Depot / Workshop HSE Inspection Record V2

• Conducted on

  Date
• Location
  Address

• Inspection Participants:

• Supervisor / Manager / Officer in charge:

• MD-12-96 (Version 2)

• Section / Business area

• Form - Depot /Workshop HSE Inspection Record

• Workplace Location and area/s inspected

• Form Instructions
  1) Review previous Planned Inspection to ensure all identified issues are addressed
  2) Identify any HSE issues that require rectification to ensure compliance
  3) Where a serious issue is identified which presents immediate risk to health, safety or the environment, interrupt the inspection to stop the operation/process and have workers relocated to a safe area (if required)
  4) The relevant Manager / Supervisor is responsible for assigning resources to complete required corrective actions within the agreed time frame.
  5) HSE issues that are unable to be rectified on the day of the inspection must be risk assessed / prioritised as either; Low, Medium or High
  Low (L) - Requires response within 1 week,
  Medium (M) - Requires response within 48 hours,
  High (H) - requires immediate response which may include quarantining the process, plant or equipment AND ensure reported to Manager

Have the following items been displayed on the Noticeboard?

• 1.1.1 Queensland Rail Safety & Environment Policies

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.2 Safety & Environment Responsibilities

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.3 Latest Safety Committee Minutes

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.4 Safety and Environment Alerts

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.5 Emergency Procedure Flipchart

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.6 Local WHS Risk Register

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.7 Safety Contacts (Safety Advisor, HSR, Committee Members)

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.8 Incident Reporting Process and CARES pack

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.1.9 High Visibility colour fade chart (where applicable)

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.2 Is all information current?

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 1.3 Have all old Safety and Environment Alerts been removed?

  Yes

  No

  N/A

• Corrective action required

• Action by

• Due for completion by:

  Date

• Risk

  Low

  Meduim

  High

• 2.1 Is adequate fire protection available? (E.g. Fire extinguishers; hose reels, fire blankets, etc.)

  Yes

  No

  N/A

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 2.2 Is fire protection signage correct and clearly displayed?

  Yes

  No

  N/A

• Add media

  Media

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 2.3 Have 6 monthly inspection been performed for fire extinguishers and hose reels?

  Yes

  No

  N/A

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 2.4 Are all fire extinguishers readily accessible / clear of obstructions?

  Yes

  No

  N/A

• Add media

  Media

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 2.5 Where provided, have building fire and emergency provisions been tested, i.e. evacuations alarms, emergency lighting, etc.?

  Yes

  No

  N/A

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 2.6 Is fixed and mobile plant and equipment fitted with fire protection and is it within inspection period?

  Yes

  No

  N/A

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 2.7 Is there a fire extinguisher register in place, does it effectively track inspection of deployed fire extinguishers?

  Yes

  No

  N/A

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 2.8 Are fire fighting trailers and associated equipment maintained in accordance with the inspection checklist?

  Yes

  No

  N/A

• Corrective Action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.1 Are documented emergency procedures in place and current?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.2 Are emergency assembly areas clearly sign posted?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.3 Has the annual emergency evacuation exercise been undertaken in the last 12 months?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.4 Are exit doors, corridors and stair wells clear of obstructions?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.5 Are exit signs operable and are they clearly visible?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.6 Have all personnel undertaken induction training?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.7 Are all wardens identified by appropriate signage?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.8 Have all fire wardens received training in the last six months?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.9 Are emergency warning systems clear (audible) in all areas?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.10 Are emergency exit routes clearly marked and free of obstructions

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.11 Where required, are emergency showers and eye wash stations provided and are they clean and operable?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.12 Where provided, are pole top rescue kits regularly inspected, maintained and in good condition?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.13 Is a switchboard rescue kit readily available and has it been maintained in a serviceable condition?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.14 Are life jackets, life belts and associated rescue equipment in good condition?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 3.15 Has rescue equipment been inspected regularly and do they have a current inspection/test tag?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 4.1 Are first aid kits adequately stocked with required consumables and equipment

  Yes

  No

  N/A

• Corrective action Requireed:

• Action By:

• Complete by Date:

  Date

• Risk

  Select Low Meduim High

  • Low
  • Meduim
  • High

• 4.2 Are first aid kits in vehicles and mobile plant in good condition and are they fully stocked?

  Yes

  No

  N/A

• Corrective action Requireed:

• Action By:

• Complete by Date:

  Date

• Risk

  Select Low Meduim High

  • Low
  • Meduim
  • High

• 4.3 Are first aid consumables within "use by" date?

  Yes

  No

  N/A

• Corrective action Requireed:

• Action By:

• Complete by Date:

  Date

• Risk

  Select Low Meduim High

  • Low
  • Meduim
  • High

• 4.4 Where provided, are special first aid provisions maintained in a servicable condition?

  Yes

  No

  N/A

• Corrective action Requireed:

• Action By:

• Complete by Date:

  Date

• Risk

  Select Low Meduim High

  • Low
  • Meduim
  • High

• 4.5 Where provided are special first aid provisions e.g. OxyViva maintained in a servicable condition?

  Yes

  No

  N/A

• Corrective action Requireed:

• Action By:

• Complete by Date:

  Date

• Risk

  Select Low Meduim High

  • Low
  • Meduim
  • High

• 5.1 Have electrical cords and equipment been tested and within current test date?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Action By:

• 5.2 Are fixed Residual Current Devices RCDs within the 6 monthly push button and 2 yearly operation time tests?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Action By:

• 5.3 Are leads, plugs and power tools in good condition and free from exposed wires or other damage?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Action By:

• 5.4 Is testing and tagging current?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Action By:

• 5.5 Is the access clear to all electrical switchboards?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Action By:

• 6.1 Randomly select at least three (3) permits, licences or certificates and compare against the applicable register. Is the register current and are operators correctly licensed to perform the activity?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Low

  Meduim

  High

• 6.2 Are required environmental licences and permits in place for the activities being undertaken?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Low

  Meduim

  High

• 7.1 Are Safety Data Sheets (SDSs) and local Chemical Manifest (Red Box) available for the area?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.2 Is a current hazardous chemicals and SDS register available?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.3 Hace risk assessments been prepared for hazardous chemicals being used?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.4 Are SDSs readily available for fixed work area and vehicles and are they within the 5 year revision period?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.5 Are tanks and drums earthed and bunding provisions in place for dispensing and storing chemicals?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.6 Are earth straps available for decanting?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.7 Are spill kits readily available with adequate stock for volume of chemicals being stored or used?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.8 Are instructions, displayed, and staff trained in use of spill kits provided

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.9 Tanks/Drums are adequately supported stored in a stable condition, not leaking or corroding?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.10 Are approved storage provisions (fire rated / ventilated cabinets) available for various classes of dangerous goods?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.11 Are fuels and hazardous chemicals correctly separated and stored to prevent fire, explosion or adverse chemical reactions?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.12 Are approved portable containers used for use of decanted chemicals clearly labelled as to contents?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.13 Is appropriate signage displayed for flammable liquid / fuel storage areas, e.g. "No smoking or naked flames"?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.14 Are HAZCHEM signs posted where required for dangerous goods locations and major hazard facilities?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 7.15 Are fixed and portable bunding units in good condition, correct size and free of leaks or ingress of stormwater? And is the bund cap in place?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Does a visual inspection reveal there have been spills on site that have not been cleaned up?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.1 Are mobile plant, vehicles and rolling stock parked in designated locations?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.2 Have pre use inspections been performed and recorded for all mobile plant, trucks and buses (SRD0085)

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.3 Select 3 vehicles, are tyres in a safe acceptable condition

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.4 Are amber flashing lights fitted and operational on required vehicles and mobile plant?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.5 Are reversing alarms in operation on all vehicles and mobile plant?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.6 Do road vehicles have a permit for fitted flashing amber lights?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.7 Do required vehicles and mobile plant have UHF radio and are they operational?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.8 Are trailers secured correctly and jockey wheels available / used?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.9 Are light vehicles giving way to heavy vehicles and unloaded plant giving way to loaded plant / vehicles

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.10 Are vehicles and access roads / areas delineated / identified?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.11 Where fitted, are seat belts worn by drivers / operators?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.12 Are personnel using three points of contact when accessing or alighting from plant and equipment?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.13 Are vehicles stowed on track locked / secured to prevent run away?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.14 Are training logs (PDLs) completed for personnel not fully licensed? Are they being supervised / mentored by a competent person?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 8.15 Do parking areas display evidence of fuel or oil leaks?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 9.1 Are log books used to for routine and prestart plant inspections?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 9.2 Are operators manuals readily available?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Yes

  No

  N/A

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Corrective action Required:

• 9.3 Are equipment handbooks available for small plant and equipment and is their use recorded?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 10.1 Are roadways and pedestrian pathways free from potholes with adequate marking / lines and speed limit signage?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 10.2 Is there adequate provision for car parking and are parking bays clearly marked?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 10.3 Is there adequate provision for emergency vehicles?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 10.4 Are roadways and carparks managed to prevent significant dust blowing offsite?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 11.1 Is trackside protection equipment in good condition and stored securely when not in use?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 11.2 Are track signals within the 10 year use by date or 5 years longer the the expiry date marked on them?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 11.3 Are track signals in good condition, double locked in vehicles, i.e. in a locked box that can be locked in the cab or toolbox?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 11.4 Is the track signal register current so that every signal is accounted for?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.1 Has all lifting equipment been inspected / tested as current?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.2 Are chains, slings and fittings free of damage?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.3 Are web slings free of contamination by solvents other hazardous chemicals including that by permanent marker pens?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.4 Are hooks free from damage, excessive wear and tear and do safety latches open / close fully without jamming?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.5 Is lifting equipment clearly labelled with safe working load (SWL)?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.6 Is plant and equipment used for lifting maintained in accordance with relevant schedule?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.7 Is a plant and equipment register in place and are log books / Prestart inspections regularly completed?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 12.8 Are faults routinely reported, recorded and actioned for quarantine or repair?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.1 Are work areas clean, tidy and free of slip, trip and fall hazards?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.2 Are walkways and exits clearly marked, are they wide enough and provide free access?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.3 Is all required signage displayed for PPE, speed limits first aid, fire and emergency response?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.4 Is furniture in good condition, do swivel chairs have 5 legs and are cupboards, shelves and tables stable?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.5 Are work stations correctly setup with adequate space and PC screens at arms length away with top of screen at eye level?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.6 Is lighting (including emergency lighting), adequate and are light fixtures guarded / fitted with diffusers?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.7 Are fixed and portable bunding units in good condition, correct size and free of leaks or ingress of stormwater?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.8 Have workshops, depots in fire ant areas been inspected on monthly basis to determine any activity?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.9 Have stormwater drains been visually inspected to ensure there has been no incorrect disposal of chemicals or waste into drainage systems?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 13.10 Has a visual inspection of the site been undertaken to ensure there have been no spills on site

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 14.1 Are earthing straps securely connected to earth and containers?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 14.2 Are earthing straps available for decanting from containers to machines?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 14.3 Are traction bonds and gloves free from wear and tear and within 6 month test date?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 15.1 Are Meters, test lights and associated equipment in good condition?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Corrective action Required:

• 15.2 Have Meters, test lights and associated equipment been tested / calibrated and are they current?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Corrective action Required:

• 15.3 Is a register available indicating next test date?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Corrective action Required:

• 16.1 Are guards / barriers securely positioned around plant, equipment and penetrations and trenches?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 16.2 Are moving parts or nip points adequately protected to prevent body parts coming into contact with them?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 17.1 Are "Out of Service" tags & personal protection tags / locks available?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 17.2 Are required staff issued with personal protection locks? Is defective plant and equipment fitted with tags correctly?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 17.3 Is lock-out equipment and tags in good condition?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 18.1 Are emergency devices clearly marked (e.g. Stop buttons, shut off valves etc.)?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 19.1 Is fall arrest equipment in good condition including webbing, stitching, buckles?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 19.2 Have harnesses, shock absorbers and associated equipment been inspected and is there an inspection / test tag?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 20.1 Are flashback arrestors fitted and have they been tested within the last 12 months?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 21.1 Have pressure vessels been inspected / tested in accordance with relevant schedule?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 21.2 Are maintenance records available for pressure vessels in use?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 22.1 Are cyclinders secured upright, protected from damage?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 22.2 Are non-flammable and flammable gas cylinders stored at least 3m apart and clearly marked?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 22.3 Is fire danger signage in place and is fire protection readily available and adequate?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 22.4 Is the storage area free of combustible material?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 22.5 Is ventilation adequate for the safe storage of gas cylinders?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 23.1 Are ladders in good condition free from damage to styles and rungs with rubber feet in tact etc.

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 23.2 Are ladders within inspection date and is a ladder inspection register in place and up to date?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 24.1 Are hand tools free from excessive wear and tear and are inspections on striking tools regularly undertaken

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 24.2 Are areas free from accumulated scrap and waste?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 24.3 Has a person been designated as responsible for disposing scrap and waste in shared storage areas?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 24.4 Are provisions in place for the safe and environmentally acceptable means of dispose / remove scrap, waste materials?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 25.1 Does ventilation adequately remove toxic fume, vapour, smoke and gases (e.g. battery charging, welding areas)?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 25.2 Where required, has atmospheric testing been routinely performed to verify air quality?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 26.1 Is mandatory PPE signage (blue/white) clearly visible where hearing protection is required near or on noisy plant and equipment and in noisy areas?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 26.2 Is hearing protection including disposable ear plugs readily available?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 27.1 Have engineering solutions, mats, and PPE been provided where practicable to minimize the effects of vibration?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 27.2 Are appropriate UV control measures being used (e.g. welding screens, proper clothing, SPF30+ sunscreen)

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 28.1 Have workers been trained in correct use and care of PPE?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 28.2 Are workers using, caring and storing PPE as required?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 28.3 Are provisions available for cleaning and storing PPE?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 29.1 Are buildings generally in good condition; are gutters, drains etc. clear, roofs, windows weatherproofed?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 29.2 Are toilets clean and hygienic and have appropriate provisions, i.e. soap towels and waste receptacles?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 29.3 Is the security of buildings, fencing locks and lighting levels adequate to prevent access or incur damage by unauthorized persons including vandals?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 29.4 Are buildings clean and free from vermin?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 29.5 In fire ant areas, have fire ant inspections occurred on a monthly basis?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 29.6 Are outdoor areas free of weeds?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 30.1 Are appropriate control measures being used (e.g. provision of shaded areas, rest breaks, ready access to water / water bottles)?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 30.2 Have workers been presented with toolbox talk on heat stress for the season?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 30.3 Are employees provided with appropriate PPE and clothing suitable for hot, cold and wet working conditions?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 31.1 Are storm water drains functional, and clear of sediment and debris?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 31.2 Have storm water drain been visually inspection to ensure there has been no incorrect disposal of chemicals or waste into drainage system?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 31.3 Is there evidence of inappropriate disposal or leakage of chemical into storm water drainage?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 31.4 Have any oil water separators been checked and cleaned quarterly, and has monitoring and maintenance occurred 6 monthly (or as recommended by the manufacturer)?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 32.1 Is stored material freely accessible and is mechanical lifting equipment readily available where required?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 32.2 Is stored material correctly positioned to minimize twisting overstretching etc.?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 32.3 Is racking in good condition and adequate for typical loads?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 32.4 Is pallet racking system (indoor/outdoors) secured and stable and is SWL signage in place?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 32.5 Are heavier items stored lower to enable easier / safer access?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 32.6 Are incompatible material and substances adequately segregated, e.g. dangerous goods?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 32.7 Are stockpiles situated appropriately / covered to minimize loss of product during rain events?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 33.1 Were all near misses and safety incidents reported via the Employee Incident Hotline - 85 2000?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 33.2 Are all staff aware of the requirement to report environmental incidents via the Environment Hotline (3072 5700 Option 7) or the Environmental Incident Report Form?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 33.3 Are all complaints received from the public communicated to the Queensland Rail Customer Feedback Team (13 16 19)?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 34.1 Are wastes appropriately segregated, and recycled where practical?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 34.2 Are regulated wastes and empty chemical containers stored appropriately to prevent contamination of land or storm water (covered, within bunds)?

  Yes

  No

  N/A

• Add media

  Media

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 34.3 Are regulated waste certificates kept on site for all regulated waste removal?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• 34.4 If the site has an oil water separator - has monitoring and regular maintenance been conducted?

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR1

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR2

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR3

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR4

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR5

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR6

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR7

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR8

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR9

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• AR10

  Yes

  No

  N/A

• Corrective action Required:

• Action By:

• Complete by Date:

  Date

• Risk

  Low

  Meduim

  High

• Outstanding Issues A

• Outstanding Issues B

• Outstanding Issues C

• Outstanding Issues D

• Outstanding Issues E

• Outstanding Issues F

• Outstanding Issues G

• Outstanding Issues H

• Confirmation of actions complete

  Sign

• Select date

  Date