HEALTH & SAFETY SYSTEM INSPECTION

• Health and Safety Assesment

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Safety System Structure

• 1.1 - Is the system being used?

  Yes

  No

  N/A

2.0 - Health and Safety Systems Explanation and Documentation

• 2.1 - Is the documentation current?

  Yes

  No

  N/A

3.0 - Health and Safety Policy

• 3.1 Is the policy displayed?

  Yes

  No

  N/A

• 3.2 - Is the Policy signed?

  Yes

  No

  N/A

• 3.3 - Is the policy current?

  Yes

  No

  N/A

4.0 - Hazard Register

• 4.1 - Is the Hazard Register Displayed?<br>

  Yes

  No

  N/A

• 4.2 - Have all new Hazards been included in the Hazard Register?

  Yes

  No

  N/A

5.0 - Fire and evacuation plan

• 5.1 - Is the evacuation plan displayed?

  Yes

  No

  N/A

• 5.2 - Is there evidence of trial evacuation in the last six months?

  Yes

  No

  N/A

6.0 - Emergency Plans

• 6.1 - Is there provision for other types of emergency e.g. Floods, earthquakes?

  Yes

  No

  N/A

7.0 - Accident and Incident reporting

• 7.1 - Have any workplace accidents and incidents been reported?

  Yes

  No

  N/A

• 7.2 - Is the appropriate investigation form completed and signed off with appropriate corrective and preventative actions?

  Yes

  No

  N/A

• 7.3 - Is there evidence that the corrective actions have been completed or recorded in the H&S meeting for follow up?

  Yes

  No

  N/A

8.0 - Near miss and Hazard ID

• 8.1 - Have there been any near misses reported or new Hazards identified?

  Yes

  No

  N/A

9.0 - Accident Data Base

• 9.1 - Have accident/incident/Near miss forms been filed in a common location?

  Yes

  No

  N/A

10.0 - Safety targets and goals

• 10.1 - Are safety targets and goals for the organisation being tracked and recorded?

  Yes

  No

  N/A

11.0 Health and Safety Employee Participation

• 11.1 - Has there been a meeting a minimum of every three months (Quarter)?

  Yes

  No

  N/A

• 11.2 - Have the meetings been minuted?

  Yes

  No

  N/A

12.0 - Compliance Checking and Review

• 12.1 - Has the Compliance Calendar been filled out?

  Yes

  No

  N/A

13.0 - Induction for Employees

• 13.1 - Do new Employees have evidence of Induction?

  Yes

  No

  N/A

• 13.2 - Have all employees had a refresher induction within the previous 12 months?

  Yes

  No

  N/A

14.0 - Induction Contractors and Visitors

• 14.1 - Is there a process to induct non employees such as visitors and contractors?

  Yes

  No

  N/A

• 14.2 - Is there signed evidence of Induction?

  Yes

  No

  N/A

15.0 Hazardous Substances/Chemicals

• 15.1 - Are hazardous substances stored correctly?

  Yes

  No

  N/A

• 15.2 - Are there MSDS sheets for the Hazardous Substances?

  Yes

  No

  N/A

16.0 Working Off Site/ Multiple Sites

• 16.1 - Is there evidence that a Site Specific Safety Plan or Pre work inspection is being completed for each new site?

  Yes

  No

  N/A

17.0 - Contractor Review and Evaluation

• 17.1 - Is there a documented evidence reviewing contractor H&S performance?

  Yes

  No

  N/A

18.0 - Machinery and Mobile Plant Checks

• 18.1 - Is there evidence that identified machinery is receiving regular start up/pre operation checks?

  Yes

  No

  N/A

19.0 - Pre Work Checks/ JSA/ Non standard Activities/Installations

• 19.1 - Are Job Safety Analysis forms or similar processes being completed for non routine work?

  Yes

  No

  N/A

20.0 - Risk Rating Assesment

• 20.1 - Have newly identified hazards or plant received a risk assesment?

  Yes

  No

  N/A

21.0 - Training

• 21.1 - Is the documented record of training/competency for staff up to date?

  Yes

  No

  N/A

22.0 - Industry Standard Compliance/Workplace Inspection

• 22.1 - Is there any Industry or Worksafe guidelines, codes of practice or standards that the Organisation must comply with?

  List

• 22.2 - Housekeeping and general tidiness?

  Safe

  At Risk

  N/A

• 22.3 - Safe access and egress. Exits clear?

  Safe

  At Risk

  N/A

• 22.4 - Working at height? Harnesses Checked?

  Safe

  At Risk

  N/A

• 22.5 - Ladders and working platforms (includes scaffolding)?

  Safe

  At Risk

  N/A

• 22.6 - Equipment and Tools ?

  Safe

  At Risk

  N/A

• 22.7 - Hygiene and Staff amenities?

  Safe

  At Risk

  N/A

• 22.8 - Traffic/Vehicle controls and movements? Pedestrian safety?

  Safe

  At Risk

  N/A

• 22.9 - Electrical cords in good condition, compliance tested and tagged?

  Yes

  No

  N/A

• 22.10 - Fire equipment is identified, correct for purpose and tested?

  Yes

  No

  N/A

• 22.11 - PPE is available and in a clean and usable state?

  Yes

  No

  N/A

• 22.12 - There is a trained first aider on site?

  Yes

  No

  N/A

• 22.13 - First aid kits are available and stocked?

  Yes

  No

  N/A

• 22.14 - Any warning signs are displayed, clean and visible?

  Yes

  No

  N/A

• 22.15 - Machinery guarding is effective and guards are in place?

  Yes

  No

  N/A

• 22.16 - Visitors and Public?

  Safe

  At Risk

  N/A

• 22.17 - Company vehicles and trailers have current Registrations and WoF's?

  Yes

  No

  N/A

• 22.18 - Workplace lighting is adequate?

  Yes

  No

  N/A

• 22.19 - Other?

  Safe

  At Risk

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign