FREE  Health & Safety Self Assessment Tool

This is a guide to help you consider not just what Health & Safety knowledge and controls you have in place but also where your business may be vulnerable?

Once submitted, we will email you a copy to help you to identify your gaps and plan for them. If you date and sign your printed copy it can also become part of your H&S records.

We respect your privacy. Any information you provide will remain confidential. * Fields with an asterisk need to be completed

Question 1.

• * As Director, Owner and/or Manager do you know your legal obligations and duties under the incoming reforms (Health & Safety at Work Act) expected later in 2015?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 2.

• * Do you know what a PCBU is, and if you are one?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 3.

• * Do you know what an Officer is, and who in your business is one?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 4.

• * Have you identified all the Hazards in your Workplace(s)?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 5.

• * Do you know how to evaluate Risks for each Hazard and rank each Risk as High, Medium or Low?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 6.

• * Do you have a process to actively encourage worker engagement in your Health & Safety planning & management?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 7.

• * Do you have good health & safety management systems and comprehensive record keeping to help meet your obligations under the incoming legislation?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 8.

• * Do you have an H&S software management system (eg: Mobile H&S App) that helps keep good records onsite?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 9.

• * Do you know what you are doing right, where your Health & Safety gaps are and what to do about them?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

Question 10.

• * Do you need any H&S advice or assistance?

  • Yes
  • No
  • Not sure
• Do you need to take any further action? If so, what?

  Your notes:

About Your Business

• * Region your head office is situated
• * Type of industry
• * Company / Business / Organisation:
  * Contact name:
• * Repeat Email:
  * Email:
• * Contact phone:
• Phone:
• Who’s responsible for implementing Health & Safety in your business?
• Do you have a dedicated H&S Representative?
• Phone:
• * Would you like to receive our Free Health & Safety electronic Newsletter?

  • Yes
  • No

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