AS&RS

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Emergency & First Aid

• Is the evacuation plan up to date and clearly displayed?

  Yes

  No

  N/A

• Are entrance exits and evacuation routes kept clear

  Yes

  No

  N/A

• Where emergency lights are installed are they in working order

  Yes

  No

  N/A

• Are the emergency telephone numbers displayed

  Yes

  No

  N/A

• Is there a 2-3 (min) fire extinguisher located in an appropriate place and tagged as current for testing

  Yes

  No

  N/A

• Is there a 1.2 x 1.2 fire blanket located in an appropriate place

  Yes

  No

  N/A

• Are smoke alarms installed in appropriate location

  Yes

  No

  N/A

• Did the smoke alarms operate correctly when tested

  Yes

  No

  N/A

• Is there appropriate equipment and PPE in place for cleaning bodily fluid spills and are there hand washing facilities

  Yes

  No

  N/A

• Are there WIRF forms available

  Yes

  No

  N/A

• Is there a well stocked first aid kit and appropriate signage available

  Yes

  No

  N/A

• Has a fire evacuation drill been conducted and the assessment sheet completed (including recommendations for frequency of evacuation drill)?

  Yes

  No

  N/A

Electrical

• Is there an electrical safety switch installed at this property

  Yes

  No

  N/A

• Did the safety switch operate correctly during the push button test

  Yes

  No

  N/A

• Ae teh lights and fittings, power points and switches in a safe working condition

  Yes

  No

  N/A

• Is all fixed and portable electrical equipment in a safe working condition

  Yes

  No

  N/A

• Is there any hazardous extension cords and piggy back double adaptors

  Yes

  No

  N/A

• Are floors walkways or other areas clear of any temporary leads or cords that woulda cause a hazard

  Yes

  No

  N/A

• Have all observable hazards been addressed

  Yes

  No

  N/A

Chemicals

• Is there a copy of the safety assessment for the storage and use of potentially hazardous substances in AS&RS households in the household information folder

  Yes

  No

  N/A

• Has the safety assessment been reviewed in the last 12 months?

  Yes

  No

  N/A

• Has the safety assessment been updated with the introduction of new chemicals into the household ?

  Yes

  No

  N/A

• Are chemicals stored according to the recommendation of the safety assessment

  Yes

  No

  N/A

• Are all chemical contained in undamaged original containers with reliable labels

  Yes

  No

  N/A

• Are material safety data sheets available for hazardous substances

  Yes

  No

  N/A

• Is the poison information centre number in the household information folder?

  Yes

  No

  N/A

• Have all observable hazards been addressed

  Yes

  No

  N/A

• Are the appropriate products being used on floors

  Yes

  No

  N/A

General

• Are floors walls and ceilings in a safe condition?

  Yes

  No

  N/A

• Are all doors and windows in a safe condition?

  Yes

  No

  N/A

• Can access and egress be done safely

  Yes

  No

  N/A

• Are all benches,shelves and fixtures secured firmly and in a safe condition?

  Yes

  No

  N/A

• Is these suitable and efficient storage space

  Yes

  No

  N/A

• Is all furniture and bedding in a safe condition

  Yes

  No

  N/A

• Are all baths, showers, sinks and wash trough in a safe condition?

  Yes

  No

  N/A

• Is there sufficient ventilation ?

  Yes

  No

  N/A

• Is there appropriate lighting?

  Yes

  No

  N/A

• Are all rails, landing, verandas and steps in a safe condition?

  Yes

  No

  N/A

• Is the house free of vermin?

  Yes

  No

  N/A

• Noise- At the time of the audit are noise levels acceptable / work areas have been assessed for risk associated with excessive noise?

  Yes

  No

  N/A

• The cleanliness of ventilation equipment (air conditioners) and clothes driers is maintained

  Yes

  No

  N/A

• Have all other observable hazards been addressed

  Yes

  No

  N/A

Ergonomics / Manual Handling

• Has the manual handling involving people and equipment checklist been completed in the last 12 months?

  Yes

  No

  N/A

• Are mopping duties performed in a safe manner?

  Yes

  No

  N/A

• Are laundering facilities safely located?

  Yes

  No

  N/A

• Are laundering duties performed in a safe manner?

  Yes

  No

  N/A

• Are all tasks that include the lifting or carrying of loads optioned into light, manageable loads?

  Yes

  No

  N/A

• Are frequently accessed items stored at a safe working height?

  Yes

  No

  N/A

• Are staff using environmental resources to support safe working postures when performing domestic activities?

  Yes

  No

  N/A

• Is the environment free of any other manual task concerns?

  Yes

  No

  N/A

Medication

• Is the medication stored in an appropriate cupboard, which is lockable if required( as per client risk assessment)

  Yes

  No

  N/A

• Is all medication required and within it expiry date?

  Yes

  No

  N/A

Behavior Management

• Are all behavior intervention, management and travel plans signed and up to date?

  Yes

  No

  N/A

Motor Vehicle

• Have motor vehicles been serviced regularly and is there a system for recording past and due service dates?

  Yes

  No

  N/A

Water temperature

• Is the temperature regulation device used in the household and the required temperature recorded in the household information folder ?

  Yes

  No

  N/A

• Was the temperature of the water consistent with the requirements recorded in the household information folder?

  Yes

  No

  N/A

Outside of residence

• Is there sufficient lighting to access vehicles and outdoor areas?

  Yes

  No

  N/A

• Is access and egress appropriate for the residence?

  Yes

  No

  N/A

• Are stairs, handrails and landings in a safe useable condition and free of hazards?

  Yes

  No

  N/A

• Are all fences in good repair and free of fire hazards?

  Yes

  No

  N/A

• Are all garden beds and grass well maintained and is the yard hazard free?

  Yes

  No

  N/A

• Are garden sheds and other out buildings in a clean and safe condition, free of hazards and vermin?

  Yes

  No

  N/A

• Are items in the shed stored appropriately and in accordance with client risk assessment?

  Yes

  No

  N/A

• Has all rubbish or unused items been removed or disposed?

  Yes

  No

  N/A

• Are BBQ's well maintained and has gas bottles been tested and stamped in the last ten years?

  Yes

  No

  N/A

• Is any playground equipment, Garden furniture in a safe working condition and free of hazards?

  Yes

  No

  N/A

• Have all observable hazards been dealt with?

  Yes

  No

  N/A

WHS Consultation arrangements

• Are staff aware of the W HS consultation arrangements?

  Yes

  No

  N/A

Psychological Health

• Is the staff members on shift aware of EAS, employee support program and how to access it?

  Yes

  No

  N/A

• Is the employee on shift aware of the process for managing critical incidents?

  Yes

  No

  N/A

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