• Conducted on

  • Location

  • Fitzroy

  • East Melbourne

  • Kew

  • Offsite

  • Department / location

  • Document No.

  • Conducted by

  • Staff Members Rounded

What is working well?

Staff to recognise

  • Source staff to be recognised from manager prior to round

Suggested improvements

  • Are there any areas where we could improve? Do you have any ideas / suggestions?

  • If there is one thing that could be improved, what would it be?

Tough questions / Other

  • Are there questions that have been asked but cannot be answered at this time?

  • Inform the staff that you will follow up and get back to them regarding the answer

  • What is the question that requires follow up?

  • Date response to be provided to staff

Emergency Preparedness

  • Fire doors and exit corridors are not blocked by carts, equipment, or materials or propped open?

  • Extinguishers clear of obstructions?

  • Fire Exit signs are illuminating and working properly?

Manual Handling

  • Appropriate manual handling equipment available (slide sheets, hoists, trolleys, sit to stand machine, etc.)?

  • All staff competent in practical manual handling practices?

General Workplace Health & Safety

  • All staff aware of their HSR?

  • Have recent hazards and risks been identified?

  • What has been done to manage the hazard or risk?

  • Are any processes, equipment, tasks or environmental / workplace factors causing delays, frustration or concern for staff?

  • What are the issues / concerns?

  • Have there been any injuries in the department?

  • What has been done to ensure that the cause of the injury does not happen again?

  • Are staff aware of the Safety Charter.

  • How many hours have been spent on WHS in the department? <br>(Minimum of 2 hours per month)

  • Number of hours


  • Additional Comments

  • 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.