This checklist is to be completed by the third-party observer when the participant is participating in a workplace safety consultation process. Please complete the form by commenting beside each of the items in the table. This sheet can be handwritten or typed. Once complete return to the candidate for submission to their assessor. Your Name & Position: (person observing) Nanci Candidates Name: N/A Date of consultation: 11/08/2024 Consultation/meeting conducted by: (title only) Safety manager Number of other people present: 3 Did the candidate: Observer comments (provide an example of how they met each of the following points) Contribute to a workplace meeting, inspection or other WHS consultative activity What discussions/issues did the candidate contribute to during the consultative activity Raise WHS issues and concerns with designated persons according to your organization's policy or procedures Take action to eliminate or minimise risk in consultation with others Observer's Name and Signature: (person observing the meeting) Date