Procedure: [Insert Name][Insert Document Number] AU&NZ

College/Portfolio Report[Name of College/Portfolio]

Quarter # YearMonth - Month

Prepared By:Health Safety & Wellbeing Team

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month]

1.0 Executive Summary...............................................................................................................32.0 Incidents / Hazards................................................................................................................4

2.1. Number of Lost Time Injuries (LTI)..................................................................................................42.2. Notifiable incidents..........................................................................................................................42.3. Potentially Serious incidents...........................................................................................................52.4. Student Incident Requiring Medical Attention / Hospitalisation.......................................................52.5. Occupational Exposures.................................................................................................................52.6. Regulator intervention and visits.....................................................................................................52.7. Incidents per school / dept within the college/portfolio....................................................................52.8. Incidents by Classification...............................................................................................................5

3.0 Investigations & Inspections................................................................................................64.0 Training.................................................................................................................................. 7

4.1. HSW Inductions...............................................................................................................................74.2. First Aiders......................................................................................................................................74.3. Fire Wardens...................................................................................................................................74.4. College / Portfolio specific Training.................................................................................................7

5.0 College / Portfolio Initiatives................................................................................................85.1. Health, Safety & Wellbeing – Update on College/Portfolio Initiatives.............................................8

6.0 Investigations & Inspections................................................................................................96.1. Status of Non-Conformance Register.............................................................................................96.2. Status of Corrective Actions Register..............................................................................................96.3. Update on Internal HSW Audits......................................................................................................96.4. Health and Safety Risks..................................................................................................................9

Doc. Ref. HSW-PR22-TM02 – College& Portfolio Reporting Template Uncontrolled copy once printed Page 2 of 9Rev No: 1.0

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month]

1.0 Executive Summary[Insert Executive Summary]

Doc. Ref. HSW-PR22-TM02 – College& Portfolio Reporting Template Uncontrolled copy once printed Page 3 of 9Rev No: 1.0

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month]

2.0 Incidents / Hazards

2.1. Number of Lost Time Injuries (LTI)Any work related injury that leads to an absence of at least one full day or shift in addition to the day/shift on which the accident occurred.

2.1.1. Employee Lost Time Injuries (LTIs)School / Dept Date Description

2.1.2. Employee Lost Time Occupational Illnesses (LTOIs)School / Dept Date Description

2.1.3. Contractor Lost Time Injuries (LTIs)School / Dept Date Description

2.2. Notifiable incidentsA notifiable incident includes any incident requiring notification to a regulator as per legislation. This includes bodies such as WorkSafe Victoria, CASA, DHS, Vic Police, WorkCover NSW, ASNO, IAEA, and Security – e.g. ASIO for chemicals of security concern. All notifiable incidents are investigated.

There were [Number] notifiable incidents in Quarter #.

Employee Notifiable IncidentsSchool / Department Description Regulator

Non-employee Notifiable IncidentsSchool / Department Description Regulator

Doc. Ref. HSW-PR22-TM02 – College& Portfolio Reporting Template Uncontrolled copy once printed Page 4 of 9Rev No: 1.0

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month]

2.3. Potentially Serious incidentsPotentially serious incidents are incidents with potential for injury or loss, regardless of whether injury or loss actually occurred. This may include near miss incidents. In Quarter # there were [Number] potentially serious incidents reported.

School/Dept Description

School/Dept Description

2.4. Student Incident Requiring Medical Attention / HospitalisationSchool /Dept Description

2.5. Occupational Exposures [Insert definition of occupational exposures and insert brief description].

2.6. Regulator intervention and visitsThe regulatory intervention or visit is undertaken by a government body, i.e. WorkSafe Victoria, to investigate a dispute or to ensure the University is adhering to permit requirements or implementation of a project.

School/Dept Description Regulator Outcomes

2.7. Incidents per school / dept within the college/portfolioThe graph, below, shows the number incidents per school by month.

[Insert a graph]

2.8. Incidents by Classification[Insert a graph]

Doc. Ref. HSW-PR22-TM02 – College& Portfolio Reporting Template Uncontrolled copy once printed Page 5 of 9Rev No: 1.0

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month]

3.0 Investigations & Inspections[Insert any Investigations or inspections of relevance]

Doc. Ref. HSW-PR22-TM02 – College& Portfolio Reporting Template Uncontrolled copy once printed Page 6 of 9Rev No: 1.0

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month]

4.0 Training

4.1. HSW Inductions[Insert number of HSW Inductions Completed – can be a graph]

4.2. First Aiders[Insert number of first aiders who have completed training, training up to date / out of date]

4.3. Fire Wardens[Insert number of Fire Wardens who have completed training, training up to date / out of date]

4.4. College / Portfolio specific Training[Insert any specific training here – if none, delete this section]

Doc. Ref. HSW-PR22-TM02 – College& Portfolio Reporting Template Uncontrolled copy once printed Page 7 of 9Rev No: 1.0

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month]

5.0 College / Portfolio Initiatives

5.1. Health, Safety & Wellbeing – Update on College/Portfolio Initiatives[Insert brief description on College / Portfolio initiatives]

Doc. Ref. HSW-PR22-TM02 – College& Portfolio Reporting Template Uncontrolled copy once printed Page 8 of 9Rev No: 1.0

Quarterly Health, Safety & Wellbeing Performance[Quarter # Year, Month to Month ]

6.0 Investigations & Inspections

6.1. Status of Non-Conformance Register

Number Date Raised Description Corrective ActionsCollege / PortfolioSchool / Department

Closure Date

6.2. Status of Corrective Actions Register

Number Date Raised Description Corrective ActionsCollege / PortfolioSchool / Department

Closure Date

6.3. Update on Internal HSW Audits[Completed Audits / Scheduled Audits]

6.4. Health and Safety Risks[High Level Health and Safety Risks, identified, controlled, under investigation]

Uncontrolled copy once printed Page 9 of 9Rev No: DRAFT