Title Page

  • Client Company Name

  • Completed by

  • Conducted on

  • Location
  • Client Contact Name

Safety Management Systems / Instruction / Training

  • Is the client still operating from the same Workplace Health and Safety Management System (WHSMS) as they were at their last safety inspection?

  • Have you sighted the new WHSMS?

  • Are the consultation arrangements still in place?

  • Did you sight evidence of the consultation arrangements such as recent committee meeting minutes or Health and Safety Representatives correspondence?

  • Is there still a formal way for on hire employees to report injuries, illnesses, near misses and hazards to the client?

  • Were specific examples of these processes sighted by the auditor?

  • Do all employees, including on hire employees, complete a competency based safety induction?

  • Was a completed induction sighted by the auditor?

  • Does the client still conduct periodic audits/inspections of their own sites?

  • Was a completed audit/inspection sighted by the auditor?

Emergency procedures

  • Are there emergency procedures and evacuation plan(s) displayed?

  • Was the evacuation plan sighted by the auditor?

  • Have all employees been trained in their emergency procedures?

  • Was evidence of induction or other training sighted by the auditor?

  • Are exits well signposted and clear from obstruction?

  • Are emergency/fire drills conducted regularly?

  • Was an emergency drill record sighted by the auditor?

  • Are fire extinguishers clear of obstruction and tested every 6 months?

  • Were fire extinguishers and testing tags sighted by the auditor?

First Aid

  • Is there clearly labelled and stocked First Aid kit(s)?

  • Is there adequate number of trained first aiders and are they clearly identified?

Electrical

  • Are all electrical equipment including leads, tested and tagged within test period?

  • Were electrical tags sighted by the auditor?

  • Upon visual inspection, are all electrical equipment and leads in good condition (eg. Not frayed, damage taped up etc)

Chemicals

  • Are Safety Data Sheets (SDS) available at the site for all chemicals used?

  • Was an SDS sighted for a chemical found onsite?

Manual Handling

  • Are mechanical aids hoists and lifting devices available for transfers and to minimise manual handling?

  • Why is this N/A?

  • Is training provided for these devices?

  • Are heavy goods/equipment stored at waist height to reduce risk?

  • 15.2.1. Why is this N/A?

  • Are wheelchairs used in this facility?

  • 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

  • Are non-slip flooring utilised in wet areas?

  • 16.1.2. Why is this N/A?

  • Are walkways clear and free from spills/rubbish. i.e. no slip/trip hazards?

  • Are amenities (lunch room, toilets etc) clean and maintained?

General Comments and Observations

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