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RIIWHS401D Supervise work in confined space THEORY ......RIIWHS401 Supervise work in confined space...

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RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL
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Page 1: RIIWHS401D Supervise work in confined space THEORY ......RIIWHS401 Supervise work in confined space THEORY ASSESSMENT TOOL 9 1. Prepare for work in the confined space Answer if Competent

RIIWHS401DSupervise work in confined space

THEORY ASSESSMENT TOOL

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2RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

Copyright

© SkillsDMC

Resources and Infrastructure Industry Skills Council Ltd (t/a SkillsDMC)

Level 9, 36 Carrington Street, Sydney, NSW 2000, Australia

Telephone: +61 (0)2 9324 8600

Facsimile: +61 (0)2 9299 3015

Email: [email protected]

Web: www.skillsdmc.com.au

Published by: Resources and Infrastructure Industry Skills Council Ltd (t/a SkillsDMC)

Level 9, 36 Carrington Street, Sydney, NSW 2000

First published: 2014

Disclaimer

SkillsDMC are the owner of all copyright and other intellectual property rights in the products and any modifications made by SkillsDMC to the materials (parent document issued to you at point of sale and as reflected in the invoice). You acknowledge that, apart from the limited licence granted under these Terms of Sale, you have no right, title or interest (including intellectual property rights) in the products. You will do anything reasonably required to give effect to our ownership of the products (parent document).

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3RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

TABLE OF CONTENTS

Instructions to assessors 4

Prepare for the theory assessment 4

Customising the assessment 4

Safety 4

Carrying out the assessment 4

Completing the assessment 5

Assessment Conditions 5

Expiry status of assessment 6

Resources required 6

Theory Pre-Assessment 7

Questions 8

1. Prepare for work in the confined space 8

2. Provide information about working in confined spaces 12

3. Ensure safety and health of others entering and working in a confined space 15

4. Supervise entry and work in a confined space 19

5. Implement confined space emergency and rescue systems 23

6. Withdraw from confined space and facilitate return to service 27

Theory Assessment Summary 30

Assessment outcome 30

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4RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

INSTRUCTIONS TO ASSESSORSTo prepare for assessment of this unit of competency, assessors should refer to the RII Assessment Materials Overview Guide. This guide includes directions on how to conduct an assessment for Recognition of Prior Learning (RPL).

Prepare for the theory assessment • Ensure date, time, place, employee, assessment instrument and any tools/equipment are arranged.

• Ensure the environment is adequate for delivery of assessment, eg by computer, pen-and-paper or orally.

• The assessment questions have been drafted for easy conversion into a computer-based questionnaire.

• Where English or computer literacy is an issue for the employee, the employee can be offered support eg an oral assessment can be conducted.

• The theory assessment has been drafted as a bank of assessment questions from which a suitable set of sample questions should be chosen for any one assessment.

• When a sample of assessment questions is chosen from the complete bank of items, ensure the items have been suitably selected (eg all areas of the job role have sufficient sample questions included; all sections of the assessment have representative questions included) and the assessment form is finalised for the employee to use (whether in computer, pen-and-paper or oral format). Issues of question selection and coverage are decided according to site policy.

• Gather relevant site standards and procedures from the appropriate authorised company personnel.

• Explain what is required of the employee. Both employee and assessor must confirm the employee’s readiness for assessment. It is recommended that the theory assessment is completed before the practical assessment.

• Advise the employee of performance requirements for “Satisfactory” performance, according to site policy.

Customising the assessmentThe assessment questions should be customised to reflect site-specific:

• risks and hazards

• equipment and machinery

• processes and procedures, including reporting and recording procedures

• standards and requirements

Safety • Ensure all personnel have completed an area-specific induction prior to assessment commencing.

• Site, area and statutory safety requirements must be observed at all times.

• All Personal Protective Equipment (PPE) appropriate to the area the assessment is being carried out in, is to be worn at all times.

Carrying out the assessment • Gather evidence of the employee’s learning using this theory assessment tool.

• Questions may be asked of the assessor during the assessment on any concerns relating to the assessment process and/or to clarify questions.

• To gain overall competency in the unit, both the theory and practical assessment criteria must be met. All questions must be answered correctly, unless otherwise stated in the assessment instrument or unless site policy has other specific requirements for “Satisfactory” performance.

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Completing the assessment • Prior to the theory assessment, the Theory Pre-Assessment form should be completed by the employee and

assessor. The right of appeal under the company fair treatment policy (or equivalent) should be explained.

• All sections of the assessment must be completed with an ink pen for a paper or oral assessment, or on a suitable computer as demonstrated by the assessor.

• On completion of this assessment the employee should sign the Theory Assessment Summary.

• Communicate to employee any feedback comments.

Assessment Conditions • An assessor of this unit must satisfy the requirements of the NVR/AQTF or their successors; and Industry

regulations for certification and licensing; and,

• this unit is best assessed in the context of this sector’s work environment;

• where personal safety or environmental damage are limiting factors, assessment may occur in a simulated environment provided it is realistic and sufficiently rigorous to cover all aspects of this sector’s workplace performance, including environment, task skills, task management skills, contingency management skills and job role environment skills; and,

• this unit must be assessed using Resources and Infrastructure Industry sector specific policies, procedures, processes and operational manuals; and,

• assessor requirements differ between sectors as follows:

• when assessing this unit in the context of the Drilling sector:

• an assessor must demonstrate the performance evidence, and knowledge evidence as outlined in this Unit of Competency, and through five (5) years of work in the Industry sector; or,

• where a co-assessment or partnership arrangement exists between a qualified assessor and an Industry technical expert, the Industry technical expert can hold the unit being assessed, and/or demonstrate equivalency of skills and knowledge at the unit level. An Industry technical expert must also demonstrate a minimum of three (3) years of continuous work in the Industry sector, with the preceding one (1) year in the unit they are co-assessing; or,

• when assessing this unit in the context of the Metalliferous Mining sector:

• an assessor must demonstrate the skills and knowledge of this unit through five (5) years of current and continuous work with the Industry sector and must hold the TAE Assessor Skill Set or equivalent; or,

• when assessing this unit in the context of the Coal Mining sector:

• an assessor must demonstrate the skills and knowledge of this unit through twelve (12) month work experience in an Industry relevant to the skills being assessed within the last three (3) years; and,

• where the assessor does not have current experience a co-assessment or partnership arrangement needs to exist between the qualified assessor and an Industry technical expert/ subject matter expert. The Industry technical expert/subject matter expert must demonstrate competency in the unit being assessed, and be currently working in the sector with a minimum of twelve (12) months’ work experience within the last three (3) years; or,

• when assessing this unit in the context of the Extractive sector:

• an assessor must demonstrate the skills and knowledge of this unit through five (5) years’ work experience in the Industry sector; and,

• where the assessor does not have current experience a co-assessment or partnership arrangement needs to exist between the qualified assessor and an Industry technical expert/ subject matter expert. The Industry technical expert/subject matter expert must hold the unit being assessed and be currently working in the sector with a minimum of two (2) years’ of current work experience; or,

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• when assessing this unit in the context of the Civil Construction sector:

• an assessor must demonstrate the skills and knowledge of this unit through five (5) years’ work experience in the Industry sector; and,

• where the assessor does not have current experience a co-assessment or partnership arrangement needs to exist between the qualified assessor and an Industry technical expert/ subject matter expert. The Industry technical expert/subject matter expert must hold the unit being assessed and be currently working in the sector with a minimum of two (2) years’ of current work experience.

Expiry status of assessmentVerification of competence (eg re-assessment) determined by site requirements.

Resources requiredTheory Assessment Tool in relevant format i.e. paper or computerised, with a suitable number and range of questions selected from the item bank where appropriate. As a general guideline, between 10 and 25 items is usually appropriate for a theory assessment (to be determined by site policy).

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THEORY PRE-ASSESSMENT

Assessment process explained to the employee ( if Yes).

Any appeal relating to the outcome of the assessment or the way in which the assessment was conducted shall be made through the company’s fair treatment policy as explained to the employee ( if Yes).

Employee / Trainee AssessorEmployee/Trainee name: (Print)

Employee/Trainee comments:

Assessor name: (Print)

Assessor comments:

I fully understand the assessment and appeals process.

Theory assessment sighted and checked as Competent.

Signature:

Date:

Signature:

Date:

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QUESTIONS

1. Prepare for work in the confined space Answer if Competent1. Which of the following legislation contain a reference to

confined spaces?

A Australian Standards AS 2865

B Mines Safety and Inspection Regulations 1995

C Work Safety and Health Regulations 1996

D All of the above

2. Which legislation defines how to work safely in a confined space?

A Australian Standards AS 2865

B Mines Safety and Inspection Regulations 1995

C Petroleum Submerged Lands Act

D All of the above

3. Why is it important to consult with workplace personnel/WHS officers before commencing work in confined spaces?

A Management want to know what is happening on site

B They are able to give pointers on the task at hand

C It is the site’s policy and procedures requirement

D You should always inform someone of what you are doing

4. The definition of a confined space is an enclosed or partially enclosed space which:

A Is at atmospheric pressure during occupancy

B Not intended or designed primarily as a place of work

C May have restricted means for entry and exit

D May have an atmosphere containing harmful levels of contaminant

E May not have a safe oxygen level

F May cause engulfment

G All of the above

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1. Prepare for work in the confined space Answer if Competent5. Examples of confined space are limited to the following:

A Storage tanks

B Open- topped spaces

C Pipes and shafts

D Silos

E Ducts

F Confined spaces are unlimited

6. As the supervisor to the process of confined space entry, you are not responsible for the documentation of the site confined space register.

A True

B False

7. A person who designs, _______ or _______ a confined space shall ensure that, where practicable, the design eliminates the need for the persons to enter the confined space.

A manufactures, supplies

B manufactures, builds

C sub contracts, supplies

D sells, purchases

8. What is the importance of following site procedures?

A Easier to follow instructions than decide for yourself

B They are designed to provide a safe working environment

C Someone else has done the hard work

D They are really just a guide for the task

9. From the list, place the steps of a JHA in the correct order.

A Determine control measures

B Sign onto the JHA

C Identify the hazards

D Nominate responsible persons

E Review the JHA

F Break the job into steps

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1. Prepare for work in the confined space Answer if Competent10. Always ensure that the work can be performed without entry

into the confined space complete first.

A True

B False

11. Place in the correct order the hierarchy of control measures.

A Administration

B Substitution

C Isolation

D Engineering

E Elimination

F Personal protective equipment

12. Where visual or oral communication is not possible, then a system of ____________ could be devised.

A Hand signals

B Electronic pulses

C Foot stamping

D Rope signals

13. Which 3 items below can a stand-by person use to achieve communication with someone in a confined space?

1. Feet

2. Voice

3. Written notes

4. Hand

5. Radio

14. A stand-by person is not required when the task is deemed relatively minor.

A True

B False

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1. Prepare for work in the confined space Answer if Competent15. As stated by AS 2865 - An employer shall provide suitable

equipment, including, where necessary, equipment for:

A Comfortable common room

B Personal protection

C Maintaining work vehicles

D Storing personal items

16. AS 2865 states that suitable PPE shall be provided for confined spaces. Which one of these does it include?

A Personal protection

B Emergencies including rescue

C First aid

D Fire fighting

E All of the above

17. All equipment used for confined space entry (including rescue equipment) shall be operated and maintained as per manufacturer’s instructions.

A True

B False

18. The following should be considered as a basis for an entry permit.

A Isolation checklist

B Day time

C Plant at full operation

D Skeleton crew

19. A hot works permit is not required if the entry to the confined pace is very open and well ventilated.

A True

B False

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2. Provide information about working in confined spaces Answer if Competent20. Appropriate rescue procedures shall be planned, established

and rehearsed.

A True

B False

21. It is imperative that a central register (confined space register and identification) be maintained and identifies:

A Possible future confined spaces

B A rating of importance for each confined space

C All confined spaces

D All of the above

22. The final classification, hazard assessment and rescue plans for a confined space should be reviewed by the ________ and _________ committee.

A Administration, management

B Health, safety

C Social, events

D Environmental, ecological

23. It is not a requirement to inform new inductees of the types of confined space signage as they are required to learn this during the course of their employment.

A True

B False

24. When an unauthorised or unintentional entry into a confined space could occur, that space shall be permanently signposted with the words:

A Danger

B Confined space – no unauthorised entry

C Wrong way – go back

D All of the above

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2. Provide information about working in confined spaces Answer if Competent25. Where must the written authority or permit be displayed whilst

work is being carried out in a confined space?

A At the maintenance planner’s office

B The supervisor’s office

C Inside the confined space

D At the entry of the confined space

26. The development of appropriate rescue procedures will be governed by Work Safety and Health Regulations 2011.

A True

B False

27. Rehearsal of a confined space rescue plan should take place at regular intervals not exceeding:

A 2mths

B 24mths

C 12mths

D 8mths

28. Training of personnel required to work within or on a confined space shall include:

A The hazards of a confined space

B Assessment procedures

C Control measures

D Emergency procedures

E All aspects of safety equipment

F All of the above

29. Training should be conducted by authorised trained personnel in all relevant aspects of confined space entry, hazard recognition, use of safety equipment and methods of:

A Resilience

B Training

C Recovery

D Rescue

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2. Provide information about working in confined spaces Answer if Competent30. The level of competency achieved from training is determined

when:

A The trainee feels they have covered all aspects required

B An authorised person deems it

C The allocated time for training has been reached

D All of the above

31. It is important to include behaviour based observations within a training program.

A True

B False

32. For personnel responsible for issuing written authorities, training content should also include:

A Legislative requirements

B Atmosphere testing and equipment

C Permit and entry requirements

D All of the above

33. Providing instruction for the use of a self contained breathing apparatus (SCBA) can be kept to a minimum as the equipment provides its own step by step guide for use.

A True

B False

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3. Ensure safety and health of others entering and working in a confined space

Answer if Competent

34. Who would you consider the most appropriate person to perform hazard identification and risk assessment of a confined space?

A Someone who has shown initiative

B Someone who has been employed by the company over 5 years

C An employee who is deemed competent

D A contractor as they will have an unbiased view

35. As part of the risk assessment rescue plans will also be developed.

A True

B False

36. Which 3 items below shall be included in the risk assessment of a confined space?

1. The nature of the confined space

2. The hazards involved and the associated risks

3. Personnel employment history

4. Emergency rescue procedures

5. Personnel meal breaks

37. What contaminants may be found in the confined space?

A Instrument fittings

B Bend in pipe

C In sludge and scale

D Within brickwork/behind linings

E Liquid traps and joints

F All of the above

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3. Ensure safety and health of others entering and working in a confined space

Answer if Competent

38. Identify what hazards may be found in or around a confined space.

A Atmospheric

B Radiation

C Noise

D All of the above

39. Slow oxidation reactions of either organic or inorganic substances are considered hazards.

A True

B False

40. Risk assessments must take into account which factors?

1. Business plans

2. Emergency and rescue procedures

3. Atmospheric testing

4. Financial gains

5. Whether signs comply with AS 1319

41. When prioritising the level of risk, what criteria is your first priority?

A Hazards requiring PPE

B Environmental risk

C Threat to production

D Risk to personnel safety

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3. Ensure safety and health of others entering and working in a confined space

Answer if Competent

42. Which of the measures are considered part of the hierarchy of control?

A Administration

B Substitution

C Isolation

D Engineering

E Elimination

F Personal protective equipment

G All of the above

43. A Confined Space Entry Permit shall contain the following:

A Floor plan

B Shift rosters

C PPE requirements

D All of the above

44. The stand-by personnel are not required to be identified on the entry permit as they are place outside of the confined space.

A True

B False

45. Which one of the items below is required to be continuously monitored after entering the confined space?

1. Physical and mental condition of the worker in the space

2. Entry/exit logs filled in

3. Oxy bottles are secured inside of the confined space

4. Atmospheric conditions

5. Time requirements

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3. Ensure safety and health of others entering and working in a confined space

Answer if Competent

46. Where the concentration of flammable contaminant in the atmosphere of a confined space is > 5% and < 10% of its LEL, personnel shall be removed unless a continuous-monitoring calibrated flammable gas detector is used.

A True

B False

47. Under legislation there is a requirement to record all aspects of the work being carried out within a confined space.

A True

B False

48. It is legislation for entry permits to be kept for:

A 5 months

B 5 years

C 1 month

D 1 year

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4. Supervise entry and work in a confined space Answer if Competent49. The person entering the confined space requires the

appropriate training but the stand-by person does not require this training.

A True

B False

50. The isolation of systems should be conducted by authorised personnel with the required qualifications/training of specific functions of the systems they are to isolate.

A True

B False

51. A stand-by person must clearly understand:

A All isolation points that are listed on the confined space entry permit

B The source and origin of all cords, cables and hoses entering the confined space

C The quickest method to isolate and de-energise all cords, cables and hoses

D All of the above

52. Authorised personnel can enter a confined space once they have:

A Left their driver’s licence with the stand-by person

B Signed the entry permit

C Told the stand-by person who they are

D Called through to WHS

53. Authorised personnel are only permitted to sign in and out of a confined space a maximum of 8 times.

A True

B False

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4. Supervise entry and work in a confined space Answer if Competent54. An employer shall ensure that appropriate rescue and first aid

procedures and provisions are planned, established and:

A Rehearsed

B Approved

C Filed

D Logged

55. If there is a change in the conditions of the work being carried out in a confined space that has not been identified by the risk assessment, what procedures would be adopted by personnel?

A Leave the confined space and ensure another risk assessment is conducted

B Continue working and finish the job before the time restraints given run out

C Ask the stand-by person to go to the authorised person’s office to receive approval to continue to work

D Alter your course of action to reflect the change in the conditions

56. Where must the stand-by person exhibit the confined space entry permit whilst the work is in progress?

A Adjacent to the point of entry to the confined space

B In their possession

C In the supervisor’s office

D With the person inside of the confined space

57. The stand-by person has the authority to order the person working inside the confined space to leave.

A True

B False

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4. Supervise entry and work in a confined space Answer if Competent58. AS 2865 states that suitable PPE shall be provided for

confined spaces. Which one of these does it include?

A Personal protection

B Emergencies including rescue

C First aid

D Fire fighting

E All of the above

59. The acronym SCBA describes what type of respiratory protective equipment?

A Long line/power air system

B Small canister type RPE

C Self contained breathing apparatus

D Safe consistent breathing apparatus

60. To stay in contact with the stand-by person when visual contact is impossible, the person in the confined space will need to regularly:

A Yell out to let them know they are okay

B Maintain two-way contact

C Appear at the entrance of the confined space

D Phone them on their mobile

61. The stand-by person is allowed to carry out other work while performing the duty of a stand-by observer.

A True

B False

62. Review and rehearsal of a confined space rescue shall take place at intervals not exceeding a period of:

A 6 months

B 3 months

C 18 months

D 12 months

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4. Supervise entry and work in a confined space Answer if Competent63. Control measures should be carefully reviewed and improved,

extended or replaced:

A Every 12 months

B Every 24 months

C Regularly

D All of the above

64. A lock or tag (or both) is required on an open circuit breaker to indicate that a person is in a confined space and is not to be removed until authorised.

A True

B False

65. To prepare a Safe Operating Procedure you will need to consider?

A Hazards

B Controls

E All of the above

C Responsibilities

D Communication and Training

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5. Implement confined space emergency and rescue systems Answer if Competent66. The entry and exit to a confined space shall are not to be

obstructed by fittings or equipment. Why?

A Untidy house keeping

B Tripping hazard

C Can impede rescue

D Aesthetically unpleasing

67. Rescue equipment may still be used if out of manufacturer’s warranty as long as the regular equipment checks have been done and logged as per site procedures.

A True

B False

68. The same rescue plan, which includes the type of rescue equipment required, can be used for all confined space entries.

A True

B False

69. Emergency responses may be conducted by:

A Emergency response team members

B External emergency services

C Personnel with the appropriate training and qualifications

D All of the above

70. External emergency services that may be used for work performed in confined spaces need to be made aware of the details:

A In the planning stages

B Only when they are required for a rescue

C Only if management deems it necessary

D Once a rescue plan has been approved

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5. Implement confined space emergency and rescue systems Answer if Competent71. Where is the most appropriate position to have rescue

equipment if needed?

A Close to the point of entry

B Out of the way but not too far where it cannot be reached easily

C With the supervisor so they can ensure the equipment is kept secure

D With the person in the confined space

72. If the stand-by person notices a small fire from within the confined space that has not been noticed by the person working in that space, they need to:

1. Run for help

2. Attack the fire with the extinguisher they have next to them

3. Demand the worker leaves the confined space immediately

4. Call for help once the worker has left the confined space safely

73. The stand-by person notices the person working within the confined space has fallen and fails to get back up. What do they do?

1. Call for help and then enter the confined space to help the worker

2. Call for help and then try to communicate with the worker from outside the confined space

3. Rush into the confined space to offer assistance

4. Call for help and then use the procedures put in place to enter and help the worker

74. AS 2865 states that the employer shall ensure that appropriate rescue and first aid procedures and provisions are planned, established and rehearsed.

A True

B False

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25RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

5. Implement confined space emergency and rescue systems Answer if Competent75. A stand-by person’s responsibilities also include knowing:

A All site policy and procedures

B The source and origin of argon gas

C Where the restrooms are

D The quickest method to isolate and de-energise all cords, cables and hoses

76. It is vital that all personnel involved with any emergency response situations have the correct rescue resources and ________ training.

A Management

B Skills base

C Report writing

D First aid

77. Once personnel are trained in emergency procedures, it is not necessary for retraining or refresher courses.

A True

B False

78. Which 3 items below is the required information for training records?

1. Names of employees and dates of attendance

2. If the training program is a registered or accredited program

3. The experience of the person providing the training

4. Other attendees of the training

5. Whether there were meal breaks during training

79. Personnel will have access to their own personal training records.

A True

B False

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26RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

5. Implement confined space emergency and rescue systems Answer if Competent80. Training records for personnel shall be:

A Given to the employee to keep safe

B Kept for 12 months then shredded

C Kept for the duration of the personnel’s employment

D Placed on the notice board

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27RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

6. Withdraw from confined space and facilitate return to service Answer if Competent81. At the completion of working at heights, any equipment used

must be:

A Put away as soon as possible so others can access it

B Sent away for inspection

C Dismantled and stored using the site requirements

D All of the above

82. Once the work has been completed within the confined space, the confined space ______________ will need to be completed.

A Safety log

B Timetable log

C Entry log

83. When confined space work has been completed the following actions should take place:

A The next shift is notified of the work completed

B The stand-by person and the worker can have their meal break

C Reordering of used equipment

D All persons and equipment should be accounted for

84. With any materials left over from the job, any recyclables can be deposited as follows.

A At the site rubbish compound

B As per the site recycling procedures

C At the nearest government recycling plant

D At a department that can reuse them

85. Once the work is completed within the confined space, it is essential to remove tagging and lock-out according to procedures.

A True

B False

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28RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

6. Withdraw from confined space and facilitate return to service Answer if Competent86. Who has the authority to remove isolation equipment within a

confined space?

A The person who has completed the work

B The authorised person

C The stand-by person

D The shift supervisor

87. The authorised person, after checking all of the permit requirements will sign off on the job.

A True

B False

88. How is it determined that all personnel and equipment are accounted for?

A They have signed off the Confined Space Entry Permit

B They have let the stand-by person know

C They are all present at the closing out meeting

D They have returned to work the next day

89. When a person leaves or enters a confined space for any reason, what 4 factors need to be entered onto a Confined Space Entry Permit?

1. Person’s name

2. Person has either entered or exited

3. Age of the person

4. The date

5. The time

90. Before personnel are permitted back into the area where work within a confined space has been completed, the following needs to occur:

A Notification put into the site’s newsletter

B The entry point needs to be secured

C Notification put on site’s noticeboards

D All of the above

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29RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

6. Withdraw from confined space and facilitate return to service Answer if Competent91. Once the conditions of the entry permit have been met, who

has the authority to sign off the permit?

A The person who has completed the work

B The relevant competent person

C The stand-by person

D The shift supervisor

92. To ensure integrity is maintained of a safe system of work for confined spaces, periodic auditing of the system should occur.

A True

B False

93. As part of the audit process, ________ and ________ incident findings and learning’s should be considered.

A Reports, oral

B Personnel, staff

C Major, minor

D Internal, external

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30RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

THEORY ASSESSMENT SUMMARY

Theory assessment summaryNote: refer to mapping document if required

Competent Not Competent

1. Prepare for work in the confined space

2. Provide information about working in confined spaces

3. Ensure safety and health of others entering and working in a confined space

4. Supervise entry and work in a confined space

5. Implement confined space emergency and rescue systems

6. Withdraw from confined space and facilitate return to service

ASSESSMENT OUTCOME

Competent

Not Competent

Employee / Trainee AssessorEmployee/Trainee name: (Print)

Employee/Trainee comments:

Assessor name: (Print)

Assessor comments:

Signature:

Date:

Signature:

Date:

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31RIIWHS401D Supervise work in confined space THEORY ASSESSMENT TOOL

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