Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

0.0 Introduction

  • Reference Documents
    COR/09/914 - Corporate OH&S Checklist
    COR/12/55436 - Corporate OH&S Procedure

    Applicable Items
    Building Assessment - 1, 2, 6, 7, 9, 11, 12, 17, 19, 20, 24, 28, 29
    Chemical Dosing Assessment - 6, 9, 11, 12,17, 20, 24, 27, 28, 30
    Control Cubicle Assessment - 7, 11, 12, 17, 20, 28, 30
    Exposed pipework assessment - 6, 9, 12, 17, 19, 27, 28
    Pits & Manholes assessment - 6, 7, 11, 12, 17, 19, 20, 24, 26, 27, 28
    Pumps Sets assessment - 6, 12, 17, 20, 25, 27, 28
    Field Services Site assessment - Depending on site being inspected
    Storage Tank & Basins assessment - 1, 2, 9, 12, 19, 24, 26, 27
    Traralgon Office Assessment - 1, 3, 4, 5, 6, 7, 8, 10, 11, 12, 14, 20
    SORF Assessment - 3, 6, 7, 9, 17, 18, 19, 20, 24, 31

1.0 Site Security

  • Does this section need to be included in the audit?

  • 1.1 Perimeter fences and gates maintained and secure?

  • Corrective Action Required

  • 1.2 Facility Code & Description displayed?

  • Corrective Action Required

  • 1.3 Is the Gippsland Water logo clearly displayed?

  • Corrective Action Required

  • 1.4 Site emergency number displayed? 1800 057 057

  • Corrective Action Required

  • 1.5 Visitors are inducted onto the site? (Induction not exceeding 2 years)

  • Corrective Action Required

  • 1.6 Visitors are visibly displaying swipe cards?

  • Corrective Action Required

  • 1.7 Visitors are signed onto visitors register?

  • Corrective Action Required

2.0 Public Protection

  • Does this section need to be included in the audit?

  • 2.1 Appropriate barricading in place?

  • Corrective Action Required

  • 2.2 Appropriate signage in place?

  • Corrective Action Required

  • 2.3 Are on-site noise levels likely to cause nuisance or complaints?

  • Corrective Action Required

  • 2.4 Are dust and noise controls in place?

  • Corrective Action Required

  • 2.5 Footpaths clean and suitable for public use?

  • Corrective Action Required

  • 2.6 Appropriate traffic control measures in place?

  • Corrective Action Required

  • 2.7 Is the water extraction or discharge point clearly signed?

  • Corrective Action Required

3.0 Fire Control

  • Does this section need to be included in the audit?

  • 3.1 Fire fighting equipment is serviced and tagged within last 6 months?

  • Corrective Action Required

  • 3.2 Extinguishers are appropriately signed and easy to locate?

  • Corrective Action Required

  • 3.3 Alarm system and sprinkler system is in place and tested regularly?

  • Corrective Action Required

  • 3.4 Smoking/naked flame restrictions are observed?

  • Corrective Action Required

  • 3.5 Minimum quantities of flammables stored in work area?

  • Corrective Action Required

  • 3.6 Can anyone be injured by fire or explosion?

  • Corrective Action Required

  • 3.7 Regrowth of vegetation or plant debris build-up causing a hazard?

  • Corrective Action Required

4.0 Emergency

  • Does this section need to be included in the audit?

  • 4.1 Emergency exit signs in place and illuminated where appropriate?

  • Corrective Action Required

  • 4.2 Exit pathways are clear of obstructions?

  • Corrective Action Required

  • 4.3 Employees are aware of their muster area?

  • Corrective Action Required

  • 4.4 Exit doors are easily opened from inside?

  • Corrective Action Required

  • 4.5 Emergency personnel are identified and trained?

  • Corrective Action Required

  • 4.6 Emergency procedures clearly displayed?

  • Corrective Action Required

  • 4.7 Evacuation floor plans clearly displayed?

  • Corrective Action Required

  • 4.8 Alarms are tested regularly?

  • Corrective Action Required

  • 4.9 Emergency simulations are conducted?

  • Corrective Action Required

  • 4.10 Staff is aware of the emergency code for their work area?

  • Corrective Action Required

  • 4.12 Emergency Cabinet Information current?

  • Corrective Action Required

5.0 Management System & Consultation

  • Does this section need to be included in the audit?

  • 5.1 OH&S Policy and Procedures current and available to employees

  • Corrective Action Required

  • 5.2 SHE Committee Poster displayed?

  • Corrective Action Required

  • 5.3 Employees aware of how to report incidents?

  • Corrective Action Required

  • 5.4 “Are you injured?” Poster displayed?

  • Corrective Action Required

6.0 Goods and Hazardous Substances (incl Asbestos)

  • Does this section need to be included in the audit?

  • 6.1 Is Asbestos material known to be present on site?

  • Corrective Action Required

  • 6.2 Material Safety Data Sheets available and current?

  • Corrective Action Required

  • 6.3 Chemical inventory current?

  • Corrective Action Required

  • 6.4 Chemicals stored in a safe manner and bunded appropriately?

  • Corrective Action Required

  • 6.5 Dangerous goods and hazardous substances stored in line with segregation requirements?

  • Corrective Action Required

  • 6.6 HAZCHEM signage displayed where required?

  • Corrective Action Required

  • 6.7 Adequate ventilation/exhaust systems?

  • Corrective Action Required

  • 6.8 Containers labelled appropriately?

  • Corrective Action Required

  • 6.9 PPE available and used?

  • Corrective Action Required

  • 6.10 Facilities available to ensure personal hygiene?

  • Corrective Action Required

  • 6.11 Waste procedure known and used?

  • Corrective Action Required

  • 6.12 Spill kit available and placed near bunds/chemicals/potential spills?

  • Corrective Action Required

  • 6.13 Chemical handling procedures followed?

  • Corrective Action Required

  • 6.14 Appropriate emergency/first aid equipment available?

  • Corrective Action Required

  • 6.15 Safety shower/eye wash available & working?

  • Corrective Action Required

  • 6.16 Visible chemical spills outside of bunded areas?

  • Corrective Action Required

  • 6.17 Visible waste water spills outside of bunded areas?

  • Corrective Action Required

  • 6.18 Leaking/dripping taps or valves on chemical storage vessels?

  • Corrective Action Required

  • 6.19 Exposure to chemicals, toxic gases, fumes, dust, noise, vibration, radiation, pressure, vacuum?

  • Corrective Action Required

7.0 Housekeeping

  • Does this section need to be included in the audit?

  • 7.1 Are the floors of offices and passageways, store rooms and stairways:<br>Kept free from obstruction?<br>

  • Corrective Action Required

  • 7.2 Are the floors of offices and passageways, store rooms and stairways:<br>Adequately illuminated?

  • Corrective Action Required

  • 7.3 Are the floors of offices and passageways, store rooms and stairways:<br>Clear of electrical leads?

  • Corrective Action Required

  • 7.4 Are work surfaces:<br>Safe and suitable for task?

  • Corrective Action Required

  • 7.5 Are work surfaces:<br>Clear of rubbish?

  • Corrective Action Required

  • 7.6 Are work surfaces: Tools put away?

  • Corrective Action Required

  • 7.7 Are Work Surfaces: Areas free of slip and trip hazards?

  • Corrective Action Required

  • 7.8 Are Work Surfaces: Any floor openings covered and clearly identified?

  • Corrective Action Required

  • 7.9 Are Work Surfaces: All stock and material stored safely?

  • Corrective Action Required

  • 7.10 Are Work Surfaces: Oil and grease spot wiped up?

  • Corrective Action Required

  • 7.11 Are Work Surfaces: Sawdust, shavings swept up?

  • Corrective Action Required

  • 7.12 Are Work Surfaces: Surface water drains clear of debris and no sign of damage?

  • Corrective Action Required

  • 7.13 Grounds and Site Maintenance: Grass cutting & weed control?

  • Corrective Action Required

  • 7.14 Grounds and Site Maintenance: Pest (non-native animals) & Vermin control?

  • Corrective Action Required

  • 7.15 Grounds and Site Maintenance: Is any vegetation required to be removed?

  • Corrective Action Required

  • 7.16 Grounds and Site Maintenance: Is earth moving proposed in the next 6 months?

  • Corrective Action Required

8.0 Amenities

  • Does this section need to be included in the audit?<br>

  • 8.1 Amenities Clean?

  • Corrective Action Required

  • 8.2 Appliances Clean?

  • Corrective Action Required

  • 8.3 Clean drinking water available?

  • Corrective Action Required

  • 8.4 Rubbish and recycling bins available and are covered?

  • Corrective Action Required

  • 8.5 Visible signs of vermin?

  • Corrective Action Required

9.0 Stairs, Steps, Landings, walkways, handrails, ladders

  • Does this section need to be included in the audit?

  • 9.1 Stairs, Steps, Landings, walkways, handrails, ladders: Excessively worn or broken steps?

  • Corrective Action Required

  • 9.2 Stairs, Steps, Landings, walkways, handrails, ladders: Handrail in good repair/order?

  • Corrective Action Required

  • 9.3 Stairs, Steps, Landings, walkways, handrails, ladders: Non-slip treatment to treads?

  • Corrective Action Required

  • 9.4 Stairs, Steps, Landings, walkways, handrails, ladders: Kick plates where appropriate?

  • Corrective Action Required

  • 9.5 Stairs, Steps, Landings, walkways, handrails, ladders: Treads have liquid spilt on them?

  • Corrective Action Required

  • 9.6 Stairs, Steps, Landings, walkways, handrails, ladders: Step edge highlighted where appropriate i.e. painted yellow?

  • Corrective Action Required

  • 9.7 Stairs, Steps, Landings, walkways, handrails, ladders: Any signs of degradation (i.e. rust)

  • Corrective Action Required

  • 9.8 Stairs, Steps, Landings, walkways, handrails, ladders: Uneven surfaces, obstacles, wet or greasy surfaces

  • Corrective Action Required

10.0 Materials Storage

  • Does this section need to be included in the audit?

  • 10.1 Are stacked materials stable?

  • Corrective Action Required

  • 10.2 Sufficient space is allowed for moving items into and out of storage areas?

  • Corrective Action Required

  • 10.3 Materials are stored in appropriate areas i.e. racks, bins, etc.?

  • Corrective Action Required

  • 10.4 Storage shelves are free of rubbish and clean?

  • Corrective Action Required

  • 10.5 Pallets are in good repair?

  • Corrective Action Required

  • 10.6 Heavier items are stored at waist height?

  • Corrective Action Required

  • 10.7 Items stored are not in danger of falling?

  • Corrective Action Required

  • 10.8 Items stored do not have protruding sharp edges?

  • Corrective Action Required

  • 10.9 Safe means available for accessing high shelves?

  • Corrective Action Required

  • 10.10 Storage racks present a hazard with lights, sprinklers or fittings?

  • Corrective Action Required

11.0 Lighting

  • Does this section need to be included in the audit?

  • 11.1 Are employees able to control incoming natural light or glare sources?

  • Corrective Action Required

  • 11.2 Artificial lighting causing reflections from work surfaces or shadows over the task?

  • Corrective Action Required

  • 11.3 Light fittings clean and in good repair?

  • Corrective Action Required

  • 11.4 Any flicking or inoperable lights?

  • Corrective Action Required

12.0 Ergonomics

  • Does this section need to be included in the audit?

  • 12.1 Workstation set up acceptable?

  • Corrective Action Required

  • 12.2 Ergonomic factors considered in work layout and task design?

  • Corrective Action Required

  • 12.3 Use of excessive and repetitive movements minimised?

  • Corrective Action Required

  • 12.4 Staff aware of where to seek advice regarding ergonomics?

  • Corrective Action Required

  • 12.5 Poor design or layout of facility which creates a hazard?

  • Corrective Action Required

13.0 Manual Handling

  • Does this section need to be included in the audit?

  • 13.1 Hazardous manual handling tasks been assessed and controlled?

  • Corrective Action Required

  • 13.2 Mechanical aids provided and used?

  • Corrective Action Required

14.0 First Aid

  • Does this section need to be included in the audit?

  • 14.1 Cabinets and contents clean and checked in last 12 months?

  • Corrective Action Required

  • 14.2 First aid material adequate for work area?

  • Corrective Action Required

  • 14.3 Names of trained first aider are prominently displayed?

  • Corrective Action Required

  • 14.4 First aid treatment form available?

  • Corrective Action Required

15.0 Personal Protective Equipment

  • Does this section need to be included in the audit?

  • 15.1 Appropriate PPE being worn for tasks?

  • Corrective Action Required

  • 15.2 PPE stored and maintained appropriately?

  • Corrective Action Required

  • 15.3 PPE signage is appropriately displayed?

  • Corrective Action Required

16.0 Sunsmart

  • Does this section need to be included in the audit?

  • 16.1 Recommended clothing being worn? (Long Sleeves/Long Pants)

  • Corrective Action Required

  • 16.2 SPF 30+ sunscreen available and being used?

  • Corrective Action Required

17.0 Traffic Management

  • Does this section need to be included in the audit?

  • 17.1 Traffic flows present any hazards?

  • Corrective Action Required

  • 17.2 Vehicle parking presents any hazards?

  • Corrective Action Required

18.0 Prevention of Falls

  • Does this section need to be included in the audit?

  • 18.1 All work platforms have secure handrails and guarding?

  • Corrective Action Required

  • 18.2 Unsafe area signposted and barricaded?

  • Corrective Action Required

  • 18.3 Employees are aware of fall prevention requirements?

  • Corrective Action Required

  • 18.4 All ladders are visibly in good condition?

  • Corrective Action Required

  • 18.5 Ladders used as work platforms?

  • Corrective Action Required

  • 18.6 Ladders are securely fixed at the top and bottom?

  • Corrective Action Required

  • 18.7 Metal ladders used near live exposed electrical equipment?

  • Corrective Action Required

  • 18.8 Areas free of slip and trip hazards?

  • Corrective Action Required

19.0 Electrical equipment & Control Cubicles

  • Does this section need to be included in the audit?

  • 19.1 Broken plugs, sockets or switches?

  • Corrective Action Required

  • 19.2 Frayed or uninsulated leads?

  • Corrective Action Required

  • 19.3 Electrical equipment & appliances PETE tested tagged & current?

  • Corrective Action Required

  • 19.4 Switches/circuits identified?

  • Corrective Action Required

  • 19.5 Power tools in a visibly good condition?

  • Corrective Action Required

  • 19.6 Work being conducted near exposed live electrical equipment?

  • Corrective Action Required

  • 19.7 Strained leads?

  • Corrective Action Required

  • 19.8 Lock out procedures and danger tags used where appropriate?

  • Corrective Action Required

  • 19.9 Earth leakage devices used?

  • Corrective Action Required

  • 19.10 Start/Stop switches clearly identified?

  • Corrective Action Required

  • 19.11 Switchboards secured?

  • Corrective Action Required

  • 19.12 Visible signs of vermin?

  • Corrective Action Required

  • 19.13 Control Cubicles: Are control cubicles secure?

  • Corrective Action Required

  • 19.14 Control Cubicles: Adequate signage to draw attention to potential hazard?

  • Corrective Action Required

20.0 Safe Systems of Work

  • Does this section need to be included in the audit?

  • 20.1 SWMS and Permit to Work/Job Start books available and being completed?

  • Corrective Action Required

  • 20.2 Hot Work Permits completed?

  • Corrective Action Required

21.0 Lifting Equipment

  • Does this section need to be included in the audit?

  • 21.1 All portable lifting equipment tested and tagged?

  • Corrective Action Required

22.0 Confined Spaces

  • Does this section need to be included in the audit?

  • 22.1 Confined Space Permits completed correctly?

  • Corrective Action Required

23.0 Pits and Manholes

  • Does this section need to be included in the audit?

  • 23.1 Correct signage in place?

  • Corrective Action Required

  • 23.2 Pit or Manhole structurally sound?

  • Corrective Action Required

  • 23.3 Covers & lids in good condition?

  • Corrective Action Required

  • 23.4 Covers & lids prevent unauthorised access to pit or manhole?

  • Corrective Action Required

  • 23.5 Free of pests & vermin?

  • Corrective Action Required

  • 23.6 Ventilation adequate for normal operations?

  • Corrective Action Required

  • 23.7 Ventilation sufficient to prevent asset damage?

  • Corrective Action Required

24.0 Pumps

  • Does this section need to be included in the audit?

  • 24.1 Leaks?

  • Corrective Action Required

  • 24.2 Are pumps in good operating order?

  • Corrective Action Required

25.0 Storage Tanks ,Basins & pits

  • Does this section need to be included in the audit?

  • 25.1 Adequate barriers, guard rails & signage to prevent falling?

  • Corrective Action Required

  • 25.2 Non-slip walkways fitted to floating basin covers?

  • Corrective Action Required

  • 25.3 Tank or basin in good condition?

  • Corrective Action Required

  • 25.4 Covers & lids in good condition?

  • Corrective Action Required

  • 25.5 Covers & lids prevent unauthorised access?

  • Corrective Action Required

  • 25.6 Is it possible for a person to enter a storage pit without authorisation?

  • Corrective Action Required

  • 25.7 Storage freeboard level maintained to prevent over-topping?

  • Corrective Action Required

  • 25.8 Observable signs of leakage or seepage?

  • Corrective Action Required

  • 25.9 Algae present in lagoon or basin?

  • Has algae type been identified and risks communicated?

  • Any Further Action Required?

  • Corrective Action Required

  • 25.10 Potential damage to lagoon walls (e.g. erosion, vegetation)?

  • Corrective Action Required

26.0 Exposure to raw sewerage/contaminated water

  • Does this section need to be included in the audit?

  • 26.1 Is there potential for exposure to raw sewerage/contaminated water?

  • Corrective Action Required

27.0 Damage to Assets

  • Does this section need to be included in the audit?

  • 27.1 Is there potential for accidental/deliberate damage to assets?

  • Corrective Action Required

  • 27.2 Can controls be incorrectly used resulting in asset damage?

  • Corrective Action Required

28.0 Structural Integrity of Building

  • Does this section need to be included in the audit?

  • 28.1 Can the structural condition of buildings contribute to a hazard?

  • Corrective Action Required

29.0 Extremes of Temperature

  • Does this section need to be included in the audit?

  • 29.1 Can anyone come into contact with objects at high temperature?

  • Corrective Action Required

  • 29.2 Can anyone suffer ill health due to high or low temperature?

  • Corrective Action Required

30.0 Powerlines and powerpoles

  • Does this section need to be included in the audit?

  • 30.1 Serial numbers provided and clearly shown for power poles located onsite

31.0 Environmental Management

  • Does this section need to be included in the audit?

  • 31.1 Have there recently been uncontrolled discharges to the environment beyond the site boundary (e.g. odour, chemicals, water, wastes)?

  • Have actions required been completed?

  • Further actions required?

  • 31.2 Have there been any recent complaints regarding noise, odour, air emissions, water, waste?

  • Have actions required been completed?

  • Further actions required?

  • 31.3 Natural water bodies and lagoons fenced from access by livestock?

  • Corrective Action Required

  • 31.4 Bank erosion or visible contamination of waterways?

  • Corrective Action Required

  • 31.5 Waste generated on-site transferred to a waste or recycling facility?

  • Corrective Action Required

  • 31.6 Are portable monitoring devices being calibrated as required?

  • Corrective Action Required

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