Generic LLN Indicator Assessment (Level 2-3)
Full Name:
Date:
Reading:
The PASS method of using a fire extinguisher
Pull the pin at the top of the extinguisher. Releasing the pin allows you to discharge the extinguisher.
Aim at the base of the fire, not the flames. This is important – to put the fire out, you need to
extinguish the fuel.
Squeeze the lever slowly. This will release the extinguishing agent. If the handle is released, the
discharge will stop.
Sweep from side to side. Using a sweeping motion, move the fire extinguisher back and forward until
the fire is completely out. Operate the extinguisher from a safe distance, and then move towards the
fire once it starts to diminish. Make sure you read the instructions on your fire extinguisher –
different fire extinguishers recommend operating them from different distances.
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
1
Part A
Use the information about fire extinguishers to answer the following questions.
1.
Which extinguishers could you use on a fire in a recycled paper bin?
__________________________________________________________________________________________________
2.
Which extinguisher could you use on a fire that started in an electric motor?
__________________________________________________________________________________________________
3.
You are fighting an electrical fire. Where would you aim the extinguisher?
__________________________________________________________________________________________________
4.
Which fire extinguisher would you keep in your kitchen? Explain your choice.
__________________________________________________________________________________________________
5.
Which extinguisher would you keep in the office?
__________________________________________________________________________________________________
6.
On what types of fire could you use a Class A extinguisher?
__________________________________________________________________________________________________
7.
On what type of fire would you use a dry chemical extinguisher?
__________________________________________________________________________________________________
8.
How would you put out an alcohol fuelled fire?
__________________________________________________________________________________________________
9.
What does the ‘PASS’ method refer to?
__________________________________________________________________________________________________
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
2
Part B
The following graph shows the number of workplace injury incidents during 2008. This covers all
incidents ranging from very minor incidents (eg. cuts and bruises) to more serious ones requiring
hospitalisation. Look at the graphs and answer the following questions.
Number of incidents
Workplace Injury Incidents 2008
100
95
90
85
80
75
70
65
60
55
50
45
40
35
30
25
20
15
10
5
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1. Which month had the highest number of workplace injuries?
______________________________________________________________________________________________
______________________________________________________________________________________________
2. Which month had the lowest number of workplace injuries?
______________________________________________________________________________________________
______________________________________________________________________________________________
3. What was the total number of injuries in September and October combined? Show your
working out.
______________________________________________________________________________________________
______________________________________________________________________________________________
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
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4. What is the difference in the number of incidents between July and October 2008? Show
your working.
______________________________________________________________________________________________
______________________________________________________________________________________________
5. What is the general trend in the number of incidents?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
6. Between which two months did the injuries reduce by 50%?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
7. In September 2008, 15 workers reported with back injuries. What fraction and
percentage was this of the total for that month? Show your working.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
8. Do you think that the safety program was effective? Explain your answer.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
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Writing:
Imagine that there has been an accident or incident at your workplace that needs to be
recorded in writing.
Use the form on the next page to fill in your details and describe what happened. Pretend
that you are the injured person. The witness can be someone you know or someone you
have made up.
You may use the ideas below or describe an incident from your own experience at work. The
incident can be real or imagined, for example:
•
•
•
You slip on a wet floor and sprain your ankle
An electrical fire starts in the kitchen and you burn your hand
You hurt your back while lifting a client
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
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Incident / injury report form (Please print clearly and tick the correct box)
1. DETAILS OF INJURED PERSON
Name: __________________________________________ Phone: (H)
(W)
Address: ________________________________________________ Sex:
M
F
_______________________________________________________ Date of birth: _______________________
_______________________________________________________ Position: ___________________________
Experience in the job: _____________________________________ (years/months)
Start time: ______________________________________________
am
Work arrangement:
Part-time
Casual
Full-time
pm
Other
2. DETAILS OF INCIDENT
Date: _____________________
Time: ______________________________
Location: ___________________________________________________________________________________
Describe what happened and how: ______________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
3. DETAILS OF WITNESSES
Name: _________________________________________________ Phone: (H) ___________ (W) _________
Address: ___________________________________________________________________________________
___________________________________________________________________________________________
4. DETAILS OF INJURY
Nature of injury (eg burn, cut, sprain) ____________________________________________________________
Cause of injury (eg fall, grabbed by person) ________________________________________________________
Location on body (eg back, left forearm) __________________________________________________________
Agency (eg lounge chair, another person, hot water) ________________________________________________
5. TREATMENT ADMINISTERED
First Aid given
Yes
No
First Aider name: _____________________________________________________________________________
Treatment: __________________________________________________________________________________
Referred to: _________________________________________________________________________________
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
6
Learning and Oral:
Responding to Learning Questions:
The interviewer will ask the following questions to the candidate and will enter the
response in the space below:
Every day we learn new skills at home and at work. I am going to ask you some
questions about the way you learn.
1.
Can you tell me about something that you learned recently?
2.
How did you learn it?
3.
What helps you to learn new things?
4.
What other things would you like to learn?
5.
What steps could you take to learn something you’ve mentioned?
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
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Trainer Analysis ONLY:
RESULTS (Please refer Trainer Guide before Marking):
LLN Skill level (Please circle one):
Reading: Demonstrated to required level/ Additional support required
Numeracy: Demonstrated to required level/ Additional support required
Writing: Demonstrated to required level/ Additional support required
Learning and Oral: Demonstrated to required level/ Additional support required
Trainer Name:
Date:
Signature:
Recommendations
Comments
Copyright © Commonwealth of Australia 2013
Adapted by Diversity Skills Training Pty Ltd.
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