Forms, templates, records

ℹ️ File access note
PDFs open in your browser. Word and Excel documents download automatically and can be found in your Downloads folder.

Records
Wardens and Designated Assembly Points Safety Officers Health and Safety Representatives and Designated Work Groups HIRAC repository University First Aiders Defibrillator locations

Forms
1. General	HSIT Agenda Template (docx 185kb) Schedule of Health and Safety Management Activities (pdf 37kb) Summary Table of Health and Safety Planning, Meeting and Reporting Activities (for Portfolios) (xlsx 15kb)
2. Employee representation and consultation	Issue resolution flowchart (pdf 93kb) Provisional Improvement Notice (PIN) - Worksafe Victoria (pdf 3392kb)
3. Hazards management	3.1 Hazard Identification, Risk Assessment and Control (HIRAC) HIRAC Report (docx 76kb) HIRAC for Children in University Locations/Activities (pdf 47kb) HIRAC for Manual Handling Tasks (pdf 50kb) HIRAC for Prevention of Workplace Bullying (pdf 39kb) HIRAC for Psychosocial Hazards (docx 108kb) HIRAC repository submission (Power App) Inspection Checklist - Classroom (docx 114kb) Inspection Checklist - General (docx 65kb) Inspection Checklist - Laboratory (docx 117kb) Inspection Checklist - Offices (docx 161kb) Inspection Checklist - Workshop (docx 122kb) New Plant or Chemical Checklist (pdf 131kb) Chemicals Register (docx 44kb) Register for Testing and Tagging of Portable Electrical Equipment (xlsx 14kb) Event Management Form (docx 177kb) 3.2 Student excursions Application for Non-Student/Non-Staff Member to Attend an Excursion (pdf 81kb) Application to Conduct an Excursion (pdf 79kb) List of Excursion Participants (pdf 80kb) Request to Use Own Transport to Excursion (docx 97kb) Student Excursion Health Report and Consent Form Over 18 Years (pdf 31kb) Student Excursion Health Report and Consent Form Under 18 Years (pdf 36kb) 3.3 OHS management of contractors and trades personnel Confined Spaces Permit (pdf 169kb) Excavation Permit (pdf 201kb) HIRAC for Work at Height in University Locations/Activities (docx 187kb) Hot Work Permit (docx 166kb) Lock and Tag Register (pdf 21kb) Roof Access Permit (pdf 167kb) Safe Work Method Statement for Contractors (docx 182kb) Safe Work Method Statement for Staff and Students (docx 182kb) Work at Height Permit (docx 170kb)
4. Incident and emergency management	Bomb Threat Checklist (pdf 52kb) Evacuation Report (pdf 25kb) First Aid Order Form (pdf 32mb) First Aid Report (pdf 71kb) Hazard/Near-Miss Report (please use Donesafe or contact HSW) Injury Report (please use Donesafe or contact HSW) ➡️ Investigate an OHS hazard or event (Donesafe) - people leader guide Local Emergency Instructions Template (docx 97kb) Personal Emergency Evacuation Plan Template (docx 186kb) University First Aider Nomination Form (pdf 28kb)