Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Entrance

  • 1. Is the Occupancy Permit located in entry?

Contractor Management

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

  • 2. Is the contractor box locked and all relevant forms stocked?

  • Restricted Access permit

  • Roof Access Permit

  • Hot Works permit

  • Fire Systems isolation/impairment form

  • Insurers impairment notification form

  • Incident report form

  • Emergency Contact Details

  • Asbestos/Hazardous Materials Register

  • Site evacuation plan and procedures

  • Confined Space permit

  • Hazard Awareness Register

  • 3. Check that contractors are using the contractor induction box and take a photo of the sign in register

  • Picture of sign in register

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

Fire Protection Systems

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

  • Date of last Fire Panel test

  • Is the Fire Panel being regularly maintained?<br>

  • A - Fire extinguishers (R)

  • Photo of date stamp

  • B - Fire Hose Reels (R)

  • Photo of date stamp

  • C - Fire Doors

  • Select date

  • D - Fire Interface Panel - Full Function Test

  • Select date

  • E - Fire Sprinkler System

  • Date of monthly or weekly test

  • Is there a block plan of the sprinkler system in the pump room?

  • G - Early Warning Intercommunication System (EWIS)

  • Date of last test

  • H - Emergency Lighting & Exit Signs (R)

  • Photo of date stamp from last test

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

  • Photo of fire cupboard

Hydrants

  • 1. Are hydrants present?

  • Date of last flow test

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

Emergency Management

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

  • Photo of Evacuation plan

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

  • 3. Are assembly areas allocated and understood?

  • 4. Has a practice drill occurred in the last 12 months?

  • Date of last fire training

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

  • Photo of a typical path

Electrical (Common area equipment only)

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

  • Date of last test

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

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

  • Date of last thermographic test

Hazardous Substances

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

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

  • 2. Is Hazmat register current?

  • 3. Are materials or goods stored correctly? (If this is a warehouse there should be a 1m gap from the sprinkler head)

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

  • 6. If there is a spill kit on site is it complete? (usually on an industrial site and consists of a 240L wheelie bin with absorbents to contain a spill, gloves, masks and waste bags)

First Aid. (Applies to manned properties only)

  • 1. Is a first aid kit supplied? (Required on a manned site)

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

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

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

  • 5. Is a sharps kit available?

Interior Environment

  • 1. Are floors and surfaces in good condition?

  • Photo of typical floor

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

  • Photo of stairway if applicable

  • 3. Are lighting levels satisfactory?

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

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

  • 6. Are the kitchen/tea rooms clean?

  • 7. Is air conditioning within operational limits?

  • 8. Is the directory board up to date?

  • 9. Are vacant areas clean and presentable?

  • 10. Are lifts clean, well lit and are the emergency phones operational? (press lift emergency button to check and advise operator that this is a test)

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

  • 12. Is CCTV operational?

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

Exterior Environment

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

  • Photo of typical exterior wall

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

  • Photo of clear paths or stairs if applicable

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

  • Photo of carpark if applicable

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

  • Photo of condition of line marking

  • 5. Are driveways clear and free of hazards?

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

  • 7. Are exterior / security lighting working?

  • 8. Are drains / grates clear of rubbish?

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

  • 10. Are fences / gates undamaged?

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

Plant & Equipment

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

  • 2. Are the lifts and escalators serviced frequently?

  • Date of last service

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

  • Date of last BMU service

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

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

  • 6. Is there evidence that chillers/pac units/splits are regularly serviced?

  • Date of last service

  • 7. Are there any cooling tower present?

  • Expiry of registration

  • Is there a current Risk Management Plan for the cooling towers?

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

  • 9. Are there any boilers with pressure vessels on site?

  • If a pressure vessel is present check that a notification of plant design had been submitted at time of build or installation with Worksafe. Email licensing@worksafe.vic.gov.au Subject: Plant Design

Roof

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

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

  • Photo of gutters

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

  • 4. Are anchor points and static lines being maintained?

  • Date of last test and inspection

Environmental

  • 1. Has the back flow device been tested?

  • Date of last backflow test

  • 2. Is a trade waste agreement in place? Trade waste is any waste water discharged from commercial, industrial, laboratory or trade activities including coffee shops

  • Date of registration of trade waste agreement

  • 3. Are grease traps serviced as per regulations?

  • Date of last grease trap service

  • 4. Are sump pumps operational and regularly serviced?

Workplace safety

  • 1. Are there any confined spaces areas on site? if so are they labelled?

  • 2. Are there any trip hazards apparent?

  • 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.

Property Risk Audits

  • 1. Has a Property Risk Audit been completed in the past 12 months?

  • 2. Has a Plant Risk Assessment been carried out?

  • 3. Has a Confined Space Audit been carried out?

  • Are confined spaces secured to prevent unauthorised entry?

  • Are confined spaces suitably labeled?

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.