Quiz — Complete workplace forms

E4-Q1 Multiple choice

You need to record a pump fault before maintenance can assess it. There is an old maintenance request pad in a drawer, but the site document system shows a newer maintenance request template with a different version number. What should you use?

Use the current approved maintenance request template from the site document system. Use the old pad because it asks for similar information and is quicker. Write the fault on a shift handover sheet only because maintenance will read it later. Send a text message to maintenance and skip the form unless they ask for it.

E4-Q2 Matching

Match each workplace form with the main purpose it would normally serve in a processing plant.

Pre-start checklist

Incident or near-miss report

Batch record

Shift handover sheet

E4-Q3 Fill the gaps

When choosing a form, first define the of the task or event, then use the form, and if the correct document is unclear, ask a before recording the job on the wrong document.

E4-Q4 Select all that apply

You are completing a quality check sheet for a production run. Which sources would usually be reliable to assemble the required information? Select all that apply.

Select all that apply.

Your own observation of the product and process. Instrument displays or gauge readings used for the process. The batch sheet or approved electronic production system. A rumour from the lunchroom about what happened on the previous shift. A barcode scanner or plant terminal used according to site procedure. A personal social media message from someone not authorised to provide the data.

E4-Q5 Numerical

A maintenance request form requires 8 facts: date, time, location, equipment ID, fault description, immediate action taken, name of person notified and your signature. You have already confirmed the date, time and location. How many required facts still need to be assembled or entered?

E4-Q6 True or false

A worker is allowed to photograph a completed incident form on their personal phone and send it to a friend on another shift if it helps them fill in missing details later.

True False

E4-Q7 Multiple choice

You are completing a form about a red tag on equipment marked TK-204. You are not sure who placed the tag or why. What is the best entry?

“Red tag observed on TK-204 at 10:15; reason not confirmed; supervisor notified.” “TK-204 is probably unsafe because maintenance must have found a major fault.” “Someone left a tag on the tank again.” Leave the section blank because you are not sure who put the tag there.

E4-Q8 Select all that apply

While completing a paper form, you write the wrong equipment number. Which actions are normally consistent with controlled workplace documentation? Select all that apply.

Select all that apply.

Follow the site’s approved correction method. Put a single line through the incorrect entry if that is the approved paper-form method. Initial and date the correction if required by procedure. Use correction fluid so the mistake cannot be seen. Overwrite the number heavily until the original entry is unreadable. Ask a supervisor or authorised person if the required correction method is unclear.

E4-Q9 Fill the gaps

A workplace form should use approved , record required of measurement, and use language that another worker can understand and act on.

E4-Q10 Multiple choice

A co-worker from a culturally and linguistically diverse background gives you a verbal update for a shift handover form, but you are not fully sure which valve number they mean. What should you do?

Politely ask them to repeat or show the valve, then confirm the number against the label or record. Write the valve number you think they meant so the form is submitted quickly. Tell them their English is the problem and ask someone else instead. Leave out the valve number because asking questions may seem disrespectful.

E4-Q11 Multiple choice

You have completed and signed an incident report. Site procedure says it must be lodged in the electronic records system and the supervisor must be notified. The system is available. What should you do?

Submit it in the electronic records system and notify the supervisor as required. Send a photo of the form to a personal email account so it can be uploaded later. Leave it on a bench because someone from management will collect it eventually. Post a message in an informal group chat so the issue is seen quickly.

E4-Q12 Select all that apply

Before submitting a completed workplace form, which checks or actions are normally appropriate? Select all that apply.

Select all that apply.

Check all required fields are complete. Check signatures or approvals required by the form are included. Attach required supporting information, such as photos or readings, using approved channels. Record a reference number or keep a copy if site procedure requires it. Ignore missing information once the form is due. Delay notifying anyone about an urgent safety item until normal filing is complete.

E4-Q13 True or false

If a completed form records an urgent safety-critical issue, the worker should use the approved immediate communication channel as well as completing or submitting the required written or electronic record.

True False

E4-Q14 Matching

Match each workplace code, number or symbol with its likely meaning when completing a processing plant form.

TK-204

PPE

Red tag

Batch number

E4-Q15 Multiple choice

You must submit a maintenance request before the end of shift, but the approved electronic system is not working. What is the best action within your role?

Tell the supervisor or authorised person and follow the approved alternate submission process. Wait until the next shift and hope the system is working then without telling anyone. Use your personal email to send the request to anyone who might be able to help. Write the request on scrap paper and leave it near the equipment with no follow-up.

E4-Q16 Short answer

A completed form does not say who receives it or when it is due. What source should you check first to confirm the required submission process? Enter two words.

E4-F1 Multiple choice

You are completing a form and one required reading is missing. What is the best first response?

Check an approved source or ask an authorised person before completing that field. Estimate the reading so the form looks complete. Leave the form unsigned and file it without telling anyone. Copy a similar reading from yesterday’s form.

E4-F2 True or false

A workplace form can support safety, production control, quality, maintenance and legal evidence.

True False