• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

3.9 Management of Visitors and 4.4 Contractors (Enter Risk Level VH, H, M, L if No is selected)

  • Are there visitor/contractor sign-in books in use?

  • We're you provided a brief induction as a visitor?

  • Are contractors inducted, If so ask to see recent records?

  • Are there any contractors on site now?

  • If there are any contractors on site, ask if they are per-qualified and inducted?

  • Ask contractors on site if they have identified their hazards/risks and controls with local management and is this documented?

4.7 Emergency Preparedness (Enter Risk Level VH, H, M, L if No is selected)

  • Is the emergency evacuation plan displayed effectively?

  • Are first aiders and fire wardens easily identified? ( i.e. hats at work station, photos on notice bards etc)

  • Are fire extinguishers easy locatable and being inspected bi-annually?

  • Are fire exits free from debris and obstructions?

  • Do all evacuation assembly points have clear signs?

5.24 Pallet Racking (Enter Risk Level VH, H, M, L if No is selected)

  • Is all pallet racking free from damage?

  • Are Safe Working Load (SWL) signs visible on racks?

  • Are all pallets to Australian standard, good quality and undamaged (no visible broken timbers)?

  • Are all products stored at height secured effectively, with goods wrapped and/or strapped appropriately (all goods stored above head height are to be wrapped / strapped)?

  • Are all pallets locked in when stored in pallet racking?

5.4 Dangerous Goods (DG'S) & Hazardous Substances (Enter Risk Level VH, H, M, L if No is selected)

  • Are DG'S stored in dedicated areas that are well signed eg. Cabinet, Cage, Other?

  • Are spill kits in place, unobstructed and easy to access (if branch<br>stores quantities of DG’s)?

  • Does the Branch have their own list of spill kit locations to<br>inspect and attached to monthly inspection form (6.1.1)?

  • Are dangerous goods (corrosives, flammable liquids) stored on spill guard pallets?

  • Is there access to a reasonably accurate list of DG types and quantities stored at a Branch (eg DG 100 report)?

5.14 Traffic Management (Enter Risk Level VH, H, M, L if No is selected)

  • Are all pedestrians/mobile equipment following the local traffic management rules and operating safely (eg: in speed limits, wearing seat belts, no pedestrians near vehicle load/unloaded)?

  • Are all walkways defined, clear of trip and slip hazards with pedestrians separated from mobile equipment?

  • Are the rules for truck/other drivers clearly identified and marked (eg: where to drive/park, green driver safety zones, red load/unload zones )?

  • Are forklift charging areas secured, necessary PPE available (face shields and gloves) and eye wash facilities in place?

Equipment, tool and electrical safety (Enter Risk Level VH, H, M, L if No is selected)

  • Are electrical equipment test tags present and in date? (as a<br>guideline testing is usually annually for portable leads refer HSE mgr)

  • Is any faulty equipment appropriately locked or tagged out?

  • Are power tools set up correctly, used safely and guarded if<br>req’d (eg: drills, bench grinders, angle grinders, circular saws etc)?

5.21 Manual Handling and Ergonomics (Enter Risk Level VH, H, M, L if No is selected)

  • Is housekeeping in good order?

  • Are designated walkways free from obstructions?

  • Are all chairs and workstations in good order?

  • Are manual handling practices undertaken effectively?<br>(eg: minimised lifting floor to waist, heavy/frequent use items stored at waist height, not lifting excessive weight, handling equipment available and used, minimised reaching above head height, job rotation)?

General Hazard Observations (Enter Risk Level VH, H, M, L if No is selected)

  • Are the PPE rules for the different areas clearly visible and<br>complied with?

  • Are any people working at height and if so are they working safely (secured, using height safety equipment properly, equipment in good working order and appropriate eg ladders)?

  • Are knives used and stored safely (eg retractable safety knives, cutting away from the body, using the right knife for the job, etc)

  • Did you observe all employees working safely and not doing any risky behaviours?

Branch/Department HSE Plan KPI’s (Enter Risk Level VH, H, M, L if No is selected)

  • Does the branch/department enter their monthly HSE KPI’s<br>consistently each month? (view Peoplesoft KPI’s entered)

  • Is there evidence of last month’s HSE plan toolbox, SOP training, monthly inspections and risk reviews? (view documents, ask what the process is if an employee was absent from a toolbox?)

  • Are a variety of employees involved in doing the HSE plan monthly actions? (eg shared across HSE Committee members, managers and involving other employees) ?

Any Other Comments? (Enter Risk Level VH, H, M, L if No is selected)

  • Eg Did you observe any other hazards or unsafe acts that could result in an injury or incident?

  • Authorisation of Corrective Actions

  • Walk the Talk Completed by

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.