Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Select box to view PATHWAY/ FOOTBRIDGE checklist
1.0 Pathways/ Footbridges
-
1.1 Are pathway edges trimmed & paths free from the following? e.g. debris, overhanging tree branches, other hazards
-
1.2 Are pathways level and free from hazards? e.g. Trip, broken concrete, raised pavers, tree roots, uneven surfaces, other hazards
-
1.3 Are paths trimmed and free from debris and soil at the concrete or paver edge?
-
1.4 Are handrails in good condition and adequate to prevent fall hazards?
-
Select box to view LAWNS & GRASSED AREA checklist
2.0 Lawns & Grassed Areas
-
2.1 Are watering times scheduled to allow for sufficient soakage?
-
2.2 Are lawns and grassed areas free from hazards? e.g. hollows, uneven surfaces, debris/ litter, weeds, other
-
2.3 Are lawns areas free from objects that may cause a flying hazard when mowing?
-
2.4 Are pop up sprinklers working correctly and retracting so as not to present a trip hazard?
-
2.5 Are watering times adequate to ensure grassed areas are free from dry spots?
-
2.6 Have garden bed edges and tree surrounds been trimmed?
-
Select box to view TREE checklist
3.0 Trees
-
3.1 Are trees clear and free from hazards? e.g. Dead limbs, branches at eye height, exposed roots, other
-
3.2 Are fallen limbs regularly collected?
-
3.3 Have all tree roots been covered so as not to pose a trip hazard?
-
3.4 Are trees clear and free from issues? e.g. pest infestation, leaf discolouration, other
-
3.5 Are trees uniform in width? i.e. no obvious protruding limbs
-
Select box to view GARDEN BED checklist
4.0 Garden Beds
-
4.1 Are garden beds & hedges clear & free from issues? e.g. Weeds, debris/ litter, wet areas, other:
-
4.2 Are garden beds & hedges clear & free from issues? e.g. Pest infestation, leaf discoloutration, other:
-
4.3 Are garden beds etc mulched & receive adequate water?
-
4.4 Are the garden bed retaining walls or surrounds in good condition & the edges trimmed?
-
4.5 Are decorative gravels in sufficient quantity & evenly spread?
-
Select box to view SIGNAGE checklist
5.0 SIGNAGE
-
5.1 Are sufficient signs in use?
-
5.2 Are signs in good condition (not faded) and free from issues? e.g. damage, dry rot, other
-
Select box to view PLAY EQUIPMENT checklist
6.0 Play equipment
-
6.1 Are grassed areas, sand pits/ matting regularly checked for dangerous objects?
-
6.2 Are any overhanging trees free from potential falling deadwood and other hazards? e.g. pointed or broken branches at eye height
-
6.3 Have any other hazards such as sharps, glass, glare been identified and removed?
-
6.4 Is litter removed on a daily basis?
-
6.5 Is impact-absorbing material clean and in place?
-
6.6 Are all components in place (no missing parts)?
-
6.7 Is equipment free from sharp edges or exposed bolts?
-
6.8 Are the main frames safe and secure?
-
6.9 Are all bolts in position and secure?
-
6.10 Are swing pivot pins and or chains secure and in good condition?
-
6.11 Are all moving parts in good condition?
-
6.12 Are sliding surfaces clear of hazards? e.g. obstructions, gaps on side rails, rust or splits
-
6.13 Is play equipment free from dangerous insect? e.g. spiders etc
-
Select box to view ELECTRICAL checklist
7.0 Electrical
-
7.1 Are safety switches (RCD's) regularly tested to ensure correct operation?
-
Enter date of last test
-
Select the type of test conducted
-
7.2 Are switchboards in good condition? e.g. securely locked, no holes on covers, are backing panels secure
-
Select box to view HAZARDOUS SUBSTANCES/ NOISE/ PPE checklist
8.0 Hazardous Substances/ Noise/ PPE
-
8.1 Are Safety Data Sheets (SDS's) provided and available to all staff?
-
8.2 Is a spill kit available to staff?
-
8.3 Where the general public may be exposed to a high level of noise from plant, is work re-scheduled to eliminate this hazard?
-
8.4 Is appropriate PPE available and being used and maintained by staff/ operators? e.g. foot, ear, eye, hand, respiratory
-
Select box to view PLANT? EQUIPMENT checklist
9.0 Plant/ Equipment
-
9.1 Are daily checks conducted on the plant and is the plant regularly serviced?
-
9.2 Are front cut and ride on mower grass chutes in place when mowing parks?
-
9.3 Are revolving warning lights operational?
-
9.4 Are front cut mower PTO covers in good condition?
-
9.5 Does operator holds appropriate plant induction?
-
9.6 Are whipper snipers in good condition?
-
9.7 Are barriers erected to restrict access to the general public when high risk work is undertaken?
-
9.8 Are risk assessments carried out on the use of plant and equipment in parks?
-
Select box to view HAND TOOLS checklist
10.0 Hand Tools
-
10.1 Are hand tools in good condition?
-
10.2 Are work areas maintained in a clean and tidy state?
-
Select box to view FENCES checklist
11.0 Fences
-
11.1 Are fences in good condition and all posts secure?
-
11.2 Are barriers/ guard rails in place where there is a risk of falling? e.g. deep drains etc
-
Select box to view AMENITIES checklist
12.0 Amenities
-
12.1 Are toilets clean and free from issue? e.g. damage, debris/ litter, graffiti, other
-
12.2 Are taps and flushers in good condition and free of leaks?
-
12.3 Is adequate toilet paper available?
-
12.4 Is the exterior and interior paint in good condition?
-
12.5 Are lights working and in good condition?
-
12.6 Are amenities free from pests and insects?
-
12.7 Are the roof, gutters and drains in good condition and free from leaves and debris?
-
12.8 Are removable plastic liners located in rubbish bins to reduce the risk of needle stick injury?
-
12.9 Are picnic tables in good condition and free from graffiti and sharp edges?
-
12.10 Are the picnic table frames safe and secure?
-
12.11 Are barbecues clean and undamaged?
-
12.12 Are rubbish bins inspected for damage and washed as necessary?
-
Select box to view GENERAL checklist
13.0 General
-
13.1 Are staff aware of the procedure when they discover sharps?
-
13.2 Are forms available for staff to report incidents or injuries?
-
13.3 Are hazard report forms available?
-
13.4 Have all confined spaces been identified and appropriately signed?
-
13.5 Are road surfaces and car parks in good condition and free of hazards? e.g. pot holes, debris and gravel
-
13.6 Are footpaths mowed/ trimmed and free from debris and litter?
-
13.7 Are concrete edging/ kerbs in good condition?
-
13.8 Are the features clear and free from issues? e.g. weeds, debris and litter, other
-
13.9 Are water features chlorinated on a regular basis to eliminate odours, algae and mosquito larvae?
-
13.10 Are feature lights in good working condition and pump boxes locked/ secured?
-
Select box to view EXCAVATIONS and ACCESS checklist
14.0 Excavations and Access
-
14.1 Are ladders in good condition and inspected regularly?
-
14.2 Are barricades erected around work area?
-
14.3 Are trenching controls in place where people enter an excavation >1.5m deep or in unstable ground e.g. shoring?
-
14.4 Is equipment clear of the zone of influence around excavation?
-
Select box to view FIRST AID & EMERGENCY checklist
15.0 First Aid and Emergencies
-
15.1 Are there sufficient first aid kits available?
-
15.2 Are the contents of the first aid kit inspected regularly? Note: List the date of the last inspection.
-
15.3 Are first aid officer details displayed e.g. name and contact numbers?
-
15.4 Is the location of the first aid kit easily identifiable e.g. appropriate signage is installed?
-
15.5 Is a sharps container available?
-
Select box to view WORK PROCEDURES checklist
16.0 Work Procedures
-
16.1 Are procedures implemented for weed spraying
-
16.2 Are procedures implemented for working at heights?
-
16.3 Are procedures implemented for working from elevated work platforms?
-
16.4 Are procedures implemented for handling of sharps?
-
16.5 Are procedures implemented for mowing/ slashing slopes over 15 degrees?
Additional Hazards Identified
-
Additional hazards identified
Hazard details
-
Details of Hazard
-
Risk Score (Refer to CTRC Risk Calculator)
-
Manager Notified
-
Details of immediate action
Authorisation & Actions
-
Name of auditor
-
List names of other people involved in audit
-
Rectification Action Plan (RAP) Required - AESTHETICS?
-
Rectification Action Plan (RAP) Required - HAZARDS?
-
The completed inspection report must be saved in the 'WHS - Records' folder and uploaded into ECM. Actions must be recorded, followed up and closed out.