|1. DETAILS OF PERSON MAKING REPORT
|Name: Kim Sweeney___________________________________________________________________
|Position: Operations General Manager_______________ Job Title:______________________________________________
|2. DETAILS OF INCIDENT
|Date: 7 June 2022___________________________ Time: 1:00 pm_________________________________________
|Location: Commercial office___________________________________________________________________
|Describe what happened and how:
A client was in a hurry and went through the emergency exit and stairwell ad slipped off due to an oily substance on the stairwells and her wrist was broken. The exit door was also blocked by boxes. One of the agents helps her and tries to open the exit. For this accident, the agent criticizes the client’s high heels and criticizes her for not taking the lift. She feels humiliated by this statement. After this, she was taken to the Royal women’s hospital by ambulance.
|SUGGEST CORRECTIVE ACTIONS
|Ø _Give orders to maintain free exit doors
Ø Give instructions regarding cleanliness of the floor__
Ø Maintain first aid for temporary treatment
Ø Expenses in treatment of the clients should be bear by company
|3. DETAILS OF WITNESSES
|Name: Jack____________________________ Job title: Agent 1______________________________________
Name: John____________________________ Job title: Agent 2______________________________________
Name: ________________________________ Job title: ______________________________________
|Sign: _________________________________ Date: 7 June 2022______________________________________
|q Near miss
|1. DETAILS OF INJURED PERSON
|Name: Ellie Watson________________ Phone: (H) 5478635839 (W)
|Address: Dockyard lane, street 11_______________ Sex: q M q F
|8 October 1992_________________________ Date of birth:______________
|Start time: 8:00 am______________________________ q am q pm
|q Casual q Full-time q Part-time q Other
|2. DETAILS OF INCIDENT
|Date: 7 June 2022______________________ Time:_____________________________________ 1:00 pm
|Location: Commercial office____________________________________________
|Describe what happened and how: A client was in a hurry and went through the emergency exit and stairwell ad slipped off due to an oily substance on the stairwells and her wrist was broken. The exit door was also blocked by boxes. One of the agents helps her and tries to open the exit. For this accident, the agent criticizes the client’s high heels and criticizes her for not taking the lift. She feels humiliated by this statement. After this, she was taken to the Royal women’s hospital by ambulance__
|3. DETAILS OF WITNESSES
|Name: Jack ______________________ Phone: (H) 5788746485_ (W)__________
|Address: Merry street 4________________________________________________
|4. DETAILS OF INJURY
|Nature of injury (e.g. burn, cut, sprain)- Bone break _________________________
|Cause of injury (e.g. fall, grabbed by person)- by falling on stairs _______________
|Location on body (e.g. back, left forearm)- wrist of hand_____________________
|5. TREATMENT ADMINISTERED
|First aid given- yes q Yes q No
|First aider name: Dr Charles_____________________________________________
|Treatment: Antibiotics are given to prevent infection
Ø Suggest wearing a splint to avoid movement of the hand
Ø Recommend pain killers for killing pain in the wrist._________________________
|SECTIONS 6–9 MUST BE COMPLETED BY EMPLOYER
|6. DID THE INJURED PERSON STOP WORK?
|q Yes yes q No If yes, state date: 8 June 2022______ Time:___________
|q Treated by doctor q Hospitalised q Workers compensation claim
|q Returned to normal work q Alternative duties q Rehabilitation
|7. INCIDENT INVESTIGATION (comments to include causal factors):
|The manager should give the instructions to investigate the reason for blocking the exit door with paper blocks.
|8. RISK ASSESSMENT
|Likelihood of recurrence: CORRECTIVE MEASURES WOULD BE TAKEN, SO THAT INCIDENT WOULD NOT REPEAT_______________________________
|Severity of outcome: HIGH_____________________________________________
|Level of risk: Medium or high___________________________________________
|9. ACTIONS TO PREVENT RECURRENCE
|Give instructions to manage the exit gate free from luggage and unnecessary things.
Give orders to make the stairs and floor clean.
|Operations general manager
Operations general manager
|8 June 2022
8 June 2022
|10 June 2022
10 June 2022
|10. ACTIONS COMPLETED
|Title: Prevention and safety of workforce Date: 10 June 2022____
|q Feedback to person involved Date:_______________
|11. REVIEW COMMENTS
|WHS committee / staff meeting: _________________________________________
|Reviewed by site Manager (signed):_______________________ Date:11-06-2022_
|Reviewed by Health & Safety Rep.(signed):________________ Date:11-06-2022_
Risk assessment form
|Name: Kim Sweeney______________________________________________
Position: Operation General Manager__________________________________
|Risk ID: 112_________________________ Number allocated to this risk.
Raised by: Ellie Watson________________ Name of person who has raised the risk.
Date raised: 7-06-2022_________________ Date of completion of this form.
|Description of risk:
Briefly describe the identified risk and its possible impact.
Due to a block in the emergency exit gate by boxes of paper, or the slippery stairwell because of oil substances, there is a big risk associated with it. As the individual could slip on the floor due to greasiness on the floor and may hurt.
There is a huge risk of mishappening and serious accidents. The persons working in the company could meet the accident could face the problem like hand and leg fractures, head injuries and sprained leg, etc.
|Likelihood of risk:
Describe and rank the likelihood of the risk occurring (i.e. low, medium or high).Medium risk
|Impact of risk:
Describe and rank the impact if the risk occurs (i.e. low, medium or high).
The impact would be high, Because the client who was suffered, would not able to continue her work in the company unless she get recovered from the hand fracture.
|Preventative antigens recommended:
Briefly describe any action that should be taken to prevent the risk from occurring.
The workers should be instructed to clear the emergency exit door.
There should be a proper place for paper boxes. The paper boxes should be kept in the right place so they could not become a hurdle on the exit door.
The stairwell should be cleaned time to time, to avoid the greasiness on the floor.
|Contingency actions recommended:
Briefly describe any action that should be taken, should the risk occur, to minimize its impact.
First aid should be maintained for the temporary treatment.
The company should bear the expense of the treatment of the client so that she would not sue the company.
Provide sick/health leave to the client so that she could recover from the injury.
Details of any supporting documentation used to substantiate this risk.
The manager should instruct the workers to clear the emergency exit door. They should be careful about the safety of the workforce. If any client or employee meets with an accident then there should be the arrangement of primary medical assistance for the injured person.
The Manager should be careful about the clear exit door to mitigate the risk of accidents.
|Signature: ________________________________________ Date: ___10-06__/____2022_/______
This template is used to record identified risks associated with your project, analyse the impact and determine resultant action to be taken.
|Risk of accident
|Strict action regarding the safety of clients
|Risk of sue MLR
|Provide compensation to injured
To mitigate workplace hazards, the Operations General Manager of MLC takes a meeting with the agents and other managers and discusses the plan regarding this and discuss the incidents that generally happen in the workplace. The manager would suggest corrective measures and actions to reduce these incidents. There is legislation about the safety and security of the employees working in MLC, which is discussed in the meeting. All the agents and managers should suggest updating the risk register to take a view of the hazards and incidents in the workplace.
O’Neill, M. (2020). The role of frontline managers in the management of workplace health and safety (Doctoral dissertation, Southern Cross University).
Townsend, K., Loudoun, R., & Markwell, K. (2016). The role of line managers in creating and maintaining healthy work environments on project construction sites. Construction management and economics, 34(9), 611-621.