Information
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Audit Reference Number
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Auditor
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Team/People/Branch Manager
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Team/Work Group/Branch
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State
- VIC
- NSW
- WA
- TAS
- SA
- QLD
- NT
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Business Unit\ District Name
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Region
- Greater Melbourne
- Greater Sydney
- Northern QLD & NT
- NSW & ACT
- SA & WA
- Southern QLD
- VIC & TAS
- Not Applicable
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Division
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Conducted on
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Personnel Involved
OVERVIEW
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Opening Meeting Completed
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If NO, please state reasons
HEALTH AND SAFETY PERFORMANCE
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How many incidents have been reported in the workgroup\team\branch (Not Scored) ?
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How many lost time injuries were reported in the past 12 months
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How many claims are currently open ?
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What is the last well managed audit Score?
PLAN
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Assess the set up of the Health and Safety Operational Plan
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Strategic Plan has been inserted into folder in leadership section
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Risk / Hazard Profile
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Workgroup Details Completed
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Staff consultation has taken place
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Generic risk / Hazard profile control template has been tailored
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Summary page has had applicable / not applicable actions marked
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Local Hazards Table completed where required
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(Office Only) Site Based Action responsibility has been assigned
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Last year's plan has been archived and stored appropriately
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(Office Only) Evidence that Site Based Actions have been completed across multiple locations has been requested and confirmed (e.g. via email)
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Comments
RECORD
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Assess the documented completion of the Monthly Actions
This is a combined assessment worksheet for both Office and Branch Health and Safety Operational Plans. Where an element is not applicable, select N/A. -
Plan has a name allocated to each action and date action completed (Month by Month basis)
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Completed forms are on site e.g. relevant checklists (if online, known and accessible by staff)
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Evidence of monthly action completion such as Team Talk template, meeting minutes, emails etc.
DO
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Enter all actions scheduled in the past 6 months and assess completion
Branch\People Manager Action
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Branch / People Manager Action Name
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Action Completed
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Have all actions been signed off by the Branch / People Manager
CHECK
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These key plan actions have been sourced for the Office / Branch Quarterly Workplace Inspections. Auditors are to use the Quarterly Workplace Inspection checklist as guidance when reviewing the actions.
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HSW Noticeboard
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Emergency Planning and Preparedness
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Manual Handling
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Office Equipment
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Electrical
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Chemicals
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Step ladder / Platform Ladder
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Housekeeping
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Noise / Headsets (Contact Centres Only)
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Contractors and Visitors
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Lighting (not applicable in major buildings)
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Cleaners Equipment (if stored on premises and accessible)
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Outdoor Areas (Branch only)
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Review of action plan
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BBQ / Gas Cylinders
KNOW
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Interview of Manager\s and Employees of the following elements
1. Information and Training
2. Managing Hazards
3. Managing Incidents
As a minimum of 3 interviews must be completed (including a manager) -
Knowledge Check
Interview
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Select role
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Enter Initials
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Hazard Management
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Understanding of a hazard and how to manage it
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Actions to take if a hazard is observed
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Managing Incidents
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Understanding of types of emergencies in the workplace
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Understanding of how and when incidents are reported
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Understanding of priorities when and incident is reported
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Understanding of type of incidents that need to be reported
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Information and Training
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Provision of health and safety information on a regular basis
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Emergency Management and response
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Accessibility of health and safety information
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Induction of new / transferred staff into the health and safety requirements of ANZ
CLOSE
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Documentation and Activities as noted on the audit scope were assessed according to the Audit Schedule
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All relevant observations, comments and scores were discussed and agreed with the appropriate personnel
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A plan of recommended actions has been agreed with the Branch / People Manager
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A closing meeting was conducted
