CFSGAM - Commercial Sites Inspection Checklist

• Document No.000001

• Client / Site 180 Lonsdale St

• Conducted on15/07/2013

  Date

• Prepared by

• Location
  Address

• Personnel

NOTES: (R) Random sampling check. Include dates of service where possible.

Contractor Management

• 1. Are all restricted areas locked and signage clearly displayed?

  Yes

  No

  N/A

• 4. Are all contractors inducted and reviewed within past 12 months?

  Yes

  No

  N/A

Fire Protection Systems

• 1. Is a Service Provider regularly testing and maintaining the following components to the relevant Service Agreement and appropriate State legislation:

• A - Fire extinguishers (R)

  Yes

  No

  N/A

• B - Fire Hose Reels (R)

  Yes

  No

  N/A

• C - Fire Doors

  Yes

  No

  N/A

• D - Fire Alarm System

  Yes

  No

  N/A

• E - Fire Sprinkler System

  Yes

  No

  N/A

• F - Hydrants

  Yes

  No

  N/A

• G - Early Warning Intercommunication System (EWIS)

  Yes

  No

  N/A

• H - Emergency Lighting & Exit Signs (R)

  Yes

  No

  N/A

• 2. Has Flow test been done?

  Yes

  No

  N/A

• 3. Are Fire Cupboards (hose reel storage etc) free from stored materials and rubbish? (R)

  Yes

  No

  N/A

• 4. Are Portable Fire Extinguishers and Fire Hose Reels clearly signed? (R)

  Yes

  No

  N/A

• How does the switch appear?

  Off

  On

Emergency Management

• 1. Is the emergency evacuation plan clearly displayed in all areas?

  Yes

  No

  N/A

• 2. Are ALL Fire Doors / Breakout panels operational?

  Yes

  No

  N/A

• 3. Are assembly areas allocated and understood?

  Yes

  No

  N/A

• 4. Has a practice drill occurred in the last six months?

  Yes

  No

  N/A

• 5. Are the means of escape paths and emergency exits clear?

  Yes

  No

  N/A

Electrical (Common area equipment only)

• 1. Has electrical equipment and Residual Current Devices been tested / tagged in last 12 months?

  Yes

  No

  N/A

• 2. Are power points being used appropriately (i.e no multiboards, double adaptors, etc)

  Yes

  No

  N/A

• 3. Has Distribution Board had thermal test done in last 12 months

  Yes

  No

  N/A

Hazardous Substances

• 1. Are there any hazardous materials or dangerous goods present on site?

  Yes

  No

  N/A

• 2. Is Hazmat register current?

  Yes

  No

  N/A

• 3. Are the materials or goods stored correctly?

  Yes

  No

  N/A

• 4. Are Material Safety Data Sheets (MSDS) available for all dangerous goods?

  Yes

  No

  N/A

• 5. Is there asbestos on site and is the register up to date?

  Yes

  No

  N/A

• 6. Is a spill kit on site and is it complete?

  Yes

  No

  N/A

First Aid. (Applies to manned properties only)

• 1. Is a first aid kit supplied?

  Yes

  No

  N/A

• 2. Has the first aid kit been audited in the last year?

  Yes

  No

  N/A

• 3. Are all injuries reported and recorded in a book or form?

  Yes

  No

  N/A

• 4. When first aid equipment is used is it recorded?

  Yes

  No

  N/A

• 5. Is a sharps kit available?

  Yes

  No

  N/A

Interior Environment

• 1. Are floors and surfaces in good condition?

  Yes

  No

  N/A

• 2. Are stairways and aisles kept clear and useable?

  Yes

  No

  N/A

• 3. Are lighting levels satisfactory?

  Yes

  No

  N/A

• 4. Is the general presentation and cleanliness satisfactory e.g. Ceilings, high glass, furniture?

  Yes

  No

  N/A

• 5. Are toilets clean and adequately stocked with supplies?

  Yes

  No

  N/A

• 6. Are the kitchen/tea rooms clean?

  Yes

  No

  N/A

• 7. Is air conditioning within operational limits?

  Yes

  No

  N/A

• 8. Is the directory board up to date?

  Yes

  No

  N/A

• 9. Are vacant areas clean and presentable?

  Yes

  No

  N/A

• 10. Are lifts clean, well lit and are the emergency phones operational? (R)

  Yes

  No

  N/A

• 11. Are public facilities and large common areas (i.e food courts, etc) well presented?

  Yes

  No

  N/A

• 12. Is CCTV operational?

  Yes

  No

  N/A

• 13. Are disabled amenities and access areas clean and free from obstruction?

  Yes

  No

  N/A

Exterior Environment

• 1. Are exterior walls and surfaces clean and in good repair?

  Yes

  No

  N/A

• 2. Are paths and external stairs in good condition?

  Yes

  No

  N/A

• 3. Are parking areas tidy and bollards/speed humps undamaged?

  Yes

  No

  N/A

• 4. Is the line marking & signage adequate in the car park area?

  Yes

  No

  N/A

• 5. Are driveways clear and free of hazards?

  Yes

  No

  N/A

• 6. Are roller doors / boom gates / dock levellers operational / undamaged?

  Yes

  No

  N/A

• 7. Is exterior / security lighting working?

  Yes

  No

  N/A

• 8. Are drains / grates clear of rubbish?

  Yes

  No

  N/A

• 9. Are waste bins regularly emptied and area clean / tidy?

  Yes

  No

  N/A

• 10. Are fences / gates undamaged?

  Yes

  No

  N/A

• 11. Are landscaped areas well presented & free from rubbish?

  Yes

  No

  N/A

Plant & Equipment

• 1. Are all access ladders and stairways in good condition?

  Yes

  No

  N/A

• 2. Are the lifts and escalators serviced frequently?

  Yes

  No

  N/A

• 3. Are the Building Maintenance Units (BMU's) serviced regularly?

  Yes

  No

  N/A

• 4. Does the car park ventilation system appear to be working correctly?

  Yes

  No

  N/A

• 5. Are ALL plant rooms neat and tidy, free from debris and trip hazards?

  Yes

  No

  N/A

• 6. Is there evidence that chillers / cooling towers are regularly serviced?

  Yes

  No

  N/A

• 7. Is water testing regularly tested and are results available?

  Yes

  No

  N/A

Roof

• 1. Is the roof area free from debris and trip hazards?

  Yes

  No

  N/A

• 2. Are gutters clear and in good condition? (R)

  Yes

  No

  N/A

• 3. Are roof walkways and perimeter barriers in good condition?

  Yes

  No

  N/A

Environmental

• 1. Has the back flow device been tested?

  Yes

  No

  N/A

• 2. Are grease traps serviced as per regulations?

  Yes

  No

  N/A

• 3. Are sump pumps operational and regularly serviced?

  Yes

  No

  N/A

Workplace safety

• 1. Are there any confined spaces areas on site?

  Yes

  No

  N/A

• 2. Are there any trip hazards apparent?

  Yes

  No

  N/A

• Please make a note of any hazards not already identified in this report.

General Comment

• Please make a note of any issues not already identified in this report.