RISK MANAGEMENT GUIDE FOR CHURCHES FORMS
Attachment No.
Page
Risk Assessment and Risk Management
1. Risk Management Policy Statement
2
2. Risk Assessment Guidelines
3
(With Risk Register and Risk Treatment Plan
Template)
8
Church Property Protection
3. Church Assets and Contents Inventory
10
4. Hot Work Permit
12
5. Firefighting Equipment Guidelines
14
6. Emergency Response Plan
15
Public Liability Risk Mitigation
7. Liability Release Form (Youth Activities)
16
8. Church Property Hire Agreement
17
Volunteers, Drivers and Contractors
9. Volunteer Worker’s Application & Registration
Form
18
10. Volunteer Driver’s Application & Registration
Form
20
11. Volunteer Child/Youth Leader’s Application &
Registration Form
21
12. Induction Checklist for New Employees /
Voluntary Workers
22
13. Register of Contractors
23
Health and Safety
14. Hazard Identification List
24
15. Hierarchy of Controls
25
16. Incident / Hazard Report Form
26
17. Annual Hazard Review Form
30
18. Housekeeping Checklist
31
19. Hazardous Substances Inventory
33
20. Safety Data Sheets (SDS)
Guidance Document
34
21. Safe Work Procedures Register
35
22. Job Safety Analysis / Safe Work
Procedure Development
36
23. Noise
37
24. Health and Safety Rules
38
25. Work Health and Safety (WHS) Action Plan /
Audit Tool
39
26. First Aid Guidance Document
43
ATTACHMENTS
2
#1 RISK MANAGEMENT POLICY STATEMENT
.
RISK MANAGEMENT POLICY STATEMENT
1. The church is committed to the management of risk to continue to protect its:
• People
• Assets and intellectual property
• Environment
• Quality and professionalism of all activities and advice
• Business obligations
• High standing and reputation in the community
2. Risk Management is a key part of improving our church’s business and services to continue to be a
leading part of the community. Our aim is to achieve best practice in controlling all the risks to which our
church and people may be exposed.
3. To achieve this aim, risk management standards will be created, maintained and continually improved.
This will involve risk identification and risk evaluation linked to practical and cost-effective risk control
measures commensurate with the church’s operations and activities.
4. Risk management is a continuous process demanding ongoing awareness and proactive action from all
the church’s employees and other stakeholders to reduce the possibility and impact of accidents and
losses, whether caused by the church or externally.
5. Suitable risk management activities will be incorporated into our business planning, staff operations,
events and other activities as well as the work done by our volunteers and service providers. The scope
of these activities will encompass:
•
•
•
•
•
Education and training in risk management for our staff and volunteers
Developing and applying contemporary risk management standards
Conducting regular surveys and inspections for identifying and eliminating risks
Undertaking risk control improvements
Reporting to church leadership on risk improvement and compliance
6. Our challenge for the future is to infuse risk management into our culture and activities. Everyone’s
involvement and support is critical to an effective result.
Pastor
Date (dd/mm/yyyy)
/
/
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#2 RISK ASSESSMENT GUIDELINES
3
.
RISK ASSESSMENT GUIDELINES
Revision No.
Revision Date:
Pages:
Authorised By:
v.2
March 2013
X
(Church Pastor)
Overall Objective/Purpose
To outline a process to help the Church to properly apply risk management to all risks and incidents that may have the potential to
cause injury and damage and associated costs for our Church.
Definitions
Risk
The chance (likelihood or probability) of something happening that may have an adverse impact on the church, its congregation,
activities and other personnel.
Risk Management
A logical and systematic approach to managing the uncertainty regarding risk of injury, illness, loss and damage.
Specific Objectives
To help the Church to implement a risk management strategy for the effective management of potential risks to church property,
personnel, activities and objectives, it is recommended that the following steps are carried out.
The general idea and end result of these steps is to produce a written list of risks and associated actions to improve current risk
controls (commonly called a “risk register”).
This provides a systematic plan for risk management across all church operations and also enables continuity of attention to
church risks and control improvements should church personnel change in the meantime.
1. Identify the Risks
Church activities and operations can potentially encompass a wide range of possible risk exposures. It is therefore helpful to
breakdown exposures into various categories, or areas, of risk and consider possible risks within each of these in turn.
Though risks could be categorised in many ways, some typical categories to help identify and scope a church’s potential risk
exposures are, for example:
Risk Category
Covering, for example
Property
Risk of fire, flood, storm, damage to church buildings, other assets
Public liability
Risk of injury or damage to people on church property, at church events, to trades people, to
children on church grounds; as a result of unsafe food
Professional
Breach of copyright, error in advice or inappropriate counselling, mismanagement of church
business, misconduct, harassment
Security
Risk of theft, vandalism or other attack on church property or personnel
Social media
Risk of abuse, slander or vilification through internet and phone media
Transport
Risk to people in church buses, cars; risk to transporting church goods
Volunteer safety
Risks to volunteers (same as for church employees)
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Identifying and listing possible risks can then be done by observation and judgment – for example, by:
• Walk-through survey of church grounds and property, or event site
• Consulting with church employees (who are usually well aware of what can go wrong and why, based on their experience with
a job, task, piece of equipment or event)
• Maintaining and reviewing records of “near miss”, incident, accident, injury and illness related to church operations
• Examining manufacturer’s instructions on chemicals, plant and equipment. They usually highlight possible risks and indicate
methods for proper use
• Using specialist risk practitioners where necessary
• Asking ACS Insurance Services for advice
Some additional “tools” to help with identifying risk and the underlying sources or causes of risk are:
• “Triggering” or “test” questions, like:
• What is the worst thing that could happen?
• What has happened in the past? What could possibly develop?
• What has happened elsewhere? In this region, in similar churches elsewhere, etc?
• What uncertainties are there? What are we unsure of?
• What needs to go right?
• And so on. You can prepare your own for your church
• “Scenarios” (“what if...”) or “event” questions, like:
• What if our decision is wrong?
• What might be an alternative or opposite view?
• What if a (defined) incident actually occurred?
• What would the community expect of us?
2. Assess the Risks
Once the church’s risks have been identified, the next step is to assess the level of risk involved with each risk and to evaluate each
in terms of their relative priority, including whether they require risk control improvement or whether they are well controlled and
thus acceptable at present.
Risk assessment is based on the concept that “risk” comprises two key components: likelihood (chance of a risk arising) and impact
(consequence or severity should the risk actually occur). Combined, these two components produce the level of risk applicable to
a given circumstance. This means that, for example, a significant level of risk could be produced by an event of low likelihood but
major impact if indeed it did occur, or it could also be produced by an event of high likelihood but lesser (say moderate) impact.
It is common to consider and appraise likelihood, impact and the resultant level of risk in qualitative terms. The process may be
illustrated as:
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To assist you in doing so, you might use the tables shown below for each risk you have identified.
2.1 Firstly assess the likelihood of the identified risk actually happening:
Likelihood
For example
Almost Certain
Frequently occurs, is present now or highly probable to occur (100% chance of occurrence or a few
times each year)
Likely
Some occurrences and fairly probable (75% chance of occurrence; might occur maybe once or twice
per year)
Possible
Possible (50% (i.e. 50:50) chance of occurring; might occur maybe once every 2 to 3 years)
Unlikely
Small (10% to 20%) chance of occurring; might occur maybe once in 5 -10 years
Rare
Very small (maybe 1 in 50 or 1 in 100) chance of occurring; might occur once in 20-50 years
2.2 Next assess the potential impact or consequence if the risk was in fact to occur:
Consequence
For example
Catastrophic
Death; huge financial loss; stops church operation for very long time; damages church and ACC
reputations
Major
Major injuries; major property and/or monetary loss; halts church operations; damages church or pastor
reputation
Moderate
Medical treatment required offsite; high monetary loss; affects key activity, service
Minor
Minor medical treatment on site; low-medium monetary loss
Insignificant
No injuries, no or little monetary loss, short-term
2.3 Next, from the above assessments, assess the level of resultant risk and accordingly evaluate the degree of urgency
with which the risk needs to be resolved by the church:
Level of risk
Catastrophic
Major
Moderate
Minor
Insignificant
Almost Certain
Extreme
Extreme
Extreme
High
High
Likely
Extreme
Extreme
High
High
Moderate
Possible
Extreme
Extreme
High
Moderate
Low
Unlikely
Extreme
High
Moderate
Low
Low
Rare
High
High
Low
Low
Low
From which a possible risk evaluation is as follows, for example:
Extreme
Immediate action; notify pastor/senior church staff*
High
Advise church senior staff*
Moderate
Assign responsibility to fix (treat the risk)
Low
Routine action; acceptable risk at present but check controls regularly
* task activity cannot commence/continue. Risk must be eliminated or reduced to moderate or low by implementing additional
controls.
ACS Financial has prepared an Excel-based Risk Register available to churches. The assessments are automatically calculated by
this Excel Risk Register to save you needing to refer continuously to the tables shown in Section 2.3 above.
A risk assessment should consider the risks to all people, including non-employees such as sub-contractors and members of the
public, the environment, plant, equipment, vehicles and property potentially affected by the risk (hazard or event).
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3. Determine What Risk Control Measures To Take
This risk assessment process (identify – analyse – evaluate) leads directly into risk mitigation. That is, to risk control actions
and improvements. Assessing and recording risk controls and their improvements provides the next component of the church’s
“risk register”. Put together, the register of risks and their assessment plus the register of controls and control improvement
actions (termed “risk treatments” in ISO 31000) form a typical documented basis for a church’s risk profile and associated risk
management action plan.
Using the results of the risk assessment, determine what control measures, or what actions to take, in order to eliminate or reduce
the risks to an acceptable level. Typically, priority is given to Extreme & High risk activities.
In principle, risk control actions to take might consist of one or more of the following:
Principle
For example
Avoid
Avoid or eliminate the potentially
risky activity
Prevent
Stop the risk problem arising in the Secure/lock doors and windows; clear gutters and downpipes;
first place
provide training or instructions; screen vehicle (e.g. bus) drivers
Limit or contain
Control the potential impact
Prepare sandbags to halt flooding; supervise tasks; ensure first aid
or risk response capability is available and properly ready at church
events
Transfer
Shift the risk away by contract or
insurance
Ensure tradesmen are currently and properly insured for public
liability and workers compensation
Spread
Share or diversify the risk
Require two signatories on all financial transactions; provide job
rests and rotations; ensure people are given adequate help (e.g. to
lift objects)
Prohibit volunteers climbing on rooves or scaffolding; prohibit
re-use of open or unrefrigerated food
Generally, risk control measures may be divided into short-term/immediate control measures and longer-term control measures.
The long-term aim should always be to eliminate the risk at source, but, whilst attempting to achieve this aim, other short-term
actions should be used.
Risk treatments should be documented in the form of an action plan. As stated earlier, this enables regular monitoring of progress
and completion of risk control actions and also provides a reference should church personnel change.
The risk treatment plan and schedule thus would set out the risk treatment options recommended for each unacceptable risk
exposure that was identified in the risk evaluation process earlier. A template for such a risk treatment plan is shown at the end of
this document.
It is typical to have the risk treatment action plan included alongside the risk register (list of identified risks). The risk treatment
plan records the specific treatment, schedule for implementation and responsibility. It will therefore assist with implementation and
monitoring of progress and recorded completion of risk control improvements.
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4. Monitor and Review Risk Control Measures
Lastly, because church business, personnel and activities change with time, risk controls should be regularly monitored and
periodically reviewed to ensure they continue to be in place and working as intended.
Some of the ways to undertake such review are:
•
•
•
•
Revisit and re-do/update as necessary the above steps of the church’s risk register and risk treatment plan at least annually
Review the church’s incident and claims records as part of this
Consult with church employees and volunteers
Refer to manufacturer’s instructions
• Refer to specialist risk practitioners and ACS Insurance Services
5. Ongoing Risk Management
More broadly, the results of the church’s risk management should be updated, whether or not the procedure is complex, and
whether or not the results are recorded.
The risk management procedure should be repeated at intervals or whenever there is reason to suppose the results are no longer
valid.
Templates for a Church Risk Register and Risk Treatment Plan is appended overleaf.
Note: this template is also available from ACS Insurance Services in Microsoft Excel®
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Risk Category
Location:
Risk Description
Risk Identification
Likelihood
Possible
Impact
Level of
Risk
Risk Assessment
Risk Evaluation
/
/
Control improvements proposed
or currently underway
Completion Date Person
Responsible
Risk Control Improvement (“risk treatment”)
Date of Assessment:
Assessed by:
Church Risk Register and Risk Treatment Form
Re-use of unrefrigerated foodstuffs Unlikely
Staff-supervisor relationship
breakdown, alleged bullying
Uncontrolled and unrecorded
Possible
distribution of keys, security codes
Inadvertent link to inappropriate
third-party website post/blog
Theft of personal valuables from
event bus
Accident or harm to person
working alone late on church
property after hours
Public liability
Professional
Security
Social media
Transport
Volunteer
safety
Possible
Possible
Unlikely
Unlikely
Unlikely
Inadequate fire and emergency
plan; new staff unaware
Property
Likelihood
Risk Description
Risk Identification
Risk Category
Location
High
High
Level of
Risk
Major
Extreme
Moderate High
Moderate Moderate
Moderate High
Moderate Moderate
Major
Major
Possible
Impact
Risk Assessment
Immediate
action; notify
pastor/senior
church staff
Advise church
senior staff
26/04/13
08/06/13
Appoint bus supervisor to assist driver
to lock away valuables on request;
check, lock bus when parked
Avoid lone work after hours where
possible; implement notification and
phone call checking procedure
Assign
Review current social media and website 05/07/13
responsibility to policy for adequacy, staff awareness;
fix (treat risk)
limit links to web admin only
PP
CF
CF
JA
Schedule replacement of important and 01/05/13
master keys; change security codes and
IT passwords monthly
Advise church
senior staff
PP
08/06/13
CF
JA, JA, CF
Review adequacy of current church
Assign
responsibility to policy, procedure on bullying,
harassment; ensure all staff aware and
fix (treat risk)
schedule refresher training for Q3 2013
23/04/13
Completion Who is
Date
Responsible
09/05/13
Schedule fire drills for next 6 months;
update fire plan; check all fire
extinguishers and alarms
Control improvements proposed or
currently underway
Stick posters in kitchen to refresh
awareness of current food and kitchen
use procedures
Advise church
senior staff
Advise church
senior staff
Risk Evaluation
25/03/2013
Date of Assessment
Risk Control Improvement (“risk treatment”)
JA
Assessed by
Example of Completed Risk Register and Risk Treatment Plan
Re-use of unrefrigerated foodstuffs Unlikely
Staff-supervisor relationship
breakdown, alleged bullying
Uncontrolled and unrecorded
Possible
distribution of keys, security codes
Inadvertent link to inappropriate
third-party website post/blog
Theft of personal valuables from
event bus
Accident or harm to person
working alone late on church
property after hours
Public liability
Professional
Security
Social media
Transport
Volunteer
safety
Possible
Possible
Unlikely
Unlikely
Unlikely
Inadequate fire and emergency
plan; new staff unaware
Property
Likelihood
Risk Description
Risk Identification
Risk Category
Location
High
High
Level of
Risk
Major
Extreme
Moderate High
Moderate Moderate
Moderate High
Moderate Moderate
Major
Major
Possible
Impact
Risk Assessment
Immediate
action; notify
pastor/senior
church staff
Advise church
senior staff
26/04/13
08/06/13
Appoint bus supervisor to assist driver
to lock away valuables on request;
check, lock bus when parked
Avoid lone work after hours where
possible; implement notification and
phone call checking procedure
Assign
Review current social media and website 05/07/13
responsibility to policy for adequacy, staff awareness;
fix (treat risk)
limit links to web admin only
PP
CF
CF
JA
Schedule replacement of important and 01/05/13
master keys; change security codes and
IT passwords monthly
Advise church
senior staff
PP
08/06/13
CF
JA, JA, CF
Review adequacy of current church
Assign
responsibility to policy, procedure on bullying,
harassment; ensure all staff aware and
fix (treat risk)
schedule refresher training for Q3 2013
23/04/13
Completion Who is
Date
Responsible
09/05/13
Schedule fire drills for next 6 months;
update fire plan; check all fire
extinguishers and alarms
Control improvements proposed or
currently underway
Stick posters in kitchen to refresh
awareness of current food and kitchen
use procedures
Advise church
senior staff
Advise church
senior staff
Risk Evaluation
25/03/2013
Date of Assessment
Risk Control Improvement (“risk treatment”)
JA
Assessed by
Example of Completed Risk Register and Risk Treatment Plan
ATTACHMENTS
10
#3 CHURCH ASSETS AND CONTENTS INVENTORY
Date (dd/mm/yyyy)
/
/
Name of Church
Address
Suburb
State
Postcode
When assessing value, estimate the current cost of replacing items with new ones. Most policies provide replacement cost
coverage on buildings and contents and adequate values are very important.
Contents
Worship Area
Other Areas
Offices
Out-Buildings
Curtains/blinds
Bibles, song books
Sheet music
Musical instruments
Stocks of disposable cups, tea, coffee,
etc
Communion servers and silverware
Chairs
Tables
Microphones and stands
Sound and lighting equipment
Video cameras/tripods
Mixing and editing equipment
Projectors
TVs
DVD players and discs
Video recorders and tapes
Pictures and paintings
TV security system
Auditorium video and/or display unit
Answering machines
Computers
Printers
Photocopiers
Fax machines
Laminators and binders
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#3 CHURCH ASSETS AND CONTENTS INVENTORY
Contents
Worship Area
Other Areas
Stationery stocks
Scanners
Laptops and detachable storage discs
(Eg. ZIP)
CD/DVD players/discs
Office furniture (not inbuilt)
Still and digital cameras
Files and filing cabinets
Unattached white and black boards
Books (not for resale)
Free standing shelving and bookcases
Sporting equipment
Camping equipment
Appliances (Eg. fridges, dryers, urns,
vacuum cleaners)
Pots and pans
Crockery
Cutlery
Serving dishes, bowls, jugs etc
Small appliances, Eg. toasters, electric
jugs, mixers
Microwave ovens
Commercial toasters
Warming ovens
Carts and trays
Tools
Cleaning equipment, mops, polishers,
etc
Lawn mowers
Trimmers and cutters
Gardening tools
Other items
(Attach list if necessary)
TOTAL (Contents only)
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Offices
Out-Buildings
ATTACHMENTS
#4 HOT WORK PERMIT
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Procedure for Hot Work Permits
The person nominated to authorise hot work must be aware of the problems associated with hot work and have the authority to
ensure compliance with the procedures.
Prior to the commencement of work a hot work permit should be obtained from the authorised person. This should be done on
every occasion that hot work of any type is undertaken anywhere on the site.
A hot work permit should also be issued for a specific task that is undertaken in a clearly identified area. Hot work permits should
not be issued for protracted periods. Separate hot work permits should be issued for work which extends from morning to
afternoon periods.
Before completing the first part of the hot work permit, the person responsible for carrying out the work should complete the
checklist shown below to indicate that fire protection measures are adequate, suitable precautions have been taken and the
equipment to be used is safe.
If the person authorised to issue the hot work permit is not satisfied with the arrangements, further measures may be requested,
and any additional conditions should be entered in the space provided. The earliest time at which a final fire-check should be made
will also be specified. This will normally be at least one hour after the time of expiry of the hot work permit, when work must be
complete. If trained personnel will not be available to make this check (for example in the case of a permit issued late in the day)
work must not be commenced.
Hot Work Permit Check List
Fire Protection
(The person carrying out this check should tick the appropriate boxes)
Where sprinklers are installed they are operative
A trained person not directly involved with the work will provide a continuous fire watch during the period of hot work and
for at least one hour after it ceases
Suitable extinguishers or a hose reel are immediately available. Both the people are trained in their use
Personnel involved with the work and providing the fire watch are familiar with the means of escape and method of raising
the alarm/calling the fire brigade
Precautions within 10 metres (minimum) of the work
Combustible materials have been cleared from the area. Where materials cannot be removed, protection has been provided
by non-combustible or purpose made blankets, drapes or screens
Flammable liquids have been removed from the area
Floors have been swept clean
Combustible floors have been covered with overlapping sheets of non-combustible material or wetted and liberally covered
with sand. All openings and gaps are adequately covered.
Protection has been provided for:
Walls, partitions and ceilings of combustible construction or surface finish
All holes and other openings in walls, partitions and ceilings through which sparks could pass
Combustible materials have been moved away from the far side of walls or partitions where heat could be conducted,
especially where these incorporate metal
Equipment
Equipment for hot work has been checked and found to be in good repair
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#4 HOT WORK PERMIT
Issuing Company
Permit No.
A. Proposal
To be completed by the person responsible for carrying out the work.
Exact location of proposed work
Nature of work to be undertaken
The above location has been examined and the precautions listed on the permit checklist have been completed as indicated.
Signed
Date
X
/
/
/
/
Name (Print)
Position
Company
B. Agreement
To be completed by the church official responsible for overseeing the work.
This Hot Work Permit is issued subject to the following conditions:
Time of issue of the permit
Time of expiry of the permit
A final check of the work area shall be made, not before
Additional conditions required
Signed
Date
X
C. Fire Watch
Position
Company
To be completed by the worker or contractor responsible for the work before returning this permit to the issuer.
The work area and all adjacent areas to which sparks and heat might have spread have been inspected and found to be free of fire
following the completion of the work.
Time inspection completed (at least 1 hour after the work was completed)
Signed
Date
X
Name (Print)
Position
Company
/
/
ATTACHMENTS
14
#5 FIREFIGHTING EQUIPMENT GUIDELINES
In churches the most common types of fire-fighting
equipment are:
•
•
•
•
•
Fixed Hose Reels
These are wall-mounted in accessible locations or in a cabinet.
They are connected to a constant water supply. They are for
use on fires involving ordinary combustibles such as wood,
paper, rubbish textiles etc. They must not be used on live
electrical equipment.
portable fire extinguishers
fixed hose reels
fire hoses and hydrants
sprinkler systems
fire blankets
Fire Hoses and Hydrants
External and internal hydrants are for use only by the fire
authority or a qualified fire fighting team. Unqualified people
must not use them.
Portable Fire Extinguishers
The table below sets out the types of extinguishers that may
be encountered and their uses.
Sprinkler Systems
It is recommended that:
• all employees and voluntary workers should be asked to
make themselves familiar with these extinguishers and
their uses
• the possibility of providing some basic training for
people be sought from the local fire authority
• enquiries be made of your congregation to establish if
any members have had fire warden training and if they
can assist the church using their expertise
These systems are designed to detect, control and /or
extinguish a fire. Sprinkler heads are set off by heat and supply
a continuous supply of water onto the fire. The fire authority
will be automatically alerted when the system is activated.
There must be a contract in place for the maintenance of the
system and regular testing carried out.
Fire Blankets
These are suitable for use on small fires contained in pans,
trays etc. They are ideal for use in kitchens for fat fires and
the like. They are also ideal to suppress flames when wrapped
around a person whose clothing has caught on fire. Blankets
work by depriving the fire of oxygen.
Type of Fire
Type of
extinguisher
Colour
Water
Wood, Textile,
Paper, Cloth
Fat, Petrol, Oil
Live Electricity
Motor Vehicles
Comments
Solid Red
Yes
No
No
Yes
Dangerous
if used on
electrical fires
Foam
Red with blue
band
Not suitable
Yes
No
Yes
Dangerous
if used on
electrical fires
Carbon
Dioxide
Red with black
band
Not suitable
Yes
Yes
Yes
Not specially
suitable
outdoors
Vaporising
Liquid
Yellow
Dry Chemical
Powder
Red with white
band
Extinguishers containing BCF or Halon may no longer be used.
Contact the supplier for advice on how to dispose of them properly.
Not suitable
Yes
Yes
Yes
Can cause
serious damage
to sensitive
equipment
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#6 EMERGENCY RESPONSE PLAN
15
Each church should have an Emergency Response Plan to enable rapid safe evacuation of the building in the event of an
emergency. Copies of the plan should be displayed on notice boards and employees/voluntary workers should be provided with a
copy as part of their induction.
The plan should include a plan of the property’s layout showing location of exits, meeting points and fire fighting equipment.
The plan needs to be reviewed annually or when there are any alterations to the buildings or the use of those buildings.
Emergency Response Procedures Checklist
Your emergency response plan should include, but not be limited to the following:
•
•
•
•
•
•
•
•
•
•
•
•
Designated routes from each location within the building
Where to assemble once clear of the building
Whom to report to once clear of the building
Advice not to waste time collecting or going back for valuables
How to recognise a fire warning signal
Prepared diagram of building including location of firefighting equipment, exits and assembly points
Designated duties of individuals such as checking corridors, using extinguishers, closing doors
Names and location of emergency wardens
Telephone number of fire station, police and ambulance
Encourage people to remain calm and orderly
Designate persons to search all areas once during evacuation
Shut down dangerous equipment such as boilers
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ATTACHMENTS
16
#7 LIABILITY RELEASE FORM (YOUTH ACTIVITIES)
Schedule
Name of child (under 18 years of age)
Home address
Suburb
State
Postcode
Parent/LegalGuardian
Phone(W)
Phone (H)
Phone(M)
Phone (H)
Phone(M)
Activitiesbeingparticipatedin
Information for emergency use only
Person to contact in an emergency
Phone(W)
Doctor’s address
Suburb
State
Postcode
Contactnumber
I acknowledge that the activity described in the schedule can be hazardous and that my child participates at his/her own risk. I
understand that the church will take reasonable steps to provide a safe environment for my child and to ensure that all equipment
supplied by them for the activity is of a reasonable standard.
I acknowledge that the church will not be liable for any injury that may be suffered by my child, which arises either directly or
indirectly from, or in connection with, the activity described in the schedule incorporated in this form.
I hereby agree to indemnify the church against any and all claims arising from, or in connection with, any injury that may be
suffered by my child, or that my child may cause to another person, as well as any loss or damage to property, equipment or
personal effects belonging to my child, or any other person, arising either directly or indirectly out of or in connection with the
activity described in the schedule incorporated in this form.
I agree that the church may authorise on my child’s behalf whatever medical treatment he/she may require (this includes, but is not
limited to, ambulance attendance and hospital treatment) and I agree to pay all medical expenses incurred.
Signed
X
Date (dd/mm/yyyy)
/
/
RiskManagementGuide
17
#8 CHURCH PROPERTY HIRE AGREEMENT
Owner of Property (Church)
Address/Description of Property Hired
Name of Hirer
Address of Hirer
Suburb
Hired from
State
Date (dd/mm/yyyy)
/
Hired until
Time
/
Date (dd/mm/yyyy)
/
Postcode
Time
/
Agreed hire fee
Amountofbond
The hirer hereby agrees to the following conditions:
• To hold harmless the owner of the property for all damages, costs, actions demands and claims, which may be sustained by
or suffered by the owner or its employees arising out of the hire of the property
• To provide evidence of public liability insurance for an indemnity of not less than $10,000,000 covering any damage to the
hired property or any legal liability that may arise from the use of the hired property
• To keep the hired property in good repair and condition, returning it in the same state as it was at the commencement of the
period of hire
• To reimburse the owner for the cost of repairing any damage incurred to the hired property or its contents during the period
of hire
• Not to permit alcohol to be consumed or brought onto the hired property without the permission of the owner
• To allow the owner or its employees access to the hired property during the period of hire for the purpose of inspection
• Not to remove from the hired property contents or fixtures belonging to the owner
• To use the hired property in a manner that will not annoy, disturb, interfere with or damage property belonging to the owner,
tenants, occupiers of the hired property or occupiers of other properties in the neighbourhood
• Not to use the hired property in a manner which could cause a risk to the health and safety of others
RiskManagementGuide
ATTACHMENTS
#9 VOLUNTEER WORKER’S APPLICATION & REGISTRATION FORM
N
CONFIDE
Name of applicant
TIAL
Dateofbirth(dd/mm/yyyy)
/
/
Address
State
Suburb
Phone(W)
Phone (H)
Postcode
Phone(M)
Email address
Current employer
Current employer address
State
Suburb
Time with current employer
Years
Postcode
Months
How long have you attended this church?
If less than one year, have you attended another church previously?
Yes
No
If Yes, for how long?
Name of previous church
Address of previous church
State
Suburb
Are you a member of this church?
Yes
Postcode
No
Please list details of any work skills that you may have Eg. Electrician, Carpenter, Accountant, Keyboard operator
Have you ever been charged with or convicted of a criminal offence?
Yes
No
If Yes, please provide details
What ministry would you like to be involved in?
What type of work would you like to perform?
1 of 2
RiskManagementGuide
ATTACHMENTS
#9 VOLUNTEER WORKER’S APPLICATION & REGISTRATION FORM
Please provide the names and contact numbers of persons able to act as referees.
Pastor
Contactnumber
Employer
Contactnumber
Personal
Contactnumber
I confirm that the information I have supplied on this form is true and correct to the best of my knowledge. Should it be found the answers are
untrue, I understand that may be grounds for dismissal from the position held.
I accept that the church may contact the referees mentioned in this document. I agree to release and hold harmless from liability any person
or organisation that provides information, and that a copy of this application can be sent to any referee mentioned herein. I also agree to hold
harmless Australian Christian Churches, its officers, employees and volunteers in relation to their use of this application or information contained
herein. I waive any rights I may have to inspect references provided on my behalf.
Signed
Date (dd/mm/yyyy)
/
X
RiskManagementGuide
2 of 2
/
ATTACHMENTS
#10 VOLUNTEER DRIVER’S APPLICATION & REGISTRATION FORM
NT
CONFIDE
IAL
Attach to completed form “Volunteer Worker’s Application & Registration Form”
Name of applicant
Are you over 18 years of age?
Yes
No
Have you worked in a Child/Youth ministry position previously? Yes
No
If Yes, where?
Provide name and telephone contact details of a referee from previous Child/Youth ministry position
Name
Contactnumber
Provide details of any professional qualifications in relation to working with children or youths
Have you ever been convicted of child abuse or neglect?
Have any allegations or complaints involving misconduct with children ever been made against you?
Yes
No
Is there anything in your past that would call into question your suitability to be entrusted with the care of youths or children? Yes
No
If Yes, please provide details
I confirm that the information I have supplied on this form is true and correct to the best of my knowledge. Should it be found the answers are
untrue, I understand that may be grounds for dismissal from the position held.
I hereby declare that I have never been convicted of any criminal offences in relation to the physical or sexual abuse of children.
I agree that the church may make a check with police regarding any information they may hold about me.
I agree that the church may contact any referees provided by me to establish my suitability as a Child/Youth Leader.
Signed
X
Date (dd/mm/yyyy)
/
/
RiskManagementGuide
#11 VOLUNTEER CHILD/YOUTH LEADER’S APPLICATION
& REGISTRATION FORM
NT
CONFIDE
21
IAL
Volunteers wanting to work with children or youths must complete this form in addition to “Volunteer Worker’s
Application & Registration Form”
Name of applicant
Are you over 18 years of age?
Yes
No
Have you worked in a Child/Youth ministry position previously? Yes
No
If Yes, where?
Provide name and telephone contact details of a referee from previous Child/Youth ministry position
Name
ContactNumber
Provide details of any professional qualifications in relation to working with children or youths
Have you ever been convicted of child abuse or neglect?
Have any allegations or complaints involving misconduct with children ever been made against you?
Yes
No
Is there anything in your past that would call into question your suitability to be entrusted with the care of youths or children? Yes
No
If Yes, please provide details
I confirm that the information I have supplied on this form is true and correct to the best of my knowledge. Should it be found the answers are
untrue, I understand that may be grounds for dismissal from the position held.
I hereby declare that I have never been convicted of any criminal offences in relation to the physical or sexual abuse of children.
I agree that the church may make a check with police regarding any information they may hold about me.
I agree that the church may contact any referees provided by me to establish my suitability as a Child/Youth Leader.
Signed
X
RiskManagementGuide
Date(dd/mm/yyyy)
/
/
#12 INDUCTION CHECKLIST FOR NEW EMPLOYEES /
VOLUNTARY WORKERS
22
Provided with property plan showing name and location of staff where appropriate
Introduced to other staff members and voluntary workers
Advised of location of toilets and other facilities
Given details of first aid facilities provided
Provided with a copy of Emergency Response Plan
Shown location of fire fighting equipment
Supplied with copy of any relevant information from the Risk Management Guide
Provided with copies of any necessary site-specific WHS documentation
Use of Hazard/Incident Report forms has been explained
Shown copies of Asbestos Register where one exists
Signed WHS Coordinator
X
SignedEmployee/VoluntaryWorker
X
Date(dd/mm/yyyy)
/
/
Next review date (dd/mm/yyyy)
/
/
RiskManagementGuide
Contractor details
(Name, address, phone)
Type of
service
Date of
service
Evidence
of licenses,
qualifications
& insurance
YES/NO
Issued with
policy and
safety rules
YES/NO
Register of Contractors
Any special
precautions
Induction
training
provided
YES/NO
Signature of
contractor
#13 REGISTER OF CONTRACTORS
23
ATTACHMENTS
24
#14 HAZARD IDENTIFICATION LIST
Once you have walked around your site complete this form. Involve other people who know the site well. It is a good idea to also
involve someone who is not familiar with the property, as a fresh pair of eyes will often see things that have been overlooked by
people familiar with the site.
Priority
Hazard
Control Measure
Person Responsible
Completion Date
1
2
3
4
5
6
7
8
9
10
When deciding what control measures to put in place be sure to consider the Hierarchy of Controls shown in Attachment 25.
RiskManagementGuide
#15 HIERARCHY OF CONTROLS
25
The Hierarchy of Controls is referred to in most states Occupational Health & Safety legislation as the manner in which priority
should be decided when putting in place control measures to minimise risk when performing hazardous tasks or addressing
hazards in the workplace.
Options 1, 2 and 3 represent the best method of addressing problems identified, as they require some physical change to the
property, equipment being used or the manner in which the task is being carried out. Utilising one of these approaches will usually
be effective. Options 4 and 5 are the least effective, as they rely heavily on the person performing the task, and are therefore not
foolproof.
When looking at problems identified on church properties the hierarchy of controls should be considered to decide on control
measures to be implemented.
1
ELIMINATION
The best way to control a hazard is to eliminate it entirely. Eg. Remove the
hazard by removing unsafe equipment or ceasing to perform a particular task.
2
SUBSTITUTION
Look for another way of performing the work. Eg. Use a less caustic cleaning
substance, or a safe piece of equipment.
3
ENGINEERING
Physically change the workplace or equipment being used. Eg. Use a guard,
modify a piece of machinery or automate a process.
4
ADMINISTRATIVE CONTROLS
Explain to people how to perform a task properly. Eg. Introduce a written work
procedure and train the people performing the task. This is a less effective
method of controlling risks as it relies on the person performing the task
following the procedure. Without supervision this does not always happen.
5
PERSONAL PROTECTIVE EQUIPMENT
This is the least desirable control measure to use. Whilst it is possible to
supply protective equipment people may not always use it. It is impossible to
supervise those doing the task constantly.
RiskManagementGuide
ATTACHMENTS
26
#16 INCIDENT/HAZARD REPORT FORM
ReportNo
Section 1. Reported By
GivenName/s
Surname
Address
Suburb
State
Postcode
State
Postcode
Phone
Section 2. Hazard Details
[Complete this section only if no injury or property damage has occurred]
Describe the hazard that exists
Describe any action taken
Describe any suggestions to remove hazard
Section 3. Hazard Details
[Complete this section only if an incident causes injury or property damage]
Name of injured person/owner of damaged property
Address
Suburb
Dateofincident(dd/mm/yyyy)
/
Time
/
Location
Describehowtheincidentoccurred(Listsequenceofeventsprecedingincident)
Details of injury or property damage sustained
Details of subsequent events (Eg. treatment given, name of doctor, name of hospital)
RiskManagementGuide
27
#16 INCIDENT/HAZARD REPORT FORM
Section 4. Declaration
I hereby declare the information provided above is true and corrrect.
Date(dd/mm/yyyy)
Signed
/
X
/
Section 5. Investigation
[Complete under the direction of the responsible officer or WHS Coordinator]
Details of investigation (Attach sheet if necessary with additional details)
What corrective action was identified?
Who is responsible for completing the corrective action?
Target completion / or review date (dd/mm/yyyy)
/
/
Signed Responsible Officer
X
Datecorrectiveactioncompleted(dd/mm/yyyy)
/
/
Signed WHS Coodinator
X
Definitions:
Incident: Any event that gives rise to personal injury or damage to property, or has the potential to cause personal injury or property damage.
Hazard: Any physical condition that exists on the property that has the potential, if left unchanged, to cause personal injury or damage to
property.
RiskManagementGuide
ATTACHMENTS
28
#17 ANNUAL HAZARD REVIEW FORM
Church Name
Address
Suburb
State
No.
Question
Yes
1.
Fire Protection
1.1
Are there sufficient fire extinguishers in accordance with the
fire regulations?
1.2
Have all turnover type extinguishers been disposed of?
1.3
Have all BCF extinguishers been replaced?
1.4
Are extinguishers mounted in conspicuous locations no
more than 1.2 metres high with a location sign above at no
less than 2 metres?
1.5
Has training been provided in relation to extinguishers, and
hose reels where fitted?
1.6
Are there dry chemical extinguishers in or adjacent to
kitchens and located away from any cooking facility?
1.7
Is there an exhaust system in the kitchen?
1.8
Is the exhaust system cleaned at least annually?
1.9
Is there a fire blanket in the kitchen?
1.10
Are smoke detectors installed on the premises and are
batteries checked regularly?
1.11
Is there a sprinkler system installed, is there a maintenance
contract in place and are regular test made and recorded?
1.12
Are fire exits clearly signed, lit and serviced?
1.13
Are fire exits kept clear at all times?
(These areas must not be used for storage of any kind)
1.14
Is there a no smoking policy that is enforced?
1.15
Is there a combustible outdoor storage area that could be
easily torched by an arsonist?
(If so, look for alternative method of storage or remove
combustible material elsewhere)
1.16
Are valuables, computer back up tapes and the like stored in
a fire resistant area?
1 of 3
No
N/A
Postcode
Any action required
RiskManagementGuide
29
#17 ANNUAL HAZARD REVIEW FORM
No.
Question
Yes
2.
Emergency Procedures
2.1
Are emergency evacuation procedures in place?
2.2
Are emergency drills carried out at least every 6 months
and the results reviewed by the Responsible Officer & WHS
Coordinator?
2.3
Are the emergency procedures displayed on notice boards?
2.4
Is there a person responsible for evacuations etc?
(Chief Fire Warden)
3.
Security
3.1
Are premises in good repair to resist entry?
(No broken windows etc.)
3.2
Are there motion sensors, security lights installed?
3.3
Are premises protected by an automatic alarm system?
3.4
Are all external doors fitted with deadlocks or similar
appropriate locking hardware
3.5
If there is a safe, is the key kept off the premises after
hours?
3.6
Are night safe facilities used for cash after hours to avoid
holding cash on the premises?
3.7
Is there a strictly adhered to cash policy covering counting
storage and banking procedures not involving less than 2
adults?
3.8
Are windows locked securely?
3.9
Is there a person nominated with security responsibilities
including locking all doors and windows after each activity?
3.10
Are ladders, tools that may assist a burglar securely locked
away?
3.11
Is key distribution restricted according to need and is a key
security list maintained?
3.12
Is valuable equipment locked away when not in use?
4.
Electrical
4.1
Are safety switches fitted to the switchboards?
4.2
Are there surge protectors protecting electrical equipment?
4.3
Has the electrical wiring been checked by an electrician in
the past 10 years?
5.
Computers
5.1
Are all computers surge protected?
5.2
Are back ups carried out regularly for computers?
5.3
Are back up disks stored at a remote location?
RiskManagementGuide
2 of 3
No
N/A
Any action required
ATTACHMENTS
30
#17 ANNUAL HAZARD REVIEW FORM
No.
Question
Yes
6.
Liability
6.1
Are all handrails, walkways, stairs and paths clear of
obstructions, in good repair and well lit? Are all floor
coverings in good repair?
6.2
Are all car parks and roadways well lit and free of potholes?
6.3
Are all floor coverings even and in good repair?
6.4
Are exit signs clearly marked and doorways accessible and
clear?
6.5
Are fully glazed doors and low set windows of laminated
safety glass? If not, have protective sign writing or crash
barriers been fitted?
6.6
Have facilities been modified to meet the special safety
needs of the physically or mentally disabled, the very young
and the very old?
6.7
Do you ensure that no chemicals/substances are kept in
other than clearly marked containers showing the contents
of the containers?
6.8
Are flammable and toxic substances (including detergent,
weed killer, petrol etc.) stored out of reach of children, and
teenagers?
6.9
Are there mature and responsible people in charge of youth
and sporting activities
6.10
Are all playgrounds and equipment maintained in good
working order and hard surfaces covered in some manner?
Are local council guidelines complied with?
6.11
Is there an active property committee with expertise in
building maintenance to effect immediate repairs when
required?
6.12
Is a supervisor appointed for each working bee to establish
the skill levels of the workers before allocating tasks?
6.13
Are all new activities involving children reviewed by Church
Authorities?
6.14
Are you aware of the regulations relating to the care of
children and does your church comply?
6.15
Are all incidents involving injury to staff and the public
reported in writing as soon as they are brought to your
attention?
6.16
Are all contractors requested to supply Certificates of
Currency for Public Liability and Workers Compensation
insurance?
6.17
Are all staff/leaders instructed not to admit liability in the
event of damage or injury to a third party?
6.18
Do you advise any prospective outside users of your
property that they are responsible for their own insurance
(property and liability)
3 of 3
No
N/A
Any action required
RiskManagementGuide
31
#18 HOUSEKEEPING CHECKLIST
Name of Church
DateofInspection(dd/mm/yyyy)
Person Inspecting
/
No.
Checklist Items
Yes
Floors, Aisles, Stairs & Landings
1
All aisles are clear
2
Aisles are free of slip, trip and fall hazards
3
Stairs free of worn or broken treads
4
Handrails are in good repair
5
Non-skid strips on chairs are in good condition
Storage
6
No storage in traffic areas
7
Stacks stable with good bases
8
No rubbish or unwanted material
9
Flammable items correctly stored
Electrical Power
10
Plugs, sockets and switches in good order
11
Free of frayed or defective leads
12
Free of double adaptors or piggy-back plugs
13
All lights adequate or operational
14
Residual Current Devices installed and maintained
First Aid
15
First Aid kits identified and appropriately stocked
16
Names of qualified first aiders displayed
Emergency Response/Fire Protection
17
Evacuation Procedures clearly displayed
18
Fire extinguishers appropriate to material
19
Extinguishers readily available and properly mounted
20
Exits and exit signs adequately illuminated
21
Exits and fire doors in good repair and unobstructed, internally and externally
Car Park/Outdoor Areas
22
Clean and free from rubbish
23
Even surfaces – no holes
24
Free of grease and oil
25
Vehicle traffic ways clearly marked and lit
26
Free of dense shrubbery obstructing vision
RiskManagementGuide
/
1 of 2
No
N/A
ATTACHMENTS
32
#18 HOUSEKEEPING CHECKLIST
No.
Checklist Items
Yes
No
N/A
Equipment
27
Office chairs suitable and in good condition
28
Ladders serviceable, no broken rungs/defects
29
Metal ladders not used for electrical work
30
WHS policies and procedures appropriately displayed
31
Safety signs clearly displayed where necessary
32
Kitchen appliances properly maintained
Any items identified as needing attention should be listed on the Action Plan below.
Action Required
By Whom
2 of 2
By When (Date)
Completed (Date)
RiskManagementGuide
33
#19 HAZARDOUS SUBSTANCES INVENTORY
(All substances can be hazardous or non-hazardous depending on the dose received and the extent and manner of exposure)
Substance
SDS Obtained
Signed WHS Coodinator
X
Signed Employee/Voluntary Worker Representative
X
DocumentDated(dd/mm/yyyy)
/
/
NextReviewDate(dd/mm/yyyy)
/
/
RiskManagementGuide
Hazardous Yes/No
SDS Posted
ATTACHMENTS
#20 SAFETY DATA SHEETS GUIDANCE DOCUMENT
34
The information below will assist you in understanding a little more about Safety Data Sheets (SDS)
What are they?
Sheets containing important safety, first aid and other information on any chemical sold, under a trade or chemical name
Where do I get them?
From the manufacturer of the product who is obliged by law to provide them
When should I get them?
Now. All hazardous goods used in the workplace must be accompanied by an SDS
How do I get them?
Telephone or fax the supplier who will post or fax one to you
How will I know I’ve got the right document?
If the document covers the areas listed below you have procured an SDS
•
Product Identification:
Name of Product, description, supplier’s name and telephone number
•
Composition:
Chemical name, ingredients and impurities
•
Emergency Information:
Fire, spill, over exposure
•
First Aid:
Inhalation, ingestion etc.
•
Storage:
How to handle, special containers, incompatible substances, transport
•
Physical Data:
Boiling point, melting point, etc.
RiskManagementGuide
35
#21 SAFE WORK PROCEDURES REGISTER
Date initiated
RiskManagementGuide
Procedure No.
Name of procedure
Date completed
Date reviewed
#22 JOB SAFETY ANALYSIS / SAFE WORK
PROCEDURE DEVELOPMENT
36
Use one sheet for each job analysed
Prepared by
Task
Participants
Date(dd/mm/yyyy)
Reviewed by
/
/
List any Personal Protective Equipment required
(1) Observe the job
SEQUENCE OF BASIC JOB STEPS
(2) Discuss it with the operator
POTENTIAL ACCIDENTS OR HAZARDS
Describe what is done without detail. What can happen at each step?
Not too broad – not too fine. List the List according to accident type
natural steps of the job. Most jobs
• Struck By
• Caught on
can be fitted in 12 or less steps.
• Contacted by
• Different Level Fall
• Struck Against
• Same Level Fall
• Contact With
• Strain/overexertion
• Exposure
• Trapped In
• Caught
Between
(3) Draw on your own knowledge
RECOMMENDED SAFE PROCEDURE
Describe specific precautions in detail for
each step and each hazard. Question the
basic job method. Look for opportunities to
eliminate the hazard.
RiskManagementGuide
37
#23 NOISE
TIP:
Purchase a decibel meter to monitor the actual sound pressure levels in your church and compare the decibel levels with this
chart to see whether you are placing people in danger of hearing damage, especially young people.
Some churches operate at 95db and higher. This is dangerously high and could cause permanent hearing damage.
Gun shot
LOUD
120
Jet taking off (25m away)
AT RISK
Pneumatic hammer
Noisy disco
Chain saw
Angle grinder
Personal stereo (m
(max volume)
Ride-on mower
Ride-o
110
1 MINUTE AT 110 DB
100
15 MINUTES AT 100 DB
30 MINUTES AT 97 DB
90
2 HOURS AT 91 DB
4 HOURS AT 88 DB
1 HOUR AT 94 DB
8 HOURS AT 85 DB
Busy
road
B
80
Power
Pow motor
NEGLIGABLE RISK
70
Vacuum
V cuum cleaner
Va
Conversation
Con
60
machine
Washing
a
50
Library
40
BELOW THIS
LEVEL HEARING
DAMAGE IS
NEGLIGIBLE
NO RISK
30
Leaves rustling
20
Sound studio
10
Threshold of normal hearing
T
0
SOFT
THE NOISE LEVELS SHOWN ARE APPROXIMATE
AND SHOULD ONLY BE TAKEN AS A GUIDE
NOISE LEVEL IN
A WEIGHTED DECIBELS
131
131797
797
www.hearing.com.au
RiskManagementGuide
ATTACHMENTS
38
#24 HEALTH AND SAFETY RULES
1.
No smoking in church buildings
2.
No alcohol or non-prescription drugs in the workplace
3.
Know and observe all Work Health and Safety (WHS) rules
4.
Know and observe details of emergency response and evacuation plans
5.
All work at heights must have the permission of the WHS coordinator before commencement
6.
Do not undertake work for which you are not qualified eg. electrical maintenance
7.
Take responsibility for own WHS by not doing anything that may endanger your WHS or that of a fellow
employee/voluntary worker
8.
Report all potential hazards or accidents and incidents to the WHS Coordinator
9.
Keep work areas neat and tidy at all times
10. If required to lift any items likely to cause injury, seek assistance before proceeding
Signed WHS Coodinator
X
Signed Employee/Voluntary Worker Representative
X
DocumentDated(dd/mm/yyyy)
/
/
NextReviewDate(dd/mm/yyyy)
/
/
RiskManagementGuide
#25 WORK HEALTH AND SAFETY ACTION PLAN / AUDIT TOOL
39
To assist in compliance with WHS Legislation
Church
Date Completed (dd/mm/yyyy)
/
No.
A
/
Element
WHS Policy
Tasks/Questions
Ƒ
Ƒ
Ƒ
B
Safety Rules
Ƒ
Ƒ
Ƒ
C
Housekeeping
Ƒ
Ƒ
Ƒ
Ƒ
D
Consultation
and
Participation
Ƒ
Ƒ
E
WHS Coordinator
Training
Ƒ
Ƒ
RiskManagementGuide
Person to
Action
Compile an WHS Policy based on
sample document, WHS Policy
(Attachment X)
Have policy signed and dated by
church representatives
Issue policy to church leaders
and display on notice board
Review policy on a regular basis
Complete a list of written Safety
Rules, see Health & Safety Rules
(Attachment 24)
Display Safety Rules on notice
board
Develop a housekeeping
checklist based on the
Housekeeping Checklist
(Attachment 18)
Complete checklist monthly
Document corrective action
Hold copies of completed
checklist on file
Consult with employees /
voluntary workers / interested
parties on a regular basis
Leaders/Members meetings
provide an opportunity for
consultation; place WHS on the
agenda
Issue all leaders and voluntary
workers with the induction
package suggested in Modules
29 and 43
Complete an Induction Checklist
(Attachment 12) for all leaders
and voluntary workers
1 of 4
Target
Completion
Date
Date
Completed
Review Date
ATTACHMENTS
40
#25 WHS ACTION PLAN / AUDIT TOOL
No.
Element
F
Hazard
Management
Tasks/Questions
Ƒ
Ƒ
Ƒ
G
First Aid
Ƒ
Ƒ
Ƒ
H
Emergency
Response
Training
Ƒ
Ƒ
Ƒ
I
Incident
Reporting and
Investigation
Ƒ
Ƒ
J
Purchasing
K
Manual
Handling
Ƒ
Ƒ
Ƒ
RiskManagementGuide
Person to
Action
Complete a Annual Hazard
Review Form (Attachment 17)
for your church
Rank hazards identified and
correct them in accordance with
the heirarchy of controls
Make available Incident/Hazard
Review Forms (Attachment 16)
to report hazards identified on
church property
Check whether your church has
legal responsibilities relating
to its first aid by reviewing the
First Aid Guidance (Attachment
26)
Meet legal responsibilities
identified
If no legal obligation is identified,
consider moral obligations
and provide first aid boxes and
trained first aider if possible
Develop a simple emergency
response procedure and plan
Hold an evacuation drill at least
annually
Explain use of fire fighting
equipment to employees and
voluntary workers
Adopt the Incident/Hazard
Report Form (Attachment 16)
and instigate corrective action
following a report
Ensure incident report forms are
readily available and encourage
reporting of all accidents and
“near miss” incidents
Ensure all major purchases
comply with the relevant
Australian and NZ Standards
Decide whether any manual
handling tasks likely to cause
injury are peformed at your
church
If such tasks are identified obtain
a copy of the Manual Handling
Code of Practice and seek
assistance from a professional if
needed
2 of 4
Target
Completion
Date
Date
Completed
Review Date
41
#25 WHS ACTION PLAN / AUDIT TOOL
No.
Element
L
Occupational
Health
Controls
Tasks/Questions
Ƒ
Ƒ
Ƒ
M
Control of
Hazardous
Substances
Ƒ
Ƒ
Ƒ
N
Contractors
Ƒ
Ƒ
Ƒ
Ƒ
O
Electrical
Installations
andEquipment
Ƒ
Ƒ
Ƒ
Person to
Action
Target
Completion
Date
Date
Completed
Review Date
If there is any likelihood of
persons sustaining prolonged
exposure to noise or dust, seek
professional advice
Establish if it is likely that
asbestos is present within
the church property. If not, no
further action is needed
If you have an evaporative
cooling system see that regular
maintenance is carried out
Compile a list of hazardous
substances that may be
kept on the premises. See
the Hazardous Substances
Inventory (Attachment 19)
Obtain Safety Data Sheets
SDS Information (Attachment
20) from the suppliers for any
hazardous substances identified
(eg. photocopier and printer
toner, cleaning chemicals)
Maintain copies of SDS’s
centrally and at point of use of
product
Establish a Register of
Contractors (Attachment 13) that
lists all the contractors you use
Provide a copy of the WHS
Policy document and Safety
Rules to all contractors
performing work on church
property
Seek information from
contractors in accordance with
Module 43
Show contractors the asbestos
register if applicable
Ensure electrical contractors
comply with contractor’s
equipment requirements above
Check that property is fitted with
a residual current device (RCD)
at the switchboard
Where there is no RCD ensure
portable electrical equipment is
protected by a RCD at the power
socket
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RiskManagementGuide
ATTACHMENTS
42
#25 WHS ACTION PLAN / AUDIT TOOL
No.
P
Element
Working at
Heights
Tasks/Questions
Ƒ
Ƒ
Ƒ
Q
Notification
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R
Rehabilitation
Ƒ
S
Documentation
Ƒ
Ƒ
Ƒ
T
Penalties
Ƒ
Person to
Action
Target
Completion
Date
Date
Completed
Review Date
Identify the existence of any
fragile roofing material and
ensure unqualified persons are
not permitted to access
Erect warning signs in
accordance with WHS
Regulations
Identify any danger of falls that
exist (eg. changing globes at
height) and provide suitable
safety equipment and ensure
its use in accordance with WHS
regulations
Report worker injuries and
the existence of dangerous
occurrences to the appropriate
Government Authority
If an employee is absent due to
a work related injury for more
than 7 days, refer matters to
the Workers Compensation
Authority or Claims Agent to
ascertain your rehabilitation
responsibilities
Establish an WHS file and keep
in it details of all WHS initiatives,
training records, and WHS
meeting minutes
Annually complete a new copy of
this audit tool
All WHS documentation should
be reviewed at regular intervals
in consultation with interested
parties and re-issued
Annually remind all employees,
leaders and voluntary workers
of their responsibilities and likely
penalties for non-compliance
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RiskManagementGuide
#26 FIRST AID GUIDANCE DOCUMENT
43
First Aid is the emergency care of injured or sick persons.
It aims to:
• preserve life
• promote recovery
• prevent the injury or illness becoming worse
Booklets are available from theWorkCover Authority in your state giving detailed information about Occupational Health and First
Aid in the workplace. The aim of these booklets is to enable workplaces to assess what their first aid needs are depending on
the size of their workforce and risk of injury.
First Aid Kits
In some states where there are more than 25 and less than 50 employees the requirement is to have a ‘Basic First Aid Kit’.
Workplaces with more than 50 employees require an ‘Occupational First Aid Kit’. In those states most churches would not
legally require such a kit but considering that congregations often run into hundreds it seems logical to have at least a Basic Kit
available.
Kits must be properly maintained and be in the care of a responsible person. A record should be kept of any treatment given.
The name of your trained first aider, and even a photograph should be displayed on the front of the cabinet.
Analgesics should not form part of your first aid kit. They may be kept by a responsible person and made available provided the
use is noted and explained.
The contents of both Basic and Occupational First Aid Kits are listed over the page (Local legislation may vary the content of
such kits).
Other Issues
The Workcover booklets and WHS Regulations may give guidance for workplaces in relation to the provision of First Aid rooms
and facilities, training and other information of interest. The number of employees on our sites and type of activities carried out
at our sites may dictate any need to comply with local legislation.
Recommendations
• Supply at least one Basic First Aid Kit
• Have a trained First Aider available at services
• Have a trained First Aider available at large church functions if possible
* Persons using an approved resuscitation face mask should have received recent training in its use (See Occupational First Aid
Kit list on next page).
RiskManagementGuide
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ATTACHMENTS
44
#26 FIRST AID GUIDANCE DOCUMENT
Minimum requirements for a first aid kit
The contents listed below apply in South Australia. Check with your local WorkCover Authority to ascertain any variations
specific to your State.
Supplies
Basic First Aid Kit
Occupational First Aid Kit
5 packets
20 packets
BPC wound dressings No 15
1
2
Wound dressings sterile, non-adherent, small
3
12
Wound dressings sterile, non-adherent, large
1
3
Eye pads, sterile, individually wrapped
-
4
Conforming cotton bandages 50mm
3
6
Conforming cotton bandages, 75mm
3
6
Conforming cotton bandages, 100mm
1
6
Triangular bandages (minimum width 90mm)
2
6
Non-stretch adhesive tape, 25mm x 2m rolls
(hypo-allergenic)
1
1
Adhesive dressing strips, independently wrapped, minimum quantity
50
100
Disposable wound cleaning swabs (1% Cetrimide BP)
10
25
15ml
2 x 15ml
-
50
5prs
10prs
Disposable eye wash (holding at least 30ml)
-
5
Approved resuscitation mask
1
1
Scissors (sharp/blunt points)
1
1
Splinter forceps
-
1
Splinter probe/remover
1
1
70% alcohol swabs (ethanol or methanol)
(for instrument disinfection)
10
25
Safety pins
5
10
Recording book and pencil for recording injury and illness first aid
1
1
Leaflet, First Aid Instructions (issued by the SA Occupational Health and
Safety Commission)
1
1
Gauze pieces 75mm x 75mm, sterile (packets contain 5)
Povidone - iodine 10% solution
Cotton-tipped applicator
Disposable latex gloves
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RiskManagementGuide