Hazard Identification Checklist & Action Report

• Site

• Client

• Conducted on

  Date

• Prepared by

Cooling Towers

• Cooling tower maintenance logs are up to date.

  Yes

  No

  N/A

• Cooling towers are cleaned at least quarterly.

  Yes

  No

  N/A

• Automatic dosing is installed and functional.

  Yes

  No

  N/A

• Cooling tower basin and surrounding environment is clean and tidy.

  Yes

  No

  N/A

• Cooling towers are registered with the local authority.

  Yes

  No

  N/A

• Legionella and HCC plate counts are sampled and tested at least monthly.

  Yes

  No

  N/A

• Legionella and HCC monthly results are within levels determined by state legislative requirements.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Pedestrian Areas

• Work in progress areas well guarded or signed and segregated from staff and public.

  Yes

  No

  N/A

• Exit signs clearly displayed and Illuminated with back up power. Insert last date of 6 monthly testing and repairs.

  Yes

  No

  N/A

• Emergency exits and general exits clear and unobstructed.

  Yes

  No

  N/A

• All luminaries functioning normally.

  Yes

  No

  N/A

• Balustrades/railings are firmly secured and furniture is at least 1 metre from balustrade.

  Yes

  No

  N/A

• Glass doorways appropriately marked for easy identification.

  Yes

  No

  N/A

• Access to all emergency equipment kept clear from obstructions.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

General Building Maintenance/Floors/Walkways, Stairs, Steps and Landings.

• Floor surfaces even and kept free from water and other liquids.

  Safe

  At Risk

  N/A

• All floor mats secured with non slip backing and edges in good condition.

  Yes

  No

  N/A

• No gaps in floor surfaces, slabs or tiles.

  Yes

  No

  N/A

• Emergency lift phones tested - insert date of last test.

  Yes

  No

  N/A

• Roof coverings in good condition - no evidence of water leaks.

  Yes

  No

  N/A

• Roof drains are clear and drain covers in good condition.

  Yes

  No

  N/A

• General conditions of the building satisfactory.

  Yes

  No

  N/A

• Emergency exits clear of obstructions.

  Yes

  No

  N/A

• No worn or broken steps, non slip treatments as well as step treads in good condition.

  Yes

  No

  N/A

• Handrails in good repair.

  Yes

  No

  N/A

• Adequate lighting in stairs - insert date of last luv level test.

  Yes

  No

  N/A

• Cleaning contractor complying with terms of service agreement.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Fire Fighting Equipment

• Fire fighting equipment serviced/tagged - insert date of last 6 monthly testing.

  Yes

  No

  N/A

• Location of all fire fighting equipment is clearly identified and signed.

  Yes

  No

  N/A

• No equipment missing from fire points.

  Yes

  No

  N/A

• Hot works procedures are in place.

  Yes

  No

  N/A

• No open fire penetrations in compartments (eg. risers, floors or walls.)

  Yes

  No

  N/A

• Extinguishers appropriate to hazard.

  Yes

  No

  N/A

• Fire water supply valves are accessible and locked open.

  Yes

  No

  N/A

• Fire pumps are operational and set to start automatically.

  Yes

  No

  N/A

• All fire protection (manual and automatic) maintained as per maintenance agreement.

  Yes

  No

  N/A

• All fire protection (manual and automatic) operational as per maintenance agreement.

  Yes

  No

  N/A

• Protective caps on hydrants and booster connections.

  Yes

  No

  N/A

• Fire doors free from damage and close correctly.

  Yes

  No

  N/A

• Alarm/communication system adequate.

  Yes

  No

  N/A

• Smoking/naked flame restrictions identified, communicated and observed.

  Yes

  No

  N/A

• Emergency personnel identified and trained, emergency phone numbers displayed.

  Yes

  No

  N/A

• Emergency procedures documented.

  Yes

  No

  N/A

• Trial evacuations conducted and minuted - insert last date of trial evac and EPC miutes.

  Yes

  No

  N/A

• No outstanding defects on fire maintenance older than 30 days.

  Yes

  No

  N/A

• Test logs and fire safety statements for all fire protection (manual and automatic) complete, up to date, retained and posted where required.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Lifts

• Lifts placarded with legible warning signs.

  Yes

  No

  N/A

• Lift maintenance schedules up to date.

  Yes

  No

  N/A

• Lift door protection are installed and appropriate.

  Yes

  No

  N/A

• No broken treads, or obstructions within door channels.

  Yes

  No

  N/A

• Non slip surface at the exit/entrance to the lifts.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Office Areas Under Knight Frank Control Only.

• All office chairs are in good working order.

  Yes

  No

  N/A

• No evidence of trip hazards eg: electrical cords or lifting flooring.

  Yes

  No

  N/A

• Operator complaints of lighting, ergonomic design or other nuisance issues.

  Yes

  No

  N/A

• First aid equipment in place and stock meets requirements.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Loading Docks.

• Loading dock areas clearly defined in yellow.

  Yes

  No

  N/A

• Loading dock area adequately lit and clear from obstructions.

  Yes

  No

  N/A

• Appropriate notices excluding unauthorised personnel clearly displayed at each access point to the loading dock.

  Yes

  No

  N/A

• Loading dock should be kept free of material, pallets and other combustible material.

  Yes

  No

  N/A

• Mobile equipment secured from unauthorised operation when equipment is unattended.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Hazardous Substances

• Chemical stores secured and appropriate signage In place.

  Yes

  No

  N/A

• MSDS's are displayed or readily accessible.

  Yes

  No

  N/A

• Tidy housekeeping.

  Yes

  No

  N/A

• All chemicals clearly labeled and bunded.

  Yes

  No

  N/A

• First aid equipment in place andstock meets requirements.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Car Parks

• Car park entrances and exits clearly marked.

  Yes

  No

  N/A

• Height limits at entrance to car park effectively signed and illuminated.

  Yes

  No

  N/A

• Pedestrian walkways within csr parks are signed, clearly defined and unobstructed by gardens, shrubbery etc.

  Yes

  No

  N/A

• Steps and changes in walking surface clearly defined.

  Yes

  No

  N/A

• Speed humps prominently highlighted by line marking and sign posting.

  Yes

  No

  N/A

• Is the car park lighting sufficient.

  Yes

  No

  N/A

• Is the undercover car park ventilation operational.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Base Building Only (under Knight Frank control only)

• All ladders in good working order.

  Yes

  No

  N/A

• Electrical leads are tagged and tested annually - insert date of last test.

  Yes

  No

  N/A

• Guards on power tools are in place and in good condition.

  Yes

  No

  N/A

• Personal protective equipment such as goggles, gloves etc are available.

  Yes

  No

  N/A

• Gas cylinders appropriately secured against falling.

  Yes

  No

  N/A

• Under cover car park ventilation operational.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

Plant Rooms/Electrical/Building Maintenace Units.

• All ladders In working order.

  Yes

  No

  N/A

• Building maintenance unit registered and maintained.

  Yes

  No

  N/A

• Anchor points tested.

  Yes

  No

  N/A

• Protective guards on plant equipment are in place and in good condition.

  Yes

  No

  N/A

• Annual lightning protection test completed.

  Yes

  No

  N/A

• Annual generator load test - insert date of test.

  Yes

  No

  N/A

• Underground storage tank - integrity testing.

  Yes

  No

  N/A

• Annual thermoscans on distribution boards - insert date of scan.

  Yes

  No

  N/A

• Tap to enter information

  Yes

  No

  N/A

• Lock out procedures/danger tags in place.

  Yes

  No

  N/A

• Electrical leads are tested and tagged annually and do not present a trip hazard.

  Yes

  No

  N/A

• Edges on raised on flooring such as bunds and other trip hazards are taped and or highlighted.

  Yes

  No

  N/A

Lighting levels adequate.

• Tidy house keeping.

  Yes

  No

  N/A

• Low head height hazards are highlighted, cushioned and sign posted.

  Yes

  No

  N/A

• Personal protective equipment such as goggles, gloves etc are available.

  Yes

  No

  N/A

• Gas cylinders appropriately secured against falling.

  Yes

  No

  N/A

• Other hazards identified.

  Yes

  No

  N/A

• Other comments

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