Information
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Client
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Site Address
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Add location
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Attach external site photograph
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Site Safety representative contact
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Assetlink Portfolio Manager
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SP details & Site Supervisor
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Conducted on
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Prepared by
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Personnel on Site
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Tier
- Tier 1
- Tier 2
- Tier 3
- Tier 4
Training
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Names of cleaners on site at time of inspection along with hours worked
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Have staff been inducted into Assetlink?
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Enter Evidence
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Have staff completed site induction?
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Details
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Have staff been trained in and signed off on relevant SWMS?
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Evidence of safety training
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Enter Evidence
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Is there a record of Toolbox Safety Taks?
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Enter Evidence
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Photograph of toolbox safety program and attendance
Leadership
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Has the AL site supervisor had any formal WHS training.
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Enter Evidence
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Do staff understand and can demonstrate all site emergency procedures?
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Enter Evidence
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Is the Assetlink Safety policy displayed?
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Enter Evidence
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Does the site supervisor attend Client safety meetings?
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Enter Evidence
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What local interaction do the cleaning staff have with The Client?
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Enter Details
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Are Assetlink Policies accessible to staff?
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Are they up to date?
Hazards
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Is there a Hazard & Risk Register for the site?
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What is the date of this Register?
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Is the storage area for AL chemicals and equipment sufficient and in an orderly state?
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Are there non-AL materials in the storage area?
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Enter Details
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Photograph of storage area
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Are the SDS correct, cover all chemicals used on site, up to date and available in the chemical storage area?
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Enter Evidence
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Photographs of any other Hazards identified
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Enter Details
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Is there a documented Traffic Management System?
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Enter Details
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Have staff been briefed on and fully understand the Traffic Management System?
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Enter Evidence
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Do all staff have access to appropriate PPE?
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Provide evidence of PPE use and requirement has been briefed and understood.
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Is there a PPE Register? And it records test dates if required?
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Are workers aware of electrical hazards and tag out procedures?
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Enter Evidence
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Are workers aware of the Test & Tag process and requirement to ensure safe operating?
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Enter Evidence
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Are there lone workers on site?
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Is there safe work processes for lone workers as well as well as safe communications for them?
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Enter Evidence
Equipment Serviceability & Safety
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Equipment 1
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Make, Model & Serial Number
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Test & Tag in date
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Evidence of proper servicing
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Equipment in good order
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Photograph of Equipment
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Equipment 2
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Make, Model & Serial Number
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Test & Tag in date
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Evidence of proper servicing
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Equipment in good order
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Add media
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Equipment 3
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Make, Model & Serial Number
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Test & Tag in date
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Evidence of proper servicing
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Equipment in good order
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Add media
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Equipment 4
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Make, Model & Serial Number
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Test & Tag in date
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Evidence of proper servicing
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Equipment in good order
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Add media
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What is the inspector's opinion of the state of equipment being used by the cleaners and the commitment to ongoing maintenance of the equipment?
Incident Reporting
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Are workers aware of the process and requirement to notify Management for all observations, hazards and incidents - including Near Misses
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Enter Evidence
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Can the site supervisor ( or workers if no on site supervisor) adequately demonstrate their responsibility and processes to report incidents?
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Enter Evidence
Facilities
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Are site first aid personnel identified and processes to access first aid obvious and briefed to staff?
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Is there an adequately provisioned first aid cabinet or facility on site?
Standard of Cleanliness
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Inspector opinion of cleanliness standard
- Very Good
- Average
- Poor
Asset Management
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Is there an Assetlink asset register for the site
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Enter Evidence
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Obtain a copy of the site Asset Register