Page 1: Initial questions

  • FMS10-6.1.10 v3.3

  • Issued: November 2021
    Review: November 2027

  • Date completed on

  • Prepared by

  • Location

Policies, Noticeboards and SHEQ Station

  • Is there a HSE Policy displayed at the counter/reception area. Is the Policy current? Provide photo

  • Is the notice board visible and displayed with current information? Provide photo

  • Provide completed copy of FMS10-5.3.1.7 SHEQ Communication Station Guide

  • Are the HSE, Drug & Alcohol, Rehabilitation, Motor Vehicle and Driver, Quality, Acceptable use of IT, Anti Discrimination, Bullying and Sexual Harrassment, Social Media and CCTV Policies on display where staff can see and are they the current version? Provide photo.

  • Where can the document register be found and what is its use?

Communication

  • Are toolbox records kept on site with all staff signing them?

  • Provide evidence where staff have raised an issue/concern/idea at a toolbox meeting. Provide photo

Induction and Training

  • Visitors and contractors are inducted and signed in? Provide photo of sign in book.

  • Are staff operating equipment up to date with training? Includes:<br> overhead crane?<br> reach forklift?<br> EWP, telehandler, roller, mini skid steer, skid steer, excavator?<br> VOC Truck<br> SWMs Tilt Tray, low Loader etc.<br>

  • Copies of HRWL and drivers' licenses are kept at the SHEQ station and are current?

  • Are all Emergency wardens up to date with their training? Provide photo.

  • All relevant staff have completed VOC Equipment (theory and practical)?

  • All relevant staff have completed VOC Refresher

  • Have all relevant staff been trained in SWPs<br> Overhead Crane (Nth Rockhampton)<br> Welding<br> Moving trailers with mini loader<br> Transporting, handling & Decanting Fuel<br>

  • Staff have been trained in how and when to complete JSA’s and risk assessments. Provide copies of recent JSA’s.

  • There are at least 2 staff members trained and authorized to complete Permit To Work forms? <br><br>List who they are. Provide copies of last 3 Permit To Work Forms completed.<br>

Inspection and Testing

  • Are all (non-hire) multimeters and other equipment requiring calibration listed on FMS10-6.2.7 in the Action Register for testing?

  • There is a test n tag log for all ‘hire’ equipment? Provide photo

  • There are waste certificates in the SHEQ folder for:<br> Oil collection<br> Battery collection<br> Pit and/or contaminated soil<br> Oil filter collection<br>Provide photo<br>

Emergency Management

  • Evacuation plan displayed and understood by all employees? Provide Photo

  • Evacuation procedures discussed regularly? (3 to 4 times a year)

  • Extinguishers in place, clearly marked for type of fire? Provide Photo

  • Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.) Provide Photo

  • Extinguishers clear of obstructions? Provide Photo

  • Extinguisher no more than 1200 mm max height & base not lower that 100 mm?

  • Indicator signs 2.1 m above floor level?

  • Adequate direction notices for fire exits?

  • Exit doors easily opened from inside?

  • Exits clear of obstructions? Provide Photo

  • Fire alarm system functioning correctly?

  • Emergency exits lights are illuminated?

  • An emergency evacuation drill has been completed within the last 12 months? Provide Photo

  • Emergency lighting is tested every 6 & 12 months? Provide Photo

  • FMS10-9.1.1.8 Bomb Threat Checklist is available at each phone? Provide Photo

  • FMS10-9.1.1.3 Emergency Contacts List is displayed in a prominent position and is current version? Provide photo

Workshop

  • Workshop tools and equipment is clean and in good working order? Provide Photo

  • Guards in good condition?

  • Starting and stopping devices within easy reach of operator?

  • Emergency Stops within easy reach of operator? Provide Photo

  • Waste/cut offs removed and stored safely?

  • Drip pans on floor to prevent spillage?

  • Working area is kept clean and managed accordingly when considering space and size?

  • Is lighting adequate?

  • Noise levels controlled or appropriate hearing protection used?

  • When bending and or stooping is required it is done so only on light items and where possible lifting aids are used for heavy items (>15KG)?

  • Operators trained/inducted into the operation of the machines?

  • Are lockout procedures implemented and followed?

  • Are gas bottles secured? Provide Photo

  • Floors are clear of rubbish and trip hazards? Provide Photo

  • Work benches are tidy? Provide Photo

  • Tools not in use are put away?

  • There are no damaged power or hand tools in use?

  • Oil Filter bins are emptied regularly?

  • There are bins located at suitable points around workshop and are emptied regularly?

  • Materials stored in racks wherever possible?

  • What is the general condition of the racking?

  • What is the general condition of pallets?

  • Are all ladders industrial strength rated and in good condition? Provide Photo

Electrical Safety

  • Safety switches installed?

  • No double adapters in use?

  • Portable equipment tested and tagged?

  • No broken plugs, sockets or switches?

  • No power leads across walkways?

  • No frayed or damaged leads?

  • No strained leads?

  • Portable power tools in good condition?

  • Where required are emergency shut-down procedures in place?

Chemical Safety

  • Safety Data Sheets available for all chemicals and dated within 5 years? Provide Photo

  • Risk assessments completed for hazardous substances before purchase? Provide Photo

  • All containers labeled correctly? Provide Photo

  • Unused substances disposed of?

  • Workers trained in the use of hazardous substances?

  • If required is PPE available?

  • Is adequate ventilation provided?

  • Are eye washes and showers easily accessed and in good working condition?

  • All hazardous chemical on site are listed in FMS10-6.2.4 Hazardous Substance Register as ‘Approved’?

  • Is the site free from asbestos? If NO, is there an asbestos management plan (AMP) and has it been reviewed within the last 12 months?

  • Are all staff aware of the building containing asbestos?

  • All chemicals and oils are kept undercover and are bunded or within a bunded area? Provide photo

First Aid Facilities

  • First Aid cabinets are clean and orderly?

  • Contents regularly checked?

  • No contents past their expiry date?

  • Cabinets clearly labeled?

  • Is there easy access to cabinets?

  • Employees aware of location of first aid cabinet?

  • Are first aid officers accessible? Minimum 2 per branch

  • Is there a first aid sign high on the wall? Provide photo

Office Hazards

  • Condition of filing cabinets?

  • Condition of chairs? (Five star bases.)

  • Desks in good condition? (No damage.)

  • Screen Based Equipment positioned to reduce glare from windows etc?

  • Photocopiers positioned to avoid fumes?

  • Air conditioning systems regularly maintained?

  • Stable non-slip floor coverings in good condition?

  • FMS-5.3.1.8 Office Inspection Checklist has been completed annually?

  • FMS10-5.3.1.9 Workstation Inspection Checklist has been completed annually?

  • There are no trip hazards in office area?

Vehicle Condition

  • Schedule maintenance performed on all trucks and passenger vehicles?

  • Condition of tyres has been checked and is above 2mm tread depth?

  • Brake performance?

  • Lights? (Check operation of brake, indicator and reversing lights)

  • Condition of driver’s seat?

  • Condition of other seats?

  • First aid kit supplied and adequate?

  • Storage provisions?

  • Pre-start checklist are completed for trucks? Provide Photo

Fuel Transportation, Handling and Storage

  • Petrol is only used as fuel and not as a cleaner?

  • Fuels are stored a minimum of 3 metres from ignition sources?

  • Fuel is only decanted by authorised personnel?

  • Metal containers are adequately earthed when decanting?

  • Transporting of fuel is limited to 150L?

  • Transporting of fuel only occurs in the tray of utilities or trucks and is secured?

Racking

  • Racking has SWL signage and is located 2 metres above the ground? Provide Photo

  • Racking is inspected monthly for damage?

  • Racking has been certified by a third party?

  • Racking is inspected every 2 years using FMS10-5.1.1.7 Racking Inspection Checklist? Provide Photo

  • There are no under sized pallets stored in racking unless stored on mesh deck?

  • All loads stored above 1.5 metres are strapped or wrapped securely to the pallet?

Welding / Grinding

  • Welding areas are free from fuel or flammable/ ignition sources?

  • Welding screens are used and in good condition when welding takes place? Provide Photo

  • All electrical appliances are with current test n tag?

  • Appropriate PPE is available for welding and grinding?<br>> masks<br>> lenses

Washbay

  • Area is clean and free of debris?

  • High pressure hoses and connections are in good condition? Provide Photo

  • SDS’s are available for chemicals used in wash bay and are current (with 5 years)?

  • PPE of glasses and face shields are available, in good condition and in use?

Facilities

  • There are sufficient bins at the site for waste removal?

  • There is clean/fresh drinking water available? e.g. water bubblers, kitchen

  • Bathroom facilities are clean and tidy?

  • Kitchen/ Lunch room is kept clean and tidy?

  • Bins are emptied regularly and not overflowing?

  • There is good natural light in the office and workshop?

  • Light fittings are clean and in god condition?

  • All lights are functional?

  • Floor surfaces in workshop and office are clear of debris?

  • Entry ways and walkways are clear?

  • Mezzanine floors with railings are in good condition, load rating signage visible and are free from risk of falling?

Risk Assessment

  • JSA’s are completed for all high risk and non-routine tasks? Provide list and photo of JSAs completed within the last 6 months.

  • There is a risk assessment completed for the traffic management plan (TMP) and the TMP has been communicated to all staff?

Contractor Management

  • All contractors used by branch are on FM10-6.2.12 Contractor Register as ‘Approved’? Provide photo of last 3 months of sign in.

  • Permit To Works have been completed (where applicable) for contractors? Provide Photo

  • Contractors are inducted to the site?

Hire Counter Processes

  • All hire contracts have been signed by the customer? Provide photo of last 5 contracts

  • All large equipment is photographed before and after going on hire?

  • Missed hire have been entered into Baseplan?

  • Has FMS30-6.11 Delivery without a signature been required to be used? Has it been completed correctly?

  • All equipment that is 'ready for hire' has a pre-hire checklist tag completed and attached? Provide photo’s

  • Pre-hire inspection tags are on equipment and in baseplan as “IN” status? Provide photo of equipment with tag and corresponding Baseplan screen of equipment status.

  • All equipment that is 'ready for hire' with electrical components have current test n tag? Provide photo

  • SOPs are on all 'ready for hire' equipment and are current versions? Provide photo

  • There is a test n tag record for all ‘hire’ equipment? Provide photo

  • Service details for equipment (e.g. generators) have been entered into Baseplan?

  • Service/Job cards have been raised for equipment waiting on parts and/or repairs?

  • Spare parts have been allocated to plant repairs?

  • The ‘Call Out Record form’ has been completed correctly and hire contracts reflects any necessary change? Provide photo

  • Plant sent to a 3rd party for repairs have been put on a hire contract? Provide photo

Yard and Equipment

  • Garden and lawn area are maintained? Provide photo

  • Equipment stored in tidy manner? Provide photo

  • Equipment 'Ready for Hire' located seperately to other equipment and tagged? Provide photo

  • There are no containers or drums without lids or other items collecting water in yard?

  • Ground surface (asphalt/concrete) is in good condition? Provide photo

  • There are PPE, Traffic Management directional signage in yard or on building/fence? Provide photo

  • Yard is free of rubbish e.g. scrap metal, broken equipment?

  • Industrial (Heavy Duty) extension leads are used to charge electric scissor lifts?

Sign Off

  • Branch Managers Name

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.