WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers...

107
Vacatopn CareCHILDREN’S SERVICES Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017 Vacation Care Excursion Risk Assessment Centre Manly Vale Vacation Care Destination Manly Vale Community Garden 4-8 Innes Road, Manly Vale Date Reviewed: 17/12/2019 Return time Anytime before 4.30 pm Departure time Anytime after 9.00 am Contact number 9942 2576 Certified Supervisor Stacey Hitch Proposed Activities When visiting the Manly Vale Community Garden, the children will exit the Manly Vale Community Centre onto Innes Road and walk along the footpath to the Manly Vale Community Garden approximately 25 metres away. They will enter through the gates to the gated garden and look at the various vegetable patches and beautiful flowers within the garden. They will also be able to have fun on the playground equipment and eat lunch in shaded areas of the garden. Water Hazards Yes No If yes detail in risk assessment Method of transport, including proposed route (eg main roads, road crossings) Walking. See map for walking route. Map attached Yes No Venue and safety information reviewed and attached Yes No Comment (if needed) Number of children attending Up to 45 Number Educators / parents / volunteers Up to 6 Educator to child ratio 1:8 Does excursion warrant a higher ratio? If so provide details. N/A EXCURSION CHECKLIST First Aid Kit List of adults participating in the excursion List of children attending the excursion Contact information for each adult Contact information for each child Mobile phone / other means of communicating with service & emergency services Medical information for each child Other items, please list

Transcript of WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers...

Page 1: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

Vacatopn CareCHILDREN’S SERVICES

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Vacation Care

Excursion Risk

Assessment

Centre Manly Vale Vacation Care Destination Manly Vale Community Garden

4-8 Innes Road, Manly Vale

Date Reviewed: 17/12/2019 Return time Anytime before 4.30 pm

Departure time Anytime after 9.00 am Contact number 9942 2576

Certified Supervisor Stacey Hitch

Proposed Activities When visiting the Manly Vale Community Garden, the children will exit the Manly Vale Community Centre onto Innes Road and walk along the footpath to the Manly Vale Community Garden approximately 25 metres away. They will enter through the gates to the gated garden and look at the various vegetable patches and beautiful flowers within the garden. They will also be able to have fun on the playground equipment and eat lunch in shaded areas of the garden.

Water Hazards

☐ Yes

☒ No

If yes detail in risk assessment

Method of transport, including proposed route (eg main roads, road crossings)

Walking. See map for walking route. Map attached Yes

☐ No

Venue and safety information reviewed and attached

Yes

☐ No

Comment

(if needed)

Number of children attending Up to 45 Number Educators / parents / volunteers Up to 6 Educator to child ratio 1:8

Does excursion warrant a higher ratio? If so provide details. N/A

EXCURSION CHECKLIST

First Aid Kit ☒ List of adults participating in the excursion ☒

List of children attending the excursion ☒ Contact information for each adult ☒

Contact information for each child ☒ Mobile phone / other means of communicating with service & emergency services ☒

Medical information for each child ☒ Other items, please list

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VACATION CARE EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

RISK REGISTER

Activity Risk (What can happen)

Risk Score (using table)

Control measure (what will be implemented to manage the situation)

Risk Score after control (using table)

Pedestrian - Walking Along Footpaths

Medium 11 Obey pedestrian rules

Be observant and cautious at all times when near roads and traffic

Cross at appropriate junctions / places such as traffic lights and pedestrian crossings where possible

Low 4

General Activities - Slips, trips and falls Medium 8 Only allow running in appropriate areas designated by staff

Staff present that are First Aid trained

Educate children before arriving at excursion venue about appropriate behaviour

Coordinator to discuss venue facilities with staff prior to leaving centre or on bus

Low 4

Lunch Breaks - Eating / Drinking Low 2 Make certain all foods are suitable according to allergies / intolerances

Children should always be sitting when eating and drinking to avoid choking

Use correct hygiene practices when serving food to avoid contamination

Follow correct hygiene practices for children

Ensure children have access to drinking water

Ensure children have access to drinking water – ensure children take their refillable drink vessels

Low 1

General Activities - Lost child Low 4 Familiarise the children with site

Ensure gate to garden is closed at all times

Staff to check the bathrooms before children leave the centre to ensure no children are left behind

Low 2

General Activities - Sun exposure Medium 8 All children and staff to apply sunscreen before leaving the centre

All children and staff to wear appropriate clothing including hats

All staff and children to regularly apply sunscreen throughout the visit

Spend as much time as possible in the shade

Ensure all children and staff have a drink bottle or access to water

Encourage regular water intake by stopping activities for a drink break

Ensure Educator models sun protection practices such as wearing hats and sunscreen

Low 2

General – Anaphylaxis – exposure to known or unknown allergens

Medium 8 Collect information prior to excursion about children’s allergies and communicate to staff

Staff keep a closer eye on children who have identified as having allergies

Staff survey the environment for potential allergens and minimise contact

At least one staff member trained in Anaphylaxis management

Staff have first aid certificates

First aid kit available including centre epipen

Low 2

Involvement in outdoor environment activities Medium 8 Be aware of hot surfaces in playground (ensure appropriate footwear is worn at all times)

Completion of Daily Maintenance form

Visually check equipment for suitability and maintenance

Low 1

Page 3: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

VACATION CARE EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Check environment for hazards such as glass, other sharps etc.

Where appropriate remove hazards yourself

Report hazards to appropriate persons

Ensure all gates are secured

Monitoring / supervising children Low 4 Be actively involved with children in their play/activity

Know where each child is and position yourself for maximum supervision of all children

Follow the Active Supervision Risk Assessment

Supervise all children all of the time

Make children easily identifiable with same coloured wristbands in each group of children

Be aware of other people within the same environment as the children at all times

Low 1

Manly Vale Community Garden playground – injury due to rough play or too many children on equipment

Low 2 Staff to supervise and provide clear rules and guidelines for safe play and to ensure that there is no overcrowding on play equipment

Children to participate in taking turns and sharing of the playground equipment

No tackling games

Staff First Aid trained

First Aid Kits available

Low 1

Extreme weather conditions including high winds, hail, excessive precipitation, excessive temperature, bush fires and poor air quality.

Medium 18 Monitor predicated weather conditions via the Bureau of Meteorology Monitor RFS Fires Near Me app

Review air quality status via Air Matters app, be aware of children and adults with respiratory conditions

Modify, or source alternative excursion locations when the extreme weather conditions pose a health and safety risk / hazard to children and adults

Review excursion risk assessment

Update excursion authorisation and permission where required

Ensure the safety of children and adults by seeking shelter if an unpredicted weather event occurs when on an excursion or outdoors

Contact Coordination Unit if advice or assistance is required

Low 5

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VACATION CARE EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Page 5: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

VACATION CARE EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Plan prepared by Stacey Hitch Signature:

Prepared in consultation with Magali Videau Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Page 6: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

CHILDREN’S SERVICES EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

RISK ASSESSMENT

Use the following tables to determine the Consequnce and Likelihood of the risk to provide a Risk Score for the Excursion Risk Register above..

CONSEQUENCE

Severity Community / staff safety

Environmental Financial Image & reputation

Legal / compliance

Service delivery Staff culture / harmony

Severe Multiple deaths and/or multiple people suffering permanent disability

Significant long-term environmental impact

>25% of budget Major decrease in support and significant reputation damage

Breach of compliance requirements

Severe interruption of multiple important services

Extensive impact on organisational morale or performance

Major Single death or person suffering permanent disability

Serious medium to long-term environmental impact

>15% of budget Significant decrease in support and damage to reputation

Breach of compliance requirements

Prolonged interruption of critical services, additional resources required

Major impact on staff morale or performance with long- term significance

Significant Long term serious illness or injury

Widespread short-medium term environmental impact

>10% of budget Decrease in community support likely to require action

Breach of compliance requirements

Medium term temporary interruption of critical services

Significant impact on staff morale or performance involving investigation

Minor Need for medical attention and several days off work

Isolated short-medium term environmental damage

<10% of budget Concerns about performance raised by community

Legally enforceable breach

Short term temporary disruption on business activities

Contained impact on staff morale or performance of short-term significance

Insignificant Minor discomfort Negligible short term environmental impact

<5% of budget Little public concern Internal breach No or minimal disruption to business activities

Isolated or minimal impact on staff morale or performance

LIKELIHOOOD

Almost Certain

The risk is expected to occur during the event

Likely The risk will probably occur during the event

Possible The risk might occur during the event

Unlikely The risk is not expected to occur during the event

Rare The risk is not known to occur in most circumstances

RISK SCORE

LIKELIHOOD CONSEQUENCE

Insignificant Minor Significant Major Severe

Almost Certain Medium 7 Medium 15 High 20 Extreme 23 Extreme 25

Likely Low 6 Medium 9 High 17 High 21 Extreme 24

Possible Low 4 Medium 8 Medium 13 High 18 High 22

Unlikely Low 2 Low 5 Medium 11 Medium 14 High 19

Rare Low 1 Low 3 Medium 10 Medium 12 High 16

Page 7: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

CHILDREN’S SERVICES EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Page 8: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

Vacatopn CareCHILDREN’S SERVICES

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Vacation Care

Arts & Craft Risk

Assessment

Art & Craft Risk Assessment Northern Beaches Council Vacation Care Locations Manly Vale Vacation Care

Manly Vale Community Centre

272 Condamine Street

Manly Vale NSW 2093

Centres Opening Time Children arrive from 7.30am Closing Time 6.00pm

Nominated Supervisor & Contact Number Stacey Hitch – 0408 243 451

Cate Webster – 0434 863 556

Date updated 4/2/2020

Proposed Activities Task, activity or environment being assessed includes:

Painting Using clay

Using glue Sewing

Using scissors Making holes in paper and cardboard

Using tools Cleaning up

Using sharp objects

Number of children attending the centre Licenced for up to 45 children Number of Educators 6 Educator to child ratio 1:15

IN-CENTRE CHECKLIST

First Aid Kit ☒ List of children participating in the activity ☒

Mobile phone/other means of communicating with service & emergency services

☒ List of adults participating in the activity

Medical information for each child ☒ Other items, please list – additional needs -child profiles ☒

Asthma Kit ☒

Page 9: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

VACATION CARE EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

RISK REGISTER

Activity Risk (What can happen)

Risk Score (using table)

Control measure (what will be implemented to manage the situation)

Risk Score after control (using table)

Painting

Contact with eyes and skin

Spillage causing a slip hazard

4

Children are supervised during the activity and given instruction on the safe use

Staff monitor closely children who have been identified as having allergies to materials eg, paint, irritations to the body

First aid kit available

1

Using Scissors

Cuts and "nip" injuries 4 Children are supervised during the activity and given instruction on their safe use

Best practice is to use child safety scissors

Any faulty or damaged scissors are disposed of

1

Making holes in paper and cardboard

Stabbing injuries

Cuts

Abrasions 4

Children are supervised during the activity and given instruction on their safe use

When making holes in materials, a pointed pencil can be used if underside of material is supported by “Blue Tac” or similar

A hole punch is preferred to be used to make holes

If tools are used, a cutting board or mat should be used underneath

1

Using Glue

Contact with skin

Contact with hair

Contact with eyes

4

Children are supervised during the activity and given instruction on the safe use

Children are instructed not to use excessive amounts and to avoid spillage's at all times

Only approved products are to be used

Adhesives to be non-toxic and water based rather than solvent based non-toxic

“Super –glues” and wallpaper paste containing fungicides are not to be used

Children should not use spray adhesives - they may be highly flammable and/or toxic

Caution should be advised when and where glue is used and the area must be well ventilated

Manufacturer’s instruction to be followed

Educators to become aware of the possibility of solvent abuse and children becoming sensitised to solvents and glues

1

Using Clay

Contact with skin and eyes

4

Children are supervised during the activity and given instruction on the safe use

Staff & helpers watch for any adverse reaction when pupils are using the clay

Children thoroughly wash their hands before and after using the clay

Children are given instructions before the activity

Any spillage of clay and/or water are mopped up immediately to avoid a trip/slip hazard

Suitable aprons are supplied to avoid getting clothing soiled

Any tools used to work the clay must be appropriate for the age group and with no sharp edges

Any tools used to work the clay must be washed after use

Clay to be stored in recommended containers to ensure that the clay does not become dry

1

Page 10: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

VACATION CARE EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Sewing

Needle injury

Cotton cut 4

Children are supervised during the activity and given instruction on the safe use

Cotton strands etc are cut using only scissors (not teeth)

Only materials, which can be easily sewn and/or stitched, are to be used to avoid excess pressure being used to sew materials together

1

Using Tools

Cuts

Lacerations

Impact injury

Abrasions

4

Children are supervised during the activity and given instruction on their safe use

All children are shown how to use tools and implements correctly and safely

After each session they should be returned to the toolbox, cupboard, storage area

The storage facility must be out of reach of the children

2

Cleaning up

Dust

Sharp objects 4

Staff should be aware of dust and ensure there is adequate ventilation

A dustpan and brush is used to pick-up sharp objects and rubbish

Environmental sorting of materials

All rubbish etc is collected in an appropriate container or bag and disposed of in a safe way

1

Plan prepared by Stacey Hitch Signature:

Signature: Prepared in consultation with Cate Webster

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 11: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

CHILDREN’S SERVICES EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

RISK ASSESSMENT

Use the following tables to determine the Consequence and Likelihood of the risk to provide a Risk Score for the Excursion Risk Register above..

CONSEQUENCE

Severity Community / staff safety

Environmental Financial Image & reputation

Legal / compliance

Service delivery Staff culture / harmony

Severe Multiple deaths and/or multiple people suffering permanent disability

Significant long-term environmental impact

>25% of budget Major decrease in support and significant reputation damage

Breach of compliance requirements

Severe interruption of multiple important services

Extensive impact on organisational morale or performance

Major Single death or person suffering permanent disability

Serious medium to long-term environmental impact

>15% of budget Significant decrease in support and damage to reputation

Breach of compliance requirements

Prolonged interruption of critical services, additional resources required

Major impact on staff morale or performance with long- term significance

Significant Long term serious illness or injury

Widespread short-medium term environmental impact

>10% of budget Decrease in community support likely to require action

Breach of compliance requirements

Medium term temporary interruption of critical services

Significant impact on staff morale or performance involving investigation

Minor Need for medical attention and several days off work

Isolated short-medium term environmental damage

<10% of budget Concerns about performance raised by community

Legally enforceable breach

Short term temporary disruption on business activities

Contained impact on staff morale or performance of short-term significance

Insignificant Minor discomfort Negligible short term environmental impact

<5% of budget Little public concern Internal breach No or minimal disruption to business activities

Isolated or minimal impact on staff morale or performance

LIKELIHOOOD

Almost Certain

The risk is expected to occur during the event

Likely The risk will probably occur during the event

Possible The risk might occur during the event

Unlikely The risk is not expected to occur during the event

Rare The risk is not known to occur in most circumstances

RISK SCORE

LIKELIHOOD CONSEQUENCE

Insignificant Minor Significant Major Severe

Almost Certain Medium 7 Medium 15 High 20 Extreme 23 Extreme 25

Likely Low 6 Medium 9 High 17 High 21 Extreme 24

Possible Low 4 Medium 8 Medium 13 High 18 High 22

Unlikely Low 2 Low 5 Medium 11 Medium 14 High 19

Rare Low 1 Low 3 Medium 10 Medium 12 High 16

Page 12: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

CHILDREN’S SERVICES EXCURSION RISK ASSESSMENT

Children’s Services Policy 7a: Excursions 2018/092549 Nov 2017

Page 13: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 1 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Risk Assessment Context

Business Unit Childrens Services Date Nov 2020 Use HIRAC Planning Tool and Developing Safe Systems of Work Guidance Document

Risk Assessment Title/ Topic Water play Revision Review Date

Location/ Work Area Cromer / Forestville / Harbord / Manly Vale Vacation Care TRIM Record Number 2020/718777

Reason for Risk Assessment During Water play to ensure safety of all children

Scope of Works (if applicable)

HIRAC Team

This Risk Assessment was developed in consultation with the following workers:

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer 17/11/2020

Participant Nicky Haynes Vacation Care Specialist Administrative Officer

17/11/2020

Risk Assessment Review and Approval

This Risk Assessment is endorsed by the person(s) below:

Full Name Signature Date

Vacation Care Services Coordinator Cate Webster

18/11/2020

Other Senior Manager (if applicable)

By signing the above, you confirm that all risks have been mitigated so far as is reasonably practicable, and you have sighted evidence of consultation with relevant workers regarding the implementation of the risk controls.

Page 14: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 2 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Instructions for Completing this Form

1. Use the HIRAC Planning Tool to plan the risk assessment process, if required. The Developing Safe Systems of Work Guidance Document is also available for assistance.

2. This form is designed to be used as a general risk assessment for an area, task or activity. This assessment can trigger the requirement to perform other specific risk assessments.

3. The Risk Assessment must be developed with a minimum of 3 people to ensure an accurate risk rating. All persons involved must detail their names on page 1 of this form.

4. All risks with a high risk rating must have immediate interim control measures identified. Risks with a high risk rating after controls are implemented shall be escalated to the Executive

Manager.

5. Control measures that require ongoing implementation must have a specific due date and “ongoing” in the due date column.

6. The Manager must ensure that all control measures are assigned to the person(s) responsible, and implemented by the due date.

7. Collect all relevant signatures on the form prior to saving the scanned document in Trim. Update the HIRAC Register accordingly.

Hierarchy of Controls

Control measures can be ranked from the highest level of protection and reliability, to the lowest. Elimination and the other higher order controls must always be considered first. A combination of control measures may be implemented to control a risk, although consider if any new risks are introduced as a result.

Page 15: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 3 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Risk Rating Development

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 16: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 4 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

General WHSE Hazard Prompts

Items to Consider Workplace Hazards Work Activity Hazards Environmental Aspects

Assessing the Risk ☐ Elevated work areas (scaffold, ladders) ☐ Flammable liquid or gas ☐ Odour

What type of harm could occur ☐ Stairs ☐ Hot work, flame or spark ☐ Noise

Factors influencing severity of harm ☐ Holes, openings and penetrations ☐ Animal bites and stings ☐ Vibration

How many people are exposed to the hazard ☐ Falling materials or objects ☐ Hazardous substances and chemicals ☐ Air quality and emissions (*)

Could one failure lead to other failures? ☐ Slips, trips and falls ☐ Moving parts ☐ Flora (*)

Existing processes in place to control risk ☐ Noise ☐ Sharp edges or points ☐ Fauna (*)

Existing emergency arrangements in place ☐ Entry and exit to and from the workplace ☐ Stored energy ☐ Heritage (*)

Assessing the Hazard ☐ Housekeeping practices ☐ Failure or collapse of equipment or

structures ☐ Light pollution

Effectiveness of existing control measures ☐ Floors and other surfaces ☐ Overturning of plant or equipment ☐ Dust

Type of work methods used ☐ Workstation set up ☐ Vibration ☐ Tree protection zones (TPZ’s)

Infrequent or abnormal situations ☐ Lighting ☐ Manual handling ☐ Erosion

Safety of the surrounding environment ☐ Air quality ☐ Repetitive movement ☐ Sediment

Changes in the workplace which ☐ Heat and cold ☐ Static or awkward postures ☐ Waste management

Other: ☐ Adjacent facilities ☐ Lighting levels, glare and contrast ☐ Water quality and stormwater (*)

☐ Violent or abusive people ☐ High voltages and static electricity ☐ Run off

☐ Mobile plant and traffic ☐ Psychological stressors ☐ Spills

Other: Other: Other:

(*) The Manager must confirm that the work activity has the relevant environmental approvals/ permits in place, and that all workers have been consulted on the conditions to work.

Page 17: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 5 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Risk Assessment

Ref. WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR) LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

1 Safety around and using water with the children

Possible drowning of a child

Injury/trauma to a child 4 2 8

Visually check equipment for suitability and maintenance

Check environment for hazards - Where appropriate remove hazards yourself

Report hazards to appropriate persons

Adequate Supervision for all children all of the time and be actively involved in their play

2 2 4 Vacation Care

Educator

2 Hot water – due to being

left in the sun

Possible burning of a child

Injury or trauma to a child 4 2 8

Check water temperature (to touch) before allowing children to play

Empty water play after use, do not leave in the sun

2 2 4 Vacation Care

Educator

Page 18: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 6 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref. WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR) LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

3

Managing accidents, injury, trauma and

illness

Insufficient first aid to a child 4 2 8

• Ensure current first aid certificate is held by Educator

• Always have first aid kit and emergency contact numbers available on excursions

• Make sure phone available in case of emergency

• Apply first aid as necessary

2 2 4 Vacation Care

Educator

4 Sun burn due to exposure

to sun Sun burn due to exposure to

sun 4 2 8

• Ensure all children are

wearing appropriate clothing (sleeved t-shirts, hats, shoes in accordance with Sun Smart)

• Ensure all children have sunscreen applied

• Have sunscreen for re-application

• Ensure Educators model sun protection practices such as wearing hats and sun screen

2 2 4 Vacation Care

Educator

Page 19: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 7 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref. WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR) LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

5

Child disagreements during Water Play fun & battles due to over excitement

Eye irritation, superficial cuts, bruises or abrasions, minor sprain or strain, minor fracture (finger, toe, etc.)

4 4 8

Staff to supervise and provide clear rules and guidelines for safe play and to ensure that there is no overcrowding or arguing during play

Staff First Aid trained

First Aid Kits available

2 2 4 Vacation Care

Educator

Page 20: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 8 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 21: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 1 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Risk Assessment Context

Business Unit Childrens Services Date Nov 2020 Use HIRAC Planning Tool and Developing Safe Systems of Work Guidance Document

Risk Assessment Title/ Topic Cooking and Food activities Revision Review Date

Location/ Work Area Forestville Vacation Care – Forestville Youth & Community Hall - 28 Melwood Ave Forestville

TRIM Record Number 2020/718777

Reason for Risk Assessment To ensure safety of all children while cooking and engaging in food activities

Scope of Works (if applicable)

HIRAC Team

This Risk Assessment was developed in consultation with the following workers:

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

17/11/2020

Participant Nicky Haynes Vacation Care Specialist Administrative Officer

17/11/2020

Risk Assessment Review and Approval

This Risk Assessment is endorsed by the person(s) below:

Full Name Signature Date

Vacation Care Services Coordinator Cate Webster

17/11/2020

Other Senior Manager (if applicable)

By signing the above, you confirm that all risks have been mitigated so far as is reasonably practicable, and you have sighted evidence of consultation with relevant workers regarding the implementation of the risk controls.

Page 22: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 2 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Instructions for Completing this Form

1. Use the HIRAC Planning Tool to plan the risk assessment process, if required. The Developing Safe Systems of Work Guidance Document is also available for assistance.

2. This form is designed to be used as a general risk assessment for an area, task or activity. This assessment can trigger the requirement to perform other specific risk assessments.

3. The Risk Assessment must be developed with a minimum of 3 people to ensure an accurate risk rating. All persons involved must detail their names on page 1 of this form.

4. All risks with a high risk rating must have immediate interim control measures identified. Risks with a high risk rating after controls are implemented shall be escalated to the Executive

Manager.

5. Control measures that require ongoing implementation must have a specific due date and “ongoing” in the due date column.

6. The Manager must ensure that all control measures are assigned to the person(s) responsible, and implemented by the due date.

7. Collect all relevant signatures on the form prior to saving the scanned document in Trim. Update the HIRAC Register accordingly.

Hierarchy of Controls

Control measures can be ranked from the highest level of protection and reliability, to the lowest. Elimination and the other higher order controls must always be considered first. A combination of control measures may be implemented to control a risk, although consider if any new risks are introduced as a result.

Page 23: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 3 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Risk Rating Development

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 24: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 4 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

General WHSE Hazard Prompts

Items to Consider Workplace Hazards Work Activity Hazards Environmental Aspects

Assessing the Risk ☐ Elevated work areas (scaffold, ladders) ☐ Flammable liquid or gas ☐ Odour

What type of harm could occur ☐ Stairs ☐ Hot work, flame or spark ☐ Noise

Factors influencing severity of harm ☐ Holes, openings and penetrations ☐ Animal bites and stings ☐ Vibration

How many people are exposed to the hazard ☐ Falling materials or objects ☐ Hazardous substances and chemicals ☐ Air quality and emissions (*)

Could one failure lead to other failures? ☐ Slips, trips and falls ☐ Moving parts ☐ Flora (*)

Existing processes in place to control risk ☐ Noise ☐ Sharp edges or points ☐ Fauna (*)

Existing emergency arrangements in place ☐ Entry and exit to and from the workplace ☐ Stored energy ☐ Heritage (*)

Assessing the Hazard ☐ Housekeeping practices ☐ Failure or collapse of equipment or

structures ☐ Light pollution

Effectiveness of existing control measures ☐ Floors and other surfaces ☐ Overturning of plant or equipment ☐ Dust

Type of work methods used ☐ Workstation set up ☐ Vibration ☐ Tree protection zones (TPZ’s)

Infrequent or abnormal situations ☐ Lighting ☐ Manual handling ☐ Erosion

Safety of the surrounding environment ☐ Air quality ☐ Repetitive movement ☐ Sediment

Changes in the workplace which ☐ Heat and cold ☐ Static or awkward postures ☐ Waste management

Other: ☐ Adjacent facilities ☐ Lighting levels, glare and contrast ☐ Water quality and stormwater (*)

☐ Violent or abusive people ☐ High voltages and static electricity ☐ Run off

☐ Mobile plant and traffic ☐ Psychological stressors ☐ Spills

Other: Other: Other:

(*) The Manager must confirm that the work activity has the relevant environmental approvals/ permits in place, and that all workers have been consulted on the conditions to work.

Page 25: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 5 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Risk Assessment

Ref. WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR) LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

1

Risk of infectious Diseases

Virus & Bacterial infections

Feeling unwell

Fever

Serious illness

4 2 8

If child shows signs of being unwell, advise parents to pick up child.

Children and staff will use gloves when cooking and preparing food.

If food is uncooked, children only eat food they have prepared themselves.

Staff will serve any cooked or uncooked food to children on individual plates

2 2 4 Vacation Care Educator

2 Burns from hot foods and

surfaces

Possible burning of a child

Injury or trauma to a child 4 2 8

Check temperature of food and surfaces before allowing children to come into contact with them.

2 2 4 Vacation Care Educator

3 Cuts and scrapes Bleeding/pain

Deep cut /Wound 4 2 8

• Use equipment which is age appropriate

• Staff monitor and assist children in using utensils

• Rules are explained to children for safe handling of cooking and food preparation utensils

2 2 4 Vacation Care Educator

Page 26: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 6 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref. WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR) LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

4 Insufficient first aid is provided

to a child Insufficient first aid to a child 4 2 8

• Ensure current first aid certificate is held by Educator

• Always have first aid kit and emergency contact numbers available both on excursions and in centre

• Make sure phone available in case of emergency

• Apply first aid as necessary

2 2 4 Vacation Care

Educator

Page 27: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Oct 2018 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Oct 2020

Page 7 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

WHSE GENERAL RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 28: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Childrens Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 08/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Onsite

Manly Vale Community Hall – 2 Innes Rd Manly Vale 2093

Educator to child ratio:

1:15 Number Educators: Up to 3

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☐ No

☒ Yes

Proposed activities the children will participate in: 9D Cinema (time to be advised)

9D Action Cinemas is a Motion Simulator showing 3D movies on a large 4-metre-wide by over 2-metre-high curved screen. They have over 30 movies in our 3D movie data base and movies will be age appropriate. Effects include smoke, wind, snow, water / spray Children will wear 3D glasses.

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Excursion Bag (containing vomit bags, excursion ice packs, spare sun hats) If required

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 29: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 30: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 3 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1 9D Cinema – COVID Plan

Please refer to document below .

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

3

Consuming food, drink or other item that may cause choking or allergic reaction

Temporary discomfort or pain.

Mild allergic reaction or sensitisation.

Severe allergic reaction or asthma.

Choking.

Fatal injuries.

2 3 6

Make certain all foods are suitable according to allergies / intolerances. Medical Action plans available

Children should always be sitting when eating and drinking to avoid choking

Use correct hygiene practices when serving food to avoid contamination

Follow correct hygiene practices for children

Ensure children have access to drinking water

Always have first aid kit and emergency contact numbers available on incursions

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 31: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

5 Outside exposure in the sun (if outside)

Sunburn.

Heat exhaustion.

Injuries requiring first-aid treatment.

Temporary discomfort or pain.

Severe irritation or mild burn.

Severe burn or tissue damage.

Long term damage causing melanoma.

3 3 9

All children and educators to apply sunscreen before leaving the centre

All children and educators to wear appropriate clothing including hats

All children and educators to regularly apply sunscreen throughout the day

Spend as much time as possible in the shade

Ensure all children and educators have a drink bottle or access to water

Encourage regular water intake by stopping activities for a drink break

Ensure educator models sun protection practices such as wearing hats and sunscreen

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 32: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

6 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 33: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

7

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 34: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

8

Extreme weather conditions including high winds, hail, excessive precipitation, and excessive temperature, bush fires and poor air quality.(if outside)

Heat stroke and dehydration.

Eye, skin or respiratory irritation.

Allergic reaction / asthma.

Injuries from falling objects.

Fatal injuries or illnesses.

3 2 6

Monitor predicated weather conditions via the Bureau of Meteorology

Monitor RFS Fires Near Me app

Review air quality status via Air Matters app, be aware of children and educators with respiratory conditions

Cancel Incursion when the extreme weather conditions pose a health and safety risk / hazard to children and adults

Review incursion risk assessment

Ensure the safety of children and adults by seeking shelter if an unpredicted weather event occurs when on an incursion or outdoors

Contact Coordination Unit if advice or assistance is required

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 35: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 8 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 36: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 9 of 9

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 37: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Children’s Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 15/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Onsite

Manly Vale Community Hall – 2 Innes Rd Manly Vale 2093

Educator to child ratio:

1:15 Number Educators: Up to 3

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☐ No

☒ Yes

Proposed activities the children will participate in: Heidi Hoops – 1.30 – 3.30pm

Children will learn some very COOL circus tricks while cooling down with water in the summer heat. Clown around with slapstick squirters, skip or balance within a universe off bubbles. Try unique juggling games, make giant sized bubbles jump through hoops, be mesmerized by the incredible magic of water.

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Excursion Bag (containing vomit bags, excursion ice packs, spare sun hats) If required

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 38: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 39: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 3 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1 Heidi Hoops – refer to documents below

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 40: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

3

Play equipment and environment not well maintained or appropriate for age group – falls, entrapment spaces, appropriately secure.

Surfaces heating up in the sun.

Cuts, burns, abrasions, puncture wounds, fractures and other injuries that may require first aid treatment, or treatment beyond first aid

2 2 4

Check environment on arrival for hazards such as glass, other sharps etc.

Educators to visually check equipment for age suitability and maintenance

Be aware of hot surfaces in playground (ensure appropriate footwear is worn at all times)

Ensure all gates are secured in venue as appropriate.

Ensure current first aid certificate is held by Educator

Always have first aid kit and emergency contact numbers available on incursions

Ensure first aid kit is accessible and fully stocked and all items are in date

Make sure mobile phone is charged and operating in case of emergency

Apply first aid as necessary

Advise Service Co-ordinator if any equipment requires repair

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 41: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

5 Outside exposure in the sun (if outside)

Sunburn.

Heat exhaustion.

Injuries requiring first-aid treatment.

Temporary discomfort or pain.

Severe irritation or mild burn.

Severe burn or tissue damage.

Long term damage causing melanoma.

3 3 9

All children and educators to apply sunscreen before leaving the centre

All children and educators to wear appropriate clothing including hats

All children and educators to regularly apply sunscreen throughout the day

Spend as much time as possible in the shade

Ensure all children and educators have a drink bottle or access to water

Encourage regular water intake by stopping activities for a drink break

Ensure educator models sun protection practices such as wearing hats and sunscreen

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 42: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

6 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 43: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

7

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 44: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 8 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

8

Extreme weather conditions including high winds, hail, excessive precipitation, and excessive temperature, bush fires and poor air quality.(if outside)

Heat stroke and dehydration.

Eye, skin or respiratory irritation.

Allergic reaction / asthma.

Injuries from falling objects.

Fatal injuries or illnesses.

3 2 6

Monitor predicated weather conditions via the Bureau of Meteorology

Monitor RFS Fires Near Me app

Review air quality status via Air Matters app, be aware of children and educators with respiratory conditions

Cancel Incursion when the extreme weather conditions pose a health and safety risk / hazard to children and adults

Review incursion risk assessment

Ensure the safety of children and adults by seeking shelter if an unpredicted weather event occurs when on an incursion or outdoors

Contact Coordination Unit if advice or assistance is required

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 45: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 9 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 46: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 10 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 47: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 11 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 48: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 12 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 49: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 13 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 50: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 14 of 14

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 51: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Children’s Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 11/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Passmore Oval

Manly Vale 2093

Educator to child ratio:

1:8 Number Educators: Up to 6

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☒ No

☐ Yes

Proposed activities the children will participate in: Sports Day @ Passmore

Dress in your favourite colours or team and get active and sporty. We will have lots of group games, team games and much more to play at Passmore Oval, a little walk from the centre. Remember to wear closed-in shoes. Short walk to Passmore Oval.(see map below)

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Excursion Bag (containing vomit bags, excursion ice packs, spare sun hats) If required

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 52: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Walking Path

Walk along Innes Road then turn left into Quirk St. Cross at pedestrian crossing to

Passmore Oval – 550m

Page 53: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 3 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 54: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1

Pedestrian traffic accident when walking along footpaths, crossing roads, children running onto the road

Superficial cut, bruise or abrasion

Deep cuts or wounds;

Fractures or multiple injuries

Fatal injuries

4 3 12

Obey pedestrian rules

Be observant and cautious at all times when near roads and traffic

Cross at appropriate junctions / places such as traffic lights and zebra crossings where possible

Walk along footpaths

Educators to lead and to follow the group to ensure appropriate behaviours are adhered to

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

3

Consuming food, drink or other item that may cause choking or allergic reaction

Temporary discomfort or pain.

Mild allergic reaction or sensitisation.

Severe allergic reaction or asthma.

Choking.

Fatal injuries.

2 3 6

Make certain all foods are suitable according to allergies / intolerances. Medical Action plans available

Children should always be sitting when eating and drinking to avoid choking

Use correct hygiene practices when serving food to avoid contamination

Follow correct hygiene practices for children

Ensure children have access to drinking water

Always have first aid kit and emergency contact numbers available on incursions

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 55: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4

Play equipment and environment not well maintained or appropriate for age group – falls, entrapment spaces, appropriately secure.

Surfaces heating up in the sun.

Cuts, burns, abrasions, puncture wounds, fractures and other injuries that may require first aid treatment, or treatment beyond first aid

2 2 4

Check environment on arrival for hazards such as glass, other sharps etc.

Educators to visually check equipment for age suitability and maintenance

Be aware of hot surfaces in playground (ensure appropriate footwear is worn at all times)

Ensure all gates are secured in venue as appropriate.

Ensure current first aid certificate is held by Educator

Always have first aid kit and emergency contact numbers available on incursions

Ensure first aid kit is accessible and fully stocked and all items are in date

Make sure mobile phone is charged and operating in case of emergency

Apply first aid as necessary

Advise Service Co-ordinator if any equipment requires repair

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 56: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

5 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

6 Outside exposure in the sun (if outside)

Sunburn.

Heat exhaustion.

Injuries requiring first-aid treatment.

Temporary discomfort or pain.

Severe irritation or mild burn.

Severe burn or tissue damage.

Long term damage causing melanoma.

3 3 9

All children and educators to apply sunscreen before leaving the centre

All children and educators to wear appropriate clothing including hats

All children and educators to regularly apply sunscreen throughout the day

Spend as much time as possible in the shade

Ensure all children and educators have a drink bottle or access to water

Encourage regular water intake by stopping activities for a drink break

Ensure educator models sun protection practices such as wearing hats and sunscreen

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 57: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

7 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 58: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 8 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

8

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 59: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 9 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

9

Extreme weather conditions including high winds, hail, excessive precipitation, and excessive temperature, bush fires and poor air quality.(if outside)

Heat stroke and dehydration.

Eye, skin or respiratory irritation.

Allergic reaction / asthma.

Injuries from falling objects.

Fatal injuries or illnesses.

3 2 6

Monitor predicated weather conditions via the Bureau of Meteorology

Monitor RFS Fires Near Me app

Review air quality status via Air Matters app, be aware of children and educators with respiratory conditions

Cancel Incursion when the extreme weather conditions pose a health and safety risk / hazard to children and adults

Review incursion risk assessment

Ensure the safety of children and adults by seeking shelter if an unpredicted weather event occurs when on an incursion or outdoors

Contact Coordination Unit if advice or assistance is required

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 60: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 10 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 61: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Children’s Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 05/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Onsite

Manly Vale Community Hall – 2 Innes Rd Manly Vale 2093

Educator to child ratio:

1:15 Number Educators: Up to 3

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☐ No

☒ Yes

Proposed activities the children will participate in: Trash Percussion 10.00am to 11.30am

Trash Percussion is an exciting, vibrant and all-inclusive style of percussion designed with the view that anything and everything can be a musical instrument. Utilising the philosophy that music is a combination of sound and silence, and that everyone can play music, these incursion workshops are like no others as they put the children in the driver’s seat, empowering them with a unique approach to music. Children are encouraged to actively participate in working together as a team in composing what will result in a truly original piece of music on non-traditional instruments.

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 62: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 63: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 3 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1 Trash Percussion Risk Assessment

Please refer to document below

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

3 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 64: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 65: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

5

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 66: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 67: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 68: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 8 of 8

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 69: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Children’s Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 11/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Passmore Oval

Manly Vale 2093

Educator to child ratio:

1:8 Number Educators: Up to 6

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☒ No

☐ Yes

Proposed activities the children will participate in: Picnic @ Passmore

Bring your teddy bear or your favourite sporting equipment and walk to Passmore Oval for a picnic. We will have a few picnic treats, as well as plenty of games and activities! Short walk to Passmore Oval. (see map below)

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Excursion Bag (containing vomit bags, excursion ice packs, spare sun hats) If required

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 70: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Walking Path

Walk along Innes Road then turn left into Quirk St. Cross at pedestrian crossing to

Passmore Park – 550m

Page 71: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 3 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 72: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1

Pedestrian traffic accident when walking along footpaths, crossing roads, children running onto the road

Superficial cut, bruise or abrasion

Deep cuts or wounds;

Fractures or multiple injuries

Fatal injuries

4 3 12

Obey pedestrian rules

Be observant and cautious at all times when near roads and traffic

Cross at appropriate junctions / places such as traffic lights and zebra crossings where possible

Walk along footpaths

Educators to lead and to follow the group to ensure appropriate behaviours are adhered to

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

3

Consuming food, drink or other item that may cause choking or allergic reaction

Temporary discomfort or pain.

Mild allergic reaction or sensitisation.

Severe allergic reaction or asthma.

Choking.

Fatal injuries.

2 3 6

Make certain all foods are suitable according to allergies / intolerances. Medical Action plans available

Children should always be sitting when eating and drinking to avoid choking

Use correct hygiene practices when serving food to avoid contamination

Follow correct hygiene practices for children

Ensure children have access to drinking water

Always have first aid kit and emergency contact numbers available on incursions

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 73: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4

Play equipment and environment not well maintained or appropriate for age group – falls, entrapment spaces, appropriately secure.

Surfaces heating up in the sun.

Cuts, burns, abrasions, puncture wounds, fractures and other injuries that may require first aid treatment, or treatment beyond first aid

2 2 4

Check environment on arrival for hazards such as glass, other sharps etc.

Educators to visually check equipment for age suitability and maintenance

Be aware of hot surfaces in playground (ensure appropriate footwear is worn at all times)

Ensure all gates are secured in venue as appropriate.

Ensure current first aid certificate is held by Educator

Always have first aid kit and emergency contact numbers available on incursions

Ensure first aid kit is accessible and fully stocked and all items are in date

Make sure mobile phone is charged and operating in case of emergency

Apply first aid as necessary

Advise Service Co-ordinator if any equipment requires repair

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 74: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

5 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

6 Outside exposure in the sun (if outside)

Sunburn.

Heat exhaustion.

Injuries requiring first-aid treatment.

Temporary discomfort or pain.

Severe irritation or mild burn.

Severe burn or tissue damage.

Long term damage causing melanoma.

3 3 9

All children and educators to apply sunscreen before leaving the centre

All children and educators to wear appropriate clothing including hats

All children and educators to regularly apply sunscreen throughout the day

Spend as much time as possible in the shade

Ensure all children and educators have a drink bottle or access to water

Encourage regular water intake by stopping activities for a drink break

Ensure educator models sun protection practices such as wearing hats and sunscreen

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 75: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

7 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 76: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 8 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

8

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 77: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 9 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

9

Extreme weather conditions including high winds, hail, excessive precipitation, and excessive temperature, bush fires and poor air quality.(if outside)

Heat stroke and dehydration.

Eye, skin or respiratory irritation.

Allergic reaction / asthma.

Injuries from falling objects.

Fatal injuries or illnesses.

3 2 6

Monitor predicated weather conditions via the Bureau of Meteorology

Monitor RFS Fires Near Me app

Review air quality status via Air Matters app, be aware of children and educators with respiratory conditions

Cancel Incursion when the extreme weather conditions pose a health and safety risk / hazard to children and adults

Review incursion risk assessment

Ensure the safety of children and adults by seeking shelter if an unpredicted weather event occurs when on an incursion or outdoors

Contact Coordination Unit if advice or assistance is required

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 78: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 10 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 79: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Children’s Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 21/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Onsite

Manly Vale Community Hall – 2 Innes Rd Manly Vale 2093

Educator to child ratio:

1:15 Number Educators: Up to 3

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☐ No

☒ Yes

Proposed activities the children will participate in: Shelter Work – Supreme Incursions – 10.30am start

Supreme Incursion are coming with all the materials to test your survival skills. Work in teams to create shelters that withstand the harshest elements including Hurricane Supreme!

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Excursion Bag (containing vomit bags, excursion ice packs, spare sun hats) If required

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 80: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 81: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 3 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1 Supreme Incursions – refer to documents below

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 82: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

3

Play equipment and environment not well maintained or appropriate for age group – falls, entrapment spaces, appropriately secure.

Surfaces heating up in the sun.

Cuts, burns, abrasions, puncture wounds, fractures and other injuries that may require first aid treatment, or treatment beyond first aid

2 2 4

Check environment on arrival for hazards such as glass, other sharps etc.

Educators to visually check equipment for age suitability and maintenance

Be aware of hot surfaces in playground (ensure appropriate footwear is worn at all times)

Ensure all gates are secured in venue as appropriate.

Ensure current first aid certificate is held by Educator

Always have first aid kit and emergency contact numbers available on incursions

Ensure first aid kit is accessible and fully stocked and all items are in date

Make sure mobile phone is charged and operating in case of emergency

Apply first aid as necessary

Advise Service Co-ordinator if any equipment requires repair

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 83: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

5 Outside exposure in the sun (if outside)

Sunburn.

Heat exhaustion.

Injuries requiring first-aid treatment.

Temporary discomfort or pain.

Severe irritation or mild burn.

Severe burn or tissue damage.

Long term damage causing melanoma.

3 3 9

All children and educators to apply sunscreen before leaving the centre

All children and educators to wear appropriate clothing including hats

All children and educators to regularly apply sunscreen throughout the day

Spend as much time as possible in the shade

Ensure all children and educators have a drink bottle or access to water

Encourage regular water intake by stopping activities for a drink break

Ensure educator models sun protection practices such as wearing hats and sunscreen

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 84: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

6 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 85: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

7

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 86: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 8 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

8

Extreme weather conditions including high winds, hail, excessive precipitation, and excessive temperature, bush fires and poor air quality.(if outside)

Heat stroke and dehydration.

Eye, skin or respiratory irritation.

Allergic reaction / asthma.

Injuries from falling objects.

Fatal injuries or illnesses.

3 2 6

Monitor predicated weather conditions via the Bureau of Meteorology

Monitor RFS Fires Near Me app

Review air quality status via Air Matters app, be aware of children and educators with respiratory conditions

Cancel Incursion when the extreme weather conditions pose a health and safety risk / hazard to children and adults

Review incursion risk assessment

Ensure the safety of children and adults by seeking shelter if an unpredicted weather event occurs when on an incursion or outdoors

Contact Coordination Unit if advice or assistance is required

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 87: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 9 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 88: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 10 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 89: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 11 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 90: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 12 of 12

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 91: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Children’s Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 22/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Onsite

Manly Vale Community Hall – 2 Innes Rd Manly Vale 2093

Educator to child ratio:

1:15 Number Educators: Up to 3

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☐ No

☒ Yes

Proposed activities the children will participate in: Disco – Bop Till You Drop 1pm

A professional entertainer from Bop Till You Drop will conduct a structured Disco and Karaoke Party. The Entertainer encourages every child to channel their inner ‘pop/rock star’ by selecting children to sing on the microphones and giving out prizes. They will also teach the children funky dance moves and encourage their own freestyle dancing as well as playing various, fun party games and team challenges.

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Excursion Bag (containing vomit bags, excursion ice packs, spare sun hats) If required

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 92: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 93: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 3 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1 Bop Till You Drop – refer to documents below

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

3 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 94: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 95: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

5

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 96: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Page 97: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 7

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs

Page 98: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 1 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Business Unit: Children’s Services Date: 24/11/2020 Centre Opening Time

7.30am

Centre Closing Time

6.00pm

Risk Assessment Title/ Topic:

Vacation Care Incursion Risk Assessment Centre: Manly Vale Incursion Date: 22/01/2021

Nominated Supervisor: Stacey Hitch & Cate Webster Contact Number: 8495 6685/86 Number of Children attending Service:

Up to 45

Incursion Destination & Address:

Nolan Reserve Basketball Court, Passmore Park

Manly Vale 2093

Educator to child ratio:

1:8 Number Educators: Up to 6

Reason for the Proposed Incursion:

The service acknowledges play as a vital part of a child’s development and we encourage and support the principles of play through our programming by looking at the needs, interests and abilities of all children.

Provider Risk Assessment Attached

☒ No

☐ Yes

Proposed activities the children will participate in: Wheels Day @ Nolan Reserve

Children will walk to Passmore Park to Nolan Reserve basketball court. Children will bring their own scooter/skate board/safety gear. a Park for a ride.

Checklist of items - when sighted

First Aid Kit Mobile phone

List of Children attending incursion and contact information

List of adults participating and contact information for each

Specific medical information and medication for children if required

Venue Safety Information (Where available)

Electronic or paper copy of this risk assessment

Sanitisation products, sunscreen, spare children clothing

Excursion Bag (containing vomit bags, excursion ice packs, spare sun hats) If required

Full Name Position/ Title Signature Date

Participant Magali Videau Vacation Care Specialist Administrative Officer

Participant Stacey Hitch Vacation Care Services Coordinator

Participant Cate Webster Vacation Care Services Coordinator

.

Page 99: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 2 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Walking Path

Walk along Innes Road then turn left into Quirk St. Cross at pedestrian crossing to

Passmore Park – 1km

Page 100: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: August 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: August 2021

Page 3 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Definitions for Consequence

Score Health and Safety Examples Environment Examples

1

Insig

nific

ant Injuries or illnesses requiring no treatment

or first-aid only e.g.

Superficial cut, bruise or abrasion;

Transient eye, skin or respiratory irritation;

Temporary discomfort or pain.

Little or no Environmental Impact e.g.

Minimal environmental damage, immediately reversible;

No discernible change in the environment;

No annoyance to local community;

Low/moderate use of sustainable resource.

2

Min

or

Injuries or illnesses requiring medical treatment beyond first-aid e.g.

Deep cuts or wounds;

Moderate eye, skin or respiratory irritation;

Drowsiness or dizziness;

Minor sprain or strain.

Minor Environmental impact e.g.

Limited environmental damage;

Temporary and limited annoyance to local community;

Heavy use of sustainable resource;

Low use of readily available but finite resource.

3

Modera

te

Temporary impairment, causing lost-time or job restriction e.g.

Minor fracture (finger, toe, etc.);

Severe irritation or mild burn;

Serious sprain or strain;

Mild allergic reaction or sensitisation;

Mild to moderate depression;

Anxiety or stress reaction disorder.

Temporary environmental impact e.g.

Significant environmental damage over short to medium term (e.g. < 1 year);

Significant or prolonged annoyance to local community;

Moderate use of readily available but finite resource.

4

Majo

r

Permanent/prolonged impairment e.g.

Complete/partial loss of hearing, vision;

Amputation, disfigurement or disability;

Major fracture or multiple injuries;

Severe burn or tissue damage;

Severe allergic reaction or asthma;

Major irreversible disease;

Severe depression.

Significant Environmental Impact e.g.

Significant environmental damage over long term (e.g. > 1 year);

Major environmental damage over short to medium term (e.g. < 1 year);

Major annoyance to local community;

Heavy use of readily available but finite resource;

Low use of a scarce/finite resource.

5

Cata

str

op

hic

Fatalities or adverse reproductive effects

Fatal injuries or illnesses; Cancer, birth defects, heritable genetic damage, impaired fertility.

Major Long Term Environmental Impact e.g.

Major environmental damage over long term (e.g. >1 year);

Adverse health effects among local community

Very heavy use of readily available but finite resource;

Heavy use of scarce/finite resource.

Definitions for Likelihood

Score Examples

1

Rare

An incident might happen every 50 years

Incident might be seen once during working life.

Probability of incident close to zero

Controls are failsafe

2

Unlik

ely

An incident might happen every 5-10 years

May see several incidents during working life

Incident foreseeable but probability very low

Incident not known to have happened at another business unit

3

Po

ssib

le

An incident might happen every 1 - 5 years

An event could occur.

An incident may have happened at another business unit

Controls may be breached

4

Lik

ely

One or more incidents might occur a year

Personnel would not be surprised by incident

5

Alm

ost

Cert

ain

Significant number of incidents might occur each year

Incidents occur frequently

Control measures are not defined or are inadequate.

Page 101: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 4 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

1

Pedestrian traffic accident when walking along footpaths, crossing roads, children running onto the road

Superficial cut, bruise or abrasion

Deep cuts or wounds;

Fractures or multiple injuries

Fatal injuries

4 3 12

Obey pedestrian rules

Be observant and cautious at all times when near roads and traffic

Cross at appropriate junctions / places such as traffic lights and zebra crossings where possible

Walk along footpaths

Educators to lead and to follow the group to ensure appropriate behaviours are adhered to

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

2 General Activities Slips, trips and falls 2 3 6

Only allow running in appropriate areas designated by educators

Educators present that are First Aid trained

Educate children before arriving at incursion venue about appropriate behaviour

Coordinator to discuss venue facilities with educators prior to leaving centre

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

3

Consuming food, drink or other item that may cause choking or allergic reaction

Temporary discomfort or pain.

Mild allergic reaction or sensitisation.

Severe allergic reaction or asthma.

Choking.

Fatal injuries.

2 3 6

Make certain all foods are suitable according to allergies / intolerances. Medical Action plans available

Children should always be sitting when eating and drinking to avoid choking

Use correct hygiene practices when serving food to avoid contamination

Follow correct hygiene practices for children

Ensure children have access to drinking water

Always have first aid kit and emergency contact numbers available on incursions

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 102: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 5 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

4

Play equipment and environment not well maintained or appropriate for age group – falls, entrapment spaces, appropriately secure.

Surfaces heating up in the sun.

Cuts, burns, abrasions, puncture wounds, fractures and other injuries that may require first aid treatment, or treatment beyond first aid

2 2 4

Check environment on arrival for hazards such as glass, other sharps etc.

Educators to visually check equipment for age suitability and maintenance

Be aware of hot surfaces in playground (ensure appropriate footwear is worn at all times)

Ensure all gates are secured in venue as appropriate.

Ensure current first aid certificate is held by Educator

Always have first aid kit and emergency contact numbers available on incursions

Ensure first aid kit is accessible and fully stocked and all items are in date

Make sure mobile phone is charged and operating in case of emergency

Apply first aid as necessary

Advise Service Co-ordinator if any equipment requires repair

1 2 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 103: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 6 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

5 Inadequate supervision

Injuries that may require first aid treatment, or treatment beyond first aid.

Missing children.

4 3 12

Be actively involved with children in their play

Know where each child is and position yourself for maximum supervision of all children (head count)

Supervise all children all of the time

Be aware of other people within the same environment as the children at all times

Make children easily identifiable with same coloured wristbands in each group of children (if required)

Talk with children about what to do if they become separated

Be mindful of current Government guidelines concerning social distancing and gathering

Additional needs children have their specific educator to supervise and include them in the program / incursion

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

6 Outside exposure in the sun (if outside)

Sunburn.

Heat exhaustion.

Injuries requiring first-aid treatment.

Temporary discomfort or pain.

Severe irritation or mild burn.

Severe burn or tissue damage.

Long term damage causing melanoma.

3 3 9

All children and educators to apply sunscreen before leaving the centre

All children and educators to wear appropriate clothing including hats

All children and educators to regularly apply sunscreen throughout the day

Spend as much time as possible in the shade

Ensure all children and educators have a drink bottle or access to water

Encourage regular water intake by stopping activities for a drink break

Ensure educator models sun protection practices such as wearing hats and sunscreen

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 104: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 7 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

7 Exposure to known or unknown allergens

Allergic or anaphylactic reactions 3 3 9

Collect information prior to incursion about children’s allergies and communicate to educators

Educators keep a closer eye on children who have identified as having allergies

Educator survey the environment for potential allergens and minimise contact

At least one educator is trained in Anaphylaxis management

Educators have first aid certificates

First aid kit available including centre Epipen

Always have first aid kit and emergency contact numbers available on incursions

Make certain all foods are suitable according to allergies / intolerances

Medical Action plans available / on hand

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 105: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 8 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

8

Potential exposure to Infectious diseases including COVID-19 (refer to COVID-19 Risk Assessment)

Exposure to infectious diseases including COVID-19 causing respiratory illnesses, rashes, temperatures etc. that can spread to educators, children.

Illnesses requiring medical treatment beyond first aid.

Permanent/prolonged impairment.

Illnesses.

Fatality.

3 2 6

Limit incursions to those that can ensure distancing and using resources that can be cleaned well and regularly by provider

Use visitor log to capture contact numbers in the event contact is required

The presentation will be 3 metres away from children and witches hats will form a visual barrier for children if needed.

Children will wash hands before and after presentation

COVIDSafe app installed on mobile and active.

Follow NSW Government advice regarding social distancing and gatherings

Follow NSW Health and Department of Education Advice concerning the resumption of incursions.

Ongoing review of incursions based on the current COVID-19 cases/infections in the local area

Refer to COVID-19 Risk Assessment for Manly vale 2020/212182

2 2 4 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 106: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 9 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Ref.

WHAT IS THE HAZARD

(Use the Hazard Prompt Sheets)

WHAT IS THE RISK

(What can happen as a result of the hazard)

Initial Risk Rating

(IRR)

LIST SAFETY CONTROL MEASURES

(Follow the Hierarchy of Controls)

All high risks must be mitigated immediately with interim controls

Residual Risk Rating

(RRR) PERSON

RESPONSIBLE

(Include full name when possible)

DUE DATE

(Be specific)

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L

)

C x L

CO

NS

EQ

UE

NC

E

(C)

LIK

EL

IHO

OD

(L)

C x L

9

Extreme weather conditions including high winds, hail, excessive precipitation, and excessive temperature, bush fires and poor air quality.(if outside)

Heat stroke and dehydration.

Eye, skin or respiratory irritation.

Allergic reaction / asthma.

Injuries from falling objects.

Fatal injuries or illnesses.

3 2 6

Monitor predicated weather conditions via the Bureau of Meteorology

Monitor RFS Fires Near Me app

Review air quality status via Air Matters app, be aware of children and educators with respiratory conditions

Cancel Incursion when the extreme weather conditions pose a health and safety risk / hazard to children and adults

Review incursion risk assessment

Ensure the safety of children and adults by seeking shelter if an unpredicted weather event occurs when on an incursion or outdoors

Contact Coordination Unit if advice or assistance is required

2 1 2 Vacation Care

Educator

Ongoing –Reviewed after each

holiday period.

Page 107: WHS MANAGEMENT SYSTEM WHS FORM VACATION ......WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation Issued: Aug 2020 Uncontrolled document when printed. Refer to intranet

WHS Form 501-2 2018/672377 Manager, WHS & Workers Compensation

Issued: Aug 2020 Uncontrolled document when printed.

Refer to intranet for current issue.

Version 1.0 Review: Aug 2021

Page 10 of 10

WHS MANAGEMENT SYSTEM WHS FORM 501-2

VACATION CARE INCURSION RISK ASSESSMENT FORM

TRIM IN WHS SERVICE CONTAINER AND ALTERNATIVELY WITHIN C002939

Educator confirmation

I have read and understood this risk assessment and followed the procedure for the checklist. (sign below)

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

Print Name: Signature:

REMEMBER

Monitor the effectiveness of controls and change if necessary Review the risk assessment if an incident or significant change occurs