SCHEDULE A

POSITION DESCRIPTION

Title: / Support Services Assistant – Evening Cook
Classification: / GS5
Department: / Support Services
Current Occupant
Commencement Date & Term of Individual Employment Agreement:
Date approved:
Approved by: / Chief Executive Officer

Organisational Relationships

Reports to: / Support Services Manager
Directly supervises: / Relievers
Internal liaisons: / Executive Staff – Chief Executive Officer (CEO), Director of Clinical Services (DCS)
Administration Team
All other LCH staff
Volunteers
External liaisons: / With the authority of the Manager –
Members of Lorne Community and Hospital Auxiliary
Community organisations, groups, individuals
Clients, residents, patients and their families/carers
Local or other relevant business proprietors

Position Purpose

Ensure that legislative requirements are met and to maintain and continuously improve on high standards of food safety for all food produced within Lorne Community Hospital.

Key Responsibility Areas

Organisational Responsibilities / Organisation Culture
·  To understand and adopt LCH values in all areas of responsibility with attention to consumer focus, teamwork and community orientation.
Occupational Health and Safety
·  Proactively take responsibility for your own health and safety and for the health and safety of anyone else who may be affected by your acts or omissions in the workplace.
·  Understand and proactively work within Occupational
Health and Safety policies and procedures, regulations and codes of practice.
Risk Management
·  Ensure effective and timely risk identification, assessment, control and issue resolution processes are maintained.
Management and Control
·  Ensure all work activities are within the approved policies, of the organisation.
·  Understand and take responsibility to work within the delegations of authority.
Quality Management
·  Ensure all services are provided within a quality and risk management framework, with demonstrated outcomes.
·  Understand the quality standards and accreditation requirements relevant to the role and ensure work practice processes are consistent.
Functional Responsibilities / The Support Services Day Cook duties are:-
1.  Responsible for preparing and cooking nutritious meals for patients, residents and staff.
2.  Obtaining Food Safety level 1 and completing complete annual updatescompetency.
3.  Maintaining a high standard of hygiene and being aware of the importance of cleanliness.
4.  Maintaining Food Safety standards and compliance.
5.  Responsible for any special diets and consults with R.N in Charge/Nurse Unit Manager.
6.  Follow recipes for preparation of special diets.
7.  Responsible for smooth running of kitchen and kitchen equipment.
8.  Completion of appropriate paper work in regard to Food Safety log.
9.  Ensuring communication with other staff is documented in diary.
10.  Responsible for clearing and washing of dishes.
11.  Setting trays for breakfast and restocking kitchenette.
12.  Ensure Hospital patient menus for next day are posted in kitchen.
13.  General cleaning and tidying of kitchen.
14.  Attending compulsory training days including regular fire safety sessions and completing the online safety test.
15.  Completing Riskman incident reports and notify Manager or RN (after hours) of any urgent situations.
16.  Ensuring own knowledge of emergency procedures is current.
17.  Ensuring that all equipment is maintained in a safe condition and is used correctly.
18.  Ensuring that all chemicals used have up to date chemical data sheets (MSDS) and are in correctly labelled containers.
19.  Reporting all equipment faults on Maintenance database and removing faulty equipment from use.
20.  Ensure all electrical equipment has been tagged by a licensed electrician.
21.  Attending meetings as required.
22.  Attending Annual performance appraisal and personal goal setting.
Selection Criteria / ·  Selection is based on the ability to demonstrate that skills, knowledge, qualifications and experience can be met and the ability to undertake the key responsibilities of the position is evident.
·  The appointment will be conditional on a satisfactory National Police Records Check.
·  Training in Food Handling - Class 1 (HLTFS207B) is preferred

Approved: ______

Chief Executive Officer

Date: ______

I acknowledge and agree that the above job description is a true and accurate description of my current role.

Signed: ______

Name: ______

Date: ______

SCHEDULE B

PRE-EXISTING INJURY DECLARATION FORM

In accordance with s.82 (7)-(9) of the Accident Compensation Act 1985 (Vic) (“the Act”), you are required to disclose any or all pre-existing injuries, illnesses or diseases (pre-existing conditions) suffered by you which could be accelerated, exacerbated, aggravated or caused to recur or deteriorate by you performing the responsibilities associated with the employment for which you are applying with the Employer (“the employment”).

In making this disclosure, please refer to the attached position description, which includes a list of responsibilities and physical demands associated with the employment.

Where you have a pre-existing condition, consideration will be given to reasonable modification to the environment or tasks if at all possible or practicable.

Please note that, if you fail to disclose this information or if you provide false and misleading information in relation to this issue, under s.82 (8) and s.82 (9) of the Act you and your dependants may not be entitled to any form of workers’ compensation as a result of the recurrence, aggravation, acceleration, exacerbation or deterioration of a pre-existing condition arising out of, in the course of, or due to the nature of your employment.

Please also note that the giving of false information in relation to your application for employment with the Employer may constitute grounds for disciplinary action including termination of your contract.

EMPLOYEE DECLARATION

I, ???????, declare that:

·  I have read and understood this form and the attached position description, and have discussed the employment with the Employer. I understand the responsibilities and physical demands of the employment.

·  I acknowledge that I am required to disclose all pre-existing conditions which I believe may be affected by me undertaking the employment.

·  I acknowledge that failure to disclose this information or providing false and misleading information may result in invoking section 82(7)-(9) of the Accident Compensation Act 1985 (Vic) which may disentitle me or my dependants from receiving any workers’ compensation benefits relating to any recurrence, aggravation, acceleration, exacerbation or deterioration of any pre-existing condition which I may have arising out of, in the course of, the employment.

Please delete whichever of the following statements is NOT applicable:

·  I have suffered no prior injuries that may recur or deteriorate, accelerate or be exacerbated or aggravated by the employment.

OR

·  I have suffered the following conditions that may recur or deteriorate, accelerate or be exacerbated or aggravated by the employment.

Please list details of all pre-existing conditions

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·  I acknowledge and declare that the information provided in this form is true and correct in every particular.

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Employee Signature Print name of employee

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Witness Signature Print name of witness

Date:

Additional Comments/ Requisite Modifications (to be completed by Manager)

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