“Best Practice Safety Review 2018” – how do you measure up?

Organisation Name:

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* Organisation Name:

Your Name:

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* Your Name:

Job Title:

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* Job Title:

Telephone Number:

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* Telephone Number:

Email: (this is collected so we can contact you if we have questions about your data entered, and to send the final report)

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* Email: (this is collected so we can contact you if we have questions about your data entered, and to send the final report)

Industry Type (e.g. Food manufacturer, mining, warehouse, utilities, healthcare etc.)

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* Industry Type (e.g. Food manufacturer, mining, warehouse, utilities, healthcare etc.)

Number of Employees (EFT) covered by data: Number of effective full-time employees, including regular casuals or contracted regular workers.

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* Number of Employees (EFT) covered by data: Number of effective full-time employees, including regular casuals or contracted regular workers.

Data. Please provide the following data for a recent 12-month period e.g. 1st July 2017 – 30th June 2018, or 1st Jan- 31st Dec 2017.
Complete all sections for which you have data.
1. Number of LTI’s - (lost time injuries e.g. work injury resulting in inability to work for one shift (8 hours) or more, any time after the incident)

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* 1. Number of LTI’s - (lost time injuries e.g. work injury resulting in inability to work for one shift (8 hours) or more, any time after the incident)

2. Number of MTI’s - (Medical treatment injuries e.g. treatment by a qualified medical practitioner beyond first aid)

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* 2. Number of MTI’s - (Medical treatment injuries e.g. treatment by a qualified medical practitioner beyond first aid)

3. Number of First Aid Injuries (if known)

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* 3. Number of First Aid Injuries (if known)

4. Number of Days Lost - (due to work injuries)

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* 4. Number of Days Lost - (due to work injuries)

5. Number of TRI’s - (Total recordable injuries e.g. death, loss of consciousness, lost time causes, restricted work, job transfers, affected work routines, and medical treatment beyond first aid.)

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* 5. Number of TRI’s - (Total recordable injuries e.g. death, loss of consciousness, lost time causes, restricted work, job transfers, affected work routines, and medical treatment beyond first aid.)

6. Workers Compensation Premium ($) - (Workers Compensation premium costs only for a recent 12 months period e.g. last financial year.)

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* 6. Workers Compensation Premium ($) - (Workers Compensation premium costs only for a recent 12 months period e.g. last financial year.)

7. No. of Safety & Workplace Compensation Personnel - (# effective full-time e.g. 1 person part time may be 0.5, or if only part of role may be 0.1)

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* 7. No. of Safety & Workplace Compensation Personnel - (# effective full-time e.g. 1 person part time may be 0.5, or if only part of role may be 0.1)

Please provide the raw data only for the following questions as the rate will be calculated for all participants.
Lead indicators
8. Inspections Conducted to Schedule (%)

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* 8. Inspections Conducted to Schedule (%)

9. Hazards Fixed < 60 days (%)

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* 9. Hazards Fixed < 60 days (%)

10. Safety Climate Survey Score (%) - (percentage of overall positive response per annual Safety Climate survey)

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* 10. Safety Climate Survey Score (%) - (percentage of overall positive response per annual Safety Climate survey)

Questions. The following questions are designed to assist benchmarking common business safety activities.  Please answer to the best of your knowledge.
1. Does your organisation have a clear strategy (5 to 10 years) or vision for safety?

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* 1. Does your organisation have a clear strategy (5 to 10 years) or vision for safety?

2. Does your organisation have a plan in place to improve safety this year?

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* 2. Does your organisation have a plan in place to improve safety this year?

3. Is your plan approved by the board, fully budgeted and KPIs set to measure progress and effectiveness of stated actions?

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* 3. Is your plan approved by the board, fully budgeted and KPIs set to measure progress and effectiveness of stated actions?

4. Which of the following statements best describes the status of WHS in your organisation? (Select one)

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* 4. Which of the following statements best describes the status of WHS in your organisation? (Select one)

5. Do new directors/managers receive a briefing on their WHS responsibilities?

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* 5. Do new directors/managers receive a briefing on their WHS responsibilities?

6. Do you have one or more independent safety advisors who informs the organisation on trends on health and safety?

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* 6. Do you have one or more independent safety advisors who informs the organisation on trends on health and safety?

7. What is the highest safety qualifications/ training of your internal safety advisor/s? (select the answer that is most appropriate)

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* 7. What is the highest safety qualifications/ training of your internal safety advisor/s? (select the answer that is most appropriate)

8. Does your organisation maintain a Key Safety Risk Register?

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* 8. Does your organisation maintain a Key Safety Risk Register?

9. Has the organisation identified each of the hazards associated with its core activities?

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* 9. Has the organisation identified each of the hazards associated with its core activities?

10. Does your organisation have a Health and Safety Management System?

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* 10. Does your organisation have a Health and Safety Management System?

11. Are regular reports made to the board / board committee about the effectiveness of the safety management system?

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* 11. Are regular reports made to the board / board committee about the effectiveness of the safety management system?

12. Is there a requirement within your organisation that risk assessments are undertaken by workers trained and competent to assess risk?

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* 12. Is there a requirement within your organisation that risk assessments are undertaken by workers trained and competent to assess risk?

13.    Risk assessments are undertaken in your organisation in response to…
(select all that apply)

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* 13.    Risk assessments are undertaken in your organisation in response to…
(select all that apply)

14. Does your organisation conduct periodic Safety or Wellbeing Survey that is reported to the boards?

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* 14. Does your organisation conduct periodic Safety or Wellbeing Survey that is reported to the boards?

15. Does your organisation have a set of non-negotiable safety rules e.g. ‘Golden Safety Rules’?

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* 15. Does your organisation have a set of non-negotiable safety rules e.g. ‘Golden Safety Rules’?

16. Does your organisation have a legal compliance register for workplace safety?

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* 16. Does your organisation have a legal compliance register for workplace safety?

17. The top 3 safety risks in my organisation are:

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* 17. The top 3 safety risks in my organisation are:

18. Are your managers and leaders trained in safety leadership skills?

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* 18. Are your managers and leaders trained in safety leadership skills?

19. Do you conduct an internal audit of your safety management system at least annually?

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* 19. Do you conduct an internal audit of your safety management system at least annually?

20. Do you undertake an external audit of your safety management system, at least every 3 years?

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* 20. Do you undertake an external audit of your safety management system, at least every 3 years?

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