Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. INSPECTION DETAILS

  • BRANCH

  • AREA INSPECTED

  • INSPECTION CARRIED OUT BY

  • TITLE

  • ASSISTED BY

  • TITLE

  • AREA SUPERVISOR

  • PROGRAM LEADER

  • MANAGER

  • DEPUTY CHIEF EXECUTIVE OFFICER

1.1 OUTSTANDING ISSUES FROM THE LAST INSPECTION

  • Are there any outstanding issues?

Issue 1

  • What is the outstanding issue and date ?

Issue 2

  • What is the outstanding issue and date ?

Issue 3

  • What is the outstanding issue and date ?

2. INSPECTION CHECKLIST

2.1 GENERAL PROVISIONS

  • a. Are all staff aware of Council's Safety Directives/Procedures?

  • b. Are all personnel aware of safety procedures relevant to their work?

  • c. Have all new employees received safety induction?

  • d. Have all new employees received site induction?

  • e. Have all new employees received safety instruction relevant to the work to be performed?

  • f. Are the names of the Health and Safety Officers and Representatives displayed?

  • g. Where applicable, check outside areas including pathways for trip hazards.

  • h. Is the name of the Rehabilitation Co-Ordinator displayed?

  • i. Have all injuries, illnesses and occurrences been reported?

  • j. Do employees know where to find Incident Report Forms?

COMMENTS

  • Do you have any added comments?

2.2 WORKPLACE AMENITIES

  • a. Are washing facilities provided?

  • b. Are they clean / hygenic?

  • c. Is ventilation of the work areas adequate?

  • d. Is lighting of the work ares adequate?

  • e. Is Emergency Evacuation lighting operating?

  • f. Are adequate work areas provided for each employee?

  • g. Noise levels not excessive?

  • h. Are sanitary conveniences for each sex adequate?

  • Comments: (Auditor to complete if required)

2.3 FIRST AID

  • a. Are contents of first aid cabinet / kit clean and orderly?

  • b. Have contents been checked against Contents List in WH&S Directive HSP 210?

  • c. Check expiry dates and condition of contents in first aid kit/s.

  • d. Is there an Officer responsible for disposal of expired contents?

  • e. Are first aid cabinets and kits clearly labelled?

  • f. Is the first aid kit easily accessible and unlocked?

  • g. Are employees aware of the location of first aid treatment?

  • h. Are emergency phone numbers displayed?

  • i. Are First Aid Officers accessible to all employees and work areas?

  • j. Are names of trained First Aiders displayed in their ares?

  • Comments: (Auditor to complete if required)

2.4 FIRE AND EMERGENCY

  • a. Are Fire Wardens and Floor Wardens appointed for all parts of the workplace?

  • b. Are the names of all Fire and Floor Wardens displayed in their area?

  • c. Have fire extinguishers and hose reels been serviced and tagged as per maintenance program?

  • d. Are suitable fire extinguishers available for all flammable and combustible substances and electrical fires in the workplace?

  • e. Are fire exits clearly marked?

  • f. Are exits clear of obstructions?

  • g. Are exit doors easily opened?

  • h. Are fire hose reel cupboards / extinguishers clear of obstructions?

  • i. Are fire and emergency instructions / plans documented and clearly displayed?

  • j. Are all personnel aware of evacuation procedures?

  • k. Are all staff aware of Emergency Assembly point?

  • Comments: (Auditor to complete if required)

2.5 PERSONAL PROTECTIVE EQUIPMENT (PPE) AND SAFETY EQUIPMENT

  • a. Has the appropriate personal protective equipment (PPE) been provided?

  • b. Is all protective clothing and equipment in good order and condition?

  • c. Is PPE being used in the appropriate manner?

  • d. Have staff been provided with PPE training?

  • e. Is adequate signage in place where PPE is required to be used?

  • Comments: (Auditor to complete if required)

2.6 ELECTRICAL EQUIPMENT

  • a. Are all portable electrical equipment, semi-portable electrical equipment, flexible cords and cables, extension leads and connections maintained in a safe and serviceable condition? (No double adaptors or piggy back plugs to be used)

  • b. Where used, have all electrical leads and equipment, which are not protected by RCD, been checked and tagged currency has not expired?

  • c. Are all electric cables (including extension leads) kept off the floor, where practicable?

  • d. Are electrical switchboards accessible and unobstructed?

  • e. RCD's are being checked and evidence of this is displayed?

  • Comments: (Audior to complete if required)

2.7 BUILDING REQUIREMENTS

  • a. Is there no direct or reflected glare?

  • b. Are light fittings (internal and external) clean and in good condition?

  • c. Are all walkways free of obstruction, in good repair and free of rubbish?

  • d. Noise levels not excessive?

  • Comments: (Auditor to complete if required)

2.8 ERGONOMICS AND MANUAL HANDLING

  • a. Is screen based equipment positioned to reduce glare from windows and lighting?

  • b. Is equipment within easy reach?

  • c. Are chairs adjustable?

  • d. Is there sufficient leg room?

  • e. Is there adequate work space available?

  • f. Are mechanical lifting aids available and used where necessary?

  • g. Have the relevant staff had manual handling training?

  • Comments: (Auditor to complete if required)

2.9 MISCELLANEOUS

  • a. Are hazardous substances required?

  • b. Are hazardous substances being correctly handled?

  • c. Are safety devices operational?

  • d. Are Material Safety Data Sheets available?

  • e. Are Material Safety Data Sheets current?

  • f. Do employees know the purpose of Material Data Sheets?

  • Comments: (Auditor to complete if required)

3. AREA SPECIFIC REQUIREMENTS

Specific Requirement 1

  • Add any specific requirement unique to the area that is being inspected. (included due date)

Specific Requirement 2

  • Add any specific requirement unique to the area that is being inspected. (included due date)

Specific Requirement 3

  • Add any specific requirement unique to the area that is being inspected. (included due date)

4. SUMMARY HAZARD INSPECTION CHECKLIST

Issue 1

  • Details

  • Action Required

  • Manager's Signature

Issue 2

  • Details

  • Action Required

  • Manager's Signature

Issue 3

  • Details

  • Action Required

  • Manager's Signature

Issue 4

  • Details

  • Action Required

  • Manager's Signature

Issue 5

  • Details

  • Action Required

  • Manager's Signature

Issue 6

  • Details

  • Action Required

  • Manager's Signature

INSPECTION SUMMARY: The Safety Inspection results have been reviewed and actions required will be inplemented.

  • The above Safety Inspection was conducted:

  • Program Leader's Signature

  • Manager's Signature

DISTRIBUTION: Area Supervisor, Program Leader, Branch Manager, WH&S Representative, Health & Safety Officer.

EMAIL TO: healthandsafety@logan.qld.gov.au

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