Concept Site Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• General description of workplace activity and employee/s role/s

Fire and Emergency

• Extinguishers in place and clearly marked for type of fire

  Yes

  No

  N/A

• Extinguishers last service date

  Date

• Adequate direction to fire exits

  Yes

  No

  N/A

• Exit doors able to be opened from inside

  Yes

  No

  N/A

• Exit doors clear of obstructions

  Yes

  No

  N/A

• Last evacuation drill date

  Date

• Evacuation Meeting Point Identified

  Yes

  No

  N/A

First Aid

• First aid cabinet clearly labelled

  Yes

  No

  N/A

• First Aid kit supplies stocked

  Yes

  No

  N/A

• Employees aware of first aid location

  Yes

  No

  N/A

• First aid officers identified and emergency numbers displayed

  Yes

  No

  N/A

Electrical

• Plugs, sockets or switches are in good condition and free from damage

  Yes

  No

  N/A

• Leads are in good condition free from fraying or other damage

  Yes

  No

  N/A

• Portable power tools are in good condition?

  Yes

  No

  N/A

• Walkways are clear of temporary or permanent leads

  Yes

  No

  N/A

• Last commmon test and tag date

  Date

• Test and tag date is within required time period

  Yes

  No

  N/A

• Variances to Test and tags date listed above found?

  Yes

  No

  N/A

Storage

• Material stored appropriately in racks/bins

  Yes

  No

  N/A

• Storage designed to minimize manual task issues?

  Yes

  No

  N/A

• Floors around racking clear of rubbish?

  Yes

  No

  N/A

• General condition of racks, pallets and storage containers

  Safe

  At Risk

  N/A

• Equipment supplied in good condition & serviced. <br>Ladders etc

  Yes

  No

  N/A

Dangerous Goods and Hazardous Materials

• Storage facility/area appropriate?

  Safe

  At Risk

  N/A

• Containers are labelled correctly?

  Yes

  No

  N/A

• Safety containers are in use?

  Yes

  No

  N/A

• MSDS sheets available, updated and relevant?

  Yes

  No

  N/A

Walkways

• Entry and walkways kept clear

  Yes

  No

  N/A

• Walkways adequately and clearly marked

  Yes

  No

  N/A

• Vision at intersections for employees and plant

  Safe

  At Risk

  N/A

• Areas secured and isolated (as required)

  Yes

  No

  N/A

Plant and Equipment

• Forklift- Service records up to date

  Yes

  No

  N/A

• Forklift- warning lights, horns functioning

  Yes

  No

  N/A

• Guards on plant and machinery in place<br>includes lock out tags

  Yes

  No

  N/A

• Emergency stop mechanism in place

  Yes

  No

  N/A

• Machinery/plant signage displayed and adequate

  Yes

  No

  N/A

• General work area space is adequate

  Yes

  No

  N/A

General Lighting

• Illumination in work area/s and walkways?

  Safe

  At Risk

  N/A

• Light fittings are clean and in good condition?

  Yes

  No

  N/A

• Emergency lighting available/operational

  Yes

  No

  N/A

General

• Normal work area

  Media

• Area adequately signposted/isolated

  Yes

  No

  N/A

• Facilities and amenities are clean and functional

  Yes

  No

  N/A

• PPE provided and employees instructed on use

  Yes

  No

  N/A

• Employees aware of hazards and risks<br>I.e. inducted into JSA's, WMS's, SOP's etc

  Yes

  No

  N/A

• Exposure to noise and atmospheric conditons

  Safe

  At Risk

  N/A

• Exposure to environmental conditions

  Safe

  At Risk

  N/A

• Toolbox Talks

  Required- Scheduled

  Required-Specific

  Completed Previously

  None Required at time

Others General/Site Specific Issues

Following issues were bought to the clients attention following the site review

• Issue

• Potential Action

• Client Acknowledgement

  Sign

• Review Date

  Date

• Issue

• Potential Action

• Client Acknowledgement

  Sign

• Review Date

  Date

• Issue

• Potential Action

• Client Acknowledgement

  Sign

• Review Date

  Date

Next Review Date

• Next Review Date

  Date

Review Particulars

• Host Supervisor/Contact Name

  Sign

• Is the workplace health and safety at the site sufficient to allow worker/s to commence?

  Yes

  No

  N/A

• Reviewer Name

  Sign