Hazardous Substance System Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Assessment Requirements

• 1.1 Is there an up-to-date register of hazardous substances?

  Yes

  No

  N/A

• 1.2 Are safety data sheets (SDS) available for hazardous substances?

  Yes

  No

  N/A

• 1.3 Are all containers adequately labelled?

  Yes

  No

  N/A

• 1.4 Are all containers of hazardous substances suitable and undamaged?

  Yes

  No

  N/A

• 1.5 Are the chemicals safely stored?

  Yes

  No

  N/A

• 1.6 Are all areas in which hazardous substances are used or stored well ventilated?

  Yes

  No

  N/A

• 1.7 Are there easy to read warning signs in hazardous areas?

  Yes

  No

  N/A

• 1.8 Is compatibility of dangerous goods considering when storing?

  Yes

  No

  N/A

• 1.9 Are all has cylinders suitability stored and secured?

  Yes

  No

  N/A

• 1.10 Are fuel cylinders separated from oxidizing cylinders?

  Yes

  No

  N/A

• 1.11 Are containers stored in a cool area, and away from ignition sources?

  Yes

  No

  N/A

• 1.12 Are containers kept closed when not in use?

  Yes

  No

  N/A

• 1.13 Is the storage/decanting area clear of combustible waste materials and residues?

  Yes

  No

  N/A

• 1.14 Are flammable liquids stored and used away from escape routes?

  Yes

  No

  N/A

• 1.15 Are workers briefed on the safe handling of the product and controls listed within then TRA?

  Yes

  No

  N/A

• 1.16 Is the SDS within 5 years old?

  Yes

  No

  N/A

• 1.17 Is the SDS available to the work crew?

  Yes

  No

  N/A

• 1.18 Is the SDS located at the first aid location?

  Yes

  No

  N/A

• 1.19 Is the oxygen and acetylene bottles stored 3 metres apart in an upright and secure position?

  Yes

  No

  N/A

• 1.20 Is the adequate emergency equipment in place? (e.g. Fire extinguisher, spill kit, eye wash, signage)

  Yes

  No

  N/A

2.0 Corrective / Remedial Action(s)

• Are there any corrective or remedial actions require to be raised from the system assessment?

  Yes

  No

  N/A

3.0 Sign Off

• Person conducting system assessment

  Sign