SBAT Catch Up Questionnaire.pdf - sbat 'Catch Up' Questionnaire

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SBAT Catch Up Questionnaire.pdf - sbat 'Catch Up' Questionnaire Powered By Docstoc
					Duty of care for school based apprentices and trainees



sbat ‘Catch Up’ Questionnaire
    It is anticipated that students’ school based apprenticeships or traineeships       Questions 1 and 2 will generally only be
    will usually progress smoothly. However, this may not always be the case and        applicable at the first ‘catch up’ session unless
    therefore the following questions need to be asked of each sbat in order to         the answer is ’No’.
    safeguard each student’s safety and well-being.
                                                                                        Note:
    this ‘catch up’ session complements the monitoring activities undertaken by
    the Department’s local state training services office.                                  Q7 must be cross-referenced to student
    the form should be completed as part of the ‘catch up’ session held by the              Needs assessment form
    school with each sbat initially during the first four weeks of first term and           Q9 relates to potential child protection
    subsequently during the last two weeks of each term.                                    matters




student’s name:_______________________________________________________________ tCID Number: ___________________________

school: ______________________________________________________ Year: ______________ Industry-based Learning:                q Yes q No

Employer: ____________________________________________________ RtO: ___________________________________________________

Local stC contact: and phone no: ________________________________________________________________________________________

Date of ‘catch up session’: ______/______/______

                                                                                     action            Date action
                                                                                     required          taken
____________________________________________________________________________________________________________________
   1. Has the employer provided you with an induction to the
      workplace that includes safety matters?                                q Yes q No             If ‘No’, advise stC     ____/____/____

____________________________________________________________________________________________________________________
   2. Has your employer provided you with a
      workplace supervisor or support person?                    q Yes q No          If ‘No’, advise stC ____/____/____
____________________________________________________________________________________________________________________
   3. are you being supervised at the workplace by                                   If ‘Not very often’,
                                                                             q all the time
      appropriately skilled person/s?                                                advise stC
                                                                             q Most of the time
                                                                                     If ‘most of time’
                                                                             q Not very often
                                                                                     monitor sbat         ____/____/____
____________________________________________________________________________________________________________________
   4. If you are undertaking any higher risk activities that require
      personal protective equipment (PPE), has appropriate PPE and
      training in its use been provided to you?                              q Na q Yes q No        If ‘No’, advise stC     ____/____/____

____________________________________________________________________________________________________________________
   5. If you use plant or vehicles, did your employer provide you with
      information, instruction and training in its use
      before you started to use it?                                          q Na q Yes q No        If ‘No’, advise stC     ____/____/____




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____________________________________________________________________________________________________________________

                                                                                     action            Date action
                                                                                     required          taken
____________________________________________________________________________________________________________________
   6. If you handle or are exposed to high risk substances or products,
      did your employer provide you with training in the use/handling of
      the substance/product before your first contact/exposure?          q Na q Yes q No If ‘No’, advise stC ____/____/____
____________________________________________________________________________________________________________________
   7. If you identified that you have particular needs on your
      student Needs assessment Form, do you think those needs
      are supported at the workplace and in your RtO training?   q Na q Yes q No If ‘No’, advise stC   ____/____/____
____________________________________________________________________________________________________________________
   8. Have you experienced any of the following problems at the
      workplace or RtO premises:
   	 •	 verbal	abuse	or	inappropriate	language	horseplay	or	
         initiation activities that cause you concern?           q Yes q No          If ‘Yes’, advise stC ____/____/____
____________________________________________________________________________________________________________________
      9. Have you experienced any of the following problems at the                        If ‘Yes’, matter is
         workplace or RtO premises:                                                       a potential child
      	 •	 physical	assault	or	exposure	to	violence	                    q Yes q No        protection matter and
      	 •	 physical,	verbal	or	psychological	harassment	or	bullying		   	                 Principal	must	be	advised
            including scapegoating, humiliation or belittling           q Yes q No        immediately and relevant
      	 •	 sexual	misconduct	directed	at	or	involving	you	              q Yes q No        DEt procedures
                                                                                          implemented          ____/____/____

         If ‘Yes’:
	        •	 have	you	told	anyone	about	the	matter?	Who?

         ______________________________________________                 q Yes q No                               ____/____/____

	        •	   has	any	action	been	taken	by	that	person?	
              If ‘Yes’, what action:


         ______________________________________________

         ______________________________________________

      ______________________________________________             q Yes q No                            ____/____/____
____________________________________________________________________________________________________________________
10.      Do you feel safe at the workplace all the time?                q Yes q No        If ‘No’, check reason doesn’t fall
                                                                                          within one of the categories
         If ‘No’, explain                                                                 in Q9. If not advise stC

         ______________________________________________

         ______________________________________________                                                          ____/____/____

____________________________________________________________________________________________________________________
11.      are you finding it hard to balance your employment,            q Yes q No        If ‘Yes’, advise school rep and
         formal training (eg, assessment tasks) and                                       stC that student may need
         school HsC commitments (eg, assessment tasks)?                                   additional support

         If ‘Yes’, what is the biggest problem:
	        •	 your	employment	
	        •	 your	training	with	the	RTO	
	        •	 completion	of	your	Industry-based	Learning	journal/log	
	        •	 your	school	HSC	commitments?	

	        Have	you	told	anyone	about	the	problem?	Who?	                  q Yes q No                               ____/____/____

         ______________________________________________


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____________________________________________________________________________________________________________________
                                                                                     action            Date action
                                                                                     required          taken
____________________________________________________________________________________________________________________
12.	    Have	you	suffered	any	injuries	during	the	
        apprenticeship or traineeship?                                     q Yes q No                                ____/____/____

        If ‘Yes’:
	       •	 where	did	it	occur	

        ______________________________________________
	       •	 what	was	the	injury	

        ______________________________________________

	       •	   did	you	report	the	injury	to	anyone?		Who	did	you		           q Yes q No
             report it to and what did they do?

        ______________________________________________

	     •	 are	you	OK	now?	                                        q Yes q No
____________________________________________________________________________________________________________________
13.     Do you have any other concerns/problems?                           q Yes q No          If ‘Yes’, complete Incident Report
                                                                                               form and forward to Vocational
        If ‘Yes’, what are they?                                                               Education in schools Directorate


      ______________________________________________                                                   ____/____/____
____________________________________________________________________________________________________________________




Office Use Only:


Name and position of member of teaching staff conducting interview and completing checklist:

_____________________________________________________________________________________________________________________

additional comments: __________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

Next action to be taken by staff member: _________________________________________________________________________________

Next action to be taken by student: _____________________________________________________________________________________

Next ‘catch up’ session scheduled for: __________________________________________________________________________________



Note:
this original form is to be retained on student’s file.




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