Bendigo Health. Slips, trips and falls project

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HYETT ENTRANCE

• 4.9 - Are footpaths in good condition?

  Yes

  No

  N/A

• Are floor surfaces in good condition?

  Yes

  No

  N/A

• 4.6 - Are there facilities for spills to be removed easily?

  Yes

  No

  N/A

• 4.11 - Loading area clean and tidy?

  Yes

  No

  N/A

• 4.1 - Floor surfaces even

  Yes

  No

  N/A

• 4.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

Arnold Street entrance

• Are floor surfaces in good condition?

  Yes

  No

  N/A

• 4.9 - Are footpaths in good condition?

  Yes

  No

  N/A

• 4.6 - Are there facilities for spills to be removed easily?

  Yes

  No

  N/A

• 4.11 - Loading area clean and tidy?

  Yes

  No

  N/A

• 4.1 - Floor surfaces even

  Yes

  No

  N/A

• 4.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

STAIRS

Hyett building

• 4.5 - Stair and risers kept clear?

  Yes

  No

  N/A

• 4.7 - Are railings in good condition?

  Yes

  No

  N/A

• 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• Safety of opening stairwell entrance doors

  Yes

  No

  N/A

• Cleaning times and routines of stairs

  Yes

  No

  N/A

Stanistreet Kurmala building

• 4.5 - Stair and risers kept clear?

  Yes

  No

  N/A

• 4.7 - Are railings in good condition?

  Yes

  No

  N/A

• 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• Safety of opening stairwell entrance doors

  Yes

  No

  N/A

• Cleaning times and routines of stairs

  Yes

  No

  N/A

staff only fire escapes off loading dock

• 4.5 - Stair and risers kept clear?

  Yes

  No

  N/A

• 4.7 - Are railings in good condition?

  Yes

  No

  N/A

• 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• Safety of opening stairwell entrance doors

  Yes

  No

  N/A

• Cleaning times and routines of stairs

  Yes

  No

  N/A

Accident and emergency HISS stairwell

• 4.5 - Stair and risers kept clear?

  Yes

  No

  N/A

• 4.7 - Are railings in good condition?

  Yes

  No

  N/A

• 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• Safety of opening stairwell entrance doors

  Yes

  No

  N/A

• Cleaning times and routines of stairs

  Yes

  No

  N/A

3.0 - General Lighting

• 3.3 - Light fittings clean and in good condition?

  Yes

  No

  N/A

• 3.4 - Emergency exit lighting operable?

  Yes

  No

  N/A

• 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  Yes

  No

  N/A

• 3.1 - Good natural lighting?

  Yes

  No

  N/A

• 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

Cafeteria areas

6.0 - Housekeeping, Rubbish Removal

• 6.3 - Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

7.0 - Storage Design and Use

• 7.3 - Floors around racking clear of rubbish?

  Yes

  No

  N/A

• 7.1 - Materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

11.0 Ladders

• 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  N/A

• 11.4 - Used according to instructions?

  Yes

  No

  N/A

• Are platform ladders available?

  Yes

  No

  N/A

• 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• 11.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• Is an alternative to ladders available- Scaffolding etc

  Yes

  No

  N/A

13.0 - Office Hazards

• 13.8 - Stable non-slip floor coverings in good condition?

  Yes

  No

  N/A

Slipping and Tripping Hazards

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• Auditor's signature

  Sign

• On site representative

  Sign