Page Title

WHS Questionnaire

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Email Address:

Password:

There is no way to resend or recover your password, please write it down.

Note: Incomplete forms are kept for a period of 2 day(s), after this time the system will automatically delete your response.

When applying the risk management approach, you should aim at: Choose the correct answer.*

When a contractor is working on a worksite, who is responsible for supplying the correct personal protective equipment/clothing (PPE). Choose the correct answer.*

What should you keep on you at all times when working on a worksite? Choose the correct answer.*

Should you use tools, equipment or plant that are not fit for purpose? Choose the correct answer.*

Should you complete a hazard form even if you have corrected the hazard? Choose the correct answer.*

By completing this questionnaire, you acknowledge you have reviewed the Shire of Mundaring's Contractor WHS Induction presentation and agree to:*

Keep my White Card and High Risk Licence on me at all times when on Shire's work site(s)
Abide by all relevant policies and procedures
Complete work following the relevant Safe Work Method Statements or Risk Assessments and Controls
Not undertake work I am not qualified/competent to perform
Report all hazards and incidents

Name*

Organisation

Contract ID Number*

Date*

Your contact person at the Shire of Mundaring*

Save & Exit

Resubscribe to continue receiving bushfire SMS notifications

Important update: Polyphagous shot-hole borer Quarantine Area Notice

Page Title

WHS Questionnaire

Save Your Progress

Today's Fire Danger Rating is