Title Page
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Client Company Name
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Completed by
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Conducted on
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Location
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Client Contact Name
Safety Management Systems / Instruction / Training
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Is the client still operating from the same Workplace Health and Safety Management System (WHSMS) as they were at their last safety inspection?
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Have you sighted the new WHSMS?
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Are the consultation arrangements still in place?
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Did you sight evidence of the consultation arrangements such as recent committee meeting minutes or Health and Safety Representatives correspondence?
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Is there still a formal way for on hire employees to report injuries, illnesses, near misses and hazards to the client?
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Were specific examples of these processes sighted by the auditor?
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Do all employees, including on hire employees, complete a competency based safety induction?
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Was a completed induction sighted by the auditor?
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Does the client still conduct periodic audits/inspections of their own sites?
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Was a completed audit/inspection sighted by the auditor?
Emergency procedures
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Are there emergency procedures and evacuation plan(s) displayed?
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Was the evacuation plan sighted by the auditor?
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Have all employees been trained in their emergency procedures?
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Was evidence of induction or other training sighted by the auditor?
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Are exits well signposted and clear from obstruction?
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Are emergency/fire drills conducted regularly?
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Was an emergency drill record sighted by the auditor?
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Are fire extinguishers clear of obstruction and tested every 6 months?
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Were fire extinguishers and testing tags sighted by the auditor?
First Aid
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Is there clearly labelled and stocked First Aid kit(s)?
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Is there adequate number of trained first aiders and are they clearly identified?
Electrical
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Are all electrical equipment including leads, tested and tagged within test period?
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Were electrical tags sighted by the auditor?
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Upon visual inspection, are all electrical equipment and leads in good condition (eg. Not frayed, damage taped up etc)
Chemicals
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Are Safety Data Sheets (SDS) available at the site for all chemicals used?
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Was an SDS sighted for a chemical found onsite?
Manual Handling
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Are mechanical aids hoists and lifting devices available for transfers and to minimise manual handling?
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Why is this N/A?
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Is training provided for these devices?
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Are heavy goods/equipment stored at waist height to reduce risk?
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15.2.1. Why is this N/A?
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Are wheelchairs used in this facility?
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is there adequate wheelchair access both to and from the facility (Eg ramps) as well as inside the facility?
Slips/Trips/Falls and General Housekeeping
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Are non-slip flooring utilised in wet areas?
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16.1.2. Why is this N/A?
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Are walkways clear and free from spills/rubbish. i.e. no slip/trip hazards?
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Are amenities (lunch room, toilets etc) clean and maintained?
General Comments and Observations
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