Apply Safe Work Practices in the Workplace

Assessment

Apply safe work practices in the workplace

Unit standard 17593 / Version 4
Level 2 / Credits 4
Learner information
Your name:
Your workplace:
Your date of birth:
Your national student number (if known):
Declaration

I was told about and understand the assessment requirements.
I have prepared my answers myself.
Any evidence I have provided as my own, I produced myself.
I understand that this assessment may be used for moderation and quality control purposes.
I understand that when I achieve this unit standard my result will be registered with the
NewZealand Qualifications Authority.

I confirm the above declaration: / Yes No / Date:
Assessment result(assessor use only)
Assessment result / Achieved / More evidence required / Date:
Reassessment result / Achieved / More evidence required / Date:
Feedback to the learner:
The requirements have been met to demonstrate competency in this unit standard.
Assessor name:
Assessor number: / Date:

US XXXX version X – Moderation and approved Mmmmm YYYY

Trainee assessment issue X.X – Published Mmm YYYY

To demonstrate competency, you must be able to: / Outcomes / Tasks
identify and apply clear communication methods / 1, 2 / 1
identify principles of workplace safety / 1 / 1 and2
demonstrate safe work practices / 2 / 2

Instructions

This assessment is a practical assessment. You will be observed doing tasks by your verifier and/or assessor.
If you need help with this assessment, please contact your assessor.
Once you have completed your assessment, you must read and confirm the declaration on the cover.

Verbal answers

If you answer verbally, your assessor will write your answer(s), or may use a voice recorder.

Definitions

The trainee is you, the person being assessed. You may also be referred to as the learner, student, candidate or employee in some instances.
The assessor is the person who will assess you.
The verifier is a workplace supervisor, team leader, manager or assessor who understands the assessment, works closely with you and can confirm that you have completed a task competently.
Industry best practice refers to enterprise or establishment or facility requirements, practices, policy, procedures, methods and protocols which are in accordance with applicable legislation, regulations and New Zealand Standards.

Important notes

Competence demonstrated during assessment against this standard must comply with the requirements of:

-Health and Safety in Employment Act 1992.

-Health and Safety in Employment Regulations 1995.

Resources

This is an open book assessment. The following learning resources may be useful when completing this assessment:

learning materials, books, the internet and your workplace’s policies and procedures.

Task 1:Clear communication methods
Verification form
To be completed by your verifier and/or assessor
Trainee name:
Trainee organisation:
Comment on each of the stated criteria and give examples of the trainee’s performance (where this applies).
Sign and date this verification once you are satisfied the trainee has achieved the stated criteria.
The trainee explained the importance of clear and effective communication for maintaining a safe workplace.
Verifier comment: / Date achieved:
The trainee explained three communication methods and procedures used in the workplace.
Verifier comment: / Date achieved:
I observed the trainee use three of the following communication methods in accordance with industry best practice:
radio. / signage.
oral (spoken). / written.
sirens. / signals.
electronic communication (such as email or texting). / other.
Verifier comment: / Date achieved:
I confirm that this document is valid and authentic. / Date:
Verifier name: / Position:
Assessor comments (for assessor use only):
Task1result: / Achieved / More evidence required
Task 2: Demonstrate safe work practices
Verification form
To be completed by your verifier and/or assessor
Trainee name:
Trainee organisation:
Comment on each of the stated criteria and give examples of the trainee’s performance (where this applies).
Sign and date this verification once you are satisfied the trainee has achieved the stated criteria.
The trainee is able to identify at least three of the following safe work practices and explain what they are:
PPE. / safety guarding.
signage. / work permits.
standard (or safe) operating procedures. / other.
Verifier comment: / Date achieved:
I observed the trainee do at least twoof the following safe work practices while carrying out routine work:
correct use of PPE. / follow safety rules.
comply with signage and entry requirements. / use good ergonomic practice.
report incidents. / demonstrate an awareness of workplace hazardsand controls.
other.
Verifier comment: / Date achieved:
The trainee is able to identify and explain at least three of the following workplace hazard identification systems:
a hazard register. / hazard reporting.
inspections. / area analysis.
task analysis. / process analysis.
other.
Verifier comment: / Date achieved:
The trainee follows documented safe workplace practices, including by:
applying workplace hazards systems and methods.
identifying unsafe work practices and correcting them.
The trainee meets legislative requirements in their workplace practices.
Verifier comment: / Date achieved:
I confirm that this document is valid and authentic. / Date:
Verifier name: / Position:
Assessor comments (for assessor use only):
Task2result: / Achieved / More evidence required

Appeals

If you wish to appeal against the assessment result or process, talk to your assessor. If you are still not satisfied, you can appeal to Careerforce by completing the assessment result appeal form that can be found online at

Feedback

Careerforce regularly reviews our assessment and learning resources. As a user, we would appreciate feedback on how you found it. Feedback can be provided to Careerforce via our online feedback form at or if you would prefer, send us an email to

US 17593 version4 – Assessment –Apply safe work practices