Information

  • Audit Title

  • Area/Block

  • Conducted on

  • Prepared by

  • Location
  • Personnel involved in the inspection.

  • Risk Matrix

    no label

1. Room / Location

  • Location

  • Rooms

2. Hazard Type

  • What is the Hazard Risk?

  • Room

  • What is the Hazard?

  • Unsafe Condition or Practice?

  • Interim Control Measures?

  • Action required to Permanetly Control Hazard?

  • Further Details (If required)

  • Person/s Responsible?

  • Target Completion Date?

  • Personal Protective Equipment (PPE) provided?

3. General Facilities

  • Testing and Tagging in Service?

  • First Aid Kits Provided?

  • If No?

  • Safety Signage provided and in good condition?

  • Other Hazard?

  • Other Hazard?

Please sign and email the report to your Manager and "OSH@central.wa.edu.au".

  • Select date

  • Add signature

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.