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Case Study 4

On 12 June 2013 at 10.30 a.m., Kaleen Smith, the service’s cook, cut herself chopping vegetables, while preparing soup for the children’s lunch. She was using a knife that she noticed was getting a little blunt and difficult to use.

You are the service director and interviewed Kaleen after the incident and gathered the following information:

Kaleen’s contact details are: (w) 07 5555 7777 (h) 6666 8888.

Kaleen is a casual employee. She is employed as a cook and sometimes assists with administrative tasks.

She sustained bleeding and a deep cut to her thumb. She bandaged the wound and the bleeding appears to have stopped. She will be visiting the doctor (Dr Prakash) today to check the wound.

You reported the incident to your WHS manager (Doreen Adici) at the local council who operate the service, shortly after the incident.

The following day, you consulted with your service’s health and safety representative (HSR) and manager and decided, since a few similar incidents have happened recently, that the appropriate action would be to:

present a kitchen safety alert to all employees regarding the dangers of kitchen equipment and in maintaining knife safety 

write safety procedures and post them in areas where injuries could take place (to be delivered by the HSR).

Both actions are due to be delivered by next Monday.

You consulted with Kaleen Smith and informed her of the outcomes of the incident.

 

Complete the following tasks.

Based on the case study above, complete an incident report using the details provided.  Incident Report below.

State to whom you reported this incident. 

List the two corrective actions that have been suggested and specify who would be responsible for these actions. You can make assumptions for details that are not provided.

Incident report

1. Use this form to record all workplace injuries and work-related illnesses that result in time off work.

2. All injuries and work-related illnesses must be reported immediately.

Details of injured person

Name: Payroll no.: 

Address: Postcode: 

Contact details: Ph. (Work):                               Ph. (Home): 

Details of injury

Part/s of body injured: Nature of injury:

Incident details

Location of incident: 

Date of incident:                    Time:        a.m.  p.m. 

Time on duty at time of incident:      First aid given by: 

Further treatment: Doctor/medical centre/hospital/other: 

Reporting of incident (as per current legislation)

Person reported to: Position: 

Date incident reported: 

Report to statutory authority?  Name of authority: 

Description of incident

How did the injury occur? 

Witnesses: 

Name: Address: Ph. 

Name: Address: Ph. 

Corrective actions

Corrective actions recommended:

Corrective actions implemented by:

Date: 

 

Date: 

Further action required? Yes /  No

Name: Signature: Date: 

 

 

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