safe work practices into own workplace
activities. This includes:
 Using predetermined health, safety and security procedures and safe work practices in work
functions on at least three occasions
 Responding in line with organisational security and emergency procedures during one
emergency or potential emergency situation, seeking assistance where appropriate.
 Participating in one of the following work health and safety (WHS) consultation activities.

Instructions for trainer/assessor:
 The trainer/assessor must assign a supervisor to each student or take on the role of Supervisor.
 The trainer/assessor must arrange for an industry workplace; or an industry-realistic simulated

environment.
 The trainer/assessor must arrange workplace operational situations. Where this is not possible,
or where personal safety or environmental damage are limiting factors, assessment must occur
in a sufficiently rigorous simulated environment reflecting realistic operational workplace
conditions.
 The trainer/assessor must ensure that the student has access to the organisational procedures,
industry standards, equipment specifications, and operations manuals.
 The role of the Supervisor (trainer/assessor) is to allocate the tasks, activities, and
responsibilities that you will be required to undertake to complete these assessments.
 The Supervisor will supervise/observe the work by standing near the working location, evaluate
the student demonstrating the required skills and complete an observation report based on the
observation.
Instructions for the student:
 The student must follow the instructions provided by the Supervisor.
 The student must complete the activities specified.
 The student must clarify the operation and task requirements through verbal briefing with
supervisor.
 The student must follow established procedures for receiving, storing, and maintaining stock.
 The student must follow the instructions provided by the Supervisor.

Workplace requirements
YCA will take the student to the location of the worksite.
Further, YCA must ensure the worksites must meet the requirements given in the table below.
YCA is required to arrange for or set up a simulated industry environment.


YCA must ensure that the industry workplace or simulated environment have
the following workplace information: 
 Safety signs
 Safety procedures
 Emergency evacuation plans
YCA must ensure that the student is provided with the opportunity to
incorporate safe work practices into own workplace activities. 
YCA must ensure that the student has access to the predetermined procedures
as outlined in a food safety program. 
YCA must assign a supervisor to each student or take on the role of
Supervisor. 
The worksite must have realistic tasks or simulated tasks, relevant
specifications and work instructions, standard work practices and safety 
requirements.

Workplace scenario and job specifications:
In the simulated industry environment set up for YCA, you are required to:
 Use predetermined health, safety and security procedures and safe work practices in the
following three (3) work functions:
o Conducting workplace hazard identification
o Following correct manual handling procedures
o Demonstrating safe work practices for cleaning of chemical spills
 Respond in line with organisational security and emergency procedures during an emergency
situation.
 Participate in WHS consultation activities.
 Interpret workplace safety signs, procedures, and emergency evacuation plans.
 Complete basic template reports about hazards and emergency incidents according to
organisational procedures.
In course of the above, you will have the following responsibilities:
 Comply with the organization's health, safety, and security procedures.
 Incorporate safe work practices into daily activities at the workplace.
 Obey safety instructions from supervisors and managers, as well as workplace safety warning
signs.
 Wear personal protective equipment and appropriate clothing or a designated uniform.
 Report unsafe work practices, issues, and violations of health, safety, and security procedures
as soon as possible.
 Recognise and eliminate hazards in the immediate workplace area and report all workplace
hazards as they occur.
 Recognise emergency and potentially dangerous situations.
 Adhere to the organization's security and emergency procedures.
 Seek help from co-workers or authorities in emergency situations.
 Accurately complete emergency incident reports in accordance with organisational procedures.
 Participate in the organization's health, safety, and security management practices to ensure a
safe workplace.
 Participate actively in the health, safety, and security consultation processes.

 Report any health, safety, or security issues or concerns that arise.
Task:
This assessment task requires the student to incorporate safe work practices into own workplace
activities.
To do so, you are required to complete the following activities:
 Activity 1: Use predetermined health, safety and security procedures and safe work practices in
work functions on three (3) occasions.
 Activity 2: Respond to emergency in line with organisational security and emergency

procedures.
 Activity 3: Participate in work health and safety (WHS) consultation activities.
Your trainer/assessor (Supervisor) will:
 Observe the student performing each activity.
 Complete an observation report after each activity in this assessment task.

Activity 1: Use predetermined health, safety and security procedures and safe work practices
in work functions on three (3) occasions.
This activity requires to use predetermined health, safety and security procedures and safe work
practices in work functions on the following three (3) occasions:
 Part A: Conduct kitchen inspection and hazard identification
 Part B: Follow correct manual handling procedures.
 Part C: Demonstrate safe work practices for cleaning of chemical spills.

Part A: Conduct kitchen inspection and hazard identification
This part of the activity requires you to conduct kitchen inspection and hazard identification checklist
provided.
To do so, you are required to:
 Follow organisation organisational health, safety and security procedures/checklist when

conducting inspection and hazard identification.
 Incorporate safe work practices into own workplace activities.
 Use personal protective equipment and clothing or designated uniform when conducting
inspection and hazard identification.
 Identify hazards based on the checklist provided and report all workplace hazards as they arise
to the supervisor verbally. Further, record the identified hazards using the checklist provided.
 Remove hazards from immediate workplace area.
 Further, record the actions taken to remove hazards using the checklist provided.

Commercial kitchen inspection and hazard identification checklist:
Commercial kitchen inspection and Yes/No/Not Hazards Actions to remove

hazard identification checklist Applicable hazards
General Kitchen Conditions:
Are floors and walls clean and in good

condition?
Are all food storage areas clean and

organised?
Are all equipment and utensils clean and in

good condition?
Is there adequate ventilation to prevent

the build-up of heat, steam, and smoke?
Are garbage and recycling bins clean and

properly secured?
Are there any signs of pest infestation?
Electrical Safety:
Are all electrical outlets, switches, and

appliances in good working condition?
Are electrical cords in good condition and

free from damage?
Are electrical cords properly grounded?
Fire Safety:
Are there working fire extinguishers and

are they up to date with inspections?
Are there clear escape routes in case of

fire?
Are all flammable materials stored in a

safe location away from heat sources?
Are there no flammable materials near the

stove or oven?
Food Safety:

Are all refrigerators and freezers at the
proper temperature?
Are all food products properly labelled and

stored in the correct temperature zone?
Are all employees washing their hands

before handling food?
Are there separate cutting boards for

different types of food (e.g., raw meat,
vegetables)?
Are all dishes and utensils properly washed

and sanitized?
Hazard Identification:
Are there any spills on the floor that could

cause slips and falls?
Are there any sharp objects or edges that

could cause injury?
Are there any loose or unstable equipment

that could tip over or fall?
Are there any hot surfaces or liquids that

could cause burns?
Are there any chemicals or cleaning agents

improperly labelled or stored?

Part B: Follow correct manual handling procedures.
This part of the activity requires you to follow and demonstrate correct manual handling procedures
when lifting objects.
The trainer/assessor will arrange for box of canned goods to be manually moved to another location.
 Incorporate safe work practices into own workplace activities.
 Use personal protective equipment and clothing or designated uniform when demonstrating
correct manual handling procedures.
 Follow safety directions of supervisors, managers, and workplace safety warning signs given
below.
 Further, record the safe practices for manual handling implemented using Template 1.

Part C: Demonstrate safe work practices for cleaning of chemical spills.
This part of the activity requires you to demonstrate safe work practices for cleaning of chemical spills
in accordance with the checklist provided.
 Follow organisation organisational health, safety and security procedures/checklist when cleaning
chemical spills.
 Incorporate safe work practices when cleaning chemicals.
 Use personal protective equipment and clothing or designated uniform when cleaning chemicals.
 Promptly report unsafe work practices, issues and breaches of health, safety and security
procedures.

Checklist of safe work practices for cleaning chemical spills:
Checklist of safe work practices for cleaning chemical spills:
Personal Protective Equipment (PPE):
Wear appropriate PPE such as gloves and safety goggles to protect yourself from
exposure to the chemical.

Spill Area Control:
Block off the affected area to prevent unauthorized access.

Ventilate the area to minimize exposure to toxic fumes.

Shut off any equipment or electrical devices that may cause ignition.

Chemical Clean-up:
Use appropriate spill clean-up materials such as absorbent pads or booms.

Use a chemical neutraliser if applicable to neutralize the spill.

Avoid using water on the spill if the chemical reacts with water.

Collect and dispose of clean-up materials in accordance with local regulations.

Decontamination:
Decontaminate equipment and surfaces that were exposed to the spill.

Use appropriate cleaning agents to remove the chemical residue.

Properly dispose of contaminated cleaning materials.

Reporting:
Report the spill to a supervisor or the appropriate authority if required.

Template 1: Safe practices for manual handling implemented
Safe practices for manual handling implemented

Template: Observation report – For Supervisor
Student Name:
Unit(s) of
competency:
We are looking for evidence to support a judgement about the candidate's competence as part of the as
sessment for the units of competency.
We are looking for reports from the candidate's supervisor and other people who work closely with him
or her as part of the evidence of competence.
Supervisor’s name:
Workplace details: Address:
Phone:
Have you read the competency modules on which Yes No

you are commenting?
Has the assessor disclosed the reason for the Yes No

candidate's evaluation?
Are you aware that a copy of this form will be seen Yes No
by the candidate?
Are you willing to be contacted if this statement Yes No

needs to be verified further?

What technical experience
and/or qualification(s) do you
have in the area being
evaluated?
Yes No
Does the Candidate consistently perform the following?
Follow organisational health, safety and security procedures?  
Incorporate safe work practices into own workplace activities?  
Follow safety directions of supervisors, managers and workplace safety warning  

signs?
Use personal protective equipment and clothing or designated uniform?  
Promptly report unsafe work practices, issues and breaches of health, safety and  
security procedures?
Identify and remove hazards from immediate workplace area and report all workplace  
hazards as they arise?
Your comment on the candidate

performs to the standard required
by the units of competency on a
consistent basis.
Any further training needs for the candidate:
Any other comments:
Supervisor signature: Date:

Performance Criteria/Performance Checklist: Activity 1
This task must address the following performance criteria/ performance checklist.
S N/S Trainer/Assessor to complete

To be assessed as satisfactory (S) in this
assessment task, the participant needs to
(Comment and feedback to students)
demonstrate competency in the following
critical aspects of evidence
Followed organisational health, safety and

security procedures.  
Incorporated safe work practices into own
workplace activities.  
Followed safety directions of supervisors,
managers, and workplace safety warning  
signs.
Used personal protective equipment and

clothing or designated uniform.  
Promptly reported unsafe work practices,
issues and breaches of health, safety and  
security procedures.
Identified and removed hazards from

immediate workplace area and reported all  
workplace hazards as they arise.
The student’s performance was:  Not satisfactory
 Satisfactory
Feedback to student:

Student signature
Observer signature
Activity 2: Respond to emergency in line with organisational security and emergency

procedures.
Activity context:
In this activity, you will need to demonstrate skills to respond to emergency in line with organisational
security and emergency procedures based on the scenario provided.
Scenario:
You are working as an employee in the simulated environment arranged by YCA, Your management
wants to ensure that the staff members are well prepared to respond to emergency situations.
This will help the staff members to practice emergency response procedures, become familiar with
evacuation routes, and organisational security and emergency procedures. This helps to ensure that in
the event of a real emergency, people can respond quickly, efficiently, and safely.
During the emergency drill, you trainer/assessor will take on the role of fire warden and provide
instructions during the evacuation.
The trainer/assessor will raise the emergency alarm.
Upon hearing the emergency alarm, you need to follow the evacuation procedures given below.
 Before you evacuate, grab any personal valuables you have with you, such as a purse or a
wallet. If you have time, you may also want to shut down your computer and turn off any
electrical equipment that is safe to do so.
 If you see someone who is in immediate danger, you should try to help them if it is safe to do so.
 Once you have secured your personal valuables and assisted anyone in immediate danger, you
should exit the building using the nearest safe route. If there is smoke or fire present, you should
stay low and avoid inhaling smoke.
 During an emergency evacuation, there may be designated wardens who are responsible for
directing people to safety. You should follow their directions and obey any instructions they give
you.

 Once you have exited the building, you should move calmly to the designated assembly point or
other advised area. You should wait there until you have been given the "All Clear" signal
indicating that it is safe to return.
 If emergency services personnel or wardens arrive on the scene, you should follow their
instructions closely.
 Once the emergency situation has been resolved, you should wait for instructions before re-
entering the building.

Description of the activity:
This activity requires to respond to emergency in line with organisational security and emergency
procedures.
To complete this activity, you are required to:
 Complete the steps given in the ‘Checklist 2’ provided.
 Complete emergency incident report/s accurately following organisational procedures.
While completing each step, you must place a tick mark against each step given in the checklist once
completed.
Your trainer/assessor will observe you completing this activity and assess you against the observation
checklist provided.

Checklist 2: Respond to emergency in line with organisational security and emergency procedures.
Steps Tick mark once

completed.
Step 1: Identify situations that may pose a risk to the safety of individuals, 
the organisation, or its assets.
Step 2: Follow organisational security and emergency procedures to ensure 

the safety of themselves and others.
Step 3: Seek assistance from colleagues or authorities during emergency 

situations.
Step 4: Complete emergency incident reports accurately following 

organisational procedures using Template 2.
Sign off:
Date:

Template 2: Emergency incident report
Name and role of person completing this form:
Signature of person completing this form:
Date:
Incident
Date and time of incident:
Name/s of person/s involved in the incident and their clubs/associations:
Description of incident:
Witnesses (include contact details):

Reporting of the incident to club/association
Incident Reported to: Date:
How (this form, in person, email, phone):
Follow Up Action
Description of actions to be taken:


Identified situations that may pose a risk to

the safety of individuals, the organisation,  
or its assets.
Followed organisational security and

emergency procedures to ensure the safety  
of themselves and others.
Sought assistance from colleagues or

authorities during emergency situations.  
Completed emergency incident reports

accurately following organisational  
procedures.
 Satisfactory
Student signature

Observer signature
Activity 3: Participate in work health and safety (WHS) consultation activities.
Description of the activity:
The staff members have reported hazards to the supervisor. These hazards have been documented in
the hazard complaint register.
The hazard complaint registers are provided with this assessment.
You need to communicate the hazards to the WHS officer. Your trainer/assessor will be the WHS officer.
You will need to arrange for meeting to take place in consultation with the WHS officer. You need to
finalise time, date and place.
After arranging the meeting, you need to:
 Submit the hazard complaint report to the WHS officer.
 Actively participate in the health, safety and security consultation processes.
 Explain the situation and raise health, safety and security issues and concerns.
 Provide suggestions about how to address the identified issues or hazards.
After the meeting, you need to:
 Document the following using Template 3.
o Hazards identified.
o Suggestions to address the identified issues or hazards.

Template 3: WHS consultation record
WHS consultation record
Hazards identified.
Suggestions to address the identified issues or hazards.


Participate in health, safety and security

management practices developed by the  
organisation to ensure a safe workplace.
Actively participated in the health, safety

and security consultation processes  
Reported health, safety and security issues
and concerns as they arise.  
 Satisfactory
Student signature
Observer signature

Assessment Results Sheet
Outcome First attempt:
Date: _______(day)/ _______(month)/ ____________(year)
Feedback:
Second attempt:
Date: _______(day)/ _______(month)/ ____________(year)

Feedback:
Student  I declare that the answers I have provided are my own work. Where I
Declaration
have accessed information from other sources, I have provided
references and or links to my sources.
 I have kept a copy of all relevant notes and reference material that I
used as part of my submission.
 I have provided references for all sources where the information is not
my own. I understand the consequences of falsifying documentation and
plagiarism. I understand how the assessment is structured. I accept that
the work I submit may be subject to verification to establish that it is
my own.

 I understand that if I disagree with the assessment outcome, I can
appeal the assessment process, and either re-submit additional evidence
undertake gap training and or have my submission re-assessed.
 All appeal options have been explained to me.
Student Signature
Date
Trainer/Assessor
Name
Trainer/Assessor I hold:
Declaration
Vocational competencies at least to the level being delivered
Current relevant industry skills
Current knowledge and skills in VET, and undertake
Ongoing professional development in VET
I declare that I have conducted an assessment of this student’s submission.

The assessment tasks were deemed current, sufficient, valid and reliable. I
declare that I have conducted a fair, valid, reliable, and flexible
assessment. I have provided feedback to the student.
Trainer/Assessor
Signature
Date
Office Use Only The outcome of the assessment has been entered into the Student
Management System
on _________________ (insert date)
by (insert Name) __________________________________

Appendix A: Reasonable Adjustments
Write (task name and number) where reasonable adjustments have been applied:
Reasonable Adjustments
• Students with carer responsibilities, cultural or religious obligations, English as an additional

language, disability etc. can request for reasonable adjustments.
• Please note, academic standards of the unit/course will not be lowered to accommodate the
needs of any student, but there is a requirement to be flexible about the way in which it is
delivered or assessed.
• The Disability Standards for Education requires institutions to take reasonable steps to enable the
student with a disability to participate in education on the same basis as a student without a
disability.
• The trainer/assessor must complete the section below “Reasonable Adjustment Strategies Matrix”
to ensure the explanation and correct strategy have been recorded and implemented.
• The trainer/assessor must notify the administration/compliance and quality assurance
department for any reasonable adjustments made.
• All evidence and supplementary documentation must be submitted with the assessment pack to
the administration/compliance and quality assurance department.
Reasonable Adjustment Strategies Matrix (Trainer/Assessor to complete)
Category Possible Issue Reasonable Adjustment Strategy

(select as applicable)
 LLN  Speaking  Verbal assessment
 Reading  Presentations
 Writing  Demonstration of a skill
 Confidence  Use of diagrams
 Use of supporting documents such as wordlists
 Non-  Speaking  Discuss with the student and supervisor (if applicable) whether
English  Reading language, literacy and numeracy are likely to impact on the
Speaking  Writing assessment process
Background
 Cultural  Use methods that do not require a higher level of language or
background literacy than is required to perform the job role
 Confidence  Use short sentences that do not contain large amounts of
information
 Clarify information by rephrasing, confirm understanding
 Read any printed information to the student
 Use graphics, pictures and colour coding instead of, or to
support, text
 Offer to write down, or have someone else write, oral responses
given by the student
 Ensure that the time available to complete the assessment,

while meeting enterprise requirements, takes account of the
student’s needs
  Knowledge and  Culturally appropriate training
Indigenous understanding  Explore understanding of concepts and practical application
 Flexibility through oral assessment
 Services  Flexible delivery
 Inappropriate  Using group rather than individual assessments
training and  Assessment through completion of practical tasks in the field
assessment after demonstration of skills and knowledge.
 Age  Educational  Make sure font size is not too small
background  Trainer/Assessor should refer to the student’s experience
 Limited study  Ensure that the time available to complete the assessment takes
skills account of the student’s needs
 Provision of information or course materials in an accessible
format.
 Changes in teaching practices, e.g. wearing an FM microphone
to enable a student to hear lectures
 Supply of specialised equipment or services, e.g. a note-taker
for a student who cannot write
 Changes in lecture schedules and arrangements, e.g. relocating
classes to an accessible venue
 Changes to course design, e.g. substituting an assessment task
 Modifications to the physical environment, e.g. installing lever
taps, building ramps, installing a lift
  Reading  Discuss with the Student previous learning experience
Educational  Writing  Ensure learning and assessment methods meet the student’s
background  Numeracy individual need
 Limited study
skills and/or
learning strategies
 Disability  Speaking  Identify the issues
 Reading  Create a climate of support
 Writing  Ensure access to support that the student has agreed to
 Numeracy  Appropriately structure the assessment
 Limited study  Provide information or course materials in an accessible format,
skills and/or e.g. a textbook in braille
learning strategies  Changes in teaching practices, e.g. wearing an FM microphone
to enable a student to hear lectures
 Supply of specialised equipment or services, e.g. a note-taker
for a student who cannot write
 Changes in lecture schedules and arrangements, e.g. relocating
classes to an accessible venue

 Changes to course design, e.g. substituting an assessment task

 Modifications to the physical environment, e.g. installing lever
taps, building ramps, installing a lift
Explanation of reasonable adjustments strategy used
Trainer/Assessor
Name
Trainer/Assessor
Declaration I declare that I have attached all relevant evidence to provide reasonable
adjustment. The training package guidelines and criteria have not been
compromised in the process of providing reasonable adjustment to the
student. I declare that I have conducted a fair, valid, reliable, and flexible
assessment. I have provided explanation of reasonable adjustments
strategy used, as required.
Trainer/Assessor
Signature
Date

Appendix B: Learner Evaluation Form
Please complete this evaluation form as thoroughly as you can, in order for us to continuously improve
our training quality. The purpose of the evaluation form is to evaluate the areas below:
• logistics and support
• facilitation
• training material
• assessment
Your honest and detailed input is therefore, of great value to us, and we appreciate your assistance in
completing this evaluation form!
Unit of Trainer/
Competency Assessor Name
Name
Student Name Dates of Training

(Optional)
Employer/Work Date of
site (if Evaluation
applicable)
A Logistics and Support Evaluation

No. Criteria/Question
Strongly Agree
Disagree
Disagree
Strongly
Neutral
Agree
1 The communication regarding the required

attendance and time to study to pass this unit
was correct
2 The staff were efficient and helpful.
3 The training equipment and material used was
effective and prepared.
4 The training venue was conducive to learning
(set-up for convenience of students,
comfortable in terms of temperature, etc.)
Additional Comments on Logistics and Support

Disagree
Disagree
Strongly
Strongly
Neutral
Agree
Agree
B Trainer/Assessor Evaluation
1 The trainer/assessor was prepared and
knowledgeable on the subject of the program
2 The trainer/assessor encouraged student
participation and input
3 The trainer/assessor made use of a variety of
methods, exercises, activities and discussions
4 The trainer/assessor used the material in a
structured and effective manner
5 The trainer/assessor was approachable and
respectful of the learners
6 The trainer/assessor was punctual and kept to
the schedule
7 The trainer/assessor was easy to understand
and used the correct language
Additional Comments on Training

Disagree
Disagree
Strongly
Strongly
Neutral
Agree
Agree
C Learning Evaluation
1 The learning outcomes of the unit are
relevant and suitable.
2 The content of the unit was relevant
and suitable for the target group.
3 The length of the training was suitable
for the unit.
4 The learning material assisted in the
learning of new knowledge and skills
to apply in a practical manner.
5 The learning material was free from
spelling and grammar errors
6 Handouts and exercises were clear,
concise and relevant to the outcomes
and content.
7 Learning material was generally of a
high standard, and user-friendly
Additional Comments on Learning Evaluation


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SITXWHS005 Participate in safe work practices

What is the purpose of this document?

The information includes the following:

 Information related to the unit of competency

Student Evaluation Form

Link to other unit documents

 The Assessment Tasks is a document for students to complete to demonstrate their

Document Name: Assessment Tasks Created Date: July 23

2. Qualification and unit of competency

Release date: 10/Jun/2022

3. Assessment Submission Method

Document Name: Assessment Tasks Created Date: July 23

6. Completion of the Assessment Plan

• Result of Assessment (satisfactory or unsatisfactory)

Document Name: Assessment Tasks Created Date: July 23

Student Name: ______________________________________

Student Signature: ___________________________________

Instructions provided to the student:

Assessment task description:

 This assessment task may be completed in:

Document Name: Assessment Tasks Created Date: July 23

 Complete a written assessment consisting of a series of questions.

Document Name: Assessment Tasks Created Date: July 23

Assessment Task 1: Knowledge Test

1.2. Explain the employer responsibilities regarding health and safety in

1.3. Discuss any four (4) employee responsibilities to participate in WHS

Document Name: Assessment Tasks Created Date: July 23

Document Name: Assessment Tasks Created Date: July 23

Document Name: Assessment Tasks Created Date: July 23

Document Name: Assessment Tasks Created Date: July 23

Document Name: Assessment Tasks Created Date: July 23

Outcome (make sure to tick the correct checkbox):

Satisfactory (S) or Not Satisfactory (NS)

Date: _______(day)/ _______(month)/ _______(year)

Outcome (please make sure to tick the correct checkbox):

I declare that I have conducted an assessment of this student’s submission.

on _________________ (insert date)

by (insert Name) __________________________________

Document Name: Assessment Tasks Created Date: July 23

Document Name: Assessment Tasks Created Date: July 23

Student Signature: ___________________________________

Assessment method-based instructions and guidelines: Practical demonstration

 Skill Test - Participate in safe work practices

Instructions provided to the student:

Assessment task description:

Purpose of the assessment

Document Name: Assessment Tasks Created Date: July 23

Document Name: Assessment Tasks Created Date: July 23

 The trainer/assessor must arrange for an industry workplace; or an industry-realistic simulated

Instructions for the student:

 The student must follow the instructions provided by the Supervisor.

 The student must complete the activities specified.

 The student must follow the instructions provided by the Supervisor.

Document Name: Assessment Tasks Created Date: July 23

YCA will take the student to the location of the worksite.

YCA is required to arrange for or set up a simulated industry environment.

 Emergency evacuation plans

Document Name: Assessment Tasks Created Date: July 23

o Conducting workplace hazard identification

Date: ___(day)/ _(month)/ _____(year)