Title Page
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Office Location
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Conducted on
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Conducted by
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Document No.
1.0 Employee Facilities
Source of Risk - Unhygienic conditions, poor housekeeping, lack of supplies, lack of consideration for fellow workers.
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Reference Document - Code of Practice Managing the Work Environment & Facilities
http://www.safework.nsw.gov.au/__data/assets/pdf_file/0016/50074/managing-work-environment-facilities-code-of-practice-3567.pdf -
1.1 Is the meals area kept clean? (Floor swept, tables wiped down etc)
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1.2 Are tables and chairs in good condition?
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1.3 Is the food preparation area and sink clean? (Dishes in sink, bin full)
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1.4 Is the fridge clean? (Mouldy, rotting or expired food or beverages)
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1.5 Is the microwave clean (check internally)
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1.6 Are the toilets facilities clean & sanitary? (used hand towel on floor, hand basins not cleaned, slip hazard form wet floor)
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1.7 Is there spare toilet paper available?
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1.8 Is there sufficient amounts of liquid soap?
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1.9 Where applicable, are there sufficient hand towels available?
2.0 Emergency Planning & Fire Safety
Source of Risk – Uncontrolled fire, confusion during evacuation, loss of life, damage to property.
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Reference Document - WHS Regulations Clause 43
https://www.legislation.nsw.gov.au/#/view/regulation/2017/404/chap3/part3.2/div4/sec43 -
Emergency Planning
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2.1 Is the Emergency Evacuation Plan displayed on?
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2.2 Is the Emergency Control Organisation team poster displayed?
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2.3 Are emergency exit doors clear of obstructions? (clearance of 1 metre both internally & externally when doors open)
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2.4 Is illuminated exit lighting functioning correctly? (constantly illuminated, no flicker)
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Fire Safety
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2.5 Are portable fire extinguishers and/or fire hose reels serviced at 6 monthly intervals? (check tag for punch mark)
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2.6 Are portable fire extinguishers and/or hose reels clears of obstructions and easily accessible? ( minimum 1 metre x 1 metre clearance)
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2.7 Are any fire extinguishers missing from locations indicted with permanent signage?
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2.8 Is there any permanent signage missing to indicate the location of fire extinguishers or hose reels?
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2.9 Is all permanent signage clearly visible?
3.0 First Aid
Source of Risk – Unhygienic conditions, infection, unable to provide correct first aid, workers unaware of first aiders.
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Reference Document - Code of Practice First Aid in the Workplace
http://www.safework.nsw.gov.au/__data/assets/pdf_file/0015/52152/first-aid-in-the-workplace-code-of-practice-July-2015-3834.pdf -
3.1 Is the list of trained First Aiders and emergency contact numbers displayed?
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3.2 Is there clear access to the First Aid cabinet?
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3.3 Is the First Aid Cabinet sufficient stocked?
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3.4 Is there clear access to the First Aid Cabinet?
4.0 General Housekeeping
Source of Risk – Unsafe Work Environment
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Reference Document - Code of Practice Managing the Work Environment & Facilities
http://www.safework.nsw.gov.au/__data/assets/pdf_file/0016/50074/managing-work-environment-facilities-code-of-practice-3567.pdf -
4.1 Are entry ways and walkways kept clear? (free of trip hazards and obstacles)
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4.2 Is there adequate lighting to all entry ways and walkways?
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4.3 Are all stairways kept clear? (free of trip hazards and obstacles)
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4.4 Is there adequate lighting to all stairways?
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4.5 Are stairway handrails secure?
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4.6 Is the office floor free of debris?
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4.7 Do all work stations have adequate lighting?
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4.8 Are workstation waste bins emptied as required?