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WORKPLACE RISK ASSESSMENT FORM Managing Workplace Health and Safety Risks procedure Form WHS Workplace: Australian Sovereign Community Service Centre Local Assessment No: 1792 Assessment Date: 18/ 01 /2023 Next Review Date: 17/ 02/ 2024 Sign-off: Name: Bishmarg Thapa Position: Supervisor Date: 18 /01 / 2023 What is being assessed? The risk factors which were identified by the employee in “Freewill Therapy” is being assessed. As there were risk factors including the security alarm bells, WHS procedures were not followed. People involved in the assessment Assessor(s): As for the position, choose 2 from the following list, use your own words to paraphrase, and add in one of your own based on your own research for each person, use 1 sentence to clarify what kind of expert advice you need from them using facts from the case scenario. Mention 1 feedback mechanism that could be used to improve the engagement for these people. your (immediate) supervisor, a manager, team leader, policies officer or safety officer, the director, the WHS management committee Others consulted: Choose 2 from the following list, use your own words to paraphrase And for each person, use 1 sentence to clarify what kind of expert advice you need from
SCIENCE
HEALTH SCIENCE
NURSING

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