Step-by-Step Guide to Safety Templates
ProQual Level 7 Diploma: Safety Templates for Strategic Leadership
Table of Contents
Purpose
This task gives a step-by-step template demonstration for learners preparing to meet the unit outcomes. It contains three assessor-provided sample forms (risk assessment, inspection sheet, environmental aspects register) with a model example filled in line-byline. The materials show how to complete forms correctly, common mistakes to avoid, and how to meet compliance expectations.
Alignment to unit learning outcomes
- Develop and implement current ISO standards for occupational health and safety. Evidence-based reference: ISO 45001:2018 is the current OHS management standard used for system design and implementation.
- Evaluate strategic risks using a quantifiable risk assessment system. Practical guidance and templates follow HSE and ISO good practice for risk identification, evaluation and prioritisation.
- Articulate risk communication strategies in various situations. Guidance on safetycritical communications and risk communication principles is provided for normal operations and incident response
How the task is used by assessor and learner
The assessor supplies the blank templates and a completed model. The learner studies the example and then completes the same forms for a different workplace scenario. Assessment checks:
- Correct use of definitions (hazard, consequence, control).
- Use of a quantifiable matrix (likelihood × consequence) to prioritise actions.
- Evidence of ISO-aligned processes: context, leadership, planning, operational control, performance evaluation.
Part A — Risk assessment template (blank) — fields and short instruction
Fields (column headings) the assessor will provide:
- Task/Location
- Step or activity (short phrase)
- Hazard (describe what can cause harm)
- Who might be harmed (roles/groups)
- Consequence (brief: type of harm)
- Likelihood (numeric 1–5; 1=rare, 5=almost certain)
- Severity / Consequence score (numeric 1–5; 1=minor, 5=fatal)
- Risk score (Likelihood × Severity)
- Existing controls (what is already in place)
- Additional action required (what needs to be done)
- Action owner (job title)
- Target date
- Review date / Monitoring notes
Short instruction for the learner: Use factual, workplace-specific language. Choose numeric likelihood and severity consistently. Apply hierarchy of controls (eliminate, substitute, engineering, administrative, PPE). Document monitoring and verification of controls.
Part A — Model example (completed line-by-line)
| Task/ Locatio n | Step or activity | Hazard | Who might be harmed | Conseque nce | Likeli hood (1–5) | Seve rity (1–5) | Risk score | Existing controls | Additional action required | Action owner | Target date | Review |
| Corridor 1F | Replace fluoresce nt tube in ceiling luminaire | Working at height, ladder slip, falling object | Maintenance electrician, passing staff | Fracture, head injury | 3 | 4 | 12 | Use of good condition step ladder; trained electrician; area cordoned; safety boots; task permit | Use mobile elevated work platform (MEWP) instead of ladder where available; confirm ladder inspection record; spotter to control pedestrian access | Maintenance Supervisor | 5 working days | Review after task completi on; check incident log |
Notes on completed line:
Likelihood 3 = possible given previous near misses; severity 4 = major injury possible. Multiply to give 12 (medium– high risk). Prioritise engineering control (MEWP) before administrative. Record evidence that hierarchy was applied.
Common mistakes to avoid:
- Leaving controls vague (write exact measures, e.g., “use MEWP type X, operator trained to IPAF standard”).
- Using inconsistent scoring scales without noting criteria.
- Omitting review/monitoring evidence.
Part B — Inspection sheet (blank) — fields and instruction
Fields:
- Site/Area Date/time Inspector name & role
- Item/Equipment inspected (short code)
- Condition observed (pass/fail or description)
- Immediate hazard? (Yes/No)
- Action required (describe)
- Priority (High/Medium/Low)
- Responsible person
- Completion date Verification / Close out remarks
Instruction:
Use objective language. Where a fail is recorded, specify who will fix it and by when. Attach photos when possible. Record verification evidence after corrective action. Refer to relevant statutory requirements or company standards.
Part B — Model example (completed line-by-line)
Context:
Weekly site safety inspection for electrical workshop.
| Site/ Area | Date | Inspector | Item | Condition observed | Immediate hazard? | Action required | Priority | Responsible | Completion date | Verification |
| Electric al worksh op | 2025 -1110 | HSE Inspe ctor (nam e) | Portable applianc e tester (PAT) not labelled | Some tools have no PAT tag for >12 month s | Yes | Remove untagge d tools from service; schedule PAT test for all portable tools | High | Worksh op Supervi sor | 202511-12 | PAT report attached; items relabelled 2025-1112 |
Notes:
- Immediate hazard column must be used to trigger swift action.
- Attach the PAT test certificate to the inspection record. Document how controls were verified
Common mistakes to avoid:
- Recording observations without a required action or owner.
- Marking “closed” without verification evidence (signature, date, photo, certificate).
Part C — Environmental aspects register (blank) — fields and instruction
Fields:
- Activity / Process (where aspect arises)
- Aspect (what element interacts with environment)
- Impact (what could happen to the environment)
- Legal / regulatory requirement (applicable law, permit)
- Current controls / mitigation measures
- Severity (1–5) and Likelihood (1–5) or significance ranking method
- Environmental significance (High/Medium/Low)
- Action required / Improvement plan
- Owner
- Review date
Instruction:
Follow ISO 14001 practice when identifying aspects and evaluating significance. Consider life cycle, frequency, scale and stakeholder concerns. Link significant aspects to objectives and operational controls.
Part C — Model example (completed line-by-line)
Context:
Construction compound for small refurbishment project.
| Activit y / Proces s | Aspect | Impact | Legal requirement | Current controls | Severity | Likeli hood | Significa nce | Action required | Owner | Review |
| Fuel storage for site plant | Fuel spill from storag e drum | Soil and water contaminatio n; local pollution | Fuel storage regs; waste disposal law (local) | Bunded storage; spill kit; monthly checks; staff training | 4 | 2 | 8 Medium | Install secondary containme nt with 110% bund capacity; update spill response drill | Site Manager | 6 month s |
Notes:
- Legal/regulatory field must cite the regulation code or permit number.
- Significance requires clear numeric method; keep method consistent across register.
Common mistakes to avoid:
- Mixing “aspect” and “impact” descriptions. Keep aspect as activity/element; impact as environmental change.
- Not linking significant aspects to measurable objectives and monitoring.
Risk communication strategy guidance (short practical plan)
Purpose:
Communicate risk information so that the audience understands risk, actions and responsibilities.
Core steps:
- Identify stakeholders (workers, supervisors, contractors, visitors, regulators).
- Select message and level of detail for each stakeholder. Use plain language for workers; provide technical detail for managers and regulators.
- Choose channels: toolbox talk, safety bulletin, email, signage, SMS for urgent messages, incident debrief meetings.
- Confirm receipt and understanding: use short quizzes, return-demonstrations, signatures on permits.
- Provide feedback loop and update messages as new information arises.
- Record communications as part of assurance (meeting minutes, signed attendance sheets).
Example scenario:
Elevated risk after a near miss with scissor lift.
- Message to operators: immediate stop work, inspect lift, follow lockout procedure. Delivery: safety stand-down and toolbox talk, supported by written brief and signed attendance.
- Message to senior management: summary of event, root cause analysis timeline, proposed changes, request for resources. Delivery: short report and meeting.
Common mistakes to avoid:
- Overloading operators with technical jargon.
- Failing to record that communications occurred.
- Not using multiple channels for critical messages.
Assessment guidance for assessor (how to judge learner evidence)
The learner should submit:
- A completed risk assessment for a real or provided scenario, with clear scoring, hierarchy of control applied, action owners and review evidence.
- A filled inspection sheet showing observation, corrective action and verification.
- An environmental aspects register with at least five aspects, significance ranking and linkage to controls.
- A short risk communication plan for at least two different stakeholder groups using plain English and records of delivery.
Marking criteria:
- Accuracy of definitions and scoring (consistent use of scales).
- Evidence of ISO alignment: leadership, planning, operational controls, performance evaluation.
- Practicality and traceability: named owners, dates, verification evidence.
- Quality of communication: clarity, records, suitable channels.
Final notes and quick checklist for learners
- Use real evidence: photos, certificates, attendance sheets.
- Always show hierarchy of control when reducing risk.
- Keep numerical scoring method documented and consistent.
- Link significant environmental aspects to objectives and legal requirements.
- Record risk communications and verify understanding.
