Emergency Procedures

Q1. Is the list of emergency numbers clearly displayed?

Comments/Corrective Actions

NCR Number

Q2. Are fire extinguishers in an easy to see location?

Comments/Corrective Actions

NCR Number

Q3. Is a fire blanket available?

Comments/Corrective Actions

NCR Number

Q4. Is fire equipment free from obstruction?

Comments/Corrective Actions

NCR Number

Q5. Is there an effective fire alarm?

Comments/Corrective Actions

NCR Number

Q6. Are smoke detectors fitted?

Comments/Corrective Actions

NCR Number

Q7. Is the emergency evacuation diagram displayed?

Comments/Corrective Actions

NCR Number

Q8. Are emergency exits clearly marked, easily identified and well lit?

Comments/Corrective Actions

NCR Number

Q9. Are exit corridors clear of obstructions, including the outside of the building?

Comments/Corrective Actions

NCR Number

Lighting and Electrical

Q1. Are all working areas adequately lit?

Comments/Corrective Action

NCR Number

Q2. Is task lighting available whererequired?

Comments/Corrective Action

NCR Number

Q3. Is there an emergency lighting system that is adequately maintained?

Comments/Corrective Action

NCR Number

Q4. Are all the light fittings shielded with good covers?

Comments/Corrective Action

NCR Number

Q5. Are sockets or switches in goodorder?

Comments/Corrective Action

NCR Number

Q6. Are electrical plugs fully seated (pluggedin)?

Comments/Corrective Action

NCR Number

Q7. Are power leads and double adaptors in good condition?

Comments/Corrective Action

NCR Number

Q8. Are double adaptors and power boards being used appropriately?

Comments/Corrective Action

NCR Number

Environment

Q1. Is the temperature and airflow in the room adequate?

Comments/Corrective Action

NCR Number

Q2. Is the air conditioning system regularly maintained?

Comments/Corrective Action

NCR Number

Q3. Is the area free from odor?

Comments/Corrective Action

NCR Number

Q4. Are photocopiers in a well ventilated area?

Comments/Corrective Action

NCR Number

Q5. Is the work area free from excessive noise?

Comments/Corrective Action

NCR Number

First Aid

Q1. Are the names of First Aid attendants displayed?

Commnets/Corrective Actions

NCR Number

Q2. Are First Aid kits available and fully stocked?

Commnets/Corrective Actions

NCR Number

Q3. Is a record of all First Aid treatment maintained?

Commnets/Corrective Actions

NCR Number

Ergonomics

Q1. Are workstations easily accessible?

Comments/Corrective Actions

NCR Number

Q2. Are there tasks that require any individual to remain in a fixed position for long periods of time?

Comments/Corrective Actions

NCR Number

Q3. Does the individual have the possibility of varying his/her sitting position and leg position?

Comments/Corrective Actions

NCR Number

Q4. Are workstation areas/desks free from clutter?

Comments/Corrective Actions

NCR Number

Q5. Is there adequate storage for papers, books and/or implements?

Comments/Corrective Actions

NCR Number

Q6. Is all furniture in good repair?

Comments/Corrective Actions

NCR Number

Q7. Is there ready access to a powerpoint?

Comments/Corrective Actions

NCR Number

Q8. Are all cords/wires out of the way?

Comments/Corrective Actions

NCR Number

Q9. Are desktop machines placed so they cannot fall off?

Comments/Corrective Actions

NCR Number

Personal Protective Equipment (PPE)

Q1. Is the cabinet where all PPE is kept clean?

Comments/Corrective Actions

NCR Number

Q2. Are all helmets in good repair (eg no cracks or damage)?

Comments/Corrective Actions

NCR Number

Q3. Do all helmets have Australian Standard sticker present?

Comments/Corrective Actions

NCR Number

Q4. Are protective goggles or face shields serviceable?

Comments/Corrective Actions

NCR Number

Q5. Is hearing protection provided?

Comments/Corrective Actions

NCR Number

Housekeeping

Q1. Is the area tidy and well kept?

Comments/Corrective Actions

NCR Number

Q2. Are items safely stored so they are not at risk of falling?

Comments/Corrective Actions

NCR Number

Q3. Are floor coverings in good condition? Are they free of trip hazards?

Comments/Corrective Actions

NCR Number

Stores

Q1. Is storage adequate to meet requirements?

Comments/Corrective Action

NCR Number

Q2. Is storage suitable for the purpose used?

Comments/Corrective Action

NCR Number

Q3. Are stools/ ladders available where needed?

Comments/Corrective Action

NCR Number

Q4. Are mechanical devices provided for lifting and carrying heavy objects?

Comments/Corrective Action

NCR Number

Q5. Is there safe storage for heavy items (in a low position)?

Comments/Corrective Action

NCR Number

Q6. Are shelves free from dust andrubbish?

Comments/Corrective Action

NCR Number

Issues raised by the workers in the workplace

Q1.

NCR Number

Q2.

NCR Number

Q3

NCR Number

Q4

NCR Number

Q5

NCR Number

Q6

NCR Number

Hazardous Chemicals

Task: Inspect all cupboards, storage areas, containers to see if there are any hazardous chemicals held in theworkplace.
Ensure to check that original containershavemanufacturers label, decanted containers are labelled with name, risk and safety instructions.

NOTE: Consumer products are those that are packed primarily for use by a household consumer and are used in a manner consistent with normal household use and itis reasonably foreseeable that the chemical will be used in a workplace only in a quantity that is consistent with household use; and in a way that is consistent with household use; and in a way that is incidental to the nature of the work carried out by a worker.

Q1. Are there chemicals held in the workplace?

Comments/Corrective Action

NCR Number

Q2. Are there unlabeled chemicals in the workplace?

Comments/Corrective Action

NCR Number

Q3. If chemicals are found; are they consumer products? (See Note for further explanation)

Comments/Corrective Action

NCR Number

Q4. Are the safety data sheets readily available for all chemicals held in the workplace?

Comments/Corrective Action

NCR Number

Q5. Are all chemicals held still used in the workplace?

Comments/Corrective Action

NCR Number

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.