Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Workplace Health & Safety and Environment Audit

  • Date:

  • Person conducting inspection:

  • GROUNDS:
  • 1. Garbage bin areas are easily accessible, tidy and obstruction free? Correct handling & disposal?

  • 2. Plastic lids on all garbage bins are in good working order?

  • 3. Sinks and hand washing stations are in good working order?

  • 4. Lighting is adequate and effective?

  • 5. Lighting is free of obstructions?

  • 6. Facility maps are accurate and are of good quality?

  • 7. Hazard signage is available and used if required?

  • 8. Gardens and lawns are tidy and well kept?

  • 9. Trip hazards identified?

  • 10. Resident and staff door frames in good order?

  • 11. Grounds and walls free of significant stains?

  • EMERGENCY PROCEDURES:
  • 12. Emergency Evacuation areas are clearly marked?

  • 13. Evacuation areas are free from obstruction and in good order?

  • 14. Water hydrant mains are marked and serviced regularly?

  • 15. All Fire Safety Equipment is tested and serviced as per requirements?

  • 16. Heating/Air Conditioning maintenance and serviced regularly?

  • 17. Fire Safety Equipment is correctly stored, accessible, not obstructed?

  • 18. All emergency lighting is tested and maintained?

  • 19. Emergency Training is undertaken regularly by staff?

  • 20. Are all fire exits free from obstruction?

  • 21. Is an annual fire certificate sent to council & information displayed at the fire panel?

  • 22. Are emergency phone numbers readily available for staff?

  • 23. Are Security alarms and lights in working order? Doors & window locks operable?

  • 24. Is there an emergency evacuation bag available & easily accessible? Used by Staff?

  • OFFICES / COMMON AREAS:
  • 25. A system is in place to report hazards and maintenance requests?

  • 26. Appropriate hand rails are provided around the Manor and are in good order?

  • 27. Furnishing and floor coverings in are good order?

  • 28. Facilities are clean and orderly?

  • 29. Trip hazards identified?

  • 30. Air Conditioning systems and filters are maintained and serviced?

  • 31. Hazard signs are available and used if required?

  • 32. Is there a procedure for identification & reporting hazards? Risk assessments undertaken? Signs & information up to date?

  • 33. Lighting is adequate and in good working order

  • 34. Electrical Equipment in good working order? Stored Safely? Power leads safe, not frayed?

  • 31. First Aid Kit available and reviewed?

  • 35. Are floors clean, dry & safe? Safety signs available and used? Lighting & ventilation adequate? Chemicals stored safely?

  • 36. Accident and incident reports kept and reviewed?

  • 37. Instructions are available for the use of appliances

  • POOL/GYM
  • 38. Is the pool audited?

  • 39. Does the pool have resuscitation chart?

  • 40. Does the pool have an auto closing door?

  • 41. Does the pool have an emergency pendant?

  • 42. Is the pool pendant tested?

  • 43. Is there a policy in place for residents using the pool?

  • 44. Is the change room/shower accessible & clean?

  • 45. Does the change room/showers have emergency button?

  • 46. Does the change room/showers emergency button get tested?

  • 47. Is the Gym audited?

  • 48. Is the gym equipment checked?

  • 49. Is there a policy in place for residents using the gym?

  • 50. Does the gym have an emergency phone?

  • 51. Is the gym phone tested?

  • 52. Does the gym have signage on how to use equipment?

  • Comments/ Recommendations:

  • WH&S: Take action to rectify identified risk immediately if possible & Report to WH&S Committee/Meeting

  • Date:

  • Signature:

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.