Work Health and Safety New Worker Induction Checklist Name: Staff/Student No.: School/Division Work area: Supervisor: Commencement Date: √ or N/A Responsibilities and Communication My WHS responsibilities have been discussed with me and I agree to comply with these. I am familiar with the University WHS website. https://secure.utas.edu.au/work-healthsafety Appropriate attire for laboratories/workshops/studios/glasshouses/animal houses/specialist facilities and field sites has been explained to me and I have been advised how/where to obtain personal protective equipment and clothing. I have completed, and given to my Supervisor, a Medical Disclosure form before commencing work in any University Laboratory / Workshop / Studio or participating in any Field Activities I have been advised that all specific safety information for my work area can be found at: I know that my local Health and Safety Representative (HSR) is: I know that my Work Health and Safety Advisor (WHSA) is: I have been advised of the WHS implication of any purchasing and have read the Purchasing safety procedure http://www.utas.edu.au/__data/assets/pdf_file/0009/581346/Purchasing-Work-Healthand-Safety-Procedure.pdf I have been informed of the workplace inspection schedule for the areas I work in and agree to assist with these as required. http://www.utas.edu.au/__data/assets/pdf_file/0005/610466/Workplace-InspectionsProcedure.pdf WHS Induction and Training I have completed the University Workers WHS induction module and any other modules as directly by my Supervisor which are available as a MyLO unit titled WHS Integrated training. I have completed a Training Needs Analysis (TNA) with my supervisor to identify all required specific safety training for my current position. I understand that training needs may change and this should be reviewed annually. Hazards and Risk Management I have been advised of the reporting system for workplace incidents and hazards https://secure.utas.edu.au/work-health-safety/hazards-and-incidents I have read the Risk Assessment and management information on the WHS website. Page 1 of 5 WHS New Worker Checklist Jan 2015, ver1.1 √ or N/A √ or N/A Work Health and Safety New Worker Induction Checklist http://www.utas.edu.au/__data/assets/pdf_file/0006/628989/Project-Task-RiskManagement-Procedure.pdf I agree to complete/review risk assessments relevant to my work (with assistance from my supervisor, co-workers and other relevant persons such as the WHS Advisor, Laboratory/workshop/studio manager) prior to the commencement of activities. I understand that I can be asked to stop work if I am working in an unsafe manner. I have been advised of procedures for out of hours work for my Organisation Unit/Work Area/Building/Facility and I agree to follow these procedures. I have been advised that University has free and confidential counselling services through the Student Centre and the Employee Assistance Program (EAP) https://secure.utas.edu.au/work-health-safety/health-and-wellbeing/staff-counselling2 The University current Employee Assistance Program (EAP) provider is: Emergencies and First Aid I have been made aware of the University Emergency Procedures and the rules and procedures for the buildings I will be working in. http://www.utas.edu.au/commercialservices-development/quick-links/emergency-management-contacts-and-procedures The phone number for University Security at this campus is: √ or N/A The Floor, Area and Building wardens for the building/s I work in are: I have been shown the location of emergency equipment (fire equipment, hoses, blankets), emergency exits, break-glass alarms, duress alarms and assembly meeting point/s. I have been shown the locations of the First Aid kits in the areas I will be working. I have been shown the contact lists for emergency personnel and First Aid officers for the areas I will be working in. I have been shown the location of the chemical spill kit, safety shower and eye wash station. I am aware of the requirement to report all incidents, injuries and near misses on the University online incident reporting system. Ergonomics Computer workstations – I agree to review the information on workstation ergonomics to facilitate optimal posture during computer tasks. I understand that I can request an ergonomic set up/check through my Supervisor http://www.utas.edu.au/__data/assets/pdf_file/0006/411684/Use-of-Screen-BasedEquipment-Guideline.pdf Manual tasks – I understand that manual tasks are those activities requiring the use of force exerted by a person to grasp, manipulate, throw, strike, move, hold or restrain an object, load or body part, including: using a computer keyboard/mouse, pipetting, mixing chemicals, filing, packing boxes and so on. Methods to prevent or minimise exposure to risk factors that can contribute to or aggravate work related musculoskeletal disorders associated with my work activities have been discussed with me. Page 2 of 5 WHS New Worker Checklist Jan 2015, ver1.1 √ or N/A Work Health and Safety New Worker Induction Checklist https://secure.utas.edu.au/work-health-safety/major-risk-topics/manual-handling Laboratory / Workshop / Studio I understand that I must attend a local, site specific induction with the appropriate Manager/staff for all laboratories/workshops/studios prior to commencing work in any University area I have read and understood the University Laboratory/Workshop/Studio Minimum Standard http://www.utas.edu.au/__data/assets/pdf_file/0006/214737/Working-Safely-inLaboratories,-Workshops-and-Studios-Minimum-Standard.pdf I agree to complete any training or online modules relevant to my work prior to commencing laboratory or workshop activities (eg laboratory safety modules, chemical safety training, tool safety training) My Laboratory / Workshop manager is: √ or N/A Chemical Safety I know how to access Chemwatch for chemical safety information and Safety Data Sheets (SDSs). https://secure.utas.edu.au/work-health-safety/major-risk-topics/hazardous-chemicals-andpoisons and http://jr.chemwatch.net/chemwatch.web/account/login?ReturnUrl=%2fchemwatch.web I have completed the online training on how to use the Chemwatch system found on the Chemwatch system I am aware that I need to conduct a chemical risk assessment using the University Risk Management template prior to commencing work with chemicals. http://www.utas.edu.au/__data/assets/pdf_file/0020/610346/Managing-Risks-ofHazardous-Chemicals-Minimum-Standard.pdf Working with Animals I have informed my supervisor of any existing personal health conditions or allergy problems which may be exacerbated by working with animals, so that my specific health and safety needs can be accommodated I have read the information on the University page regarding Animal ethics guidelines and resources. http://www.utas.edu.au/research-admin/integrity-and-ethics/animal-ethics Vaccinations/Health Surveillance - I understand that vaccinations and/or health surveillance may be required if I will be working with animals. My supervisor has advised that I may require vaccinations/health surveillance. I have been referred to my WHS Advisor for advice. Radiation and Laser Safety I understand that if I need to use Radiation sources/Lasers/X-rays in my work I must seek the advice of the Radiation Safety Officer or WHS Advisor before commencing work and undergo all necessary induction and training. https://secure.utas.edu.au/work-health-safety/key-risks/radiation √ or N/A Page 3 of 5 WHS New Worker Checklist Jan 2015, ver1.1 √ or N/A √ or N/A Work Health and Safety New Worker Induction Checklist My Radiation Safety Officer (RSO) is: Biological Hazards Before I start work using Biological hazards or within an OGTR certified facility (PC1, PC2 or PC3) I must complete the relevant indication and training and agree to do so. https://secure.utas.edu.au/work-health-safety/key-risks/biosafety Before starting work with imported quarantine material I understand that I must discuss this work with an Institutional Biosafety Committee member (IBC) and complete specific training and agree to do so. http://www.daff.gov.au/biosecurity/import/generalinfo/qap/training Off-Campus and Field Work Driving – I have discussed this with my Supervisor and have read the Safe Driving of Vehicles Minimum Standard http://www.utas.edu.au/__data/assets/pdf_file/0017/610451/Safe-Driving-AuthorisedVehicles-Minimum-Standard-3.pdf And the Authorised Vehicles Minimum Standard http://www.utas.edu.au/__data/assets/pdf_file/0003/610347/Minimum-StandardAuthorised-Vehicles.pdf I have completed the Medical Disclosure and Authorisation forms I agree to read the University Field Activity minimum standard prior to participating in any field work activities. http://www.utas.edu.au/__data/assets/pdf_file/0007/214747/Field-Activity-MinimumStandard.pdf I am aware that I will need to complete/review a risk assessment prior to engaging in field work activities. I understand that I must register and use FieldTeq for all isolated and high risk field work. http://www.utas.edu.au/work-health-safety/key-risks/field-work Health and Health Surveillance I have read and understood the University Minimum Standard on health monitoring http://www.utas.edu.au/__data/assets/pdf_file/0005/588074/Health-MonitoringMinimum-Standard.pdf I have discussed existing health conditions (including allergies) relevant to my work, with my Supervisor, so that my specific health and safety needs can be accommodated. Pregnancy – I understand that I might be at a higher risk from exposure to certain conditions, chemicals, cytotoxins, biological and radiation hazards if I am pregnant or trying to fall pregnant, and that additional safety precautions may need to be followed. I understand that confidential advice in relation to this matter can be obtained from my WHS Advisor and the WHS Unit. Noise – my supervisor has advised that I may be exposed to noise sources at work which could affect my hearing. It has been explained to me that hearing tests are required for workers exposed to excessive noise in their work. I have been referred to my WHS Advisor for advice. Page 4 of 5 WHS New Worker Checklist Jan 2015, ver1.1 √ or N/A √ or N/A √ or N/A Work Health and Safety New Worker Induction Checklist http://www.utas.edu.au/__data/assets/pdf_file/0006/588075/Managing-Noise-andPreventing-Hearing-Loss-at-Work-Minimum-Standard.pdf Vaccinations – it has been explained to me that vaccination’s may be required if I participate in certain activities (e.g. undertaking work with animals, working in patient clinics/medical facilities, working with blood, body fluids or biological agents). I have been referred to my WHS Advisor for advice. Radiation /Lasers - I will be working with Radiation and I have been referred to my RSO for advice on monitoring requirement Worker Name:_____________________________________________________________________ Worker Signature: _____________________________________________ Date: ___________ Supervisor/Managers Name: _________________________________________________________ Supervisor/Managers Signature: ___________________________________ Page 5 of 5 WHS New Worker Checklist Jan 2015, ver1.1 Date: ___________