Title Page
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Site conducted
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Business Unit
- Transport Maintenance
- Utilities Network Maintenance
- Community Facilities Maintenance
- Open Space Maintenance
- City Cleaning
- Mechanical Electrical Maintenance
- Transport Operations
- Utilities Network Operations
- Utilities Treatment Plant Operations
- Warehouse, Distribution and Nurseries
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Date
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Prepared by
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Names of Persons Conducting Inspections
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Name and Job Title of Person Assisting with Inspections
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Workplace Location
Multiple choice option
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INSTRUCTIONS
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1. Answer "Yes ," "No" or "N/A" on the questions below.
2. Add photos and notes by clicking the Add Notes and Add Image buttons below each questions.
3. To add a Corrective Measure click on the Add Action button below each questions and provide a description.
4. Complete audit by providing digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link. -
Select Area(s) to be inspected
- 1. Health and Safety Systems
- 2. Housekeeping
- 3. Amenities and Environment
- 4. Fire and Emergency
- 5. First Aid
- 6. Electrical Equipment
- 7. Confined Spaces
- 8. Lifting Equipment
- 9. Hazardous Substances and Dangerous Goods
- 10. Personal Protective and Safety Equipment
- 11. Mobile Plant
- 12. Work At Height
1. Health and Safety Systems
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A. Are Safety noticeboard/s updated with current information
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C. Is "Who Represents you" displayed and current
2. Housekeeping
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A. Is the site clean and tidy
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B. Are site access roads maintained in a trafficable condition
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C. Is the site free of any subsidence/holes that may cause injury or damage to vehicles
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D. Is signage and line marking correct and in good condition
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E. Is there sufficient parking for plant and vehicles
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F. Are lay down and storage areas identified and fit for purpose
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G. Are there delineated loading and unloading areas, if yes are they fit for purpose
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H. Are wash bays clean and oil residue/dirt/rubbish removed
3. Amenities and Environment
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A. Are washing and ablution facilities provided
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B. Is lighting adequate at access points and roadways
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C. Are garden areas maintained and not overgrown
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D. Are boundary fences and gates secure and in good condition, free from undergrowth
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E. Is there a council Asbestos management plan in place for the site(if required)
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F. Is there a current Asbestos register on site
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G. Is CCTV installed and signs on fences
4. Fire and Emergency
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A. Have fire extinguishers/hose reels been serviced and tagged as per maintenance program
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B. Are suitable fire extinguishers available for all flammable and combustible substances and electrical fires in the work place
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C. Are fire hose reel cupboards/extinguisher clear of obstruction and clearly identified
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D. Are fire and emergency instructions/plans documented and clearly displayed
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E. Is there a defined Emergency Assembly point
5. First Aid
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A. Are First Aid locations clearly identified
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B. Is a defibrillator available on site, and if so, is the location sign posted
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B. Are emergency phone numbers displayed
6. Electrical Equipment
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A. Are electrical substations signed, bollarded and/or protected from vehicle interaction
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B. Are overhead powerlines at the appropriate height and sign posted/identified with markers if required
7. Confined Space and Working at Heights
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A. Are all confined spaces clearly identified, eg signage
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B. Are stairways and fixed ladders in good condition with appropriate treads and anti-slip material
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C. Where there is a risk of falling greater than 2.4m, is there an anchor point and is the anchor point in good working order and tested and tagged every 6months
8. Lifting Equipment
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A. Are gantry/monorail cranes maintained as per the standard, AS2550.3:2002 and AS1418.18:2001and in test date?
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B. Are exclusion zones in place for any lifting activities
9. Hazardous Substances and Dangerous Goods
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A. Is there a register of all hazardous substances and dangerous goods and is the register is up to date (within 5years of the issue date)
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B. Is adequate signage in place where hazardous substances/dangerous goods are stored
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C. Are hazardous substances/dangerous goods appropriately segregated whilst in storage
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D. Are emergency showers/eye wash stations operational and located nearby to areas where hazardous substances are used and stored
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E. Have emergency showers/ eye wash stations been tested and tagged
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F. Are correct spill kits available and maintained
11. Mobile Plant
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A. Are daily pre-operation checks undertaken and recorded
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B. Is plant fit for purpose for site operations i.e. should an off road forklift be used
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C. Are plant operating areas appropriate for the work undertaken i.e. no rough ground or uneven surfaces
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D. Is signage in place to alert workers of plant operation (if required)
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E. Are dedicated Loading Zones in place and clearly identified?
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F. Are roadway markings/lines clear and not faded?
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G. Are pedestrian walkways and exclusion zones clearly marked?
General Comments or suggestions to improve Depot safety?
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Please add additional comments and observations