Title Page
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Site conducted
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Inspection Location
- Legislative Council
- Legislative Assembly
- Parliamentary Committees
- Buildings and Grounds
- Hansard and Library
- Level 2, 55 SAP
- Level 1, 55 SAP
- Catering
- Level 3, 55 SAP
- Level 4, 55 SAP
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Health and Safety Representative
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Accompanied By
- Legislative Council
- Legislative Assembly
- Parliamentary Committees
- Buildings and Grounds
- Hansard and Library
- Level 2, 55 SAP
- Level 1, 55 SAP
- Catering
- Level 3, 55 SAP
- Level 4, 55 SAP
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Date of Inspection
Description and Risk Level
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1 - Priority (Action Immediate)
2 - Residual (Action within 24 hours)
3 - Initial (Action within 7 days)
FLOORS
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Surfaces even, e.g. no holes or loose flooring
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Slippery areas clean and dry
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Stock and materials stored out of the way
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Floor openings covered when not in use
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Floor markings clear and are in good order
AISLES
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Wide enough for good traffic
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Clear of boxes, materials and rubbish
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Clear of trolleys and hand trucks etc
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Clear electrical leads and equipment
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Vision Unobstructed
FIRE AND EMERGENCY
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Fire warden helmet present, check fire hose and extinguisher for appropriate tagged date in fire cupboard
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Extinguishers in place, pressure ok, recently serviced and clearly marked for type of fire.
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Fire exit signs pointing the correct way and working
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Exit doors easily opened from inside
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Exit doors clear of obstructions
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Fire instructions available and displayed
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Paths of travel to exits are clear of obstructions
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Emergency devices easily accessed
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Sprinklers unobstructed
LIGHTING
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Adequate illumination
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Good light reflection from walls and ceilings
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Light fittings clean and in good repair
STAIRS AND LANDINGS
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Not worn or broken
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Handrails in good order
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Landings clear of obstructions
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Edges or approaches to stairs not raised or uneven
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Anti-slip materials in good condition
LADDER AND STEPS
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Suitable for purpose, e.g. height and type
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No broken or missing rungs or other defects
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Stored in proper place
STORAGE
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Dangerous goods correctly stowed and SDS's and emergency instructions available
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Storage designed to minimise lifting problems
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Heavy items stored on lower shelves
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Material stored in racks and bins
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Shelves free of dust and rubbish
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Stacks stable with good foundations
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Pallets safely stacked and in good condition
ELECTRICAL
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No broken plugs, sockets or switches
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No exposed conductors or inner cores
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No frayed of defective leads
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Portable electrical equipment fitted with a current test tag and in good repair
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No exposed temporary leads on floors
STAFF AMENITIES
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Washrooms clean
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Toilets clean
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Mealrooms clean and tidy
FIRST AID
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Cabinets and contents clean and orderly and within use by date
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Emergency numbers displayed
RUBBISH
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Bins located at suitable points around area
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Combustible refuse removed
PEOPLE PERFORMANCE
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Are people in the work area you are inspecting adhering to all OH & S requirements and conforming to Safe Work procedures?
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Is the appropriate PPE for the area being worn?
SAFETY SIGNS
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Are all safety signs in the area visible and adequate?
SECTION
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Is a Hazard Report required as a result of this Workplace Inspection Report?
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Click on the link to report online: https://pov-incidents.nogginoca.com
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contact WHS team at whs@parliament.vic.gov.au (mailto:whs@parliament.vic.gov.au)
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***Notification sent to Maintenance***
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Signature