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Wellness and Safety

Other Forms

Other Forms

Until such time as full guidelines are written, various forms shall be stored here as they are officially made available. They will be available with only the instruction that is contained within them.

Please email if you need any other forms or if you require further information on what is currently available.

  • Risk Register

    • This register is for excel/computer based use only. It isn't yet sized for printing and filling in by hand. Designed for colour printing.
    • hold your mouse over the cells with the red triangles in the top right corner and the instructions for the column will pop up.
    • The key point of this form is to assess the risk AFTER the control is in place.  Lots of people make the mistake of saying "I have added one control, therefore the problem is fixed" without evaluating whether that one control truly fixes the problem.
    • An exaggerated example has been entered into the register. Overtype it to get rid of it.

     

     Risk Register

  • How to Trespass

    Trespassing someone from your premises is obviously a last step, taken to firstly protect our people and lastly our property.  This form is a Best Practice Guidance from the NZ Police.

     How to Trespass

  • First Aid

    All workers must be provided with first aid facilities, equipment and access to first aiders. 

    This fact sheet outlines what you must do to make sure people have the right first aid resources for the work they do.

    WorkSafe Guideline

  • Health and Safety Policy - Sample

    This is a "top level" policy document.

    Work through with your parish council as to what works. Delete or amend what doesn't work.
    Only keep those items that apply to your parish.

    For this document to work and be relevant, the policies you include must be achievable.

    Please contact Trudy if you require a further level of detail for any item/s.

     Sample Policy

  • Room Hire Agreement - Sample

    This is a generic form. Care needs to be taken as to office hours vs after hours evacuation plans (would yours change if there were staff in the building at the time of evacuation?).

    Please contact Trudy if you have any feedback on this form.

    Sample Room Hire Agreement

     

    Covid-19 Vaccine Pass hire condition

    The sample room hire agreement still requires an additional condition regarding the use of vaccine passes.

    Have the conversation with other existing building users and inform them that vaccine passes are a condition of use for the building, and they must verify vaccine passes among their group.

    Change room hire agreements to reflect using vaccine passes. Use the following suggestion, or legal advice may be sought.

    "It is a condition of building use that vaccine passes are used. It is the responsibility of the organiser or hirer to control entry to the building by verifying that all their attendees have a valid vaccine pass, either sighting the passes or verifying them using the NZ Pass Verifier app.

    Contrary behaviour to these requirements will result in the withdrawal of permission to use these buildings."

    It is advised that parishes arrange for ongoing compliance with either spot checks or a signed declaration from the group organiser at every building use.

  • Working at Height

    This guideline is a supporting document to any tasks you may have which require working at height. It will be submitted to MCPC in October 2020 for their endorsement.

    Please contact Trudy if you have any feedback on this form.

     Working at Height Guideline