Cover Sheet for Submission of
Individual Assignments (WSH Ver.2)
PACE-FRM-122(W)
Details of Course
Course Name/Intake
 WSQ Certificate in Workplace Safety and Health (Level A) Intake: ___________
 WSQ Advance Certificate in Workplace Safety and Health (Level B) Intake: __________
 WSQ Specialist Diploma in Workplace Safety and Health (Level C) Intake: __________
 WSQ Graduate Certificate in Workplace Safety and Health (Level D) Intake: __________
 Others, please specify:_______________________________________________________
Unit Code
Topic
Name of Trainer / Assessor
Particulars of Student
Name
NRIC/FIN No.
Email Address
Contact No.
Declaration and Statement of Authorship
1. I hold a copy of this assignment which can be produced if the original is lost / damaged.
2. This assignment is my original work and no part of it has been copied from any other student’s work or
from any other source except where due acknowledgement is made.
3. No part of this assignment has been written for me by any other person except where such collaboration
has been authorized by the lecturer/teacher concerned.
4. I have not previously submitted this work for this or any other course.
5. I give permission for this work to be reproduced, communicated, compared and archived for the purpose
of detecting plagiarism.
6. I give permission for a copy of my marked work to be retained by the School for review and comparison,
including review by external examiners.
I understand that:
7. Plagiarism is the presentation of the work, idea or creation of another person as though it is your own. It is
a form of cheating and is a very serious academic offence that may lead to expulsion from the Academy.
Plagiarized material can be drawn from, and presented in, written, graphic and visual form, including
electronic data, and oral presentations. Plagiarism occurs when the origin of the material used is not
appropriately cited.
8. Plagiarism includes the act of assisting or allowing another person to plagiarize or to copy my work.
Signature of Student
For Official Use
Received By PACE Staff/Date
PACE-FRM-122(W)
Collected by Trainer/Date
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Ver5.0/01 Apr 2014
For Reference:
A
B
C
D
Unit
Code
AC1
AC2
AC4
AC5
Unit
Code
BC1
BC2
BC3
BC4
BC5
BC6
BC7
Unit
Code
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC13
CE1
CE2
CE3
CC12
Unit
Code
DC1
DC2
DC3
DC4
DC5
DC6
DC7
Module Code
WP02-PR-101C-1
WP02-PR-102C-1
WP02-IC-101C-1
WP02-CA-101C-1
Module Code
WP02-PR-301C-1
WP02-PR-302C-1
WP02-IC-301C-1
WP02-CA-301C-1
WP02-IC-302C-1
WP02-CA-302C-1
WP02-IC-303C-1
Module Code
WP02-PR-501C-1
WP02-PR-502C-1
WP02-PR-503C-1
WP02-PR-504C-1
WP02-IC-503C-1
WP02-IC-501C-1
WP02-IC-502C-1
WP02-CA-502C-1
WP02-CA-501C-1
WP02-CA-503C-1
WP02-PR-505C-1
WP02-PR-506E-1
WP02-IC-505E-1
WP02-PR-511E-1
OH-NT-501C-1
Module Code
WP02-CA-601C-1
WP02-PR-602C-1
WP02-PR-601C-1
WP02-IC-601C-1
WP02-CA-602C-1
WP02-IC-602C-1
WP02-IC-603E-1
PACE-FRM-122(W)-2
Topic
Identify WSH Hazard and Maintain Risk Control Measures
Support WSH Legal Compliance and Incident Reporting
Participate in Implementing WSH Management Process
Check and Report Outcome of WSH Inspection
Topic
Administer WSH Policy
Identify WSH Hazards and Implement Control Measures
Coordinate WSH Management System with Legal Compliance
Investigate and Report WSH Incidents
Coordinate Implement of Emergency Preparedness and Response Plan
Measure, Monitor & Report WSH Performance
Promote WSH Culture Development
Topic
Establish WSH Policy and Advise on WSH Legal Compliance Issues
Identify WSH Hazards and Assess WSH Risks
Recommend WSH Control Measures
Manage WSH Risks
Develop a WSH Culture
Design and Implement Behavioural Safety Programme
Establish and Review Emergency Preparedness and Response Plan
Establish and Manage WSH Incident Investigation and Analysis Process
Establish Measurement and Monitoring of WSH Performance
Manage Internal WSH Management System Audit
Develop a WSH Management System
Manage WSH in Construction Industry
Plan, Prepare and Deliver Presentations
Establish Environmental Management System
Compose Technical Report (OHP WSQ)
Topic
Conduct WSH Management System Audit
Advise on WSH Legal Requirements and Good Practices
Manage WSH Audit Programme
Recommend Continual Improvement to WSH Management System
Conduct a WSH Culture Assessment
Apply Risks Assessment Methodologies in WSH Process
Apply WSH Operational Excellence
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Ver5.0/01 Apr 2014