Title Page
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Building Name
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Conducted on
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Prepared by
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Location
Security/ Emergency/ Contractors/ Heights/ Environment
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Instructions:
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1. Answer "Yes", "No", "N/A" for the questions below.
2. Add photos and notes by clicking on the paperclip icon.
3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
4. Complete audit by providing digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link.
Note: This form can be used to conduct and record the results of a monthly inspection of a building within Australian Federal Police (IFM A7741 AFP) assets.
1.0 Security
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Are all contractors completing the sign in/out register in full? (Check work permits have been completed correctly if they have been required)
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Are Security staff directing all contractors to the facility manager upon arrival to site?
2.0 Emergency Procedures
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Are all emergency access and exit points clear of obstructions?
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Is signage in place to ensure all emergency exit points are clearly marked?
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Are fire extinguishers labelled and in date? (Check all floors)
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Are the correct fire extinguishers provided where labels are displayed?
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Is the area around fire extinguishers and fire doors clear and are fire extinguishers and hoses easily accessible?
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Are all emergency Exit Signs in working order?
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Are emergency lights in emergency exit stairwells in working order?
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Are emergency exit diagrams on display to all visitors, contractors and employees and up to date?
3.0 Contractors
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Have all contractors completed the online induction?
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Have all contractors been inducted into the building and signed the site House Rules document?
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Have SWMS and work permits been signed in and out by contractors conducting work within the building?
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Are all contractors wearing company lanyards and have correct PPE whilst working in the building?
4.0 Working at Heights
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Are all openings in floor or voids covered by secure and load capable material?
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Are railing and barriers secure and in good working condition and currently in date? (Static lines and anchor points)
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Are there any new areas present with the potential for falls to occur?
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Is roof access and working at heights permits available with completed permits held on site? (Check for correct completion of permits)
5.0 Work Environment
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Is the Hazmat and Asbestos registers easily accessible to all contractors and tenants?
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Is the Hazardous Materials register and signage up to date
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Are all floors maintained to be free of slip and trip hazards?
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Is ventilation throughout work areas comfortable and within the correct set point temperatures?
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Are all lights operational with a minimal of 5% out and no more than two banks out at any one time? (check critical areas outside lifts and stairwells)
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Please proceed to the next section.
Amenities/ Confined Spaces/ Electrical/ Plant Equipment
6.0 Amenities – Ground to Level Five – Toilets & Showers
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Is the exterior and interior of the building clean and free of rubbish and trip hazards?
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Are toilets clearly marked, and do they have operational lockable doors, adequate lighting and ventilation?
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Are amenities clean?
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Is SDS register is up to date? Check SDS register is up to date for Cleaning chemicals and Plant room Chemicals. SDS registers must be held with chemicals and a copy made available in the fire control room.
7.0 Amenities - Basement – Toilets, Showers & Change Facilities
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Is the exterior and interior of the building clean and free of rubbish and trip hazards?
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Are toilets clearly marked, and do they have operational lockable doors, adequate lighting and ventilation?
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Are amenities clean?
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Is SDS register is up to date? Check SDS register is up to date for Cleaning chemicals and Plant room Chemicals. SDS registers must be held with chemicals and a copy made available in the fire control room.
8.0 Confined Space
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Is the confined space register in place and up to date?
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Are confined space permits available for use by personnel requiring entry to a confined space?
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Are confined space permits completed by all personnel requiring entry to a confined space?
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Are the completed confined spaces permits stored in a readily accessible location?
9.0 Electrical
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Are all plugs, sockets, power boards and cords in working order and secured to avoid trip hazards?
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Are all electrical tags up to date? (check all floors)
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Is the use of extension cords limited to temporary use only?
10.0 Plant Equipment
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Has plant equipment been serviced according to schedule requirements?
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Are all plant rooms clear of equipment, fixtures and fittings?
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Are lock out procedures in place for all plant items?
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Are spill kits, eye wash stations and ear plugs available?
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Inspected by: