Title Page

  • Conducted on

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  • LabourNet Branch

  • Location
  • Client

  • Contact Person

Administrative & Legal Requirements

  • Notice of inspection/outstanding improvement or contravention notices/exemption documents. Have you rectified or are free of contravention / safety violation issued by a DOL Inspector? (Section 29/30 , GAR 2/3)

  • Company registered with Compensation Fund (COID Act)

  • Latest Letter of Good Standing available

  • Company Health and Safety Policy, statement of intent, prominently displayed (Section 7)

  • CEO assignment of duties (Section 16.2)

  • Line supervisor trained and appointed in writing (Section 8)

  • OHS Inductions done. All employees informed of their duties, rights and responsibilities (Attendance Register)

  • Competent person/s designated in writing with process flow diagram available where applicable, where sum of the power generated by machinery exceeds 1200kw (GMR2)

  • Valid Electrical Certificate of Compliance (COC) available.

  • Certification available for any additional installations and supply

  • Health and Safety Representative elected and designated in writing (if more than 20 employees)

  • Employer nominees designated in writing as members of the Health and Safety Committee (workplace – if more than 50, shops and offices if more than 100)

  • Health and Safety Committee established and meeting once every 3 months. Agenda/Chairperson determined by committee (workplaces – if more than 50, shops and offices if more than 100)

  • Health and Safety Committee meeting minutes available

  • Health and Safety Representative training as agreed upon (Attendance Register / Certificate)

  • Health and Safety Representative inspection report, where decided upon

  • Incident reporting system implemented with relevant documents and designation of investigator

  • Mandatary control documents (contractor agreements 37.2)

  • Erection and installation certification procedure (Racking and Stacking systems) Where applicable

  • Lifting machine operators trained i.e. block & tackle, hoist, crane, earthmoving machine (Attendance Register / Letter)

  • Lift truck (750kg or more) and JIB crane (5 000kg or more) operator in possession of a valid certificate of training and license (Attendance Register / Certificates)

  • Assessment to determine employee exposure to hazardous chemical substances thereafter at intervals not exceeding two years

  • Hazardous Chemical Substances Supervisor appointed in writing and trained (if required)

  • Information and instructions available for hazardous chemical substances bought or sold i.e. proper use, associated risks, conditions necessary, storage, emergency procedures, disposal, PPE (Material Safety Data Sheets – MSDS)

  • List of Hazardous Chemical substances

  • Occupational hygiene stress factors identified and employee exposure evaluated (Thermal, Lighting, Ventilation, Noise)

  • Precautions taken in the form of engineering revision and/or issue of personal safety equipment

  • Employee medical surveillance records (pre, periodic, post) – exposure to air borne particles / noise over 85DBA / hot and cold conditions/ HCS / PRDP transport /construction work / working at heights where required

  • Notices and signs prominently displayed (all safety and emergency signage)

  • External Inspections as prescribed plus additional checklists where applicable

  • Basic emergency procedures in place (ERP)

  • Evacuation Floor Plan displayed

  • First aiders valid certificates (10 employees, thereafter workplaces 50 / shops and offices 100) (Attendance Register)

  • First aid, emergency equipment (if more than 5 employees)

  • Risk Assessment conducted and reviewed annually (hazard/risk/remedial action/control)

  • Local authority by laws – complied with (flammable liquids / health certificate of acceptability / building occupancy / evacuation / pollution). Have you rectified or are free of contravention issued?

Premises & Operations Inspection

  • Planned Maintenance Program in place (where applicable)

  • Asbestos Register, Risk Assessment and Management Plan available (if applicable)

  • Flammable liquids used and stored correctly- (GSR 4) and MSDS

  • Ladders well maintained and used safely (GSR 13A)

Following in good condition?

  • Roofing

  • Walls and support columns

  • Window condition (broken or cracked)

  • Doorways and window frames

  • Gutters and downpipes

  • Floors

  • Ramps

  • Carpets

  • Stairways

  • Elevated platforms

Notices and signs prominently displayed (GSR 2B)

  • Fire equipment (including fire alarms)

  • Emergency routes and exits

  • Assembly Point/s

  • First aid equipment

  • Electrical DB’s

Lighting provided as prescribed (ERW 3)

  • Natural lighting adequate

  • Artificial lighting adequate

  • Fittings in good order

  • Cabling in good order

  • Switches in good order

  • Outside security lighting adequate

  • Ventilation adequate either natural or artificial (ERW 5)

  • General housekeeping condition acceptable (ERW 6)

Parking and yard area’s in good condition?

  • Neat, tidy and free of superfluous material

  • Redundancy material stores in designated area

  • Security fencing in good condition

  • Surrounding premises in safe condition i.e. grass area, neighbouring activities

  • Roadway and walkways in good state of repair

Scrap and refuse control

  • Adequate bins provided

  • Regular removal (Disposal Certificate available for applicable waste)

  • Lids provided and used on bins

Facilities

Sanitation (FR 2)

  • Toilets and washbasins provided

  • Toilet paper, soap, hand dryer available

  • Gender Signage outside toilets

  • Proper ventilation

  • Waste bins provided and cleared regularly

  • Facilities kept clean

  • Facilities in goods state of repair

  • Deep cleaning carried out

  • Windows glazed

  • Lockers provided to all staff

  • Canteen facilities available

  • Drinking Water (FR 7) provided

Prohibitions (FR 6)

  • Designated smoking area available and indicated

Stacking, Storage and Demarcation

  • Floors demarcated in storage areas

  • Demarcation under electrical switch gear and fire equipment in warehousing

  • All switch gear demarcated with “Keep Clear” zones

  • Fire equipment demarcated

  • Fire equipment unobstructed and clear for access

  • Stacking neat, stable and controlled in warehousing

  • Stacks correctly erected (NB : remember maximum height – 3 x shortest base distance)

  • Stacks bonded to prevent tumbling

  • All stacks in authorized areas

  • No unstable or hazardous stacks

  • Stacks erected and broken down under supervision according to standards

  • Stacking neat, stable and controlled in office areas

  • Stacking on shelves neat and tidy

  • No stacking on cupboard tops or in passage ways

  • Offices and store rooms tidy

Fire Protection

  • Emergency exits accessible and passageways clear

  • Fire doors maintained

  • Fire detection/alarm system available and in order (service certificates)

  • Fire equipment provided and serviced

  • Proper control and storage of combustible material and flammable liquids

  • Fire Fighters trained and designated in writing

Machinery

  • Safeguarding of machinery (GMR 3) Suitable for purpose used

  • Operation of machinery (GMR 4) Persons operating machinery must be properly trained in use and informed of dangers

  • Working on moving or electrically live machinery (GMR 5) Competent person must wear necessary Personal Safety Equipment with no loose clothing or hair

  • Devices to start or stop machinery (GMR 6) Devices must be provided with emergency stop switch

  • Lockout systems used during maintenance on isolated machinery

  • Portable electrical equipment and tools approved and used properly (EMR 10)

COVID 19 Compliance

  • Is the COVID-19 risk assessment valid and up to date?

  • Is there a valid COVID-19 Policy

  • Is there a appointed COVID-19 Compliance Officer

Unsafe activities and/or conditions

  • No persons found working under the influence of alcohol (GSR 2A)

  • Add additional points for Safe practices and general safe and healthy work environment. Use slider to add up to 50 points

Signoff Sheet

  • Additional Comments and Findings

  • LabourNet OHS Consultant

  • Contact Person

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.