Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

MANAGEMENT OF HSEMS

  • OHS&W Act & Regulations on site and accessible?

  • EPA Act & Policies on site and accessible?

  • HSE Policies updated &dislayed?

  • Company HSE Rules or HSE Plan on display ?

  • HSE Project Plan available and up to date (signed)

  • Accidents / Incidents / Hazards reported ?

  • Emergency numbers displayed?

  • Induction sheets available and currently used

  • Licensing and competences recorded and current ?

  • Weekly inspection checklists currently used?

  • Permits available and current ( hot work, confined space etc )

  • Emergency evacuation procedure tested and recorded ?

HOUSEKEEPING

  • Even surface ( no holes ) as applicable ?

  • Pits & drains covered ?

  • Suitable guarding where required ?

  • Floor area obstruction free ?

  • Coverings in good condition?

  • No tripping hazards ?

AISLES

  • Wide enough 1.2m passage - 810mm doors - 600mm

  • Adequately lit

  • Marked with appropriate lines

  • Clear of cases, materials, rubbish & temporary storage?

  • Clear of electrical cords?

STAIRS AND LANDINGS

  • No worn or broken treads

  • Handrails present and in good repair?

  • Landings clear of obstructions ?

RUBBISH

  • Bins located at suitable points ?

  • Bins emptied regularly?

  • Combustible refuse in covered metal containers?

  • Trade waste identified and collected by Licensed Contractors?

LIGHTING AND ELECTRICAL

  • Adequate and appropriate for the task?

  • Exit lights - Operating as applicable ?

  • Electrical equipment tagged and current ( 3 monthly ) ?

  • RCD's used, tested and recorded?

  • Boards meet the construction standard?

  • Fluorescent lamps ( flicking or failure to light ) ?

PREVENTION OF FALLS

  • Elevated work areas guarded ?

  • Below ground hazards guarded ?

  • Scaffold certified ?

TRAFFIC CONTROL

  • Traffic control measure in place ?

  • Environmental areas protected ( vegetation, habitats, waterways ) ?

STORAGE

  • Materials stored in racks are tidy and safe?

  • Floors and surrounds are clear of debris and obstructions ?

PLANT AND MACHINERY

  • Plant and equipment is clean, free from deposits and clear of obstructions and combustibles, guards and shields are in position and are sound?

  • Risk assessments available ?

  • Pre-use checklists current and available ?

  • Noise levels acceptable ?

  • Maintenance records ( scheduled and up to date )

LUNCHROOM

  • The lunch room must be clean, dry, well ventilated, lined with a dry floor and opening windows with fly screens ?

  • A minimum of 9m2 with 1m2 of floor area and 600mm of table space per person on the site ( over 5 persons for two weeks ) ?

  • It must be located in close proximity to the work place ( not further than 250m ) but not within the work area

  • It must be air-conditioned

  • A sink and cupboard to be supplied where possible

  • Facilities to boil water ( urn or electric jug)

  • Cool, clean water in a tapped container or water cooler.

  • Sufficient laminated tables 750mm wide with 600mm space for each person

  • Rubbish bin with lid

HAZARDOUS SUBSTANCES

  • All hazardous substances identified ?

  • Storage cabinet in place and adequate ?

  • MSDS sheets available for all chemicals ?

  • All chemicals recorded in a hazardous substances register ?

  • PPE available, well maintained and being used ?

  • Signage and fire equipment current and serviced ?

  • Chemical decanted labelled correctly and legible ?

FIRE EXTINGUISHERS

  • In place ?

  • Regularly serviced ?

  • Clearly marked for the type of fire ?

  • Unconstructed ?

EMERGENCY PLANNING

  • Adequate direction notices for fire exits ?

  • Exit doors clear and operational ?

  • Alarm system established and functional?

  • Responsible people nominated ?

  • Exit lights and emergency lights working ?

  • Emergency spill containment materials available ?

FIRST AID

  • Cabinets & contents clean and orderly ?

  • Contents as per code ?

  • Contents listed on cabinet door ?

  • Clear sign posting to cabinet?

  • Emergency numbers displayed ?

  • First aid officer appointed & trained ?<br><br><br><br>

  • Comments

  • Auditor

  • Site Representative

  • Version 4 10/5/12

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.