Work health and safety risk assessment and incident register — every PCBU (person conducting a business or undertaking) has a duty to manage risks so far as reasonably practicable under the model Work Health and Safety laws (⚠️ Victoria instead uses the Occupational Health and Safety Act 2004, with similar duties), including psychosocial risks.
⚠️ This is a blank template, not legal advice: check the wording with a lawyer and adapt it to your jurisdiction and your case.
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WHS RISK ASSESSMENT AND INCIDENT REGISTER
Business (PCBU): State/territory: Assessment date:
PART A — RISK ASSESSMENT
This assessment is carried out to meet the primary duty of a person conducting a business or undertaking (PCBU) to manage risks to health and safety so far as is reasonably practicable, under the model Work Health and Safety Act and Regulations adopted by most states/territories. ⚠️ Victoria applies the Occupational Health and Safety Act 2004 instead of the model WHS Act — the duties are broadly equivalent but the underlying legislation is different.
1. HAZARDS IDENTIFIED 1.1. 1.2. This assessment specifically considers psychosocial risks (e.g. aggression from customers, workload, bullying), which are an explicit duty under the model WHS Regulations.
2. WHO IS AT RISK 2.1.
3. CURRENT CONTROL MEASURES 3.1.
4. RISK RATING 4.1.
5. FURTHER CONTROLS 5.1. 5.2. Responsible person and due date:
6. REVIEW 6.1. This assessment must be reviewed regularly and whenever circumstances change. Next review: .
PART B — INCIDENT REGISTER
7. INCIDENT RECORDING AND NOTIFIABLE INCIDENTS 7.1. 7.2. A "notifiable incident" (death, serious injury or illness, or dangerous incident) must be reported to the state/territory WHS regulator immediately, and the incident site preserved until an inspector arrives or directs otherwise. ⚠️ A register of injuries is separately required under workers compensation legislation in some states (e.g. NSW).
8. WORKERS COMPENSATION 8.1. . Workers compensation insurance is compulsory in every state/territory (e.g. icare in NSW, WorkCover in QLD, WorkSafe in VIC) — confirm the current policy is in force.
COMPLETED BY ______________ DATE
This is a boilerplate template, not legal advice. Australian workplace, consumer-protection, food safety, and work health & safety law combines uniform federal rules (Fair Work Act 2009, the National Employment Standards, the applicable Modern Award, the Australian Consumer Law) with state- and territory-specific rules that this template flags with ⚠️ but does not resolve for you — have it reviewed and adapted by a lawyer before use, check the current Fair Work Ombudsman resources at fairwork.gov.au (including free official templates and the P.A.C.T. pay calculator), and confirm the Modern Award classification and minimum pay rate in force on the date of use (rates change every 1 July).
1 of 12 fields are taken from the company, employee or counterparty record, the questionnaire can be dictated to the AI, and the finished document comes with a number, a PDF and an acknowledgement record.