Hazard Inspection Checklist Including Condition Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Coolamon Shire Council 55 Cowabbie Street, Coolamon NSW 2701
  Address

• Personnel

General Information

• Inspection By

• Inspection Date

  Date

• Inspection of (Please Select - these match up with Bize Asset Unique IDs)

  Select ARBD_1 Mullins Centre, Demountable (35 Mullins Street, Ardlethan) ARBD_2 Mullins Centre, Preschool and Community Centre (35 Mullins Street, Ardlethan) ARBD_3 Ardlethan Works Depot (Yithan Street, Ardlethan) ARBD_4 Carpathia Court Unit 1 (Mithul Street, Ardlethan) ARBD_5 Carpathia Court Unit 2 (Mithul Street, Ardlethan) ARBD_6 Carpathia Court Unit 3 (Mithul Street, Ardlethan) ARBD_7 Carpathia Court Unit 4 (Mithul Street, Ardlethan) ARBD_8 Carpathia Court Unit 5 (Mithul Street, Ardlethan) ARBD_9 Carpathia Court Unit 6 (Mithul Street, Ardlethan) ARBD_10 Ardlethan Memorial Hall (46 Ariah Street, Ardlethan) ARBD_11 Ardlethan Swimming Pool, Solar Heating / Shade (Wilson Street, Ardlethan) ARBD_12 Ardlethan Swimming Pool, Kiosk and Change Rooms (Wilson Street, Ardlethan) ARBD_13 Ardlethan Swimming Pool, Corrugated Iron Shed 1 (Wilson Street, Ardlethan) ARBD_14 Ardlethan Swimming Pool, Corrugated Iron Shed 2 (Wilson Street, Ardlethan) ARBD_15 Ardlethan RFS Station (18 Wilson Street, Ardlethan) ARBD_16 Ardlethan Lions Park Amenities Block (Ariah Street, Ardlethan) BKBD_1 Beckom RSL (4-6 Deakin Street, Beckom) BKBD_2 Beckom Hall (4-6 Deakin Street, Beckom) CLBD_1 Council Dwelling (29 Lewis Street, Coolamon) CLBD_2 Council Dwelling (28 Booth Street, Coolamon) CLBD_3 Coolamon Shire, Council Chambers (51-55 Cowabbie Street, Coolamon) CLBD_4 Coolamon Shire, Admin Office (Old Section) (51-55 Cowabbie Street, Coolamon) CLBD_5 Coolamon Shire, Admin Office (New Section) (51-55 Cowabbie Street, Coolamon) CLBD_6 Coolamon Shire, Workshop (51-55 Cowabbie Street, Coolamon) CLBD_7 Kindra Lodge, Unit 1 (65 Mirrool Street, Coolamon) CLBD_8 Kindra Lodge, Unit 3 (65 Mirrool Street, Coolamon) CLBD_9 Kindra Lodge, Unit 5 (65 Mirrool Street, Coolamon) CLBD_10 Aitken Logan Dementia Wing (Stinson Street, Coolamon) CLBD_11 Allawah Lodge (Dr. Buchanan Drive, Coolamon) CLBD_12 Coolamon Medical and Dental Centre (Dr. Buchanan Drive, Coolamon) CLBD_13 Allawah Community Centre (Furner-Stephenson Building) (Dr.Buchanan Drive, Coolamon) CLBD_14 Allawah Retirement Village, Unit 1 (1/60 Mirrool Street, Coolamon) CLBD_15 Allawah Retirement Village, Unit 2 (2/60 Mirrool Street, Coolamon) CLBD_16 Allawah Retirement Village, Unit 9 (9/60 Mirrool Street, Coolamon) CLBD_17 Allawah Retirement Village, Unit 10 (10/60 Mirrool Street, Coolamon) CLBD_18 Allawah Retirement Village, Unit 3 (3/60 Mirrool Street, Coolamon) CLBD_19 Allawah Retirement Village, Unit 4 (4/60 Mirrool Street, Coolamon) CLBD_20 Allawah Retirement Village, Unit 5 (5/60 Mirrool Street, Coolamon) CLBD_21 Allawah Retirement Village, Unit 12 (12/60 Mirrool Street, Coolamon) CLBD_22 Allawah Retirement Village, Unit 6 (6/60 Mirrool Street, Coolamon) CLBD_23 Allawah Retirement Village, Unit 13 (13/60 Mirrool Street, Coolamon) CLBD_24 Allawah Retirement Village, Unit 14 (14/60 Mirrool Street, Coolamon) CLBD_25 Allawah Retirement Village, Unit 8 (8/60 Mirrool Street, Coolamon) CLBD_26 Allawah Retirement Village, Unit 7 (7/60 Mirrool Street, Coolamon) CLBD_27 Allawah Retirement Village, Unit 20 (20/60 Mirrool Street, Coolamon) CLBD_28 Allawah Retirement Village, Unit 19 (19/60 Mirrool Street, Coolamon) CLBD_29 Allawah Retirement Village, Unit 18 (18/60 Mirrool Street, Coolamon) CLBD_30 Allawah Retirement Village, Unit 17 (17/60 Mirrool Street, Coolamon) CLBD_31 Allawah Retirement Village, Unit 16 (16/60 Mirrool Street, Coolamon) CLBD_32 Allawah Retirement Village, Unit 15 (15/60 Mirrool Street, Coolamon) CLBD_33 Allawah Retirement Village, Unit 25 (25/60 Mirrool Street, Coolamon) CLBD_34 Allawah Retirement Village, Unit 24 (24/60 Mirrool Street, Coolamon) CLBD_35 Allawah Retirement Village, Unit 23 (23/60 Mirrool Street, Coolamon) CLBD_36 Allawah Retirement Village, Unit 22 (22/60 Mirrool Street, Coolamon) CLBD_37 Lions Park Amenities Block (Wade Street, Coolamon) CLBD_38 Coolamon Clock Tower (Mann Street, Coolamon) CLBD_39 Coolamon Swimming Pool, Kiosk (Methul Street, Coolamon) CLBD_40 Redgrave / Caravan Park / Swimming Pool Amenities Block (Methul Street, Coolamon) CLBD_41 Caravan Park Amenities Block (Bruce Street, Coolamon) CLBD_42 Coolamon Early Childhood Centre (CECC) (66 Bruce Street, Coolamon) CLBD_43 Sewerage Treatment Works Building (Loughnan Street, Coolamon) CLBD_44 Coolamon Preschool (Bruce Street, Coolamon) CLBD_45 Coolamon SES/RFS (Bruce Street, Coolamon) CLBD_46 Coolamon SES/RFS (Bruce Street, Coolamon) CLBD_47 Coolamon Shire Library (127-129 Cowabbie Street, Coolamon) CLBD_48 Coolamon Railway Station (48 Wade Street, Coolamon) CLBD_49 Centenary Lodge, Unit 1 (85 Mirrool Street, Coolamon) CLBD_50 Centenary Lodge, Unit 4 (85 Mirrool Street, Coolamon) CLBD_51 Up To Date Store, Garth Jones Museum (127-129 Cowabbie Street, Coolamon) CLBD_52 Up To Date Store, Reg Goode Collection (127-129 Cowabbie Street, Coolamon) CLBD_53 Up To Date Store, RSL Museum (127-129 Cowabbie Street, Coolamon) CLBD_54 Up To Date Store, Up To Date Store (127-129 Cowabbie Street, Coolamon) CLBD_55 Up To Date Store, Ajanta Cafe (127-129 Cowabbie Street, Coolamon) CLBD_56 Fire Station (Museum) (46 Loughnan Street, Coolamon) CLBD_57 Sewerage Treatment Plant Amenities Block (Loughnan Street, Coolamon) CLBD_58 Allawah Retirement Village, Unit 11 (11/60 Mirrool Street, Coolamon) CLBD_59 Coolamon Lions Shed (Recycling) (Bruce Street, Coolamon) CLBD_60 Coolamon Tennis Clubhouse (Methul Street, Coolamon) CLBD_61 Centenary Lodge, Unit 2 (85 Mirrool Street, Coolamon) CLBD_62 Centenary Lodge, Unit 3 (85 Mirrool Street, Coolamon) CLBD_63 Centenary Lodge, Unit 5 (85 Mirrool Street, Coolamon) CLBD_64 Centenary Lodge, Unit 6 (85 Mirrool Street, Coolamon) CLBD_65 Kindra Lodge, Unit 2 (65 Mirrool Street, Coolamon) CLBD_66 Kindra Lodge, Unit 4 (65 Mirrool Street, Coolamon) CLBD_67 Kindra Lodge, Unit 7 (65 Mirrool Street, Coolamon) CLBD_68 Kindra Lodge, Unit 6 (65 Mirrool Street, Coolamon) CLBD_69 Kindra Lodge, Unit 8 (65 Mirrool Street, Coolamon) CLBD_70 Cheese Factory (87 Cowabbie Street, Coolamon) CLBD_71 Council Pound (Loughnan Street, Coolamon) CLBD_72 Council Storage Yard Workshop and Amenities (Loughnan Street, Coolamon) GNBD_1 Ganmain Fire Shed (64 Ford Street, Ganmain) GNBD_2 Rural Transaction Centre (RTC) (90 Ford Street, Ganmain) GNBD_3 Pied Piper Preschool (42 Langham Street, Ganmain) GNBD_4 Senior Citizens Unit, Unit 2 (38 Loch Street, Ganmain) GNBD_5 Senior Citizens Unit, Unit 1 (38 Loch Street, Ganmain) GNBD_6 Ganmain Hall (92 Ford Street, Ganmain) GNBD_7 Ganmain Arts & Crafts (76 Ford Street, Ganmain) GNBD_8 Ganmain Medical Centre (86 Ford Street, Ganmain) GNBD_9 Aged Unit (10 Wright Street, Ganmain) GNBD_10 Aged Unit (12 Wright Street, Ganmain) GNBD_11 Victory Park Amenities Block (Ford Street, Ganmain) GNBD_12 Pool Kiosk and Change Rooms (Waterview Street, Ganmain) MRBD_1 Marrar Bicentennial Park Amenities Block (Canola Way, Marrar) MRBD_2 Marrar Hall (5 See Street, Marrar) MRBD_3 Marrar Fire Shed (Don Street, Marrar) MTBD_1 Matong Fire Shed (64-66 Matong Street, Matong)

  • ARBD_1 Mullins Centre, Demountable (35 Mullins Street, Ardlethan)
  • ARBD_2 Mullins Centre, Preschool and Community Centre (35 Mullins Street, Ardlethan)
  • ARBD_3 Ardlethan Works Depot (Yithan Street, Ardlethan)
  • ARBD_4 Carpathia Court Unit 1 (Mithul Street, Ardlethan)
  • ARBD_5 Carpathia Court Unit 2 (Mithul Street, Ardlethan)
  • ARBD_6 Carpathia Court Unit 3 (Mithul Street, Ardlethan)
  • ARBD_7 Carpathia Court Unit 4 (Mithul Street, Ardlethan)
  • ARBD_8 Carpathia Court Unit 5 (Mithul Street, Ardlethan)
  • ARBD_9 Carpathia Court Unit 6 (Mithul Street, Ardlethan)
  • ARBD_10 Ardlethan Memorial Hall (46 Ariah Street, Ardlethan)
  • ARBD_11 Ardlethan Swimming Pool, Solar Heating / Shade (Wilson Street, Ardlethan)
  • ARBD_12 Ardlethan Swimming Pool, Kiosk and Change Rooms (Wilson Street, Ardlethan)
  • ARBD_13 Ardlethan Swimming Pool, Corrugated Iron Shed 1 (Wilson Street, Ardlethan)
  • ARBD_14 Ardlethan Swimming Pool, Corrugated Iron Shed 2 (Wilson Street, Ardlethan)
  • ARBD_15 Ardlethan RFS Station (18 Wilson Street, Ardlethan)
  • ARBD_16 Ardlethan Lions Park Amenities Block (Ariah Street, Ardlethan)
  • BKBD_1 Beckom RSL (4-6 Deakin Street, Beckom)
  • BKBD_2 Beckom Hall (4-6 Deakin Street, Beckom)
  • CLBD_1 Council Dwelling (29 Lewis Street, Coolamon)
  • CLBD_2 Council Dwelling (28 Booth Street, Coolamon)
  • CLBD_3 Coolamon Shire, Council Chambers (51-55 Cowabbie Street, Coolamon)
  • CLBD_4 Coolamon Shire, Admin Office (Old Section) (51-55 Cowabbie Street, Coolamon)
  • CLBD_5 Coolamon Shire, Admin Office (New Section) (51-55 Cowabbie Street, Coolamon)
  • CLBD_6 Coolamon Shire, Workshop (51-55 Cowabbie Street, Coolamon)
  • CLBD_7 Kindra Lodge, Unit 1 (65 Mirrool Street, Coolamon)
  • CLBD_8 Kindra Lodge, Unit 3 (65 Mirrool Street, Coolamon)
  • CLBD_9 Kindra Lodge, Unit 5 (65 Mirrool Street, Coolamon)
  • CLBD_10 Aitken Logan Dementia Wing (Stinson Street, Coolamon)
  • CLBD_11 Allawah Lodge (Dr. Buchanan Drive, Coolamon)
  • CLBD_12 Coolamon Medical and Dental Centre (Dr. Buchanan Drive, Coolamon)
  • CLBD_13 Allawah Community Centre (Furner-Stephenson Building) (Dr.Buchanan Drive, Coolamon)
  • CLBD_14 Allawah Retirement Village, Unit 1 (1/60 Mirrool Street, Coolamon)
  • CLBD_15 Allawah Retirement Village, Unit 2 (2/60 Mirrool Street, Coolamon)
  • CLBD_16 Allawah Retirement Village, Unit 9 (9/60 Mirrool Street, Coolamon)
  • CLBD_17 Allawah Retirement Village, Unit 10 (10/60 Mirrool Street, Coolamon)
  • CLBD_18 Allawah Retirement Village, Unit 3 (3/60 Mirrool Street, Coolamon)
  • CLBD_19 Allawah Retirement Village, Unit 4 (4/60 Mirrool Street, Coolamon)
  • CLBD_20 Allawah Retirement Village, Unit 5 (5/60 Mirrool Street, Coolamon)
  • CLBD_21 Allawah Retirement Village, Unit 12 (12/60 Mirrool Street, Coolamon)
  • CLBD_22 Allawah Retirement Village, Unit 6 (6/60 Mirrool Street, Coolamon)
  • CLBD_23 Allawah Retirement Village, Unit 13 (13/60 Mirrool Street, Coolamon)
  • CLBD_24 Allawah Retirement Village, Unit 14 (14/60 Mirrool Street, Coolamon)
  • CLBD_25 Allawah Retirement Village, Unit 8 (8/60 Mirrool Street, Coolamon)
  • CLBD_26 Allawah Retirement Village, Unit 7 (7/60 Mirrool Street, Coolamon)
  • CLBD_27 Allawah Retirement Village, Unit 20 (20/60 Mirrool Street, Coolamon)
  • CLBD_28 Allawah Retirement Village, Unit 19 (19/60 Mirrool Street, Coolamon)
  • CLBD_29 Allawah Retirement Village, Unit 18 (18/60 Mirrool Street, Coolamon)
  • CLBD_30 Allawah Retirement Village, Unit 17 (17/60 Mirrool Street, Coolamon)
  • CLBD_31 Allawah Retirement Village, Unit 16 (16/60 Mirrool Street, Coolamon)
  • CLBD_32 Allawah Retirement Village, Unit 15 (15/60 Mirrool Street, Coolamon)
  • CLBD_33 Allawah Retirement Village, Unit 25 (25/60 Mirrool Street, Coolamon)
  • CLBD_34 Allawah Retirement Village, Unit 24 (24/60 Mirrool Street, Coolamon)
  • CLBD_35 Allawah Retirement Village, Unit 23 (23/60 Mirrool Street, Coolamon)
  • CLBD_36 Allawah Retirement Village, Unit 22 (22/60 Mirrool Street, Coolamon)
  • CLBD_37 Lions Park Amenities Block (Wade Street, Coolamon)
  • CLBD_38 Coolamon Clock Tower (Mann Street, Coolamon)
  • CLBD_39 Coolamon Swimming Pool, Kiosk (Methul Street, Coolamon)
  • CLBD_40 Redgrave / Caravan Park / Swimming Pool Amenities Block (Methul Street, Coolamon)
  • CLBD_41 Caravan Park Amenities Block (Bruce Street, Coolamon)
  • CLBD_42 Coolamon Early Childhood Centre (CECC) (66 Bruce Street, Coolamon)
  • CLBD_43 Sewerage Treatment Works Building (Loughnan Street, Coolamon)
  • CLBD_44 Coolamon Preschool (Bruce Street, Coolamon)
  • CLBD_45 Coolamon SES/RFS (Bruce Street, Coolamon)
  • CLBD_46 Coolamon SES/RFS (Bruce Street, Coolamon)
  • CLBD_47 Coolamon Shire Library (127-129 Cowabbie Street, Coolamon)
  • CLBD_48 Coolamon Railway Station (48 Wade Street, Coolamon)
  • CLBD_49 Centenary Lodge, Unit 1 (85 Mirrool Street, Coolamon)
  • CLBD_50 Centenary Lodge, Unit 4 (85 Mirrool Street, Coolamon)
  • CLBD_51 Up To Date Store, Garth Jones Museum (127-129 Cowabbie Street, Coolamon)
  • CLBD_52 Up To Date Store, Reg Goode Collection (127-129 Cowabbie Street, Coolamon)
  • CLBD_53 Up To Date Store, RSL Museum (127-129 Cowabbie Street, Coolamon)
  • CLBD_54 Up To Date Store, Up To Date Store (127-129 Cowabbie Street, Coolamon)
  • CLBD_55 Up To Date Store, Ajanta Cafe (127-129 Cowabbie Street, Coolamon)
  • CLBD_56 Fire Station (Museum) (46 Loughnan Street, Coolamon)
  • CLBD_57 Sewerage Treatment Plant Amenities Block (Loughnan Street, Coolamon)
  • CLBD_58 Allawah Retirement Village, Unit 11 (11/60 Mirrool Street, Coolamon)
  • CLBD_59 Coolamon Lions Shed (Recycling) (Bruce Street, Coolamon)
  • CLBD_60 Coolamon Tennis Clubhouse (Methul Street, Coolamon)
  • CLBD_61 Centenary Lodge, Unit 2 (85 Mirrool Street, Coolamon)
  • CLBD_62 Centenary Lodge, Unit 3 (85 Mirrool Street, Coolamon)
  • CLBD_63 Centenary Lodge, Unit 5 (85 Mirrool Street, Coolamon)
  • CLBD_64 Centenary Lodge, Unit 6 (85 Mirrool Street, Coolamon)
  • CLBD_65 Kindra Lodge, Unit 2 (65 Mirrool Street, Coolamon)
  • CLBD_66 Kindra Lodge, Unit 4 (65 Mirrool Street, Coolamon)
  • CLBD_67 Kindra Lodge, Unit 7 (65 Mirrool Street, Coolamon)
  • CLBD_68 Kindra Lodge, Unit 6 (65 Mirrool Street, Coolamon)
  • CLBD_69 Kindra Lodge, Unit 8 (65 Mirrool Street, Coolamon)
  • CLBD_70 Cheese Factory (87 Cowabbie Street, Coolamon)
  • CLBD_71 Council Pound (Loughnan Street, Coolamon)
  • CLBD_72 Council Storage Yard Workshop and Amenities (Loughnan Street, Coolamon)
  • GNBD_1 Ganmain Fire Shed (64 Ford Street, Ganmain)
  • GNBD_2 Rural Transaction Centre (RTC) (90 Ford Street, Ganmain)
  • GNBD_3 Pied Piper Preschool (42 Langham Street, Ganmain)
  • GNBD_4 Senior Citizens Unit, Unit 2 (38 Loch Street, Ganmain)
  • GNBD_5 Senior Citizens Unit, Unit 1 (38 Loch Street, Ganmain)
  • GNBD_6 Ganmain Hall (92 Ford Street, Ganmain)
  • GNBD_7 Ganmain Arts & Crafts (76 Ford Street, Ganmain)
  • GNBD_8 Ganmain Medical Centre (86 Ford Street, Ganmain)
  • GNBD_9 Aged Unit (10 Wright Street, Ganmain)
  • GNBD_10 Aged Unit (12 Wright Street, Ganmain)
  • GNBD_11 Victory Park Amenities Block (Ford Street, Ganmain)
  • GNBD_12 Pool Kiosk and Change Rooms (Waterview Street, Ganmain)
  • MRBD_1 Marrar Bicentennial Park Amenities Block (Canola Way, Marrar)
  • MRBD_2 Marrar Hall (5 See Street, Marrar)
  • MRBD_3 Marrar Fire Shed (Don Street, Marrar)
  • MTBD_1 Matong Fire Shed (64-66 Matong Street, Matong)

• Location / Town

Fire Protection

• Have Fire Extinguishers been inspected (every 6 months)

  Yes

  No

  N/A

• Last Test Date

  Date

• Risk Rating

  High

  Medium

  Low

• Have Fire Hose Reels been inspected

  Yes

  No

  N/A

• Last Test Date

  Date

• Risk Rating

  High

  Medium

  Low

• Is the fire equipment marked with a location marker above the fire extinguisher

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all extinguishers accessible, clear from obstruction

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Emergency Evacuation

• Are written procedures / plans in place and current

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are assembly areas allocated and understood

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are warning systems clear (audible) in all areas

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Does a minimum of 1 practice drill occur per year

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all exits kept clear

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are instructions given to people who use / hire

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

First Aid

• Are there sufficient first aid kits at the workplace

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are the first aid kits check on a regular basis

  Yes

  No

  N/A

• Last Test Date

  Date

• Risk Rating

  High

  Medium

  Low

• Are all contents in date (check expiry dates)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Does the contents of the kit, agree with the content list

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are first aid officers identities displayed

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are emergency telephone numbers displayed

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all injuries reported and recorded (view book / forms)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• When first aid equipment is used is it recorded

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is a first aid sign displayed above the kit

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Electrical

• Is the electrical equipment tested and tagged regularly

  Yes

  No

  N/A

• Last Test Date

  Date

• Next Test Date

  Date

• Risk Rating

  High

  Medium

  Low

• Is the stage and kitchen areas protected by RCDs

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are RCDs manually tested to ensure correct operation

  Yes

  No

  N/A

• Last Test Date

  Date

• Risk Rating

  High

  Medium

  Low

• Is clear access provided to switchboards (minimum 1m)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are switchboards in good condition

  Yes

  No

  N/A

• No Holes in Cover

• Marking of circuit breakers (legend)

• Risk Rating

  High

  Medium

  Low

• Are light switches, light fittings or power points free from damage

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is there sufficient lighting throughout the premises

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are correct power boards used (no double adapter or piggy back plugs)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are solar panels installed

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Signage

• Are signs in good condition (not faded)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are sufficient signs in use (internally and externally)

  Yes

  No

  N/A

• First Aid / General

• Risk Rating

  High

  Medium

  Low

• Are out of service / danger tags available for use

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Hazardous Substances

• Have all chemicals been identified

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all chemicals stored correctly

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are containers well marked / labelled correctly

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all household chemicals clearly labelled and in their original containers (not transferred to other bottles

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is there appropriate ventilation for both use and storage

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are Material Safety Data Sheets (MSDSs) provided and available to all staff (cleaning products)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is there a MSDS register available on site (check if hazardous substances are on the register)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is there an appropriate decanting system in place for hazardous substances

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Plant and Equipment

• Are all manual handling aids (hoists/trolleys) well maintained, free from damage, wear and tear

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Interior Environment

• Are floor surfaces in good condition (not slippery / uneven) (no loose material, debris, worn carpet)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is all furniture in safe condition for normal use

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are stairways and aisles kept clear and unblocked

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Do lighting levels appear to be satisfactory

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Exterior Environment

• Are parking areas well marked

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are roadways in good condition and speed bumps / signs provided where necessary

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is housekeeping in good order

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are paths and external stairs in good condition

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Access

• Do stairways, landings and ramps have well-secured handrails from top to bottom and railing complies with Building Code of minimum 125mm gap

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Do all of the steps, ramps and landings have sufficient lighting above them

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all obstructions which could cause a person to trip been identified and corrected

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Have all restrictions to access for clients been identified (disabled persons / elderly / children)

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Have slippery floors when wet / dry been identified

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Have any obstructions restricting access to doorways, steps, halls been identified

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Ammenities

• Unisex Toilets

• Male Toilets

• Female Toilets

• Risk Rating

  High

  Medium

  Low

• Comments

General

• Are there adequate storage facilities

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all work areas maintained in a clean and tidy state

  Yes

  No

  N/A

• Workshop

• Storage

• Other

• Other Please Specify

• Risk Rating

  High

  Medium

  Low

• Does the staff use good stacking and storage practices

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Is there correct lifting equipment being used for lifting activities

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are staff using correct manual handling techniques when lifting materials

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Are all items stored in their designated areas in the storage facilities provided

  Yes

  No

  N/A

• Risk Rating

  High

  Medium

  Low

• Comments

Additional Comments

• Comments

• Sketch

  Drawing

• Add media

  Media

Condition Assessment

Inspection Result

Ongoing

• Estimated Costs

Short Term Improvements

• Estimated Costs

Long Term Identified Projects

• Estimated Costs

Other Identified Issues

• Estimated Costs

Proposed Works

• Estimated Costs