Host Organisation WH&S Scheduled Site Visit

• Document No.

• Inspection Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Position Details

• What are the tasks and duties being performed by the apprentice/trainee?

  Information

• What plant or equipment is the apprentice/trainee using?

  Information

• What kind of environment is the Apprentice/ Trainee working in?

  Information

Host commitment

• Is the host organisation accredited to a safety management system?

  Yes

  No

  N/A

• Does the host have a documented system for managing safety?

  Yes

  No

  N/A

• Does the host know where they can find information on WHS Act & Legislation relevant to their jurisdiction

  Yes

  No

  N/A

• Does the host have an up to date WHS policy?

  Yes

  No

  N/A

• Has the host made any changes (improvements) to their WHS systems?

  Yes

  No

  N/A

Incident & Injury

• Does the Host have a procedure to manage noise in the workplace?

  Yes

  No

  N/A

• Has the host established a good safety record where there have been no notifiable incidents to the regulator in the past 12 months?

  Yes

  No

  N/A

• Has the Host implemented sufficient WHS systems to prevent any prohibition or any other notices by the regulator?

  Yes

  No

  N/A

• Are you the best safety contact person for the host? Or who is the best contact?

  Yes

  No

  N/A

Injury Management

• Does the host organisation ensure incidents are reported, investigated and actions taken to prevent a reoccurrence are followed up?<br>(How is that done?)

  Yes

  No

  N/A

• Has the host employer identified the most common causes of injury within the workplace?<br>(How many last year?)

  Yes

  No

  N/A

• Does the host organisation have a formal (documented or well understood) process for reporting safety concerns?

  Yes

  No

  N/A

• Will the host organisation provide alternative duties for AiGTS employees who are injured at work?

  Yes

  No

  N/A

Evidence &/or Sighting of the following:

• Emergency evacuation procedures & trained wardens

  Yes

  No

  N/A

• First aid stations & trained first aiders

  Yes

  No

  N/A

• Fire fighting equipment

  Yes

  No

  N/A

• Traffic management systems

  Yes

  No

  N/A

• Adequate worker amenities

  Yes

  No

  N/A

• Guarding on machinery (sample only) including emergency stops & SOP,s

  Yes

  No

  N/A

• Workplace inspection documentation

  Yes

  No

  N/A

• Consultation or toolbox meeting documentation

  Yes

  No

  N/A

• Does the Host have a Fire Warden and do they have up to date training?

  Yes

  No

  N/A

• Safety signage in place including emergency exits

  Yes

  No

  N/A

• General housekeeping is to a good standard

  Yes

  No

  N/A

• Comments & Corrective Actions

Supervisor Information

• General requirements in the host supervisor information booklet have been discussed and understood. Reporting Incidents Supervision Hazardous work & licensing PPE requirements WH&S consultation schedule

• AiGTS Representative

  Sign

• Host organisation Reprsentative

  Sign