Health & Safety and Employee Plan - duplicate

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Has the ESMP been filed in a suitable folder?

  Yes

  No

  N/A

• Has each team member entered their name & signature in the Employee Acknowledgment register to acknowledge they have read and understood and will abide by their obligations stated in the ESMP?

  Yes

  No

  N/A

• Is the Employee Acknowledgment Register filled in? (Appendix H)

  Yes

  No

  N/A

• Has the Operations/State/Area manager undertaken a hazard audit of the store, entered identified hazards in the Hazard Audit Register (HAR) and filed the HAR in Appendix A?

  Yes

  No

  N/A

• Are the recorded actions items been closed out within the specified timeframe?

  Yes

  No

  N/A

• Have the completed Incident Report Forms been filed in Appendix B?

  Yes

  No

  N/A

• Has any recorded incidents resulted in recordable actions in the HAR?

  Yes

  No

  N/A

• If incidents have been recorded in the HAR, have the action items been closed out within the specified timeframe?

  Yes

  No

  N/A

• Is a copy of the Work Safe processes for injuries located in Appendix B?

  Yes

  No

  N/A

• Is a copy of the Work Safe process displayed on the store's notice board?

  Yes

  No

  N/A

• Is the SOP filed in store?

  Yes

  No

  N/A

• Has the Employee Training Register in Appendix F been completed by each staff member confirming they have read and understood and will comply with the directions provided in the SOP?

  Yes

  No

  N/A

• Are Emergency Contact Details filed in Appendix D and displayed next to the store's main phone or is easily accessible?

  Yes

  No

  N/A

• Is the Operations/State/Area Manager undertaking Toolbox Talks with their team?

  Yes

  No

  N/A

• Are the Toolbox Talks forms being completed and filed in Appendix G?

  Yes

  No

  N/A

• Are action items being identified in toolbox talks been closed out in a specific timeframe?

  Yes

  No

  N/A

• Have the items identified in toolbox talks been discussed with the Retail Operations team?

  Yes

  No

  N/A

• Is a copy of the tenant's Emergency Evacuation procedure filed in Appendix E?

  Yes

  No

  N/A

• Is a copy of the Emergency Evacuation Plan located in a visible area near the exits?

  Yes

  No

  N/A

• Do all the portable electrical appliances/equipment have a current Test & Tag attached/visible?

  Yes

  No

  N/A

• Are residual current devices installed for each circuit breaker in the electrical distribution board?

  Yes

  No

  N/A

• Are Fire Extinguisher tags showing their compliance testing is current (within months)?

  Yes

  No

  N/A

• Are chemical or hazardous stored appropriately in accordance with legislation?

  Yes

  No

  N/A

• Is there a suitable First Aid kit available?

  Yes

  No

  N/A

COMPLETION

• Manager's full name & Signature

  Sign