HAZARD INSPECTION REPORT CHECKLIST

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. INSPECTION DETAILS

• BRANCH

  Administration

• AREA INSPECTED

  CITY ADMINISTRATION CENTRE

• INSPECTION CARRIED OUT BY

  Miroslav Bjelajak

• TITLE

  Security and Maintenance Support Officer

• ASSISTED BY

  Di Ezzy

  Sally Mcloughlin

• TITLE

  Administration Manager

  CAF Administration Officer

• AREA SUPERVISOR

  Clinton Kilbride

• PROGRAM LEADER

  Allan Wilson

• MANAGER

  Di Ezzy

• DEPUTY CHIEF EXECUTIVE OFFICER

  John Oberhardt

1.1 OUTSTANDING ISSUES FROM THE LAST INSPECTION

• Are there any outstanding issues?

  Yes

  No

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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• c. Have all new employees received safety induction?

  Yes

  No

  N/A

• d. Have all new employees received site induction?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

COMMENTS

• Do you have any added comments?

2.2 WORKPLACE AMENITIES

• a. Are washing facilities provided?

  Yes

  No

  N/A

• b. Are they clean / hygenic?

  Yes

  No

  N/A

• c. Is ventilation of the work areas adequate?

  Yes

  No

  N/A

• d. Is lighting of the work ares adequate?

  Yes

  No

  N/A

• e. Is Emergency Evacuation lighting operating?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• g. Noise levels not excessive?

  Yes

  No

  N/A

• h. Are sanitary conveniences for each sex adequate?

  Yes

  No

  N/A

• Comments: (Auditor to complete if required)

2.3 FIRST AID

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• h. Are emergency phone numbers displayed?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• e. Are fire exits clearly marked?

  Yes

  No

  N/A

• f. Are exits clear of obstructions?

  Yes

  No

  N/A

• g. Are exit doors easily opened?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• j. Are all personnel aware of evacuation procedures?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• d. Have staff been provided with PPE training?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• d. Are electrical switchboards accessible and unobstructed?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Comments: (Audior to complete if required)

2.7 BUILDING REQUIREMENTS

• a. Is there no direct or reflected glare?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• d. Noise levels not excessive?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

• b. Is equipment within easy reach?

  Yes

  No

  N/A

• c. Are chairs adjustable?

  Yes

  No

  N/A

• d. Is there sufficient leg room?

  Yes

  No

  N/A

• e. Is there adequate work space available?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Comments: (Auditor to complete if required)

2.9 MISCELLANEOUS

• a. Are hazardous substances required?

  Yes

  No

  N/A

• b. Are hazardous substances being correctly handled?

  Yes

  No

  N/A

• c. Are safety devices operational?

  Yes

  No

  N/A

• d. Are Material Safety Data Sheets available?

  Yes

  No

  N/A

• e. Are Material Safety Data Sheets current?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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

  Sign

Issue 2

• Details

• Action Required

• Manager's Signature

  Sign

Issue 3

• Details

• Action Required

• Manager's Signature

  Sign

Issue 4

• Details

• Action Required

• Manager's Signature

  Sign

Issue 5

• Details

• Action Required

• Manager's Signature

  Sign

Issue 6

• Details

• Action Required

• Manager's Signature

  Sign

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

• The above Safety Inspection was conducted:

  Date

• Program Leader's Signature

  Sign

• Manager's Signature

  Sign

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

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