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 ELECTRICAL checklist
6.0 Electrical
-
6.1 Are safety switches (RCD's) regularly tested to ensure correct operation?
-
Enter date of last test
-
Select the type of test conducted
-
6.2 Are switchboards in good condition? e.g. securely locked, no holes on covers, are backing panels secure
-
Select box to view FENCES checklist
7.0 Fences
-
7.1 Are fences in good condition and all posts secure?
-
7.2 Are barriers/ guard rails in place where there is a risk of falling? e.g. deep drains etc
-
Select box to view GENERAL checklist
8.0 General
-
8.1 Are road surfaces and car parks in good condition and free of hazards? e.g. pot holes, debris and gravel
-
8.2 Are location & information signs clean & free from damage?
-
8.3 Are refuse bins secure, clean and free from damage?
-
8.4 Are lights in good working condition and power boxes locked?
-
8.5 Are picnic tables in good condition and free from graffiti & sharp edges?
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
-
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.