Description
Appendix 2
Assessment Templates
Table of Contents
Assessment Task 1 Templates …………………………………………………………………………………. 1
Incident report ………………………………………………………………………………………………… 1
Injury report ……………………………………………………………………………………………………. 3
Risk assessment form ………………………………………………………………………………………. 7
Risk register ……………………………………………………………………………………………………. 9
Assessment Task 2 Templates ……………………………………………………………………………….. 11
Action/implementation plan …………………………………………………………………………… 11
Budget ………………………………………………………………………………………………………….. 12
Communication plan (example) ………………………………………………………………………. 13
Assessment Task 3 Templates ……………………………………………………………………………….. 15
Roles and responsibilities ……………………………………………………………………………….. 15
Budget ………………………………………………………………………………………………………….. 16
Assessment Task 4 Templates ……………………………………………………………………………….. 18
Professional development plan ……………………………………………………………………….. 18
Third-party report ………………………………………………………………………………………….. 23
BSBMGT605 Provide leadership across the organisation
Appendix 2
Assessment Task 1 Templates
Incident report
1. DETAILS OF PERSON MAKING REPORT
Name:
________________________________________________________________________
Position: __________________________________________ Job Title:
_________________________________________________
2. DETAILS OF INCIDENT
Date: ________________________________________
____________________________________________
Time:
Location:
________________________________________________________________________
Describe what happened and how:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
SUGGEST CORRECTIVE ACTIONS
_______________ _________________________________________________________
________________________________________________________________________
________________________________________________________________________
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Appendix 2
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. DETAILS OF WITNESSES
Name: ___________________________________ Job title:
________________________________________
Name: ___________________________________ Job title:
________________________________________
Name: ___________________________________ Job title:
________________________________________
Sign: ____________________________________ Date:
________________________________________
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Appendix 2
Injury report
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BSBMGT605 Provide leadership across the organisation
Status:
? Employee
? Contractor
Outcome:
? Near miss
? Injury
Appendix 2
? Other
1. DETAILS OF INJURED PERSON
Name: _____________________________ Phone: (H)
(W)
Address: ______________________________________ Sex:
? M
? F
_____________________________________________ Date of birth:
_____________________________________________
Job Title:
________________________________________________________________________
Start time: _________________________________________ ? am ? pm
Work arrangement:
? Casual
? Full-time
? Part-time
? Other
2. DETAILS OF INCIDENT
Date: ___________________________________
_______________________________________
Time:
Location:
________________________________________________________________________
Describe what happened and how:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. DETAILS OF WITNESSES
Name: _____________________________ Phone: (H) _____________ (W) ___________
Address:
________________________________________________________________________
________________________________________________________________________
4. DETAILS OF INJURY
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Appendix 2
Nature of injury (e.g. burn, cut, sprain)
________________________________________________________________________
Cause of injury (e.g. fall, grabbed by person)
________________________________________________________________________
Location on body (e.g. back, left forearm)
________________________________________________________________________
5. TREATMENT ADMINISTERED
? Yes
First aid given
? No
First aider name:
________________________________________________________________________
Treatment:
________________________________________________________________________
Referred to:
________________________________________________________________________
SECTIONS 6?9 MUST BE COMPLETED BY EMPLOYER
6. DID THE INJURED PERSON STOP WORK?
? Yes
? No
If yes, state date: __________________ Time:
Outcome:
? Treated by doctor
?Hospitalised
? Returned to normal work ? Alternative duties
? Workers compensation claim
? Rehabilitation
7. INCIDENT INVESTIGATION (comments to include causal factors):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
8. RISK ASSESSMENT
Likelihood of recurrence:
________________________________________________________________________
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Appendix 2
Severity of outcome:
________________________________________________________________________
Level of risk:
________________________________________________________________________
9. ACTIONS TO PREVENT RECURRENCE
Action
By whom
By when
Date completed
10. ACTIONS COMPLETED
Signed (Manager):
________________________________________________________________________
Title:
Date:
? Feedback to person involved
Date:
11. REVIEW COMMENTS
WHS committee / staff meeting: ______________________________________________
Reviewed by site Manager (signed):___________________________ Date: ___________
Reviewed by Health and Safety Rep.(signed): ___________________ Date: ___________
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Appendix 2
Risk assessment form
Details
Name: __________________________________________________________________
Position: _________________________________________________________________
Risk details
Risk ID: __________________________________ Number allocated to this risk.
Raised by: ________________________________ Name of person who has raised the risk.
Date raised: ______________________________ Date of completion of this form.
Description of risk:
Briefly describe the identified risk and its possible impact.
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Appendix 2
Likelihood of risk:
Impact of risk:
Describe and rank the likelihood of the risk
occurring (i.e. low, medium or high).
Describe and rank the impact if the risk occurs
(i.e. low, medium or high).
Risk mitigation
Preventative actions recommended:
Briefly describe any action that should be taken to prevent the risk from occurring.
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Appendix 2
Contingency actions recommended:
Briefly describe any action that should be taken, should the risk occur, to minimise its impact.
Approval details
Supporting documentation:
Details of any supporting documentation used to substantiate this risk.
Signature: ________________________________________
Date: _____/_____/______
Risk register
This template is used to record identified risks associated with your project, analyse the
impact and determine resultant action to be taken.
Risk
Likelihood
(H/M/L)
Impact
(H/M/L)
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Risk response
(contingency
strategies)
Responsible
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Appendix 2
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Appendix 2
Assessment Task 2 Templates
Action/implementation plan
Item
Milestone date
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Responsibility
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Appendix 2
Budget
Project Name:
Income
Incl. GST
Excl. GST
Incl. GST
Excl. GST
Total income
Expense
Subtotal
Contingency (+10%)
TOTAL
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Appendix 2
Signature: ________________________________________
Date: _____/_____/______
Communication plan (example)
What
Who
Purpose
When/frequency
Type/methods
Initiation
meeting
All stakeholders.
Gather information
for initiation plan.
FIRST
Meeting.
Distribute
project
initiation
plan
All stakeholders.
Distribute plan to
alert stakeholders of
project scope and to
gain support.
Before kick-off
meeting.
Before project start
date.
Before project start
date.
Project snapshot
distributed via
hard copy or
electronically.
May be posted on
project website.
Project
kick-off
All stakeholders.
Communicate plans
and stakeholder
roles/
responsibilities.
At or near project
start date.
Meeting.
Update stakeholders
on progress of the
project.
Regularly
scheduled.
Distribute status
report electronically
and post via
website.
Review of detailed
plans (tasks,
assignments, and
action items).
Regularly
scheduled.
Encourage
communication
among
stakeholders.
Status
reports
Team
meetings
All stakeholders and
project officer.
Entire project team.
Individual meetings
for sub-teams as
appropriate.
BSBMGT605 Provide leadership across the organisation
? 2015 Innovation and Business Industry Skills Council Ltd
Weekly is
recommended for
small?medium
projects.
Meeting: detailed
plan.
Weekly is
recommended for
entire team. Weekly
or bi-weekly for
sub-teams as
needed.
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Appendix 2
What
Who
Purpose
When/frequency
Type/methods
Sponsor
meetings
Sponsor/s and
Project Manager.
Update sponsor/s
on status and
discuss critical
issues.
Regularly
scheduled.
Meeting.
Seek approval for
changes to project
plan.
Media and
community
promotion
Marketing team.
Promote benefits of
the project to
community.
BSBMGT605 Provide leadership across the organisation
? 2015 Innovation and Business Industry Skills Council Ltd
Recommended
bi-weekly or
monthly and also as
needed when issues
cannot be resolved
or changes need to
be made to project
plan.
As determined by
marketing team.
Internet, magazine,
radio.
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Appendix 2
Assessment Task 3 Templates
Roles and responsibilities
Role
Name/s
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Responsibilities
Signature/s
(if required)
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Appendix 2
Budget
Project Name:
Income
Incl. GST
Excl. GST
Incl. GST
Excl. GST
Total income
Expense
Subtotal
Contingency (+10%)
TOTAL
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Appendix 2
Signature: ________________________________________
Date: _____/_____/______
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Appendix 2
Assessment Task 4 Templates
Professional development plan
Name
Date of development
Date to be reviewed
?
?
Discussed with mentor/colleague
Name:
Discussed with manager
Name:
Goals
Timeframe
My personal goals are:
My professional goals are:
These should relate to or support professional goals
These should relate to objectives to maintain current
competence in the job role or future career paths.
Next 12 months
This will depend on type
of activity
priority/importance of
undertaking it
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BSBMGT605 Provide leadership across the organisation
Timeframe
Appendix 2
My personal goals are:
My professional goals are:
These should relate to or support professional goals
These should relate to objectives to maintain current
competence in the job role or future career paths.
Next 5 years
This will depend on type
of activity
priority/importance of
undertaking it
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Appendix 2
Strengths and Weaknesses
Timeframe
Personal
Professional
Required
knowledge/skills
Consider:
? required
competencies
? job description
? service plans and
frameworks.
Strengths
Consider:
? your views
? recent
tests/appraisals
? other people?s views.
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BSBMGT605 Provide leadership across the organisation
Timeframe
Personal
Appendix 2
Professional
Gaps/barriers/obstacl
es and solutions
? gaps in
knowledge/skills
? changes to
systems/services
requiring new skills
? what will help you to
progress in your role,
profession?
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Appendix 2
Professional Development and Networking Activities
Identified gap
Development
activity
Details (provider,
location, etc.)
Objective of
development/networking activity
Timeframe
Cost
1.
2.
3.
4.
5.
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Appendix 2
Third-party report
Name of observer: _________________________________________________________
Position: _________________________________________________________________
Contact details: ___________________________________________________________
________________________________________________________________________
________________________________________________________________________
Skill
Description of how candidate demonstrated
skill/knowledge. Provide example.
Demonstrates
interpersonal skills to
communicate and inspire
the trust and confidence
of others, and ensure
their cooperation and
support.
Demonstrates networking
skills to ensure support
from key groups and
individuals for
concepts/ideas/products/
services.
Applies business ethics.
Ensures performance is
continuously improved
through participation in
professional
development,
networking, etc.
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Appendix 2
Signature: ________________________________________
Date: _____/_____/______
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BSBMGT605 Provide Leadership across the organization
Assessment Task 1- Case Study and Presentation
Communicate organisation mission and goals
Assessment description
Using the workplace case study scenario information provided, you will address expectations
of an organisation to investigate incidents in accordance with legal and organisational
requirements. You will also address expectations to communicate organisational mission and
goals to internal stakeholders by presenting to managers. Then you will make a presentation
to stakeholders using your leadership skills.
Assessment instructions
1. Review the simulated business documentation, including policies and procedures, in
Appendix 1: Max Lionel Realty. Review templates contained in Appendix 2: Assessment
Templates for possible use or adaptation in completing assessment task requirements.
2. Review the information in Scenario 1 below and fill out an incident report in
connection with the WHS incident. Complete a risk assessment based on the
information provided by the HR Manager in the scenario. Update the organisational
risk register.
3. Review the information in Scenario 2 below and prepare a presentation on the
managers? WHS responsibilities. The assessment task is due on the date specified by
your assessor. Any variations to this arrangement must be approved in writing by your
assessor.
4. Deliver your presentation of 10-15 minutes
5. Complete the following assessment task activities during the allowed assessment
date/s and time/s.
6. The assessment task is due on the date specified by your assessor.
7. Any variations to this arrangement must be approved in writing by your assessor.
8. Submit your work with any required evidence attached.
9. See the specifications above for details of submission requirements.
10. Time allowed for the assessment task is 4 hours.
Specifications
You must plan and deliver a presentation to managers and submit:
a. incident report
b. risk analysis
c. updated risk register
d. presentation notes, PowerPoint slides, etc.
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Assessment Task 1-2-3 – BSBMGT605 Provide Leadership across the organisation
Page 1 of 17
Date created: September 2019
Date implemented: September 2019 Date reviewed: April 2020
Responsible by: Coordinator
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BSBMGT605 Provide Leadership across the organization
Performance objective
You will demonstrate knowledge and skills required to communicate organisational mission
and goals.
Assessment context
Simulated work environment. This assessment will be conducted within the training facility
in the specific training room allocated for the trainee/s during the training sessions planned
for assessment using simulated workplace scenario with the access to materials and
equipment facilitated by your assessor.
Required resources
1. Assessment task 3, assessment instructions and case scenario in Appendix 1
2. Computer with Internet access and word-process software (MS Word)
3. Workspace, table, chair and stationery and access to:
a. relevant legislation, regulation, standards and codes
b. relevant workplace documentation and resources
c. case studies and, where possible, real situations
d. interaction with others.
Your assessor will be looking for:
?
?
?
?
?
?
?
how you encourage others to adopt business ethics and build their commitment to the
organisation
clear communication of the organisation?s objectives, values and standards to
stakeholders and the type of media and language used
how you facilitate consultative decision-making with stakeholders
the application of business ethics to leadership
an explanation of the impact of legislation when providing leadership
an explanation of the organisation mission, purpose and values
how application of leadership styles support organisational objectives, plans and
strategies.
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Assessment Task 1-2-3 – BSBMGT605 Provide Leadership across the organisation
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Date created: September 2019
Date implemented: September 2019 Date reviewed: April 2020
Responsible by: Coordinator
International College of Melbourne | CRICOS: 03416G | TOID: 41136 | [email protected] | www.icm.edu.au
BSBMGT605 Provide Leadership across the organization
Your Task
Using the case study in the appendix, complete the following activities:
1. Review the information in Scenario 1 below and fill out an incident report in
connection with the WHS incident.
2. Complete a risk assessment based on the information provided by the HR Manager in
the scenario.
3. Update the organisational risk register.
4. Review the information in Scenario 2 below and prepare a presentation on the
managers? WHS responsibilities. Ensure you:
a. explain the organisation?s mission, values and strategic directions
b. explain the link between the organisation?s objectives, standards, relevant
legislation and the responsibilities of managers and agents for a safe workplace
c. state expectations of managers in a way designed to build commitment and
support by managers; use persuasive language and deploy an appropriate
leadership style
d. use appropriate media to achieve objectives of presentation.
5. Deliver your presentation.
6. Submit documentation as per specifications above.
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Date created: September 2019
Date implemented: September 2019 Date reviewed: April 2020
Responsible by: Coordinator
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BSBMGT605 Provide Leadership across the organization
Appendix
Case Study Scenarios
Scenario 1
You are the Operations General Manager at Max Lionel Realty (MLR). You are responsible for
the day-to-day running of the company. You oversee the coordination of activities that occur
within the Residential, Commercial, and Investments branches of the company. You are
responsible for overseeing projects which affect operations of the organisation as a whole.
You work with the HR manager to coordinate systems and projects to achieve cooperation
and coordination across the company.
WHS Incident
A WHS incident recently occurred at the Commercial office of Max Lionel Realty. Although it is
the Commercial Manager?s responsibility to investigate WHS incidents, they have not done so.
You decide to step in. In accordance with the recently implemented WHS management system
you must:
?
investigate incidents
?
complete an incident report
?
perform risk assessment
?
update risk register.
The records you create of the incident need to be submitted to the HR Manager (assessor) for
storage as per records management policy.
Details of the incident
?
Last Wednesday, a client who was running late decided to leave through the emergency
exit and stairwell, falling and breaking her wrist.
?
The exit door was blocked by boxes of paper.
?
One of the agents heard calls for help, managed to open the exit and helped the client.
?
Not realising what had happened, or the seriousness of the accident, the agent criticised
the client?s high heels, implying that such a thing would never happen to a man: ?Any
sensible woman would take the lift?.
?
The client was humiliated.
?
The client was taken to the Royal Women?s Hospital by ambulance.
?
She is threatening to sue MLR for injuries, loss of income and mental trauma.
Scenario 1 (continued)
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Date created: September 2019
Date implemented: September 2019 Date reviewed: April 2020
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BSBMGT605 Provide Leadership across the organization
?
Another agent noticed a strange odour and an oily substance on the stairwell.
?
This agent reported the incident verbally to the Commercial Realty Manager.
?
This incident has only just become known to the HR manager, who has been contacted
by both the client?s lawyer and the Office of the Human Rights Ombudsman.
?
Several incidents in which managers have failed to undertake WHS management system
responsibilities have occurred recently. For example, recordkeeping has been
incomplete.
?
Consultation with agents, WHS committee meetings have not occurred.
?
The organisation?s original target was to reduce the number of WHS incidents by 25%;
however, after initial success, enthusiasm for the system has worn off and incident rates
are only just lower than they were when the system was initiated.
Scenario 2
You are the Operations General Manager at Max Lionel Realty. You have recently
investigated a serious WHS incident.
You have determined that the incident may represent a systemic breakdown in compliance
with the organisation?s WHS management system. This system has only recently been
implemented and clearly the requisite practices have not been embedded.
Your legal and ethical responsibility is clear. You have a legal and ethical responsibility as a
manager to minimise workplace hazards. Moreover, in accordance with organisational
change management processes, you need to ensure organisational support by regularly
reviewing compliance and acting immediately to intervene to ensure organisational
objectives and minimise risk.
You need to ensure managers are aware of and comply with the following responsibilities
under the WHS management system and WHS legislation:
?
consult with agents on WHS issues to continually identify any potential risks
?
regularly conduct WHS committee meetings to address risk across the organisation
?
regularly assess potential workplace hazards
?
act proactively to reduce risk
?
update the risk register (Template attached).
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Page 5 of 17
Date created: September 2019
Date implemented: September 2019 Date reviewed: April 2020
Responsible by: Coordinator
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BSBMGT605 Provide Leadership across the organization
You have decided to prepare a presentation to managers to ensure compliance.
Your objective is to ensure a smooth implementation of the WHS management system.
Accordingly, you don?t want to single out or embarrass any one manager. Rather, you want
to ensure enthusiastic support by underscoring the importance of implementation of the
WHS management system with respect to Max Lionel?s mission and organisational goals. You
will need to ensure you demonstrate and support ethical attitudes and practices.
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Page 6 of 17
Date created: September 2019
Date implemented: September 2019 Date reviewed: April 2020
Responsible by: Coordinator
International College of Melbourne | CRICOS: 03416G | TOID: 41136 | [email protected] | www.icm.edu.au
BSBMGT605 Provide Leadership across the organization
Risk Register Template
The following table is a sample format of a risk register which could be used to document the organisation?s risks and controls, along with an example of risk assessment criteria.
1
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Date created: September 2019
Date implemented: September 2019 Date reviewed: April 2020
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Rating
(Major
Moderate
Minor)
Consequence
Likelihood
Action Plan
(additional controls
required)
(Highly likely,
Likely,
Unlikely)
Target Risk Rating
Rating
(Major
Moderate
Minor)
Consequence
Risk
(Highly likely,
Likely,
Unlikely)
Risk #
Current treatments to
manage risk
Current Risk Rating
Likelihood
Risk
BSBMGT605 Provide Leadership across the organization
Assessment Task 2 – Project and Role-play
Influence, build and support teams and individuals
Assessment description
Using the workplace scenario information provided, you will plan the implementation and
resourcing of an organisational change strategy, conduct a workshop and consult with
various stakeholders, and implement a key part of the change strategy. At all stages, you will
build support for the implementation and lead and support a team of managers to
implement a change strategy.
Assessment instructions
1. Review the simulated business documentation, including policies and procedures, in
Appendix 1: Max Lionel Realty. Review templates contained in Appendix 2: Assessment
Templates for possible use or adaptation in completing assessment task requirements.
2. Review the scenario information below and complete the activities of your task.
3. The assessment task is due on the date specified by your assessor. Any variations to
this arrangement must be approved in writing by your assessor.
4. This task requires you to meet with your manager (assessor) in a role-play and also
conduct a workshop to stakeholders (assessor and trainee mates)
5. Complete the following assessment task activities during the allowed assessment
date/s and time/s.
6. The assessment task is due on the date specified by your assessor.
7. Any variations to this arrangement must be approved in writing by your assessor.
8. Submit your work with any required evidence attached.
9. See the specifications above for details of submission requirements.
10. Time allowed for the assessment task is 4 hours.
Specifications
You must:
1. meet with CEO (your assessor) to approve change strategy
2. Conduct a workshop for managers on the change strategy
3. submit:
a. action plan for implementation
b. budget
c. communication plan
d. drafts of evolving planning documents
e. agenda
f. team roles and responsibilities document
g. team budget
h. workshop notes.
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Assessment Task 1-2-3 – BSBMGT605 Provide Leadership across the organisation
