GBC HSE Workplace Audit

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Floors,Aisles and Access

• Are aisle ways clear of obstructions?

  Yes

  No

  N/A

• Is access for people and equipment available.?

  Yes

  No

  N/A

• Observe staff entering or getting on equipment that they are using 3 points of contact

  Yes

  No

  N/A

• Are floor surfaces clean?

  Yes

  No

  N/A

• Are emergency exits clear?

  Yes

  No

  N/A

• Are emergency exists illuminated?

  Yes

  No

  N/A

• Is the area free of tripping and slipping hazards?

  Yes

  No

  N/A

• Are rag bins being emptied regularly?

  Yes

  No

  N/A

• Are rubbish bins being emptied regularly?

  Yes

  No

  N/A

• Is there adequate lighting in work areas?

  Yes

  No

  N/A

Electrical Safety

• Are all electrical panels clear of obstructions, at least 1 meter?

  Yes

  No

  N/A

• Are there no frayed cords or electrical over a walkway/traffic way that could be damaged?

  Yes

  No

  N/A

• Are safety switches regularly checked?

  Yes

  No

  N/A

• Select date

  Date

• Are switchboards clearly labelled and kept clean?

  Yes

  No

  N/A

• Are all electrical outlet cover plates in place?

  Yes

  No

  N/A

• Are GFCI plugs installed in areas exposed to moisture?

  Yes

  No

  N/A

• Check all electrical cords to ensure that they are not permanently installed

  Yes

  No

  N/A

• Inspect all electrical cords for frays, missing grounds or signs of obvious damage

  Yes

  No

  N/A

Storage

• Are no items stored above chest height in store rooms that can fall and cause injury?

  Yes

  No

  N/A

• Are no items stored that can fall from a height?

  Yes

  No

  N/A

• Any loose items are stored on a pallet and stretch wrapped?

  Yes

  No

  N/A

Product storage

• Product stored at ground level is accessed by not bending or stooping?

  Yes

  No

  N/A

• No product is stored requiring reaching above shoulder height?

  Yes

  No

  N/A

• Product stored on racking above second level is stretch wrapped or tapped to hold in place?

  Yes

  No

  N/A

Emergency Evacuation and Equipment

• Are emergency procedures clearly displayed?

  Yes

  No

  N/A

• Where are evacuation procedures displayed?

• Are fire extinguishers easily accessible and not blocked?

  Yes

  No

  N/A

• Have fire extinguishers been tested in the past six months?

  Yes

  No

  N/A

• Enter date when last tested

• Select date

  Date

• Are eye wash stations in good working order? Kept clean?

  Yes

  No

  N/A

• Enter date of expiry of eye wash solution

• Select date

  Date

First Aid

• Are names of first aides displayed?

  Yes

  No

  N/A

• Enter location where first aiders are displayed

• Are first aid cabinets stocked as per the list inside?

  Yes

  No

  N/A

• Enter the date the last time first aid kits were checked

• Select date

  Date

Plant and Equipment

• Are safe operating procedures readily available?

  Yes

  No

  N/A

• Pick an operator.Ask them to find the safe work procedure for their current operation. Add finding below.

• Are pumps free of leakages?

  Yes

  No

  N/A

• Are floors around equipment and chemicals free of spills ?

  Yes

  No

  N/A

• Are preventive maintenance records available?

  Yes

  No

  N/A

• Pick one piece of plant equipment.refer to its plant maintenance records. Note last PM record.

• Does all parked equipment inside have keys in the cab?

  Safe

  At Risk

  N/A

• Do all vehicles have wheels chocked that are being worked on in shop?

  Safe

  At Risk

  N/A

• What is the condition of the jack stands and lifts?

  Safe

  At Risk

  N/A

• Are all lifted vehicles supported by axle stands rather than the jack?

  Safe

  At Risk

  N/A

• Are there lock out tag out procedures in place?

  Safe

  At Risk

  N/A

• Are all walkways clear of obstructions (cords, air lines, creepers, etc..)?

  Safe

  At Risk

  N/A

• Are all ladders in use in good working order (rubber feet, no broken rungs, cracks on side rails, spreader bars in place)

  Safe

  At Risk

  N/A

• Are employees using ladders maintaining 3 point contact & facing the ladder while working?

  Safe

  At Risk

  N/A

Amenities

• Are kitchens and lunchrooms clean and free of scrap food?

  Yes

  No

  N/A

• Are washrooms and toilets clean?

  Yes

  No

  N/A

• Is there easy access to potable drinking water?

  Yes

  No

  N/A

Noise

• Are workers not exposed to high levels of noise?

  Yes

  No

  N/A

• Is hearing protection available for use?

  Yes

  No

  N/A

Manual handling

• Observe a job being completed. Are correct manual handling techniques being used to prevent bending,reaching,stooping,lifting,twisting?

  Yes

  No

  N/A

• Are mechanical aids being used to move pallets? Drums? Bags?

  Yes

  No

  N/A

Waste control

• Are prescribed waste bins being used for oily waste ( rags,containers,bags)?

  Yes

  No

  N/A

• Are there sufficient bins provided and are they being used?

  Yes

  No

  N/A

• Are spills being cleaned up ?

  Yes

  No

  N/A

• Are the waste bins not overflowing?Is general waste and prescribed waste kept in a separate area?

  Yes

  No

  N/A

Outdoor areas

• Do boundary fences provide adequate security?

  Yes

  No

  N/A

• Are access gates secure?

  Yes

  No

  N/A

• Is the speed limit of 5 Klms per hour well signposted?

  Yes

  No

  N/A

• Are gardens/lawns maintained?

  Yes

  No

  N/A

• Is outside lighting adequate?

  Yes

  No

  N/A

• Are there no potholes in road surfaces?

  Yes

  No

  N/A

• Are storm water drains well marked?

  Yes

  No

  N/A

• Is there no product stored over storm water drains or stored in a manner where it has access to storm water if spilled?

  Yes

  No

  N/A

Buildings

• Are emergency exists only accessible from inside?

  Yes

  No

  N/A

• Is the roof in good condition?

  Yes

  No

  N/A

• Are buildings maintained?

  Yes

  No

  N/A

• Is the HVAC system maintained?

  Yes

  No

  N/A

• What is the date of the last boiler inspection?

  Yes

  No

  N/A

Sprinkler Systems

• Are sprinkler systems checked regularly?

  Yes

  No

  N/A

• Note date of last check

• Select date

  Date

Spill kits

• Are spill kits in an easily accessible location, do workers know their location?

  Yes

  No

  N/A

• Are spill kits readily available and stocked?

  Yes

  No

  N/A

Storage of chemicals and hazardous substances

• Is the size of the storage area adequate?

  Yes

  No

  N/A

• Is an appropriate fire extinguisher available in the area?

  Yes

  No

  N/A

• Are MSDS sheets readily available for each chemical and product located in the area?

  Yes

  No

  N/A

• Are there hazardous products are chemicals being stored in non hazardous designated area?

  Yes

  No

  N/A

• Is the hazardous substances storage area kept clean?

  Yes

  No

  N/A

Workstation ergonomics

• Is the general workstation lighting sufficient?

  Yes

  No

  N/A

• Is there an adjustable ergonomic ally designed chair?

  Yes

  No

  N/A

• Is the layout of equipment in the workstation designed for say access?

  Yes

  No

  N/A

Personal Protective Equipment

• Is PPE being worn? safety glasses,hi vis clothing and safety shoes minimum?

  Yes

  No

  N/A

• Is correct PPE being worn for the job according to the product safety sheet?

  Yes

  No

  N/A

Pedestrian safety

• Are pedestrians using designated pedestrian walkways?

  Yes

  No

  N/A

• Are pedestrians giving way to forklifts?

  Yes

  No

  N/A

• Are pedestrians maintaining 3metres from a forklift or giving way?

  Yes

  No

  N/A

Forklift Safety

• Are daily forklift checks being completed?

  Yes

  No

  N/A

• If a problem with a forklift is found is it tagged out and serviced?

  Yes

  No

  N/A

• Pick a driver. Have they signed the forklift Coe of practice?

  Yes

  No

  N/A

• List operator and date of signing

• Select date

  Date

• Are forklift drivers sounding horn on entry and exit to a work area.

  Yes

  No

  N/A

Training Competancy

• Pick an operator doing a specific task or at a specific workstation.List the operator name, task or workstation and the last time the on job competency assessment was completed

• Select date

  Date

General Housekeeping

• What score out of 10 would you give housekeeping?

• Select from range

• If a score of 7 or less, why?

• Please add photos of areas of concern

• Add media

  Media

Summary

• Have any additional hazards not in the site hazard register been identified during this audit?

  yes

  no

• If yes, what are they?

• Name of auditor

• Signature of auditor

• Add signature

  Sign

• Select date

  Date

• Name of responsible manager

• Select date

  Date