Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Exterior & Interior of site

  • Exterior of building clean & free from graffiti and safety hazards?

  • Front of house clean & tidy? Free of trip hazards?

  • Product displays neat & tidy?

  • Point of sale material current?

  • Back of house clean & tidy, free from trip hazards?

  • Equipment - in good condition, any replacement or repairs needed?

Safety Leadership Journal

  • My Safety Journal details completed? (Pg. 8)

  • Safety Inspection Checklist - Action Summary List completed? When is it scheduled? (Pg. 25)

  • Site WHS Committee meetings - who runs the quarterly meeting? Who attends for Business Hubs? (Pg. 17)

  • Health & Safety Activity Planner completed? (Pg. 43)

  • Monthly Safety Advocate - do you appoint one each month? (Pg. 45)

  • Safety Circle - who attends the video conferences for your site? (Pg. 46)

  • Stickers On Safes - are they on the safe (Pg. 47)

  • S.A.F.E. Exposures identified? (Pg. 49)

  • Monthly Team Safety Time notes recorded? (Pages 57 to 67)

  • Safety Observations recorded? (Pages 71 to 83)

Other Safety Items

  • POB Sites - do they have stickers not to stand on the white shelving below the POBs?

  • Any local safety initiatives? Could they be raised at PON WHS Meeting?

  • Any outstanding safety measures from recent OHS incidents?

  • Safety board complies with planogram? Are the state minutes n display?

Samsung Tablet

  • What do you use the tablet for?

  • Have staff been shown how to use the tablet?

Other

  • FIC - local checks completed & recorded?

  • ICC - any outstanding actions?

  • Attendance - what is the site attendance rate? Any staff on NAG?

  • Pick Up & Delivery charging - when was list last updated? Being charged monthly?

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.