Information
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INFORMATION
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State
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Site
- Eastern Creek
- Northmead
- Arndell Park
- North Sydney
- Other
- Arndell Park
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Site sub-area
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Site sub-area
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Area
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Site
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Conducted on
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Completed by
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Location
Fire Protection
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FIRE PROTECTION
Fire Protection Equipment
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Type
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Description
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Tagged & Tested every 6 months?
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Location & Comment
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Photo
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Tagged & Tested every 6 months?
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Location & Comment
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Photo
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Tested & Tagged every 6 months?
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Location & Comment
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Photo
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Is the fire equipment marked w location & ID marker?
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Location & Comment
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Are all extinguishers clear & accessible in an emergency?
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Location & Comment
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Are EXIT signs operational?
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Location & Comment
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Emergency Exits clear & accessible?
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Location & Comment
Environment
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ENVIRONMENT
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Are parking areas well marked?
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Details
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Photos
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Are roadways in good condition?
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Details
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Photos
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Speed reduction devices & signage provided?
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Details
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Photos
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Is housekeeping in good order?
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Housekeeping Issue details
Housekeeping Issue
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Location & detail
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Photo
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Are paths & external stairs in good order?
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Details
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Photos
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Are all lights working?
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Location of lighting issues
Electrical
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ELECTRICAL
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Is the electrical tagged & tested (in date)?
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Date of test (select random piece of equipment)
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Untested equipment
Untested Equipment
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Description & Location
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Photos
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All power points serviceable and fitted with RCD's?
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Power Points for attention
Power Point for attention
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Location & Issue (damage, no RCD fitted, etc)
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Are correct power boards used? (no double adaptors or piggy back)
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Power Board issues
Power Board issue
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Photos
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Is access clear to switchboards?
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Description of blocking objects/issue
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Photo
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Switchboard Location or Name
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Good condition?
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Locked?
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Is lock broken?
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Details
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Holes in covers?
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Photos
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Circuit breakers marked?
Signage
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SIGNAGE
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Are correct signs in work area?
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Signage Issue
Signage issues
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Details
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Photo
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Walkways clearly marked?
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Location
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Photo
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Are signs in good condition/not faded?
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Location & Sign
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Photo
PPE
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PERSONAL PROTECTIVE EQUIPMENT
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Is appropriate PPE available?
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Details
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PPE being used & maintained correctly?
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Details
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Photo
Hazardous Substances
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HAZARDOUS SUBSTANCES
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Chemicals stored appropriately & bunded?
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Location
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Photos
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Are bunds in good condition, clean & empty?
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Details
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Photos
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Containers marked & labelled correctly?
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Details
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Containers in good condition? (no leaks or damage)
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Details
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Photos
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Is there an MSDS register available?
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Check register for examples of updating and currency
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Is MSDS required?
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Person responsible to address missing register
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Is a spill kit available & ready for use?
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Why not?
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Person responsible to address spill kit
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Is eyewash available & in working order?
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Person responsible to address eyewash
Storage Practices
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STORAGE
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Is material stored neat & tidy and not blocking walkways?
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Details
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Photos
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Is unused and spare equipment stored correctly?
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Details
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Photos
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Are hoses rolled and stored correctly when not in use?
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Details
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Photos
Rubbish
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RUBBISH
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Is all rubbish placed in bins on site?
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Photos
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Are bins located appropriately & emptied?
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Location of full bins
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Photos
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Are flammable rag bins available?
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Person responsible for addressing rag bins
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Are sharps containers available?
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Person responsible for addressing sharps containers
Gas Cylinder Storage
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GAS CYLINDER STORAGE
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Does the site have gas cylinders?
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Are all cylinders chained in a designated area?
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Are cages clean & tidy?
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Add media
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Further details on cylinder storage
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Are cages secure?
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Further details
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Are DG sign in good condition and current?
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Detail
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Photo
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Are cylinders segregated properly and under max quantities?
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Further details
Forklift Refueling Area
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FORKLIFT REFUELING AREA
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Does the site have a forklift refueling area?
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Is gas storage secure?
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Details
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Are DG signs in area and on cylinder?
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Detail
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Photo
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Is current MSDS available?
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Is general area well maintained?
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Details
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Photos
Additional Hazards
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ADDITIONAL HAZARDS NOT LISTED IN CHECKLIST
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Additional Hazards Not Listed
Additional Hazard
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Location
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Details & Suggested Action
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Photo
SUMMARY
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SUMMARY
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Comments
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Add signature
