Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

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

CONTRACTOR MANAGEMENT

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

  • 2. Is there a contractor lockbox onsite?

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

  • 4. Are contractors using the contractor induction box?

  • 5. Are all contractors signing in on every site visit?

  • 7. Has the Hazard Awareness Chart been updated in the last 12 months?

  • 6. Are all contractors inducted and reviewed every 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:

  • A - Fire extinguishers (R)

  • B - Fire Hose Reels (R)

  • C - Fire Doors

  • D - Fire Alarm System

  • E - Fire Sprinkler System

  • Is there a sprinkler block plan on site

  • F – Hydrants

  • Is there a block plan on site

  • G - Early Warning Intercommunication System (EWIS)<br>

  • H - Emergency Lighting & Exit Signs (R)

  • 2. Has Flow test been done?

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

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

EMERGENCY MANAGEMENT

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

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

  • 3. Are assembly areas allocated and understood?

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

  • When was the last Warden training conducted? (6 monthly)

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

ELECTRICAL (COMMON AREA EQUIPMENT ONLY)

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

  • 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

HAZARDOUS SUBSTANCES

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

  • 2. Is Hazmat register current?

  • 3. Are the materials or goods stored correctly?

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

  • Is a copy of the MSDS held at the Fire Panel for QFRS?<br>

  • 5. Is there asbestos on site.

  • Is the register up to date.

  • Sighted Register

  • Photo evidence (as required)

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

FIRST AID

  • 1. Is a first aid kit supplied?

  • 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. Is there a shared common area?

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

  • 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? (R)

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

  • 12. Are floors and surfaces in good condition?

  • 13. Has the area had a slip test in the last 12 months?

EXTERIOR ENVIRONMENT

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

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

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

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

  • 5. Are driveways clear and free of hazards?

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

  • 7. Is 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?<br>

PLANT & EQUIPMENT

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

  • 2. Are the lifts and escalators serviced frequently?

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

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

ROOF

  • 1.Is roof access restricted and is permit system in place?

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

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

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

  • 5. Are there Anchor points on the roof?

  • Are these anchor points rated?

  • Have these anchor points been tested in the last 12 months?

ENVIRONMENTAL

  • 1. Have Thermostatic Mixing Valves been serviced (Annual)

  • 2. Has the back flow device been tested?

  • 3. Are grease traps serviced as per regulations?

  • 4. Are all pumps operational and regularly serviced?

WORKPLACE SAFETY

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

SECURITY SYSTEM & ACCESS CONTROL

  • 1. Is there a secure access control system to the premises?

  • 2. Is there a service & maintenance agreement in place?

  • 3. Is there a record of all cards and keys on site?

  • 4. Is there a CCTV system in the building?

  • 5. Is there an ongoing service & maintenance agreement in place?

DISABILITY ACCESS & COMPLIANCE

  • 1. Is the site access compliant?

  • 2. Are there disabled access ramps to the entrance

  • 3. Do the lifts have braille & voice?

  • 4. Are there tactile indicators on paths and before/after stairs?

  • 5. Are there disabled access amenities on site?

COOLING TOWERS

  • 1. Does the site have cooling Towers

  • 2. Is there a contract in place for the chemical treatment

  • 3. Are records readily available for auditing purposes

GENERAL COMMENT

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.