Information
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Document No.
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Audit / Inspection Title
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PCBU and Address
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Contact Name and Details
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Conducted on
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Prepared by
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Location
1. Club House
Site address, date, time and location identity
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Site
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Address and GPS
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Date and Time
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Location Identity
1. Office
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1.
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1.1 Are office areas clear and uncluttered?
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1.2 Do computer workstations have adjustable chairs?
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1.3 Are stations ergonomically designed to suit worker e.g. monitor height, chair and key board etc?
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1.4 Are photocopiers in well-ventilated areas?
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1.5 Is a key register register maintained?
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1.6 are there cash handling procedures in place? Two to count and security timeframes?
2. WHS Noticeboard
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2.
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2.1 WHS notice board displayed?
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2.2 PCBU Policy displayed, signed by senior management and current?
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2.3 Worker general and site inductions provided?
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2.4 Site responsible persons names and titles displayed?<br>Site Manager<br>WHS Officer<br>Worker Safety Representative<br>Health and Safety Representative (HSR)
3. Visitor Controls (Buildings)
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3.
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Location
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3.1 Are visitors required to formally sign in and out?
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3.2 Are visitors emergency procedures displayed in a prominent position?
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3.3 Are emergency procedures displayed at club entry points and locker rooms?
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3.4 Are emergency first aiders names and contact numbers displayed?
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3.5 Are areas where visitors are not permitted clearly identified (Barricaded, signage etc.)
4. Emergency Procedures
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4.
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Site Location
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4.1 Are emergency procedures displayed?
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4.2 Emergency services 000 and PCBU names and numbers?
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4.3 Site floor plan available and current?
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4.4 Are training drills conducted periodically, verbally at toolbox talk and practically exercised (6 monthly)?
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4.5 Is the emergency evacuation assembly point identified?
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4.6 Are emergency response officers (EROs) nominated, trained and contacts details displayed?
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4.7 Fire equipment available and tagged for currency?
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4.8 Is there an emergency manual? Fire? Bomb? Theft?
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4.9 Are emergency evacuation exits marked and free from obstruction?
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4.10 Are exit doors easily opened from the inside?
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4.11 Are all exit lights operating?
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4.12 Is there an evacuation plan on walls / doors?
5. First Aid - First Aid Code of Practice
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5.
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Site Location
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5.1 Qualified first aiders on site with name and contact details displayed (minimum first aid level)?
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5.2 Medical supplies checked for currency and expiry date?
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5.3 First aid kits for workers on-site within easy access?
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5.4 Medical supplies and facilities are adequate for the nature, location and composition of workers on site?
6. Workplace Amenities and General Requirements
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6.
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Site Location
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6.1Toilets available on site or accessible location?
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6.2 Are toilets provided for each gender?
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6.3 Washing facilities provided?
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6.4 Are toilets and shower areas cleaned regularly?
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6.5 Are sufficient consumables made available in washrooms and toilets?
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6.6 Are sufficient tables and chairs provided?
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6.7 Are worker lunchroom, kitchen facilities clean and hygienic?
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6.8 Is clean drinking water provided?
General Requirements
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6.9 Are any floor areas worn and hazardous to the aged, to children, alcohol effected?
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6.10 Are floor surfaces dry and slip resistant?
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6.11 Spills cleaned up immediately and sign posted with wet floor.
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6.12 Are there any protruding objects?
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6.14 Are all lights and fluoro’s working?
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6.15 Are ‘emergency phone numbers’ at every phone location?
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6.16 Are all ‘staff only areas’ well sign posted?
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6.17 Is all security lighting operational?
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6.18 Are WHS committee members / representatives appropriately trained?
7. Consultation (Pre-start briefs, toolbox talks)
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7.
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7.1 Are all workers engaged or caused to be engaged by the PCBU consulted on safety matters?
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7.2 Is there a safety committee that is properly represented by management and workers?
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7.3 Are toolbox talks conducted periodically to discuss safety issues between worker and management?
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7.4 Are there worker safety representatives E.g. HSR
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7.5 Are pre-start shift meetings conducted?
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7.6 Do workers understand the PCBUs legal responsibilities for consultation?
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7.7 Do workers require a General Construction Card on-site?
8. Communication
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8.
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Site Location
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8.1 Is communication available (Phone, radio, satellite)?
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8.2 Does the worksite have agreed radio contact numbers for various site locations?
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8.3 Do all workers on-site know the radio numbers for locations?
9. Safety Issue, Hazard Reporting and Controls (Hierarchy of control)
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9.
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Site Location
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9.1 Are safety issue / hazard and near miss reporting forms available on-site
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9.2 Do workers understand the procedure for reporting safety concerns (Stop work, apply control or report to supervisor)?
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9.3 Are risk assessments conducted to identify site hazards with controls implemented?
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9.4 Do workers know and refer to the hierarchy of control?
10. Incident Reporting and Investigation
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10.
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Site Location
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10.1 Are incident / injury forms available on site?
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10.2 Do workers report all incidents ASAP?
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10.3 Are all incidents fully investigated and effective corrective action implemented?
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10.4 Are WorkCover NSW "Notifiable Incidents and Preservation Site", regulations clearly understood by the PCBU?
11. Kitchen / Restaurant / Dining
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11.
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Site Location
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11.1 Are ‘user guides’ available for all equipment?<br>
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11.2 Is the workplace area clean and tidy?<br>
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11.3 Is the floor space cluttered?
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11.4 Are tables/chairs even and on flat surface?
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11.5 Are there any slip/trip/fall hazards?
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11.6 Are knives stored safely?
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11.7 Is the correct knife for the job always used?
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11.8 Are oven gloves/mittens used for hot objects?
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11.9 Are food handling approved gloves used for food preparation?
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11.10 Do food handlers always wear gloves and wash hands as required?
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11.11 Are freezer/fridge temperatures checked?
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11.12 Is the microwave tested for leaks regularly?
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11.13 Is the dishwasher in good repair/not leaking?
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11.14 Are hats/caps/nets worn in the kitchen?
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11.15 Are serving tongs provided at salad/bread bar?
12. Bar Areas / Veranda
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12.
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Site Location
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12.1 Is the workplace area clean and tidy ?
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12.2 Is the floor-space cluttered (clear of boxes and rubbish)?<br>
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12.3 Are floor mats even and in good repair? Drains clear?<br>
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12.4 Are there any slip/trip/fall hazards?<br>
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12.5 Are all spills/breakages cleaned immediately?<br>
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12.6 Are gloves, dustpan & broom used for breakages?<br>
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12.7 Are glasses/bottles stacked safely?<br>
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12.8 Are rubbish bins suitably located and regularly emptied? <br>
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12.9 Is glass washer in good repair? Not leaking?<br>
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12.10 Is electrical equipment away from wet areas (leads properly located and checked)?<br>
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12.11 Double adapters not used E.g. Piggy back (Residual Current Devices used)?<br>
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12.12 Is ventilation sufficient for area?<br>
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12.13 Non-smoking signs displayed? Designated smoking area separate and effective?<br>
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12.14 Are temprites / coffee machines maintained?<br>
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12.15 Are pourers / nip measures washed regularly? <br><br>
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12.16 Are staff regularly reminded to wash hands after breaks/smoking/toilet (observation)?<br><br>
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12.17 Are staff trained in food and hospitality hygiene procedures?<br><br>
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12.18 Do staff wear ‘covered in’shoes?<br><br>
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12.19 Are sinks at suitable height and regularly cleaned?<br><br>
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12.20 Are bar mats/cloths washed regularly?<br><br>
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12.21 Pot plants checked for cigarette butts?<br><br>
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12.22 Are Safety Data Sheets (SDS) available for all chemicals in these areas?<br><br>
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12.23 Have staff read the SDS, trained?<br><br>
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12.24 Are chemicals decanted into correctly labelled containers?<br><br>
13. Fire Safety
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13.
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Site Location
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13.1 Is fire fighting equipment available in all areas?<br>
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13.2 Are staff trained in its use?<br>
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13.3 Is fire fighting equipment appropriate? Eg Kitchen?<br>
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13.4 Correct type of fire extinguishers for locations e.g. electrical or kitchen fat fires?<br>
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13.5 Is fire fighting equipment accessible? Obstructed?<br>
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13.6 Is fire fighting equipment serviced as per Standards e.g. tagged for currency?<br>
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13.7 Are there detectors in place e.g. in toilets<br>
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13.8 Is there a No-Smoking Policy in place? Do staff and patrons comply with the Policy?<br>
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13.9 Is there evidence of smoking in non-smoking areas?<br>
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13.10 Are flammable liquids stored properly?<br>
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13.11 Are packing boxes, papers, etc removed off-site?<br>
14. Manual Handling (Indoor) Hazardous Manual Tasks Code of Practice)
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14.
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14.1 Is a risk assessment conducted for manual tasks (heavy lifting or strenuous work)?
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14.1 Is a risk assessment conducted for manual tasks (heavy lifting or strenuous work)?
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14.2 Are workers trained in lifting practices?
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14.3 Do workers request assistance for heavy or awkward lifting tasks?
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14.4 Are there heavy and awkward items in work area?
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14.5 Do workers use good manual handling techniques to move heavy awkward objects? Is there mechanical support?
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14.6 Is there mechanical support available? E.g. Trolley with wheels with hydraulic height adjusters?
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14.7 Are all mechanical devices in serviceable condition?
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14.8 Is repetitive bending, stooping or twisting required by staff?
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14.9 Do workers warm before heavy lifting to avoid strain injuries?
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14.10 Are adequate rest breaks allocated to allow workers time to recover?
15. Ladders (Indoor)
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15.
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15.1 AS/NZS 1892 Portable Ladder?
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15.2 Load rating of 120kg?
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15.3 Ladder placed at 4:1 when when used?
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15.4 Is the ladder secure at top (by uprights) and bottom?
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15.5 Does ladder extend 1 metre above top edge for stepping off point?
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15.6 Fall protection at stepping of point?
16. Hazardous Substances (Chemicals) - Code of Practice for Hazardous Substances
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16.
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16.1 Are hazardous materials identified and control measures implemented?
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16.2 Are Safety Data Sheets available for all substances used in the workplace?
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16.3 Are all safety data sheets current (not over 5 years old)?
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16.4 Have risk assessments been conducted to eliminate or minimise the type of chemicals used?
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16.5 Are workers trained in the safe handling and application of hazardous chemicals?
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16.6 Do workers follow SDS procedures when handling chemicals?
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16.7 Are chemicals stored properly ( E.g. 110% bunded and in-compatible separation)?
Summary Comments, Auditor/Inspection Officer Details
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Summary Comments Details and Recommendations
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Name and signature of person conducting audit / inspection.
Workers On-site, Names, Titles and Signature
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Worker
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Comments
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Name of worker and signature (Add title if required)
2. Outdoor
20. Club Car Park Entry
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20.
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20.1 Is signage in place for designated parking area and legible?
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20.2 Are all persons to report to site office displayed?
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20.3 PPE required for site displayed?
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20.4 Speed limit displayed?
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20.5 Site contact names and numbers displayed?
21. Personal Protective Equipment (PPE)
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21.
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21.1 PPE allocated to workers specific to activities (Australian Standard)?
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21.2 Workers wearing PPE required by company policy?<br>
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21.3 High visibility clothing b wing worn as required for work?
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21.4 Hard hat being worn as required?
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21.5 Fully enclosed footwear?
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21.6 Hearing protection being worn when noise level exceeds the standard of 85dB?
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21.7 Are signs displayed where specified PPE must be worn?
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21.8 Is PPE fitted correctly, serviceable and in good condition?
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21.9 Do workers wear PPE when mandated in SWMS?
22. Manual Handling (Hazardous Manual Tasks Code of Practice)
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22.
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22.1 Is a risk assessment conducted for manual tasks (heavy lifting or strenuous work)?
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22.2 Are workers trained in lifting practices?
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22.3 Do workers request assistance for heavy or awkward lifting tasks?
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22.4 Do workers warm before heavy lifting to avoid strain injuries?
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22.5 Are adequate rest breaks allocated to allow workers time to recover?
23. Security
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23.
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23.1 Is lighting adequate at all hours of work? Outside? After club closes?
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23.2 Are there any dark places or hiding places at exit points?
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23.3 Are all doors and windows able to be locked?
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23.4 Are grass and shrubs kept low and well maintained?
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23.5 Are emergency manual accessible to all workers e.g. well located?
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23.6 Is security lighting in working order and adequately located?
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23.7 Are storage areas e.g. Sheds, locked and secured?
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23.8 Is there an an alarm or duress system in procedure in place?
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23.9 Is a security firm engaged to check premises?
24. Gas Cylinders (Oxy and Acetylene etc)
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24.
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24.1 Are gas cylinder properly stored (chained and secured)?
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24.2 Gas cylinders properly turned off and hoses wound up?
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24.3 PPE available and used for welding or Oxy cutting?
25. Gas Cylinders (Propane)
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25.
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25.1 Are gas cylinder properly stored (chained and secured)?
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25.2 Gas cylinders properly turned off when not being used?
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25.3 Are gas cylinders checked for leaks?
26. Portable Power Tools?
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1. Are power tools I good condition?
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2. Are adequate storage facilities provided?
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3. Are all guards in place?
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4. Is hearing protection worn if over 85dB?
26. Electrical and Power Tools
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1. Is electrical equipment tagged and tested for currency?
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2. Is the site shed protected by Residual Current Device (RCD) Electrical circuit breaker?
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3. Are power boards used (no double adaptors or piggy backs)?
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4. Are leads inspected daily for damage (Hostile environment)?
16. Plant (Load shifting) - (Evidence required I.e. documentation)
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1. Has plant been assessed as safe to use and complaint to Australian standards?
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2. Are operators trained and Verified as Competent (VOC); is evidence available?
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3. Are daily pre-start checklist completed and faults reported?
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4. Are repairs and maintenance conducted in a timely manner (Risk rated)?
23. Noise
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1. Have all areas been assessed for the presence of harmful noise levels?
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2. Are all workers in the presence of harmful noise levels wearing hearing protection?
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3. Are noise hazard locations identified by safety signs or stickers?
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4. Are workers wearing hearing protection provided with hearing tests (Every 2 years if wearing hearing protection)?
17. Safe Operating Procedures (SOP)
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1. Are worker safe operating procedures (SOP)in place specific to plant?
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2. Are operators provided with periodic checks on SOPs?
19. Plant Exclusion Zones
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1. Permit completed?
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2. Signs in place to identify exclusion zone?
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3. Exclusion zones secured?
20. Tag-out, Lockout Procedure (SWMS)
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1. Do operators understand the initial tag-put procedure?
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2. Are tags available in the machine?
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3. Do mechanics apply their own locks when working on machinery?
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4. Are all locks issued to a person keyed identically?
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5. Are operators notified of return to service?
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6. Are there procedures or SWMS for Isolation, tag-out and lock-out.
18. Plant used to Lift Loads
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1. Loads requiring calculation must be slung by a competent person I.e a licensed dogman?
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2. Are all ropes, slings, chains and lifting attachments inspected daily before use?
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3. Are loads properly calculated before lifting commences?
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4. Does the Crane operator and Dogman communicate effectively?
28. Hotwork
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1. Permit to conduct hot work (Usually encompasses a risk assessment)?
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2. Have risk assessments been conducted where hot work presents a risk?
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3. Is fire fighting equipment available for fire prone locations?
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4. Are flammables or explosive substances removed from location prior to hot work?
22. Storm Water Run-off
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1. Weather monitored to implement controls to minimise soil erosion?
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2. Silt control fences in place or other?
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3. Waterway traps inserted to contain and remove contaminants?
24. Site Re-habilitation
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1. Are work plans available to include procedures for re-instatement of work sites?
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2. Are all locations rehabilitated to meet EPA standard?
Summary Comments, Auditor/Inspection Officer Details
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Comment
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Summary Comments Details and Recommendations
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Name and signature of person conducting audit / inspection.
Workers On-site, Names, Titles and Signature
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Worker
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Comments
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Name of worker and signature (Add title if required)
3. Contractors
5. Sub Contractors
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1. Are contractors made aware of company WHS policies and rules before commencing work<br>
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2. Do engaged contractors provide adequate insurances (Workers Compensation and Public Liability to 20 Million)?
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3. Are sub-contractors safety systems and consultation arrangements harmonised with the engaging PCBU?
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4. Are sub-contractors management systems provided to the principle PCBU?
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5. Are checks made of the contractors plant and equipment for compliance and safety?
15. Safe Work Method Statements (SWMS) - Code of Practice for Construction Work
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1. Have workers been inducted and consulted, in the development of SWMS?
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2. Are SWMS systematic with steps, hazards and controls?
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3. Are SWMS specific to the activity and easy for workers to understand?
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4. Do all workers understand SWMS and are they signed off?
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5 Are SWMS monitored and reviewed for effectiveness?
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6. Are SWMS provided to the principle contractor?
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7. Do SWMS meet the minimum standards required by applicable Codes of Practice?
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8. Are SWMS archived and retained for 5 years?
21. Environmental Controls
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1. Is there an environmental plan in place?
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2. Are work practices designed to reduce impacts to the environment?
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3. Are sediment barriers used around perimeters of earthworks and waterways?
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4. Is dust suppression available (E.g. Water carts)?
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5. Are vehicles and plant purchased and maintained to reduce emission levels?
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6. Are procedures available for the disposal of waste and used hazardous substances E.g. Safety Data Sheets?
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7. Does the company have a recycling policy?
4. Food Handling
