Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. MANAGEMENT COMMITMENT

  • Health & Safety Manual available (e.g. Library)

  • Health & Safety Policy displayed

  • https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!123&authkey=!AHhuBu2iRyfn1kI

2. PLANNING, REVIEW & EVALUATION

  • Objectives defined for current year

  • Branch site safety and health plan available

  • Objectives for past financial year reviewed

3. HAZARD REGISTER

  • Is it available and up to date?

  • https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!125&authkey=!AP6yUcifSNHqoDw
    https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!125&authkey=!AP6yUcifSNHqoDw

  • Hazard Identification performed and corrective actions implemented?

  • https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!116&authkey=!AOZZLwdT7MEe-Z0
    https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!116&authkey=!AOZZLwdT7MEe-Z0

  • Significant Hazards assessed and identified?

  • Staff members trained in performing hazard identification, assessing significance and developing controls

  • Schedule in place to monitor significant hazards

  • Hazard identification and controls performed on any new plant, process or materials

  • Signage erected, legible and appropriate (e.g. Emergency, traffic flow, restricted areas, required PPE)

  • Procedure in place to induct or escort visitors

  • Register used or system in place for visitors on site

4. INFORMATION, TRAINING & SUPERVISION

  • New employees inducted<br><br>Check three newest employees induction records

  • Training plan available and implemented for health and safety training

  • https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!129&authkey=!AOC6dLzDuK9spUQ
    https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!129&authkey=!AOC6dLzDuK9spUQ

  • Training records maintained

  • Evidence that task specific training has occurred

  • Current health and safety committee minutes displayed

  • General health and safety information displayed

  • Health and safety library stocked with required material

5. ACCIDENT, INCIDENT REGISTER, FIRST AID

  • Incidents are being reported, how since the beginning of the financial year

  • Investigations completed

  • https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!127&authkey=!AHUfxRpPT3vay7I
    https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!127&authkey=!AHUfxRpPT3vay7I

  • Corrective actions are being implemented

  • Corrective actions are fed back into the hazard register

  • First aid personnel appointed and have current certificate

  • First aid kits available and stocked

6. EMPLOYEE PARTICIPATION

  • Health and safety committee members appointed

  • Health and safety committee meetings regularly scheduled and held

  • Minutes taken and available

7. EMERGENCY PROCEDURES

  • Emergency plan is current and reflects actual practice

  • https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!130&authkey=!ANJ4k58KXxXu7uM
    https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!130&authkey=!ANJ4k58KXxXu7uM

  • Chief wardens, floor wardens, first aides appointed are current staff members

  • Site map marked with assembly areas displayed and current

  • Date of last two trial evacuations ( should be at least every 6 months)

  • https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!131&authkey=!AKwDXXYwExJ-2Ps
    https://skydrive.live.com/redir?resid=D332E3C40CB4E67C!131&authkey=!AKwDXXYwExJ-2Ps

  • Are there minutes from review of the evacuation effectiveness including attendance by staff / staff reps

  • Emergency procedures notice displayed

8. CONTRACTORS

  • Contract inductions available and current

  • Evidence of contractor selection and review including a health and safety performance assessment

  • Contracts include health and safety expectations and responsibilities

  • Active monitoring of contractor health and safety performance

Physical Inspection

KITCHEN / LUNCHROOM

  • Floor in a safe condition (slip, trip, fall)

  • Areas, including benches, clean and tidy

  • All lights working and lighting adequate

  • Doors and windows open, close and lock

  • Taps and sinks clean and working

  • Power points and cords in safe condition

  • Area free of evidence of pests

  • Appliances (microwave, fridge, etc), clean and working

  • Eating areas hygienic

  • Adequate facilities per head of staff

  • Fire hoses, extinguishers certified

  • Fire hose, extinguisher signage clean and obvious

  • First aid kit present, obvious and stocked

  • Other hazards

TOILETS / WASHROOM / LOCKER ROOM

  • Floor in a safe condition (slip, trip, fall)

  • Areas clean and tidy

  • All lights working and lighting adequate

  • Doors and windows open, close and lock

  • Power points and cords in safe condition

  • Area free of evidence of pests

  • Toilets clean and working

  • Taps, basins, sinks, showers clean and working

  • Soap and paper / air towels available

  • Adequate facilities per head of staff

  • Other hazards

WAREHOUSE / COOLSTORES

  • Floor in a safe condition (slip, trip, fall)

  • All lights working and lighting adequate

  • Doors open, close and lock<br>

  • Power points and cords in safe condition

  • Area free of evidence of pests

  • Fire hoses, extinguishers certified

  • Fire hose, extinguisher signage clean and obvious

  • First aid kit present, obvious and stocked

  • Taps working

  • Fire exits clearly marked and unobstructed

  • Spill kit accessible and stocked

  • Product neatly stacked in racking, above 'pick face' is shrink wrapped

  • Other hazards

OFFICES & CORRIDORS

  • All lights working and lighting adequate

  • Doors and windows open, close and lock

  • Power points and cords in safe condition

  • Area free of evidence of pests

  • Fire hoses, extinguishers certified

  • Fire hose, extinguisher signage clean and obvious

  • First aid kit present, obvious and stocked

  • Areas clean and tidy

  • Workstation ergonomics adequate

  • Floor in safe condition (slip, trip, fall)

  • Air conditioning working (if installed)

  • Fire exits clearly marked and unobstructed

  • Other hazards

VEHICLES

  • First aid kit present, obvious and stocked

  • Interior and exterior clean and tidy

  • Fire extinguishers present and certified

  • First aid kit present and stocked

  • No evidence of smoking in the vehicle

  • Other hazards

ADDITIONAL OBSERVATIONS AND COMMENTS

  • COMMENTS

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.