Information

  • Host Employer Business Name

  • Host Employer Representative Name

  • Conducted on

  • Field Officer

  • Location
  • This audit is to be completed in consultation with the Host Employer.
    The checklist is a guide only and not all items will be present in all situations. Indicate N/A if not applicable.
    Where compliance problems are identified, comments/explanations should be included.

MANAGEMENT

  • Is there Work Health & Safety Policies in place? If no, why

  • Does the Host have supporting procedures and forms? e.g. hazard reporting document. If no, why

  • Does the Host have a formal written On Job Induction process which occurs on the first day? If no, why

  • Legislation - are copies of regulations, standards and codes of practice available on site / on-line? If no, why

  • Does the Host have Safe Work Management System (SWMS) that reflect the way in which jobs must be done to ensure safety? If no, can MT&E assist

  • Does the Host provide employees with information, training, supervision and consultation to ensure they perform the work safely? <br>If no, why.

  • If Yes, How? - select whichever applies

HOUSEKEEPING / EGRESS

  • Exits - equipped with emergency lighting, clear on both sides and clearly identified?

  • Aisles & Walkways - identified, marked and not obstructed?

  • Steps, Stairs and Ladders - in good condition?

  • Steps, Stairs and Ladders - hand rails continuous?

  • Pits/Cellars - edges clearly defined and built to Australian Standards?

  • Floor Surfaces - level and free from spills and no tripping hazards?

  • Dust Control - clean up scheduled?

  • Waste materials - do they accumulate?

ELECTRICAL HAZARDS

  • Switchrooms - controlled access?

  • Switchrooms - warning signs posted?

  • Switchrooms - clear of storage and rubbish?

  • Switchboards - clear access?

  • Switchboards - any exposed or temporary wiring?

  • Switchboards - master switches identified?

  • Switchboards - covers fitted and locked where applicable?

  • Power Leads - cords clear of water and water outlets?

  • Power Leads - are they creating tripping hazard?

  • Power Leads - inspection tagged in current test period?

  • RCD - Residual Current Device available for use?

SERVICES

  • Compressed Air - any leaks?

  • Oil - any leaks?

  • Oil - absorbent material available for spill clean up?

  • Pressure Vessell - inspections scheduled?

MATERIAL STORAGE

  • Storage / Racking - stable?

  • Material - is identified and accessible?

MATERIAL HANDLING

  • Equipment - is lifting equipment present and serviceable?

  • Equipment - regular scheduled inspections (if applicable) carried out?

  • Methods - mechanical aides used for heaving or repetitive lifting?

HAZARDOUS MATERIALS

  • MSDS's - Material Safety Data Sheets available?

  • Appropriate signs on display?

  • Operator instructed on safe work methods?

  • Containers well marked with material name and potential hazard?

  • Storage - correct storage as per MSDS

  • Correct use of PPE as per MSDS?

  • First Aid Instructions displayed?

MECHANICAL HAZARDS

  • Machinery - guards securely fitted?

  • Machinery - interlocks operating?

  • Machinery - any unguarded contact points where an employee can be caught/crushed?

  • Safe Operating Procedures (SOP's) available - High Risk Machinery?

  • Training in SOP's provided?

  • Emergency STOP - accessible to operator during operation?

FIRE AND EMERGENCY

  • Portable Extinguishers - correct type for fire risk and in good condition?

  • Hose Reels - identified with sign and accessible?

  • Smoke Detectors - installed / tested?

  • Procedures - is there an emergency procedure and are staff trained to evacuate?

  • First Aid - is kit equipped and available?

PERSONAL PROTECTIVE EQUIPMENT

  • Correct Footwear - worn by all employees?

  • Needs Identified for Eyes, Ears, Head, Hands, Respiratory?

  • Is wearing of PPE issued as required and supervised?

AMENITIES

  • Is there ready access to adequate toilet and washroom facilities?

  • Is there a ready supply of cool drinking water?

  • Is there facilities or reasonable arrangements to allow the the consumption of a meal?

  • Is there facilities or reasonable arrangements to secure personal belongings?

Signatures

  • MT&E Field Officer

  • Host Employer Representative

  • Attach any photo evidence

  • AUDIT SUMMARY - List any issues identified and agreed remedial actions or Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.