Title Page
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Client / Site
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Location
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Conducted on
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Prepared by
Communication of Health and Safety Policy and Information
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Are policies, procedures and guidelines easily accessible to staff?
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Are staff aware of OH&S policy statement?
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Is general OH&S information available?
Allocation of Responsibility/Accountability for Health and Safety
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Are OH&S duties allocated to appropriate staff?
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Are staff aware of duty statements allocating OH&S responsibilities?
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Do staff discuss health and safety issues?
Purchasing Controls
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Are purchasing policies, procedures and guidelines accessible to relevant staff?
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Are staff aware of OH&S standard purchasing requirements?
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Are products purchased with attention to OH&S features?
Contractors
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Are procedures in place to ensure that contractors maintain OH&S standards?
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Are OH&S issues discussed with contractors before commencing work?
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Is OH&S information available about contractual agreements?
Health and Safety Consultation
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Is there a qualified workplace health and safety officer at your workplace (if you have thirty or more staff)?
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Has/have a workplace health and safety representative(s) been elected (if requested by staff)?
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Is there a workplace health and safety committee or other forum to deal with health and safety issues?
Risk Management
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Are staff aware of the risk management process?
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Are workplace risks assessed and controlled, e.g. is appropriate signage displayed to identify potential risks?
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Are DOEM policies, procedures and guidelines on risk management accessible to staff?
Manual Tasks
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Are there procedures to determine risks associated with manual tasks?
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Are there procedures for safely performing manual tasks?
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Are staff trained to safely perform manual tasks?
Hazardous Substances
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Are DOEM policy and procedures on hazardous substances accessible to staff?
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Have material safety data sheets been obtained for all hazardous substances?
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Are there procedures for the safe use and storage of hazardous substances?
Plant
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Have written procedures for the safe use of plant and equipment been developed?
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Are manufacturers’ manuals/instructions accessible to staff?
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Are plant and equipment used and maintained according to manufacturers’instructions?
Workplace Environment
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Is information on safe and healthy environmental conditions available to staff?
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Have environmental hazards been assessed and controlled, e.g. noise, UV radiation?
Training
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Have all staff received OH&S induction training?
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Do staff receive OH&S training relevant to their job?
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Are appropriate training records kept?
Accident Reporting and Investigation
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Are there written procedures for reporting, recording and investigating accidents and incidents?
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Are on-site records of all accidents and incidents kept?
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Are accidents and incidents investigated?
Emergency Planning
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Has a site plan been developed?
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Are there written and displayed emergency procedures for situations such as fire, medical emergency, bomb threat, evacuation, natural disaster, chemical spill, and occupational violence at the workplace?
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Are staff and students trained in the emergency procedures?
First Aid
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Does the workplace have first aid facilities, e.g. first aid kit and first aid room?
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Are there written first aid procedures?
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Are there trained first aid personnel with first aid certification at least?
Infection Control
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Is infection control information available to staff?
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Are there written infection control procedures?
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Do staff practise the infection control procedures?
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Are sources of biohazards in the workplace identified?
Occupational Rehabilitation
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Are the department’s occupational rehabilitation policy and procedures accessible to staff?
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Has an accredited workplace rehabilitation coordinator been appointed (if your workplace has thirty or more staff)?
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Are rehabilitation plans documented and regularly monitored?
Workplace Stress
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Are consultative decision-making processes practised in the workplace?
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Do staff know who their district employee adviser is?
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Are staff provided with information on stress management?
Completion
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Recommendations
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Full Name and Signature of Inspector