Go Kit Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 1. Is Go Kit easily accessible and operational with Locking wheels?

  Yes

  No

  N/A

• 2. Are the Centre Emergency Plan, Building Plans, Floor layouts available?

  Yes

  No

  N/A

• 3. Location plans and instructions to switch/isolate critical equipment, including Electricity, Gas, Water, Pumps?

  Yes

  No

  N/A

• 4. Copies of Operational Manuals/ Instructions available for critical equipment?

  Yes

  No

  N/A

• 5. Emergency Privacy tent available?

  Yes

  No

  N/A

• 6. Is the Power Fire Extinguisher fully charged and regularly tested?

  Yes

  No

  N/A

• 7. Does the tool kit contain all relevant tools?

  Yes

  No

  N/A

• 8. Is the Emergency Warning Light functional?

  Yes

  No

  N/A

• 9. Is the First Aid on hand and contents up to date?

  Yes

  No

  N/A

• 10. Incident Log kept on file?

  Yes

  No

  N/A

• 11. 2-way radio available and charged?

  Yes

  No

  N/A

• 12. The there a Commercial (AM/FM) radio available?

  Yes

  No

  N/A

• 13. Mobile phone available and charge sufficient?

  Yes

  No

  N/A

• 14. Is portable lighting available?

  Yes

  No

  N/A

• 15. Is a portable Table/desk and chairs on hand?

  Yes

  No

  N/A

• 16. Stock of office stationary available?

  Yes

  No

  N/A

Ensure that the Chemical Spill Kit contains the following:

• 1 x Contaminated Waste Plastic Bag - Yellow

  Yes

  No

  N/A

• 20 x Chemical absorbent pads (23cm x 36cm) <br>

  Yes

  No

  N/A

• 6 x Chemical absorbent Booms (7.5cm x 1.2mt)

  Yes

  No

  N/A

• 2 x Chemical absorbent pads (23cm x 38cm)

  Yes

  No

  N/A

Ensure the following Personal Protection equipment is available:

• Safety Vests

  Yes

  No

  N/A

• Protective overalls

  Yes

  No

  N/A

• Sunscreen

  Yes

  No

  N/A

• Orange Traffic cones

  Yes

  No

  N/A

• Safety Tape

  Yes

  No

  N/A

• Dust Masks

  Yes

  No

  N/A

• Emergency Blankets

  Yes

  No

  N/A

• Portable esky

  Yes

  No

  N/A

• Water bottles

  Yes

  No

  N/A

• Leather gloves

  Yes

  No

  N/A

• Rubber gloves

  Yes

  No

  N/A

• Gas/ Vapour Particulate Respirator

  Yes

  No

  N/A

• Protective Clear Glasses

  Yes

  No

  N/A