BSBWHS521

Reason for consultation

Date

Attendees

Name and position

Signature

Specific issues

· Identify a hazard / assess risks

· Eliminate a hazard / associated risks

· Facilities for workers

· Workplace WHS changes

· WHS procedure/s

· Other

Who is consultation with?

· Workers

· Other PCBUs

· HSRs

· Other (specify): ________________

· HSRs representative

· WHS Committee

Description of issue for consultation:

List any concerns raised during discussion:

List decisions made (including date for completion, further action/s required, person/s responsible):

ISSUE RESOLVED / NOT RESOLVED