Work safely at heights CPCCCM2012

Subject Code :
CPCCCM2012

Assessment Pack (UAP) Cover Sheet

Student and Trainer/Assessor Details

Course and Unit Details

Course code
Course name
Unit code	CPCCCM2012
Unit name	Work safely at heights

Student Declaration

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.

For the purposes of assessment, I give the Trainer/Assessor of this assessment the permission to:

Reproduce this assessment and provide a copy to another member of staff; and

I have given references for all sources of information that are not my own, including the words, ideas, and images of others.

Student signature

HASSANE DOURFAYE

Date

03/01/2025

Assessment Outcome
Attempt and Tasks	Satisfactory	Not Yet Satisfactory	Date	Assessor Signature
Initial attempt
Re- attempt/Re-assessment
Assessment Task 1
Assessment Task 2

Assessor Feedback to Students

Assessment Outcome:	Competent	Not yet Competent
Assessor Name:
Assessor Signature and date:

Information for Student:

This assessment is to be completed according to the instructions given below in this document.
Should you not answer the tasks correctly, you will be given feedback on the results and gaps in knowledge. You will be entitled to one (1) resubmit in showing your competence with this unit.
If you are not sure about any aspect of this assessment, please ask for clarification from your assessor.
Please refer to the College re-submission and re-sit policy for more information.
If you have questions and other concerns that may affect your performance in the Assessment, please inform the assessor immediately.
This is an Open book assessment which you will do in your own time but complete in the time designated by your assessor. Remember, that it must be your own work and if you use other sources then you must reference these appropriately.
Student must submit the completed Assessments on Moodle

Re-assessment of Result& Academic Appeal procedures:

If a student is not happy with his/ her results, that student may appeal against their grade via a written letter, clearly stating the grounds of appeal to the Chief Executive Officer. This should be submitted after completion of the subject and within fourteen days of commencement of the new term.

Re-assessment Process:

An appeal in writing is made to theAcademic Managerproviding reasons for re-assessment /appeal.
Academic Managerwill delegate another member to review the assessment.
The student will be advised of the review result done by another assessor.
If the student is still not satisfied and further challenges the decision, then a review panel is formed comprising the lecturer/trainer in charge and theAcademic Manageror if need be, an external assessor.
The Institute will advise the student within 14 days from the submission date of the appeal. The decision of the panel will be deemed to be final.
If the student is still not satisfied with the result, he / she has the right to seek independent advice or follow external mediation option with nominated mediation agency.
Any student who fails a compulsory subject or appeals unsuccessfully will be required to re-enrol in that subject.

The cost of reassessment will be borne by the Institute. The external assessor will base his/her judgement based on principles of assessment. These principles require assessment to be reliable, fair, practical, and valid.

Academic Appeals:

If you are dissatisfied with the outcome of the re-evaluation process, you have a right to appeal through academic appeals handling protocol.
To appeal a decision, the person is required to complete the WARATAH - Request for Appeal of a Decision form with all other supporting documents, if any. This form is available via our website. The completed Request for Appeal form is to be submitted to the Student Support Officer either in hard copy or electronically via the following contact details:
Student Support Officer, Suite 19 650 George St, Sydney, NSW2000.
Email: info@waratah.edu.au
The notice of appeal should be in writing addressed to the Chief Executive Officer and submitted within seven days of notification of the outcome of the re-evaluation process.
If the appeal is not lodged in the specified time, the result will stand, and you must re-enrol in the unit.
In emergency circumstances, such as in cases of serious illness or injury, you must forward a medical certificate in support of a deferred appeal. The notice of appeal must be made within three working days of the concluding date shown on the medical certificate.
The decision of Chief Executive Officer will be final.
Student would then have the right to pursue the claim through an independent external body as detailed in the students complaint / grievance policy.

Plagiarism:

Plagiarism means to take and use another person's ideas and or manner of expressing them and to pass them off as your own by failing to give appropriate acknowledgement. This includes material sourced from the internet, RTO staff, other students, and from published and unpublished work.

Plagiarism occurs when you fail to acknowledge that the ideas or work of others arebeing used, which includes:

Paraphrasing and presenting work or ideas without a reference

Copying work either in whole or in part

Presenting designs, codes or images as yourown work

Using phrases and passages verbatim without quotation marks or referencing the author or web page

Reproducing lecture notes without proper acknowledgement.

Collusion:

Collusion means unauthorised collaboration on assessable work (written, oral or practical) with other people. This occurs when a student presents group work as their own or as the work of someone else.

Collusion may be with another RTO student or with individuals or students external to the RTO. This applies to work assessed by any educational and training body in Australia or overseas.

Collusion occurs when youwork without the authorisation of the teaching staff to:

Work with one or more people to prepare and produce work

Allow others to copy your work or share your answer to an assessment task

Allow someone else to write or edit yourwork (without RTO approval)

Write or edit work for another student

Offer to complete work or seek payment for completing academic work for other students.

Both collusion and plagiarism can occur in group work. For examples of plagiarism, collusion and academic misconduct in group work please refer to the RTOs policy on Academic integrity, plagiarism and collusion.

Plagiarism and collusion constitute cheating. Disciplinary action will be taken against students who engage in plagiarism and collusion as outlined in RTOs policy.

Proven involvement in plagiarism or collusion may be recorded on students academic file and could lead to disciplinary

Assessment Requirements:

You are required to complete and pass every task in the assessment to be deemed competent.

UAT 1 Unit Knowledge Test (UKT)

Pre-assessment checklist

Purpose

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.

Information for students

Please make sure you have completed the necessary prior learning before attempting this assessment.
Please make sure your Trainer/Assessor has clearly explained the assessment process and tasks to be completed.
Please make sure you understand what evidence is required to be collected and how.
Please make sure you know your rights and the complaints and appeal process.
Please 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).
Please make sure that you have access to a computer and the internet (if you prefer to type the answers).
Please ensure that you have all the required resources needed to complete this Unit Assessment Task (UAT).
Due date of this assessment task is according to 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.
Request for an extension to submit your assessment work must be made before the due date of this assessment task.

Reasonable adjustments

If student has requested a reasonable adjustment, then complete the reasonable adjustment form included in the unit information pack.

Student declaration

I confirm that Trainer/Assessor has provided all the information related to the assessment task as included in the information for student section and I am ready for the assessment.

Student signature

Date

Assessment task instructions

Assessment type:

Written Questions

Instructions provided to the student:

Assessment task description:

This is the first (1) unit of assessment task that the student must successfully complete to be deemed competent in this unit of competency.
The Unit Knowledge Test is comprised of twenty-six (26) written questions.
Student must respond to all the questions and submit them to the Trainer/Assessor.
Student must answer all questions to the required level, e.g. provide the number of points, to be deemed satisfactory in this task.
Trainer/Assessor is required to provide feedback within two weeks and notify students when results are available.

Applicable conditions:

This knowledge test is untimed and is conducted as an open book test (this means student can refer to textbooks during the test).
Student must read and respond to all questions.
Student may handwrite/use computers to answer the questions.
Student 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.
Trainer /Assessor must assess students written skills and knowledge as he/she completes this assessment task.
The Trainer/Assessor may ask the student relevant questions on this assessment task to ensure that this is his/her own work.

Resubmissions and reattempts:

Where a students answers are deemed not satisfactory after the first attempt, a resubmission attempt will be allowed.
Student may speak to their Trainer/Assessor if the student has any difficulty in completing this task and requires a reasonable adjustment (e.g., can be given as an oral assessment).
For more information, please refer to the RTO Student Handbook.

Location:

This assessment task may be completed in (tick the relevant box):

Learning Management System	Classroom
Simulated learning environment	Workplace
Other: ____________________________________

Trainer/Assessor will provide the student with further information regarding the location for completing this assessment task.

Purpose of the assessment

The purpose of the assessment is to check knowledge relevant to the unit.

Instructions for answering written questions:

Students must complete a written assessment consisting of a series of questions.
It is expected from students to correctly answer all the questions.
Answers must demonstrate an understanding and application of relevant concepts, critical thinking, and good writing skills.
Students must respond to all questions for this assessment in a concise manner, providing only information that is relevant.
Student must use non-discriminatory language. The language should not devalue, demean, or exclude individuals or groups on the basis of such attributes including gender, disability, culture, race, religion, sexual preference, age and/or any other basis. Gender inclusive language should be used.

Resources required to complete the assessment task:

Assessors must not accept responses/answers that have been copied directly from other sources materials.
Computer
Internet
MS Word
Printer or e-printer
Unit Assessment Task
Access to learner guide and other learning materials.

Question 1: Multiple choice question.

Which is the code of practice for hazard identification and risk control when working at heights?

A. Work Health and Safety Code of Practice 2015

B. Work Health and Safety (Managing the Risk of Falls at Workplaces) Code of Practice 2015

C. Work Health and Safety Risks Code of Practice 2015

D. None of the above.

Satisfactory response

Yes

Question 2: List two (2) workplace and regulatory requirements for hazard identification and risk control when working at heights?	Satisfactory response
	Yes	No

Question 3: Multiple choice question.

The AS 1891.4 Industrial fall-arrest systems and devices, contains how many parts in the series of standards?

A. 6

B. 7

C. 5

D. 2

Satisfactory response

Yes

Question 4. Match the workplace and regulatory requirements for working safely at heights to the corresponding safety procedure (JSEAS, SWMSS and SDS)

Safety Procedure.	Workplace and regulatory requirements
Job safety and environmental analyses JSEA	A) Ensure adequate training has been provided for handling materials at heights. All hazardous substances are to be assessed before use to ascertain what degree of risk the substance poses to personnel.
Safe work method statements SWMSS	B) A given job shall be broken down into sequential steps Validation of the action steps shall be done in consultation with the employee performing the job.
Safety data sheets SDS	C) Should identify the applicable codes and legislations for the task. A generic one may be used for work activities that are undertaken out on a regular basis.

Satisfactory response

Yes

Question 5. Fill in the missing words with the words provided.

document information equipment operations

The __________manual is a _________much like a learner resource that will contain all the relevant _________required to operate plant, tools, and ___________according to manufacturers instructions and specifications

Satisfactory response

Yes

Question 6. True or False.

All plant, machinery, tools, and equipment manufacturers must provide this supporting documentation.

Directions to safely operate in the workplace

Design specifications

Limitations

Hazards and precautions

Inspections and maintenance

Satisfactory response

Yes

Question 7. What is the Australian Standard that provides instructions for signage and barricades when operating plant, tools and equipment?	Satisfactory response
	Yes	No

Question 8. Multiple choice question.

The safety sign on plant should include what words?

A. Capacity Loaded

B. Capacity Rated

C. Rated Capacity

D. All the responses

Satisfactory response

Yes

Question 9. True or False.

Load charts identify what load a crane or other plant can lift safely?

Satisfactory response

Yes

Question 10. Where can you source additional information on selecting, fitting, and using personal protective equipment?	Satisfactory response
	Yes	No

Question 11. Fill in the missing words with the words provided.

plans impacts development substitution environmental

____________and worksite safety ______are documents detailing the potential environmental ___________of a proposed __________and the ways in which these impacts may be reduced through management strategies and site practices for example _________ of fuel powered equipment for electrically powered equipment if practical.

Satisfactory response

Yes

Question 12. Multiple choice question.

Reporting problems with plant, tools or equipment are documented where?

A. A site observation report

B. JSA

C. SWMS

D. Cleaning checklist

Satisfactory response

Yes

Question 13. Match the planning tasks for working safely at heights to their corresponding process.

Planning Tasks.	Processes.
1. Site inspection	A. Reading work orders, job specifics and drawings are used to determine the work requirements. Toolbox meetings and communication assist with determining any additional work requirements.
2. Assessment of weather and ground conditions	B. Pre-operational checks are to be conducted to assess any equipment defects prior to use. Reading safety manuals and instructions assist in determining any faults. Attending training for new equipment.
3. Assessment of conditions and hazards	C. Ask your workers about any problems they encounter or anticipate when constructing or interacting with these systems. Inspect and review your incident and injury records including near misses.
4. Determination of work requirements	D. Visual inspection, pre check weather sources.
5. Identification of equipment defects	E. Participating in site inspections, JSAs and SWMSs.
6. Methods for identifying common faults with scaffold or work platform systems	F. Participating in site inductions and inspections

Satisfactory response

Yes

Question 14. True or False.

Any person required to be on a roof covered with fragile roofing materials must use the walkways and crawl boards provided.

Satisfactory response

Yes

Question 15. Multiple choice question.

The characteristics, uses and limitations of an Edge protection when safely working at heights are:

A. Barriers erected around the edge of a building, consisting of guard railing around walkways to prevent falls, this system must be installed and dismantled at the site.

B. Protective wire mesh placed over holes and requires appropriate training.

C. Assembly of interconnected shoulder and leg straps attached to a fall-arrest static line and should not work in isolation.

D. None of the above.

Satisfactory response

Yes

Question 16. Fill in the missing words with the words provided.

harness falling interconnected equipment belt prevent

A fall-arrest ________is an assembly of __________shoulder and leg straps, with or without a body ______designed to spread the load over the body and to ________the wearer from ________out of the assembly. Correctly installed fall-arrest ___________will only safely arrest a fall if there are no obstructions in the fall path.

Satisfactory response

Yes

Question 17. Match the types of equipment used when working safely at heights to their characteristics, uses and limitations.

Equipment	Characteristics, Uses and Limitations.
A. Elevated work platforms (EWPS)	1. Railing or vertical containment sheeting to provide protection around the edge of work areas while working at heights. Height must be between 900 mm and 1100 mm above the working surface.
B. Guard rails	2. Plank type system to reach heights below 2m. Not suitable for working at 2 metres or above and only suited to light duty tasks.
C. Scaffolding	3. A work platform that when controlled mechanically rises with the person safely guarded to reach heights. Where length is 11 m or more, the operator must hold a Certificate of Competency.
D. Ladders	4. A temporary work platform to reach heights, rated as light, medium or heavy duty. If there is a risk of falling more than 4 m these must be erected by a certified professional.
E. Trestles	5. Scaffolding system, assembly of modules is completed on the ground and elevated into place. Ground clearance is a restriction.
F. Stairways	6. Essential portable equipment, various lengths and used for a variety of tasks. Only light duty work is undertaken one these where three points of contact can be maintained, and tools can be operated safely with one hand

Satisfactory response

Yes

Question 18. Match the types of equipment used when working safely at heights to their characteristics, uses and limitations.

Equipment	Characteristics, Uses and Limitations.
A. Lanyard and components of fall protections system and rescue equipment.	1. Used in combination with safety harnesses as a part of a fall protection system when working at a height of more than six feet above the ground. Fixed length - providing limited reach, often needing frequent repositioning.
B. Shock absorbers	2. Also known as a travel restraint system prevents the user from approaching an unprotected edge on a building or structure. The system consists of a safety harness connected by this to a suitable anchorage point or static line. Requires a high level of user skill to operate safely and requires greater supervision.
C. Static line systems	3. A system used to provide access to a work area, vertically suspending a worker in a harness. These systems are more labour-intensive
D. Ropes - Industrial rope access system	4. Also known as fall arrest pulleys. These can be attached to an anchor point or static line. Provides a 2m working capacity. They contain a snap hook end and a scaffold hook end. Additional training, equipment maintenance, and setup time is required.
E. Fall arrest inertia reels	5. Also known as a cable system. These provide unrestricted movement while completing tasks at heights horizontally. Must consider the distance.

Satisfactory response

Yes

Question 19. True or False.

Rescue equipment for working at heights consists of kits of safety harnesses, lanyards, and attachments such as snap hooks, carabiners rope grabs, or any other component of a fall protection system.

Satisfactory response

Yes

Question 20. Match the types of equipment used when working safely at heights to their characteristics, uses and limitations.

Equipment	Characteristics, Uses and Limitations.
A. Anchor points	1. Much like the fall arrest anchors. It allows accessibility along a length of area on a temporary basis. Finding a rated anchor point can be more difficult.
B. Fall arrest anchors	2. A type of fall protection equipment used while accessing different areas on a roof to provide added fall protection. Weight limitations need to be considered and tested prior to use.
C. Temporary anchor systems	3. These consist of an anchor point, full body harness, and a self-retracting lifeline and limit the peak load on the harness connection working at heights. These may allow limited coverage.

Satisfactory response

Yes

Question 21. Match the following tools to their corresponding characteristics, uses and limitations when working safely at heights:

Equipment	Characteristics	Uses	Limitations.	Correct Matches.
1. Hand tools: Hammer, tape, level.	A. Must be properly secured.	B. Uses a power source.	C. Fixing roof members.	1 =
2. Power tools: Nail gun.	D. Work from a platform as you need 2 hands to operate.	E. Powered by hand.	F. Measuring, levelling, and fixing roof members.	2 =

Satisfactory response

Yes

Question 22. Multiple choice question.

The characteristics, uses and limitations of air compressors and hoses when working safely at heights are:

A. Uses a power source, can be heavy and hard to transport at heights.

B. Maintains proper pressure in your tools, can be expensive yet convenient if it can be tethered to storage and transport equipment

C. Designed to be used by hand, must be properly secured on EWP.

D. None of the above.

Satisfactory response

Yes

Question 23. Multiple choice question.

Which one is not a characteristic, use or limitation of power leads used when working safely at heights:

A. Can come in varying lengths

B. Only used when tools or equipment cables cannot reach the power socket

C. Should not be protected against mechanical damage

D. Used on any surface and within 150 mm of, or attached to, scaffolding

Satisfactory response

Yes

Question 24. List 2 safe work methods for accessing and traversing between anchor points the work area when working at heights.	Satisfactory response
	Yes	No

Question 25. List 2 safe methods for exiting from work area when working at heights.	Satisfactory response
	Yes	No

Question 26. List 2 safe methods for removing tools and materials when working at heights.	Satisfactory response
	Yes	No

Question 27. Fill in the missing words with the words provided.

discussed personnel reviewed SWMS amended

Before each new activity, the ______ must be _______with relevant _________then ________and revised to ensure it applies to the work and the actual workplace or whether the SWMS needs to be _________as required.

Satisfactory response

Yes

Question 28. What is the most common communication system that is used when working at heights?	Satisfactory response
	Yes	No

UAT 2 Unit Project

Pre-assessment checklist

Purpose

Information for students

Please make sure you have completed the necessary prior learning before attempting this assessment.
Please make sure your Trainer/Assessor has clearly explained the assessment process and tasks to be completed.
Please make sure you understand what evidence is required to be collected and how.
Please make sure you know your rights and the complaints and appeal process.
Please 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).
Please make sure that you have access to a computer and the internet (if you prefer to type the answers).
Please ensure that you have all the required resources needed to complete this Unit Assessment Task (UAT).
Due date of this assessment task is according to 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.
Request for an extension to submit your assessment work must be made before the due date of this assessment task.

Reasonable adjustments

If a student requires a reasonable adjustment, then complete the reasonable adjustment form included in the unit information pack.

Student declaration

I confirm that the Trainer/Assessor has provided all the information related to the assessment task as included in the information for student section and I am ready for the assessment.

Student signature

Date

Assessment task instructions

Assessment type:

Unit Project

Instructions provided to the student:

Assessment task description:

This is the second (2) unit assessment task that student has to successfully complete to be deemed competent in this unit of competency.
The student is required to complete three practical activities.
Activity 1: Work safely at heights - Erecting upper-level wall frames.
Activity 2: Work safely at heights - Installing prefabricated roof trusses.
Activity 3: Work safely at heights Installing battens.
The student must attempt all criteria to the required level, e.g., Assessment criteria mentioned in the performance checklist to be deemed satisfactory in this task.

Applicable conditions:

All activities are timed.
The student 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.
Trainer /Assessor must assess students practical skills, technique, and knowledge as he/she completes this assessment task.
The Trainer/Assessor may ask the student relevant questions on this assessment task to ensure that this is his/her own work.

Resubmissions and reattempts:

Where a students performance is deemed not satisfactory after the first attempt, a resubmission attempt will be allowed. Assessor must note any such submissions.
Student may speak to their Trainer/Assessor if the student has any difficulty in completing this task and requires a reasonable adjustment (e.g., can be given as an oral assessment).
For more information, please refer to the RTO Student Handbook.

Location:

This assessment task may be completed in (tick the relevant box):

Learning Management System	Classroom
Simulated learning environment	Workplace
Other: ____________________________________

Purpose of the assessment:

Purpose of this assessment is to check skills and knowledge related to performance criteria and performance evidence of the unit.

General Instructions for attempting the project:

Student must complete all the activities of this assessment task.
Answers must demonstrate an understanding and application of relevant concepts, critical thinking, and good writing skills.
The student must complete all the provided templates (if any).

Resources required to complete the assessment task:

Computer
Internet
MS Word
Access to Industry-standard equipment required to perform the tasks specified in the Performance Evidence
Fall protection, fall arrest, and fall prevention equipment and systems.
Access to personal protective equipment
Access to appropriate workplace information and records, including policies, procedures, and legislative requirements. (Appendix A Working at heights policies and procedures)
Access to learner guide and other learning materials.

Activity 1: Work safely at heights - Erecting upper-level wall frames.

Your task	In this activity you are required to work above heights of 2 meters using fall protection to erect upper-level wall frames. You must complete the following: Read, discuss, and follow work instructions in Appendix A - Working at heights policies and procedures with your Trainer/Assessor or Supervisor and complete Template 1 - SWMS. Determine the task requirements. Perform procedures to prepare for working at heights. Fit and use harness system with 3 anchor points. Access work area using fall protection equipment/devices. Erect upper-level wall frames according to safe procedures. Manage effective tool use while working at height. Exit work are using fall protection equipment/devices. Clean up and store PPE, harness, and attachments appropriately. Clean up and store tools, and equipment appropriately. Review SWMS and adjust if needed.
You will be required to complete and/or attach.	After completing your Template 1 SWMS you need to submit to your trainer/assessor. Your trainer will observe your performance and complete the following performance checklist.
Resources required	Wall frame materials. Required tools and equipment (hand, power and pneumatic). Fall protection equipment and devices. Signage and barricades. PPE. Australian Standards listed in Appendix A - Working at heights policies and procedures.
Timeframe	You have 4-5 hours to complete this task.

Template 1 SWMS

Safe Work Method Statement (SWMS)

Section 1

Company: (Name, Contact Person & Phone)
Project/Site:	Principal Contractor:
Job Task:	SWMS No.
Date Created:	Revision Number:	Review Date:

Workers Involved in Developing this SWMS
Print Name:	Signature:

Relevant Australian Standards / Codes of Practice / Legislation
SDS/Material Safety Data Sheets Required
Plant & Equipment Required
Licenses / Competencies Required
Hot Work Permit ?Yes	Confined Space Permit ?Yes	Crane Lift Plan / Permit ?Yes	Other Permit ?Yes
Applicable Permit Number(s):
PPE Required:

Section 2:

High Risk Work:	?Structural Collapse	?Confined Spaces	?Work in Tunnel	?Explosives
?Fall from Heights > 2m	?Demolition of Structures	?Excavation >1.5m	?Mobile Plant	?Drowning
?Asbestos	?Pressurised Gas Pipes/Mains	?Electrical	?Traffic	?Tilt-up/Precast Concrete
?Telecommunication Towers	?Contaminated/Flammable Atmosphere	?Extremes of Artificial Temperature	?Chemical/Fuel/Refrigerant Lines

Task/Location Specific Risks:	?Ground Conditions	?Noise	?Water Pollution	?Weather
?Access & Egress	?Compressed Air	?Cultural / Heritage Area	?Soil Pollution	?Obstacles / Buildings
?Overhead Obstructions	?Quick Cut Saw	?Snakes / Vermin	?Rotating Machinery	?Other (refer to hazard prompt list)
?Underground Services	?Angle Grinder	?Dust	?Fatigue
?Pedestrians / Workers	?Hot Work / Burns	?Significant Trees	?Exposure to UV
?Unauthorised Persons	?Poor Lighting	?Flora & Fauna	?Ignitions Sources
Have you considered the site-specific hazards? Lay of the land Obstacles (buildings, workers, excavations, plant) Changes to site conditions Other contractors work in progress Have you considered weather conditions? Wind, rain, heat and or cold. Have you considered job specific details? Different material and or different equipment. Any other factor that may make affect the risks associated with performing this task?

Section 3:

Step 1

Consequences
5 Severe	Potential to be fatal. Permanent disability. Destruction of property or plant.
4 Major	Serious injury. Long term disability. Major damage to plant, property or environment.
3 Moderate	Potential for injury resulting in medical attention. Damage to plant, property or environment.
2 Minor	Injury requiring First Aid treatment and / or short term discomfort.
1 Negligible	Cause a near miss, needs to be reported

Step 2

Potential (Likelihood)
A Almost Certain	This event is expected to occur in most circumstances
B Likely	The event will probably occur in most circumstances
C Possible	The event might occur at some time
D Unlikely	The event could occur at some time
E Rare	The event may occur only in exceptional circumstances

Step 3

Matrix	Consequences
Potential	1 Negligible	2 Minor	3 Moderate	4 Major	5 Severe
A Almost Certain	M (9)	S (15)	S (19)	H (24)	H (25)
B Likely	L (7)	M (11)	S (18)	S (21)	H (23)
C Possible	L (5)	L (6)	M (13)	S (17)	H (22)
D Unlikely	L (3)	L (4)	M (10)	M (14)	S (20)
E Rare	VL (1)	L (2)	M (8)	M (12)	S (16)

Legend

Risk Rating
High	Activity to be re-planned and/or re-designed. If this is not possible, an independent Hazard Assessment of the activity is to be completed by the Project Manager prior to completing the SWMS
Significant	Activity Must be reviewed by Senior Site Management Representative and have identified risk controls built into the SWMS and work procedure
Medium	Site Supervisor must review method of task.
Low	Some action may be required, Supervisor to determine and monitor
Very Low	Minimal risk, monitor where work changes

Section 4:

Job Step	Potential Hazards and Risks	Risk Rating	Control	Residual Risk	Person Responsible for Controls
Break the job into steps	What can cause harm at each step High risk work is to be kept to its own cell	S (17)	Describe the control measures and how they will be used	M (8)	EXAMPLE

Safe Work Method Statement
WORKERS INVOLVED IN JOB TASK We, the undersigned, confirm that we have been consulted regarding the above SMWS and that its content is clearly understood. We also confirm that our required qualification(s) etc. to undertake this activity, isare current and that we are competent to complete the work safely and without risk to our own health or the health and safety of others. We clearly understand that the control(s) in this SWMS must be applied as documented, otherwise work is to cease immediately, and we will ensure that the work area is made safe, as far as reasonably practicable.
Print Name:	Company:	Signature:	Date:

I, the undersigned Supervisor, confirm that I have checked all qualifications provided and verify that they are applicable and current. I have also ensured that all inductions have taken place and that all tools and equipment are properly maintained and safe to use. I have issued all relevant permits and have ensured to the best of my ability that the work area is safe and that the work will not damage any property or injure any persons.
Supervisor Name:		Signature:	Date:

	Performance criteria checklist for unit assessment task:
Trainer/ Assessor to complete
Does the candidate meet the following criteria		Yes	No	Trainer/Assessor Comments
Identify task requirements. Read and discuss work instructions in Appendix A Working at heights policies and procedures. Interpreted and discussed with Trainer/Assessor or Supervisor the provided drawings to determine the Erecting upper-level wall frames task. Where and how work is to be carried out. What tools, equipment or plant is to be used. Developed Template 1 SWMS. Confirmed suitable control measures. Complied with workplace and regulatory requirements in Appendix A Working at heights policies and procedures. Reviewed completed SWMS with Trainer/Assessor or Supervisor and discussed any issues.
Access and assess work area. Determined access method for entry and exit of work area. Selected and fit PPE. Checked for serviceability or any faults and reported to Trainer/Assessor or Supervisor. Determined the condition of the work area. Checked stability. Implemented suitable control measures. Checked fall protection equipment has been installed correctly. Scaffold, Guard railings, edge protection and barricades. Determined and installed suitable signage and barricade equipment. Using SWMS Accessed and entered work area safely through fall protection methods.
Conduct work tasks. Erected upper-level wall frames. Following SWMS and workplace requirements. Communicated effectively with Trainer/Assessor or Supervisor during the task. Ensured fall protection equipment was kept in place and adjusted safely to allow for movement during work. Kept scaffold/work platform components and fall barriers in place during work. Moved and place tools, equipment, and materials during the task. Used methods to prevent the risk of falling objects. Carefully considered and followed control measures in place. Discussed with Trainer/Assessor or Supervisor of any changes. Accessed and exited work area safely through fall protection methods. Removed tools and materials following instructions and requirements.

	Activity 2: Work safely at heights - Installing prefabricated roof trusses.
Your task.		In this activity you are required to work above heights of 2 meters using restraint technique (anchor point) system to install prefabricated roof trusses. You must complete the following: Read, discuss, and follow work instructions in Appendix A - Working at heights policies and procedures with your Trainer/Assessor or Supervisor and complete Template 1 - SWMS. Determine the task requirements. Perform procedures to prepare for working at heights. Fit and use harness system with 3 anchor points. Access work area using fall protection equipment/devices. Erect upper-level wall frames according to safe procedures. Manage effective tool use while working at height. Exit work are using fall protection equipment/devices. Clean up and store PPE, harness, and attachments appropriately. Clean up and store tools, and equipment appropriately. Review SWMS and adjust if needed.
You will be required to complete and/or attach.		After completing your Template 1 SWMS you need to submit to your trainer/assessor. Your trainer will observe your performance and complete the following performance checklist.
Resources required		Prefabricated trusses and materials. Required tools and equipment (hand, power and pneumatic). Fall protection equipment and devices. Signage and barricades. PPE. Australian Standards listed in Appendix A - Working at heights policies and procedures.
Timeframe		You have 4-5 hours to complete this task.

Template 1 SWMS

Safe Work Method Statement (SWMS)

Section 1

Company: (Name, Contact Person & Phone)
Project/Site:	Principal Contractor:
Job Task:	SWMS No.
Date Created:	Revision Number:	Review Date:

Workers Involved in Developing this SWMS
Print Name:	Signature:

Relevant Australian Standards / Codes of Practice / Legislation
SDS/Material Safety Data Sheets Required
Plant & Equipment Required
Licenses / Competencies Required
Hot Work Permit ?Yes	Confined Space Permit ?Yes	Crane Lift Plan / Permit ?Yes	Other Permit ?Yes
Applicable Permit Number(s):
PPE Required:

Section 2:

High Risk Work:	?Structural Collapse	?Confined Spaces	?Work in Tunnel	?Explosives
?Fall from Heights > 2m	?Demolition of Structures	?Excavation >1.5m	?Mobile Plant	?Drowning
?Asbestos	?Pressurised Gas Pipes/Mains	?Electrical	?Traffic	?Tilt-up/Precast Concrete
?Telecommunication Towers	?Contaminated/Flammable Atmosphere	?Extremes of Artificial Temperature	?Chemical/Fuel/Refrigerant Lines

Task/Location Specific Risks:	?Ground Conditions	?Noise	?Water Pollution	?Weather
?Access & Egress	?Compressed Air	?Cultural / Heritage Area	?Soil Pollution	?Obstacles / Buildings
?Overhead Obstructions	?Quick Cut Saw	?Snakes / Vermin	?Rotating Machinery	?Other (refer to hazard prompt list)
?Underground Services	?Angle Grinder	?Dust	?Fatigue
?Pedestrians / Workers	?Hot Work / Burns	?Significant Trees	?Exposure to UV
?Unauthorised Persons	?Poor Lighting	?Flora & Fauna	?Ignitions Sources
Have you considered the site-specific hazards? Lay of the land Obstacles (buildings, workers, excavations, plant) Changes to site conditions Other contractors work in progress Have you considered weather conditions? Wind, rain, heat and or cold. Have you considered job specific details? Different material and or different equipment. Any other factor that may make affect the risks associated with performing this task?

Section 3:

Step 1

Consequences
5 Severe	Potential to be fatal. Permanent disability. Destruction of property or plant.
4 Major	Serious injury. Long term disability. Major damage to plant, property or environment.
3 Moderate	Potential for injury resulting in medical attention. Damage to plant, property or environment.
2 Minor	Injury requiring First Aid treatment and / or short term discomfort.
1 Negligible	Cause a near miss, needs to be reported

Step 2

Potential (Likelihood)
A Almost Certain	This event is expected to occur in most circumstances
B Likely	The event will probably occur in most circumstances
C Possible	The event might occur at some time
D Unlikely	The event could occur at some time
E Rare	The event may occur only in exceptional circumstances

Step 3

Matrix	Consequences
Potential	1 Negligible	2 Minor	3 Moderate	4 Major	5 Severe
A Almost Certain	M (9)	S (15)	S (19)	H (24)	H (25)
B Likely	L (7)	M (11)	S (18)	S (21)	H (23)
C Possible	L (5)	L (6)	M (13)	S (17)	H (22)
D Unlikely	L (3)	L (4)	M (10)	M (14)	S (20)
E Rare	VL (1)	L (2)	M (8)	M (12)	S (16)

Legend

Risk Rating
High	Activity to be re-planned and/or re-designed. If this is not possible, an independent Hazard Assessment of the activity is to be completed by the Project Manager prior to completing the SWMS
Significant	Activity Must be reviewed by Senior Site Management Representative and have identified risk controls built into the SWMS and work procedure
Medium	Site Supervisor must review method of task.
Low	Some action may be required, Supervisor to determine and monitor
Very Low	Minimal risk, monitor where work changes

Section 4:

Job Step	Potential Hazards and Risks	Risk Rating	Control	Residual Risk	Person Responsible for Controls
Break the job into steps	What can cause harm at each step High risk work is to be kept to its own cell	S (17)	Describe the control measures and how they will be used	M (8)	EXAMPLE

Safe Work Method Statement
WORKERS INVOLVED IN JOB TASK We, the undersigned, confirm that we have been consulted regarding the above SMWS and that its content is clearly understood. We also confirm that our required qualification(s) etc. to undertake this activity, isare current and that we are competent to complete the work safely and without risk to our own health or the health and safety of others. We clearly understand that the control(s) in this SWMS must be applied as documented, otherwise work is to cease immediately, and we will ensure that the work area is made safe, as far as reasonably practicable.
Print Name:	Company:	Signature:	Date:

I, the undersigned Supervisor, confirm that I have checked all qualifications provided and verify that they are applicable and current. I have also ensured that all inductions have taken place and that all tools and equipment are properly maintained and safe to use. I have issued all relevant permits and have ensured to the best of my ability that the work area is safe and that the work will not damage any property or injure any persons.
Supervisor Name:		Signature:	Date:

	Performance criteria checklist for unit assessment task:
Trainer/ Assessor to complete
Does the candidate meet the following criteria				Yes	No	Trainer/Assessor Comments
Identify task requirements. Read and discuss work instructions in Appendix A Working at heights policies and procedures. Interpreted and discussed with Trainer/Assessor or Supervisor the provided drawings to determine the Erecting upper-level wall frames task. Where and how work is to be carried out. What tools, equipment or plant is to be used. Developed Template 1 SWMS. Confirmed suitable control measures. Complied with workplace and regulatory requirements in Appendix A Working at heights policies and procedures. Located 3 anchor points to use for harness system. Reviewed completed SWMS with Trainer/Assessor or Supervisor and discussed any issues.
Access and assess work area. Determined access method for entry and exit of work area. Selected and fit PPE. Checked for serviceability or any faults and reported to Trainer/Assessor or Supervisor. Selected and fit fall restraint and fall arrest devices. Harness system. Checked for serviceability or any faults and reported to Trainer/Assessor or Supervisor. Determined the condition of the work area. Checked stability. Implemented suitable control measures. Checked fall protection equipment has been installed correctly. Scaffold, Guard railings, edge protection and barricades. Determined and installed suitable signage and barricade equipment. Using SWMS Connected harness to fall protection equipment and discussed with Trainer/Assessor or Supervisor. Including temporary anchor points. Preventing a risk of a fall from height. Accessed and entered work area safely through fall protection methods.
Conduct work tasks. Installed prefabricated roof trusses. Following SWMS and workplace requirements. Performed tasks moving between 3 anchor points while remaining connected to the fall prevention system. Communicated effectively with Trainer/Assessor or Supervisor during the task. Ensured fall protection and prevention equipment was kept in place and adjusted safely to allow for movement during work. Stopped and put tools down securely to adjust. Kept scaffold/work platform components and fall barriers in place during work. Moved and place tools, equipment, and materials during the task. Used methods to prevent the risk of falling objects. Carefully considered and followed control measures in place. Discussed with Trainer/Assessor or Supervisor of any changes. Accessed and exited work area safely through fall protection methods. Removed tools and materials following instructions and requirements.
		Activity 3: Work safely at heights Installing battens.
Your task			In this activity you are required to work above heights of 2 meters using fall protection to Install battens. You must complete the following: Read, discuss, and follow work instructions in Appendix A - Working at heights policies and procedures with your Trainer/Assessor or Supervisor and complete Template 1 - SWMS. Determine the task requirements. Perform procedures to prepare for working at heights. Fit and use required PPE. Access work area using fall protection equipment/devices. Install battens according to safe procedures. Manage effective tool use while working at height. Exit work are using fall protection equipment/devices. Clean up and store PPE, tools, and equipment appropriately. Review SWMS and adjust if needed.
You will be required to complete and/or attach.			After completing your Template 1 SWMS you need to submit to your trainer/assessor. Your trainer will observe your performance and complete the following performance checklist.
Resources required			Required materials. Required tools and equipment (hand, power and pneumatic). Fall protection equipment and devices. Signage and barricades. PPE. Australian Standards listed in Appendix A - Working at heights policies and procedures.
Timeframe			You have 4-5 hours to complete this task.

Template 1 SWMS

Safe Work Method Statement (SWMS)

Section 1

Company: (Name, Contact Person & Phone)
Project/Site:	Principal Contractor:
Job Task:	SWMS No.
Date Created:	Revision Number:	Review Date:

Workers Involved in Developing this SWMS
Print Name:	Signature:

Relevant Australian Standards / Codes of Practice / Legislation
SDS/Material Safety Data Sheets Required
Plant & Equipment Required
Licenses / Competencies Required
Hot Work Permit ?Yes	Confined Space Permit ?Yes	Crane Lift Plan / Permit ?Yes	Other Permit ?Yes
Applicable Permit Number(s):
PPE Required:

Section 2:

High Risk Work:	?Structural Collapse	?Confined Spaces	?Work in Tunnel	?Explosives
?Fall from Heights > 2m	?Demolition of Structures	?Excavation >1.5m	?Mobile Plant	?Drowning
?Asbestos	?Pressurised Gas Pipes/Mains	?Electrical	?Traffic	?Tilt-up/Precast Concrete
?Telecommunication Towers	?Contaminated/Flammable Atmosphere	?Extremes of Artificial Temperature	?Chemical/Fuel/Refrigerant Lines

Task/Location Specific Risks:	?Ground Conditions	?Noise	?Water Pollution	?Weather
?Access & Egress	?Compressed Air	?Cultural / Heritage Area	?Soil Pollution	?Obstacles / Buildings
?Overhead Obstructions	?Quick Cut Saw	?Snakes / Vermin	?Rotating Machinery	?Other (refer to hazard prompt list)
?Underground Services	?Angle Grinder	?Dust	?Fatigue
?Pedestrians / Workers	?Hot Work / Burns	?Significant Trees	?Exposure to UV
?Unauthorised Persons	?Poor Lighting	?Flora & Fauna	?Ignitions Sources
Have you considered the site-specific hazards? Lay of the land Obstacles (buildings, workers, excavations, plant) Changes to site conditions Other contractors work in progress Have you considered weather conditions? Wind, rain, heat and or cold. Have you considered job specific details? Different material and or different equipment. Any other factor that may make affect the risks associated with performing this task?

Section 3:

Step 1

Consequences
5 Severe	Potential to be fatal. Permanent disability. Destruction of property or plant.
4 Major	Serious injury. Long term disability. Major damage to plant, property or environment.
3 Moderate	Potential for injury resulting in medical attention. Damage to plant, property or environment.
2 Minor	Injury requiring First Aid treatment and / or short term discomfort.
1 Negligible	Cause a near miss, needs to be reported

Step 2

Potential (Likelihood)
A Almost Certain	This event is expected to occur in most circumstances
B Likely	The event will probably occur in most circumstances
C Possible	The event might occur at some time
D Unlikely	The event could occur at some time
E Rare	The event may occur only in exceptional circumstances

Step 3

Matrix	Consequences
Potential	1 Negligible	2 Minor	3 Moderate	4 Major	5 Severe
A Almost Certain	M (9)	S (15)	S (19)	H (24)	H (25)
B Likely	L (7)	M (11)	S (18)	S (21)	H (23)
C Possible	L (5)	L (6)	M (13)	S (17)	H (22)
D Unlikely	L (3)	L (4)	M (10)	M (14)	S (20)
E Rare	VL (1)	L (2)	M (8)	M (12)	S (16)

Legend

Risk Rating
High	Activity to be re-planned and/or re-designed. If this is not possible, an independent Hazard Assessment of the activity is to be completed by the Project Manager prior to completing the SWMS
Significant	Activity Must be reviewed by Senior Site Management Representative and have identified risk controls built into the SWMS and work procedure
Medium	Site Supervisor must review method of task.
Low	Some action may be required, Supervisor to determine and monitor
Very Low	Minimal risk, monitor where work changes

Section 4:

Job Step	Potential Hazards and Risks	Risk Rating	Control	Residual Risk	Person Responsible for Controls
Break the job into steps	What can cause harm at each step High risk work is to be kept to its own cell	S (17)	Describe the control measures and how they will be used	M (8)	EXAMPLE

Safe Work Method Statement
WORKERS INVOLVED IN JOB TASK We, the undersigned, confirm that we have been consulted regarding the above SMWS and that its content is clearly understood. We also confirm that our required qualification(s) etc. to undertake this activity, isare current and that we are competent to complete the work safely and without risk to our own health or the health and safety of others. We clearly understand that the control(s) in this SWMS must be applied as documented, otherwise work is to cease immediately, and we will ensure that the work area is made safe, as far as reasonably practicable.
Print Name:	Company:	Signature:	Date:

I, the undersigned Supervisor, confirm that I have checked all qualifications provided and verify that they are applicable and current. I have also ensured that all inductions have taken place and that all tools and equipment are properly maintained and safe to use. I have issued all relevant permits and have ensured to the best of my ability that the work area is safe and that the work will not damage any property or injure any persons.
Supervisor Name:		Signature:	Date:

	Performance criteria checklist for unit assessment task:
Trainer/ Assessor to complete
Does the candidate meet the following criteria		Yes	No	Trainer/Assessor Comments
Identify task requirements. Read and discuss work instructions in Appendix A Working at heights policies and procedures. Interpreted and discussed with Trainer/Assessor or Supervisor the provided drawings to determine installing battens. Where and how work is to be carried out. What tools, equipment or plant is to be used. Developed Template 1 SWMS. Confirmed suitable control measures. Complied with workplace and regulatory requirements in Appendix A Working at heights policies and procedures. Interpreted and discussed with Trainer/Assessor or Supervisor the provided drawings to determine installing battens.
Access and assess work area. Determined access method for entry and exit of work area. Selected and fit PPE. Checked for serviceability or any faults and reported to Trainer/Assessor or Supervisor. Determined the condition of the work area. Checked stability. Implemented suitable control measures. Checked fall protection equipment has been installed correctly. Scaffold, Guard railings, edge protection and barricades. Determined and installed suitable signage and barricade equipment. Using SWMS Accessed and entered work area safely through fall protection methods.
Conduct work tasks. Installed battens. Following SWMS and workplace requirements. Communicated effectively with Trainer/Assessor or Supervisor during the task. Ensured fall protection equipment was kept in place and adjusted safely to allow for movement during work. Kept scaffold/work platform components and fall barriers in place during work. Moved and place tools, equipment, and materials during the task. Used methods to prevent the risk of falling objects. Carefully considered and followed control measures in place. Discussed with Trainer/Assessor or Supervisor of any changes. Accessed and exited work area safely through fall protection methods. Removed tools and materials following instructions and requirements.

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Work safely at heights CPCCCM2012

Assessment Pack (UAP) Cover Sheet

Student and Trainer/Assessor Details

Student Declaration

Assessment Outcome

Information for Student:

Re-assessment of Result& Academic Appeal procedures:

Re-assessment Process:

Academic Appeals:

Plagiarism:

Collusion:

Purpose

Information for students

Reasonable adjustments

Student declaration

Assessment type:

Assessment task description:

Applicable conditions:

Potential (Likelihood)

Safe Work Method Statement

Performance criteria checklist for unit assessment task:

Activity 2: Work safely at heights - Installing prefabricated roof trusses.

Workers Involved in Developing this SWMS

Potential (Likelihood)

Safe Work Method Statement

Performance criteria checklist for unit assessment task:

Workers Involved in Developing this SWMS

Consequences

Risk Rating

Safe Work Method Statement

Performance criteria checklist for unit assessment task:

Order New Solution

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Work safely at heights CPCCCM2012

Assessment Pack (UAP) Cover Sheet

Student and Trainer/Assessor Details

Student Declaration

Assessment Outcome

Information for Student:

Re-assessment of Result& Academic Appeal procedures:

Re-assessment Process:

Academic Appeals:

Plagiarism:

Collusion:

Purpose

Information for students

Reasonable adjustments

Student declaration

Assessment type:

Assessment task description:

Applicable conditions:

Potential (Likelihood)

Safe Work Method Statement

Performance criteria checklist for unit assessment task:

Activity 2: Work safely at heights - Installing prefabricated roof trusses.

Workers Involved in Developing this SWMS

Potential (Likelihood)

Safe Work Method Statement

Performance criteria checklist for unit assessment task:

Workers Involved in Developing this SWMS

Consequences

Risk Rating

Safe Work Method Statement

Performance criteria checklist for unit assessment task:

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