Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
0.0 Introduction
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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
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Does this section need to be included in the audit?
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1.1 Perimeter fences and gates maintained and secure?
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Corrective Action Required
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1.2 Facility Code & Description displayed?
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Corrective Action Required
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1.3 Is the Gippsland Water logo clearly displayed?
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Corrective Action Required
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1.4 Site emergency number displayed? 1800 057 057
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Corrective Action Required
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1.5 Visitors are inducted onto the site? (Induction not exceeding 2 years)
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Corrective Action Required
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1.6 Visitors are visibly displaying swipe cards?
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Corrective Action Required
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1.7 Visitors are signed onto visitors register?
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Corrective Action Required
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2.0 Public Protection
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Does this section need to be included in the audit?
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2.1 Appropriate barricading in place?
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Corrective Action Required
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2.2 Appropriate signage in place?
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Corrective Action Required
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2.3 Are on-site noise levels likely to cause nuisance or complaints?
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Corrective Action Required
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2.4 Are dust and noise controls in place?
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Corrective Action Required
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2.5 Footpaths clean and suitable for public use?
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Corrective Action Required
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2.6 Appropriate traffic control measures in place?
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Corrective Action Required
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2.7 Is the water extraction or discharge point clearly signed?
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Corrective Action Required
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3.0 Fire Control
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Does this section need to be included in the audit?
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3.1 Fire fighting equipment is serviced and tagged within last 6 months?
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Corrective Action Required
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3.2 Extinguishers are appropriately signed and easy to locate?
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Corrective Action Required
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3.3 Alarm system and sprinkler system is in place and tested regularly?
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Corrective Action Required
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3.4 Smoking/naked flame restrictions are observed?
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Corrective Action Required
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3.5 Minimum quantities of flammables stored in work area?
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Corrective Action Required
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3.6 Can anyone be injured by fire or explosion?
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Corrective Action Required
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3.7 Regrowth of vegetation or plant debris build-up causing a hazard?
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Corrective Action Required
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4.0 Emergency
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Does this section need to be included in the audit?
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4.1 Emergency exit signs in place and illuminated where appropriate?
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Corrective Action Required
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4.2 Exit pathways are clear of obstructions?
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Corrective Action Required
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4.3 Employees are aware of their muster area?
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Corrective Action Required
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4.4 Exit doors are easily opened from inside?
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Corrective Action Required
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4.5 Emergency personnel are identified and trained?
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Corrective Action Required
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4.6 Emergency procedures clearly displayed?
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Corrective Action Required
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4.7 Evacuation floor plans clearly displayed?
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Corrective Action Required
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4.8 Alarms are tested regularly?
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Corrective Action Required
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4.9 Emergency simulations are conducted?
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Corrective Action Required
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4.10 Staff is aware of the emergency code for their work area?
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Corrective Action Required
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4.12 Emergency Cabinet Information current?
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Corrective Action Required
5.0 Management System & Consultation
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Does this section need to be included in the audit?
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5.1 OH&S Policy and Procedures current and available to employees
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Corrective Action Required
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5.2 SHE Committee Poster displayed?
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Corrective Action Required
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5.3 Employees aware of how to report incidents?
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Corrective Action Required
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5.4 “Are you injured?” Poster displayed?
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Corrective Action Required
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6.0 Goods and Hazardous Substances (incl Asbestos)
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Does this section need to be included in the audit?
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6.1 Is Asbestos material known to be present on site?
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Corrective Action Required
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6.2 Material Safety Data Sheets available and current?
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Corrective Action Required
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6.3 Chemical inventory current?
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Corrective Action Required
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6.4 Chemicals stored in a safe manner and bunded appropriately?
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Corrective Action Required
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6.5 Dangerous goods and hazardous substances stored in line with segregation requirements?
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Corrective Action Required
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6.6 HAZCHEM signage displayed where required?
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Corrective Action Required
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6.7 Adequate ventilation/exhaust systems?
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Corrective Action Required
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6.8 Containers labelled appropriately?
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Corrective Action Required
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6.9 PPE available and used?
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Corrective Action Required
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6.10 Facilities available to ensure personal hygiene?
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Corrective Action Required
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6.11 Waste procedure known and used?
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Corrective Action Required
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6.12 Spill kit available and placed near bunds/chemicals/potential spills?
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Corrective Action Required
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6.13 Chemical handling procedures followed?
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Corrective Action Required
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6.14 Appropriate emergency/first aid equipment available?
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Corrective Action Required
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6.15 Safety shower/eye wash available & working?
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Corrective Action Required
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6.16 Visible chemical spills outside of bunded areas?
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Corrective Action Required
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6.17 Visible waste water spills outside of bunded areas?
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Corrective Action Required
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6.18 Leaking/dripping taps or valves on chemical storage vessels?
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Corrective Action Required
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6.19 Exposure to chemicals, toxic gases, fumes, dust, noise, vibration, radiation, pressure, vacuum?
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Corrective Action Required
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7.0 Housekeeping
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Does this section need to be included in the audit?
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7.1 Are the floors of offices and passageways, store rooms and stairways:<br>Kept free from obstruction?<br>
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Corrective Action Required
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7.2 Are the floors of offices and passageways, store rooms and stairways:<br>Adequately illuminated?
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Corrective Action Required
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7.3 Are the floors of offices and passageways, store rooms and stairways:<br>Clear of electrical leads?
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Corrective Action Required
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7.4 Are work surfaces:<br>Safe and suitable for task?
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Corrective Action Required
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7.5 Are work surfaces:<br>Clear of rubbish?
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Corrective Action Required
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7.6 Are work surfaces: Tools put away?
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Corrective Action Required
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7.7 Are Work Surfaces: Areas free of slip and trip hazards?
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Corrective Action Required
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7.8 Are Work Surfaces: Any floor openings covered and clearly identified?
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Corrective Action Required
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7.9 Are Work Surfaces: All stock and material stored safely?
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Corrective Action Required
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7.10 Are Work Surfaces: Oil and grease spot wiped up?
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Corrective Action Required
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7.11 Are Work Surfaces: Sawdust, shavings swept up?
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Corrective Action Required
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7.12 Are Work Surfaces: Surface water drains clear of debris and no sign of damage?
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Corrective Action Required
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7.13 Grounds and Site Maintenance: Grass cutting & weed control?
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Corrective Action Required
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7.14 Grounds and Site Maintenance: Pest (non-native animals) & Vermin control?
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Corrective Action Required
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7.15 Grounds and Site Maintenance: Is any vegetation required to be removed?
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Corrective Action Required
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7.16 Grounds and Site Maintenance: Is earth moving proposed in the next 6 months?
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Corrective Action Required
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8.0 Amenities
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Does this section need to be included in the audit?<br>
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8.1 Amenities Clean?
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Corrective Action Required
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8.2 Appliances Clean?
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Corrective Action Required
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8.3 Clean drinking water available?
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Corrective Action Required
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8.4 Rubbish and recycling bins available and are covered?
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Corrective Action Required
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8.5 Visible signs of vermin?
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Corrective Action Required
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9.0 Stairs, Steps, Landings, walkways, handrails, ladders
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Does this section need to be included in the audit?
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9.1 Stairs, Steps, Landings, walkways, handrails, ladders: Excessively worn or broken steps?
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Corrective Action Required
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9.2 Stairs, Steps, Landings, walkways, handrails, ladders: Handrail in good repair/order?
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Corrective Action Required
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9.3 Stairs, Steps, Landings, walkways, handrails, ladders: Non-slip treatment to treads?
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Corrective Action Required
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9.4 Stairs, Steps, Landings, walkways, handrails, ladders: Kick plates where appropriate?
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Corrective Action Required
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9.5 Stairs, Steps, Landings, walkways, handrails, ladders: Treads have liquid spilt on them?
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Corrective Action Required
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9.6 Stairs, Steps, Landings, walkways, handrails, ladders: Step edge highlighted where appropriate i.e. painted yellow?
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Corrective Action Required
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9.7 Stairs, Steps, Landings, walkways, handrails, ladders: Any signs of degradation (i.e. rust)
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Corrective Action Required
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9.8 Stairs, Steps, Landings, walkways, handrails, ladders: Uneven surfaces, obstacles, wet or greasy surfaces
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Corrective Action Required
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10.0 Materials Storage
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Does this section need to be included in the audit?
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10.1 Are stacked materials stable?
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Corrective Action Required
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10.2 Sufficient space is allowed for moving items into and out of storage areas?
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Corrective Action Required
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10.3 Materials are stored in appropriate areas i.e. racks, bins, etc.?
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Corrective Action Required
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10.4 Storage shelves are free of rubbish and clean?
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Corrective Action Required
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10.5 Pallets are in good repair?
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Corrective Action Required
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10.6 Heavier items are stored at waist height?
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Corrective Action Required
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10.7 Items stored are not in danger of falling?
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Corrective Action Required
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10.8 Items stored do not have protruding sharp edges?
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Corrective Action Required
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10.9 Safe means available for accessing high shelves?
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Corrective Action Required
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10.10 Storage racks present a hazard with lights, sprinklers or fittings?
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Corrective Action Required
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11.0 Lighting
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Does this section need to be included in the audit?
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11.1 Are employees able to control incoming natural light or glare sources?
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Corrective Action Required
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11.2 Artificial lighting causing reflections from work surfaces or shadows over the task?
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Corrective Action Required
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11.3 Light fittings clean and in good repair?
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Corrective Action Required
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11.4 Any flicking or inoperable lights?
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Corrective Action Required
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12.0 Ergonomics
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Does this section need to be included in the audit?
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12.1 Workstation set up acceptable?
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Corrective Action Required
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12.2 Ergonomic factors considered in work layout and task design?
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Corrective Action Required
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12.3 Use of excessive and repetitive movements minimised?
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Corrective Action Required
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12.4 Staff aware of where to seek advice regarding ergonomics?
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Corrective Action Required
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12.5 Poor design or layout of facility which creates a hazard?
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Corrective Action Required
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13.0 Manual Handling
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Does this section need to be included in the audit?
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13.1 Hazardous manual handling tasks been assessed and controlled?
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Corrective Action Required
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13.2 Mechanical aids provided and used?
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Corrective Action Required
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14.0 First Aid
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Does this section need to be included in the audit?
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14.1 Cabinets and contents clean and checked in last 12 months?
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Corrective Action Required
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14.2 First aid material adequate for work area?
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Corrective Action Required
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14.3 Names of trained first aider are prominently displayed?
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Corrective Action Required
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14.4 First aid treatment form available?
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Corrective Action Required
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15.0 Personal Protective Equipment
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Does this section need to be included in the audit?
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15.1 Appropriate PPE being worn for tasks?
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Corrective Action Required
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15.2 PPE stored and maintained appropriately?
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Corrective Action Required
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15.3 PPE signage is appropriately displayed?
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Corrective Action Required
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16.0 Sunsmart
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Does this section need to be included in the audit?
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16.1 Recommended clothing being worn? (Long Sleeves/Long Pants)
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Corrective Action Required
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16.2 SPF 30+ sunscreen available and being used?
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Corrective Action Required
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17.0 Traffic Management
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Does this section need to be included in the audit?
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17.1 Traffic flows present any hazards?
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Corrective Action Required
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17.2 Vehicle parking presents any hazards?
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Corrective Action Required
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18.0 Prevention of Falls
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Does this section need to be included in the audit?
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18.1 All work platforms have secure handrails and guarding?
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Corrective Action Required
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18.2 Unsafe area signposted and barricaded?
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Corrective Action Required
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18.3 Employees are aware of fall prevention requirements?
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Corrective Action Required
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18.4 All ladders are visibly in good condition?
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Corrective Action Required
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18.5 Ladders used as work platforms?
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Corrective Action Required
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18.6 Ladders are securely fixed at the top and bottom?
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Corrective Action Required
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18.7 Metal ladders used near live exposed electrical equipment?
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Corrective Action Required
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18.8 Areas free of slip and trip hazards?
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Corrective Action Required
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19.0 Electrical equipment & Control Cubicles
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Does this section need to be included in the audit?
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19.1 Broken plugs, sockets or switches?
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Corrective Action Required
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19.2 Frayed or uninsulated leads?
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Corrective Action Required
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19.3 Electrical equipment & appliances PETE tested tagged & current?
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Corrective Action Required
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19.4 Switches/circuits identified?
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Corrective Action Required
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19.5 Power tools in a visibly good condition?
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Corrective Action Required
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19.6 Work being conducted near exposed live electrical equipment?
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Corrective Action Required
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19.7 Strained leads?
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Corrective Action Required
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19.8 Lock out procedures and danger tags used where appropriate?
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Corrective Action Required
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19.9 Earth leakage devices used?
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Corrective Action Required
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19.10 Start/Stop switches clearly identified?
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Corrective Action Required
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19.11 Switchboards secured?
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Corrective Action Required
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19.12 Visible signs of vermin?
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Corrective Action Required
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19.13 Control Cubicles: Are control cubicles secure?
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Corrective Action Required
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19.14 Control Cubicles: Adequate signage to draw attention to potential hazard?
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Corrective Action Required
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20.0 Safe Systems of Work
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Does this section need to be included in the audit?
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20.1 SWMS and Permit to Work/Job Start books available and being completed?
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Corrective Action Required
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20.2 Hot Work Permits completed?
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Corrective Action Required
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21.0 Lifting Equipment
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Does this section need to be included in the audit?
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21.1 All portable lifting equipment tested and tagged?
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Corrective Action Required
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22.0 Confined Spaces
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Does this section need to be included in the audit?
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22.1 Confined Space Permits completed correctly?
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Corrective Action Required
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23.0 Pits and Manholes
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Does this section need to be included in the audit?
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23.1 Correct signage in place?
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Corrective Action Required
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23.2 Pit or Manhole structurally sound?
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Corrective Action Required
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23.3 Covers & lids in good condition?
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Corrective Action Required
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23.4 Covers & lids prevent unauthorised access to pit or manhole?
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Corrective Action Required
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23.5 Free of pests & vermin?
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Corrective Action Required
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23.6 Ventilation adequate for normal operations?
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Corrective Action Required
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23.7 Ventilation sufficient to prevent asset damage?
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Corrective Action Required
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24.0 Pumps
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Does this section need to be included in the audit?
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24.1 Leaks?
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Corrective Action Required
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24.2 Are pumps in good operating order?
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Corrective Action Required
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25.0 Storage Tanks ,Basins & pits
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Does this section need to be included in the audit?
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25.1 Adequate barriers, guard rails & signage to prevent falling?
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Corrective Action Required
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25.2 Non-slip walkways fitted to floating basin covers?
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Corrective Action Required
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25.3 Tank or basin in good condition?
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Corrective Action Required
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25.4 Covers & lids in good condition?
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Corrective Action Required
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25.5 Covers & lids prevent unauthorised access?
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Corrective Action Required
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25.6 Is it possible for a person to enter a storage pit without authorisation?
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Corrective Action Required
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25.7 Storage freeboard level maintained to prevent over-topping?
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Corrective Action Required
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25.8 Observable signs of leakage or seepage?
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Corrective Action Required
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25.9 Algae present in lagoon or basin?
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Has algae type been identified and risks communicated?
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Any Further Action Required?
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Corrective Action Required
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25.10 Potential damage to lagoon walls (e.g. erosion, vegetation)?
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Corrective Action Required
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26.0 Exposure to raw sewerage/contaminated water
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Does this section need to be included in the audit?
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26.1 Is there potential for exposure to raw sewerage/contaminated water?
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Corrective Action Required
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27.0 Damage to Assets
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Does this section need to be included in the audit?
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27.1 Is there potential for accidental/deliberate damage to assets?
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Corrective Action Required
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27.2 Can controls be incorrectly used resulting in asset damage?
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Corrective Action Required
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28.0 Structural Integrity of Building
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Does this section need to be included in the audit?
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28.1 Can the structural condition of buildings contribute to a hazard?
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Corrective Action Required
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29.0 Extremes of Temperature
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Does this section need to be included in the audit?
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29.1 Can anyone come into contact with objects at high temperature?
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Corrective Action Required
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29.2 Can anyone suffer ill health due to high or low temperature?
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Corrective Action Required
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30.0 Powerlines and powerpoles
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Does this section need to be included in the audit?
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30.1 Serial numbers provided and clearly shown for power poles located onsite
31.0 Environmental Management
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Does this section need to be included in the audit?
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31.1 Have there recently been uncontrolled discharges to the environment beyond the site boundary (e.g. odour, chemicals, water, wastes)?
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Have actions required been completed?
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Further actions required?
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31.2 Have there been any recent complaints regarding noise, odour, air emissions, water, waste?
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Have actions required been completed?
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Further actions required?
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31.3 Natural water bodies and lagoons fenced from access by livestock?
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Corrective Action Required
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31.4 Bank erosion or visible contamination of waterways?
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Corrective Action Required
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31.5 Waste generated on-site transferred to a waste or recycling facility?
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Corrective Action Required
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31.6 Are portable monitoring devices being calibrated as required?
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Corrective Action Required
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