Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Host Employer Detils

  • Name

  • Representative

  • Completed by: Full name in CAPITALS

  • Address

Commitment and policy: Health & Safety Issue

  • 1. Has the host employer appointed a management representative?<br>(Senior manager responsible for ensuring safety in managed properly)

  • What could we do about this?

  • 2. Has the management representative undergone any workplace health and safety training?

  • What could we do about this?

  • 3. Does the host employer have documented workplace health and safety responsibilities?

  • What could we do about this?

  • 4. Does the host employer have documented workplace health and safety responsibilities?

  • What could we do about this?

  • 5. Does the host employer have documented consultation procedures?

  • What could we do about this?

Planning: Health & Safety Issue

  • 1. Does the host employer have a safety plan that clearly identifies objectives (e.g. eliminate injuries caused by grinders) relating to the clients industry/business?

  • What can we do about this?

  • 2. If there is a safety plan is it more than a year old or out of date?

  • What can we do about this?

  • 3. If there is a safety plan, do the objectives have timeframes and are resources, personnel and responsibilities allocated?

  • What can we do about this?

  • 4. Does the host employer have hazard identification and risk assessment procedures?

  • What can we do about this?

  • 5. Does the host employer have in place a documented process to control major workplace hazards, such as plant, electricity and hazardous substances?

  • What can we do about this?

  • 6. Does the host employer manage risks consistent with the 'hierarchy of control'? (i.e. eliminating, substituting, isolating, engineering and administrative & PPE)

  • What can we do about this?

  • 7. Has the host employer identified the most common causes of injury within their workplace?

  • What can we do about this?

  • 8. Does the host employer have a procedure for procurement in which safety is included?

  • What can we do about this?

  • 9. Does the host employer have written safe work procedures that reflect the way in which jobs should be done to ensure safety, or are they simply question/answer style work instructions?

  • What can we do about this?

  • 10. Does the host employer know which health and safety legislation applies to their business?

  • What can we do about this?

Implementation: Health & Safety Issue

  • 1. Does the host employer make people in their workplace aware of their health and safety responsitbilities?

  • What can we do about this?

  • 2. Does the host employer provide workers with information, training and supervision to ensure they perform the work safely?

  • What can we do about this?

  • 3. Does the host employer have a specific process in place for managing the safety of workers and contractors?

  • What can we do about this?

  • 4. Does the host employer have a formal induction process?

  • What can we do about this?

  • 5. Does the host employer keep WHS and other training records?

  • What can we do about this?

  • 6. Does the host employer ensure incidents are reported, investigated and actions taken to prevent a recurrence, and are followed up? If so, How?

  • What can we do about this?

  • If so, How?

  • 7. Does the host employer provide workers with suitable personal protective equipment?

  • What can we do about this?

  • 8. Have the host employer's workers been trained to correctly use, maintain and store personal protective equipment?

  • What can we do about this?

  • 9. Is there a process to involve workers in workplace health and safety issues (e.g. consultations, toolbox meetings with two-way flow of information/WHS committee meetings)?

  • What can we do about this?

  • 10. Does the host employer have a formal (documented and well-understood) process for workers reporting safety concerns?

  • What can we do about this?

  • 11. Does the host employer ensure workers adhere to the policies and procedures? If so, how?

  • What can we do about this?

  • If so, how?

  • 12. Is there a documented process for identifying the hazards that can cause injury, harm or illness and for ensuring the risks are controlled?

  • What can we do about this?

  • 13. Are hazardous substance clearly labelled and safely stored?

  • What can we do about this?

  • 14. Is there a folder/ or software system that contains material safety data sheets for all substances used or stored at the workplace?

  • What can we do about this?

  • 15. Are residual current devices (safety switches) fitted to electrical equipment that is frequently moved?

  • What can we do about this?

  • 16. Are all circuits protected with earth leakage circuit breakers?

  • What can we do about this?

  • 17. Does the host employer have emergency procedures for the workplace that reflect the types of emergencies they could encounter?

  • What can we do about this?

  • 18. Have the host employer's workers been trained in what to do in an emergency?

  • What can we do about this?

  • 19. Are periodic checks made to ensure emergency exits are well signposted, easily opened and clear of obstacles?

  • What can we do about this?

  • 20. Do workers have access to adequate first aid facilities, such as first aid kits and wash stations?

  • What can we do about this?

Management and Evaluation: Health & Safety Issue

  • 1. Does the employer review the policies and procedures to identify whether they are working and still suitable?

  • What can we do about this?

  • 2. Is there a process to evaluate the recorded workplace injuries and illnesses?

  • What can we do about this?

  • 3. Does the host employer have a process in place to monitor their compliance with legal duties?

  • What can we do about this?

  • 4. Does the host employer have a process to periodically monitor health and safety in the workplace (i.e. to make sure the safety standard doesn't deteriorate)?

  • What can we do about this?

  • 5. Does the host employer have a process to report work-related injuries of illnesses to the labour hire agency?

  • What can we do about this?

  • 6. Does the host employer have a process to report and record any notifiable incidents to Workplace Health and Safety Queensland?

  • What can we do about this?

  • 7. Are managers and supervisors reviewed against their management of safety?

  • What can we do about this?

Management review: Health & Safety issue

  • 1. Does the host employer have a program of evaluating their approach to health and safety that identifies whether the approach is properly implemented and is effective in meeting their WHS objectives?

  • What can we do about this?

  • 2. Does the host employer have a process for using the audit information within their WHS planning for future years?

  • What can we do about this?

  • 3. Does senior management review the outcomes of audits?

  • What can we do about this?

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.