• Date of hazard inspection:

  • Site/Location - area inspected:

  • Inspection conducted by:

  • Follow-up actions authorised by (Manager/Coordinator):

  • Health & Safety Representative:

  • Next inspection to be conducted by (date): (Quarterly requirement is the current MVCC standard minimum)

Health and safety Systems

  • OH&S Policy displayed on OH&S Notice Board?

  • 'If you are injured' poster displayed in worksite on OHS NOTICE BOARD?

  • Induction records and site sign in book - maintained and accessible

  • Return to Work - Rehabilitation Policy on OHS NOTICE BOARD?

  • Workplace Inspection records maintained in folders?

  • Emergency response plans on OHS Notice Board?

  • Training records, licenses & competences in folder - kept by Supervisor?

  • Safe operating procedures (SOP's), Safe Work Method Statements (SWMS), other Pre-starts & Routine rosters are maintained as required?

  • Protective Clothing & Equipment records are maintained?

  • Manual of OHS Policies and Procedures are available & staff know how to access them?

  • HSR is appointed (by election) & on OHS NOTICE BOARD?

  • Contractor risk assessment available

  • Contractor health and safety plan available

House Keeping

  • Work area free from rubbish & obstructions?

  • Free from Slip/Trip hazards?

  • Surfaces safe and suitable?

  • Stock/material stored safely?

  • Aisles: Unobstructed and clearly defined?

  • Adequate lighting?

  • Visions at corners

  • Wide enough


  • No broken plugs, sockets and switches?

  • No frayed or defective leads?

  • Leads and portable equipment inspected and tagged?

  • No strained leads & no cable-trip hazards?

  • Lock-out procedures / danger rags in place

  • Appropriate fire fighting equipment available


  • Adequate and free from glare

  • Lighting clean and efficient

  • Windows cleaned

  • No flickering or inoperable lights

  • Emergency lighting system

Fire Control and Emergency Response

  • Extinguishers in place

  • Fire fighting equipment serviced and tagged

  • Appropriate signage of extinguishers

  • Extinguishers appropriate to hazard

  • Personnel trained in use of fire fighting equipment

  • Emergency exit signage

  • Exit doors easily opened from inside

  • Exit path ways clear of obstructions

  • Alarms/communication system - adequate

  • Alarms tested

  • Smoking restrictions observed

  • Emergency personnel identified and trained

  • Emergency procedures documented - issued

  • Emergency telephone numbers displayed

  • Trial evacuations conducted

Cages and parking bays

  • Free from Slip, Trips and Fall hazards

  • Material Safety Date Sheets (MSDS) available

  • Clear of obstructions

  • Storage stable

  • Easy access to to all stored items

  • Heavier items stored low

  • No danger of falling objects

  • Clear of debris and spills

Hazardous Substance

  • Material Safety Data Sheet(MSDS) available

  • Risk assessments documented and controls implemented

  • Hazardous substances register developed

  • Containers labelled correctly

  • Adequate ventilation/ exhaust systems

  • Personal protection equipment(PPE) available and used

  • Personal hygiene - dermatitis control

  • Waste disposal procedures

  • Stored appropriately

  • Hazardous substance handling safe work procedures followed

  • Appropriate emergency/ first aid equipment - showers,eye bath, extinguishers

  • HAZCHEM signage displayed (if required)

Personal Protective Equipment(PPE)

  • Employees provided with PPE

  • Required PPE being worn by employees

  • Sunscreen and sunglasses provided

  • Correct PPE signage at access points

Manual Handling

  • Mechanical aids provided and used

  • Safe Work Procedures in place

  • Manual handling risk assessment performed

  • Manual handling controls implemented

Workplace Ergonomics

  • Workstation and seating design acceptable

  • Ergonomic factors considered in work layout and task design

  • Use of excessive force and repetitive movements minimised

  • Appropriate training provided

Material storage

  • Storage stable

  • Safe means of accessing high shelves

  • Heavier items stored low

  • No danger of falling objects

  • No sharp edges

Sweeper unloading bay and wash bay

  • Clear of debris

  • No broken plugs,sockets,switches

  • Drains are running freely

  • Free from Slip, Trips and Fall hazards

  • Clear of obstructions

First Aid

  • Cabinets and contents clean and orderly & stocks meet requirements?

  • Qualified First Aiders names displayed, location and phone numbers displayed?

  • Incident forms and additional First Aid reports are easily accessible?

  • Record of treatment and of supplies dispensed

  • Use of excessive force and repetitive movement minimised

  • Appropriate training provided

  • Are the handrails used when on the stairs?

  • Do employees traverse through passage ways in their work area in an appropriate and safe manner?

  • Ask staff at random - Do you who the First Aider is for your area?

  • Do employees clean up after themselves and leave tea station/s in a tidy manner?

  • Ask staff at random - Do you know where the relevant assembly points are?

  • Do workers at desks adopt the correct posture?

  • When using the phone, do workers avoid resting the phone between neck and shoulder?

  • Are there minimum items stored under the desk?

  • Awkward and sustained postures are identified and controls put in place?

  • Manual handling risks, e.g heavy and awkward items identified, assessed and controls implemented in SWP?

  • Mechanical aids used to lift heavy or awkward items?

  • Hazard/Omissions identified:

  • Reviewed and Signed:HSR:

  • Reviewed and Signed: Supervisor/Team Leader:

  • Reviewed and Signed: Coordinator/Manager:

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.