Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. HOST EMPLOYER DETAILS

  • Name:

  • Title:

  • Representative:

  • Address:

  • Completed by: Full name (CAPITALS please)

  • Title:

2. COMMITMENT AND POLICY

  • 2.1 Has the host employer appointed a management representative (a senior manager who is responsible for making sure safety is managed properly)?

  • 2.2 Has the management representative undergone any workplace health and safety taining?

  • 2.3 Does the host employer have a written workplace health and safety policy?

  • 2.4 Does the host employer have documented workplace health and safety reponsibilities?

  • 2.5 Does the host employer have documented consultation procedures?

3. PLANNING

  • 3.1 Does the host employer have a safety plan that clearly identifies objectives (e.g. eliminate injuries caused by grinders) relating to the client's industry/business?

  • 3.2 If there is a safety plan is it more than a year old or out of date?

  • 3.3 If there is a safety plan, do the objectives have timeframes and are resources, personnel and responsibilities allocated?

  • 3.4 Does the host employer have hazard identification and risk assessment procedures?

  • 3.5 Does the host employer have in place a documented process to control major workplace hazards, such as plant, electricity and hazardous substances?

  • 3.6 Does the host employer manage risks consistent with the 'hierarchy' of control? (i.e. eliminating, substituting, isolating, engineering, administrative and personal protective equipment)

  • 3.7 Has the host employer identified the most common causes of injury within their workplace?

  • 3.8 does the host employer have a procedure for procurement in which safety is included?

  • 3.9 Does the host employer have written safe work procedures that reflect the way in which jobas should be done to ensure safety, or are they simply question/answer style work instructions?

  • 3.10 Does the host employer know which health and safety legislation applies to their business?

  • 3.11 Does the host employer make people in their workplace aware of their health and safety responsibilities? If so, how?

  • 3.12 Does he host employer provide workers with information, training and supervision to ensure they perform the work safely?

  • 3.13 Does the host employer have a specific process in place for managing the safety of workers and contractors?

  • 3.14 Does the host employer have a formal induction process?

  • 3.15 Does the host employer keep WHS and other training records?

  • 3.16 Does the host employer ensure incidents are reported, investigated and actions taken to prevent a recurrence, and are followed up? If so, how?

  • 3.17 Does the host employer provide workers with suitable personal protective equipment?

  • 3.18 Have the host employer's worker been trained to correctly use, maintain and store personal protective equipment?

  • 3.19 Is there a process to involve workers in workplace health and safety issues (e.g. consultations/toolbox meeting with two-way flow of information/WHS committee meetings)?

  • 3.20 Does the host employer have a formal (documented and well-understood) process for workers reporting safety concerns?

  • 3.21 Does the host employer ensure workers adhere to the policies and procedures? If so, how?

  • 3.22 Is there a documented process for identifying the hazards that can cause injury, harm or illness and for ensuring the risks are controlled?

  • 3.23 Are hazardous substances clearly labelled and safely stored?

  • 3.24 Is there a folder (or software system) that contains material safety data sheets for all substances used or stored at the workplace?

  • 3.25 Are residual current devices (safety switches) fitted to electrical equipment that is frequently moved?

  • 3.26 Are all circuits protected with earth leakage circuit breakers?

  • 3.27 Does the host employer have emergency procedures for the workplace that reflect the types of emergencies they could encounter?

  • 3.28 Have the host employer's workers been trained in what to do in an emergency?

  • 3.29 Are periodi checks made to ensure emergency exits are well signposted, easily opened and clear of pbstacles?

  • 3.30 Do workers have access to adequate first aid facilities, such as first aid kits and wash stations?

  • 3.31 Does the host employer have in place a documented process to control energy sources when an item of plant needs to be cleaned or accessed for repairs or maintenance - i.e. Isolation points, locks, tags and procedures for this including training?

4. MANAGEMENT AND EALUATION

  • 4.1 Does the host employer review the polices and procedures to identify whether they are working and still suitable?

  • 4.2 Is there a process to evaluate the recorded workplace injuries and illnesses?

  • 4.3 Does the host employer have a process in place to monitor their compliance with legal obligations?

  • 4.4 Does the host employer have a process to periodically monitor health and safety in the workplace (i.e. to make sure the safety standrd doesn't deteriorate)?

  • 4.5 Does the host employer have a process to report work-related injuries or illnesses to the labour hire agncy?

  • 4.6 Does the host employer have a process to report and record any notifiable incidents to Workplace Health and Safety Queensland?

  • 4.7 Are managers and supervisors reviewed against their management of safety?

  • 4.8 Does the host employer have a program of evaluating their approach to heath and safety that identifies whether the approach is properly implemented and is effective in meeting their WHS objectives?

  • 4.9 Does the host employer have a process for using the audit information within their WHS planning for future years?

  • 4.10 Does senior management review the outcomes of audits?

WHO COMPLETED THE WORKPLACE VISIT AND VALIDATED THE INFORMATION PROVIDE BY THE CLIENT?

  • Name:

  • Add signature

  • Date:

  • information Issue to Client:

  • Time: Date:

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.