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.

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.