Kmart HSE Site Inspection

• Site conducted

  Select

• Store Name

• Store Number

• Conducted on

  Date

• Inspector Name

• Name & Signature of Manager / 2IC

  Sign

Site Safety Inspection

Worker Induction

• SWMS present & signed by current Team Members

  Yes

  No

  N/A

• Staff Induction register updated

  Yes

  No

  N/A

• All Team Members hold valid Kmart Induction cards ?

  Yes

  No

  N/A

Site Documentation

• Do workers have access to relevant XL Retail and client forms including incident and hazard reports ?

  Yes

  No

  N/A

Chemical Management

• MSDS's available for all chemicals on site and dated from within the last five years

  Compliant

  Non-Compliant

  N/A

• Is the Chemical Register available, up to date and lists all chemicals used on site

  Compliant

  Non-Compliant

  N/A

• Are all chemical containers capped and labelled with clean, legible labels ?

  Compliant

  Non-Compliant

  N/A

• Are safety controls identified in the MSDS available for use & in good condition ? (Gloves, goggles etc)

  Compliant

  Non-Compliant

  N/A

• Are chemicals stored in accordance with the requirements of the MSDS (e.g. all gas bottles are secured)

  Compliant

  Non-Compliant

  N/A

Storage and Work Area

• Is the cleaner's storage area maintained in a neat and tidy state ?

  Yes

  No

  N/A

• Are the walkways clear of obstructions and trip hazards ?

  Yes

  No

  N/A

Electrical Safety

• All electrical equipment have current test tags ?

  Pass

  Fail

  N/A

• Test and Tag Register up to date

  Compliant

  Non-Compliant

  N/A

• Equipment is in good working order and maintained in a clean state ?

  Yes

  No

  N/A

• Is equipment without defects, for example no frayed leads, no exposed wires and no broken plugs

  Pass

  Fail

  N/A

• Damaged equipment is isolated and tagged ?

  Yes

  No

  N/A

Emergency Response

• Are there adequate first aid facilities on site ?<br>Locate the first aid kit and look for records of maintenance

  Pass

  Fail

  N/A

• Are the site emergency procedures current and maintained in a clean state ?

  Pass

  Fail

  N/A

• Are all emergency exits and firefighting equipment clear of obstructions and with signs in place ?

  Pass

  Fail

  N/A

• Do workers know how to respond to a spill ? Is there a spill kit available ?

  Pass

  Fail

  N/A

• Is there an emergency call list ? <br>Interview a worker on how to respond to an emergency situation.

  Pass

  Fail

  N/A

Infection Control

• Is colour coded equipment (e.g., cleaning cloths, mops, buckets) used on site ?

  Yes

  No

  N/A

• Do workers present in a professional and hygienic manner including wearing an XL Retail uniform ?

  Yes

  No

  N/A

• Did you witness workers using correct cleaning techniques for controlling infection/cross contamination ?

  Pass

  Fail

  N/A

Worker Safety (observe worker/s)

• Name of worker/s being observed

• Location worker/s are being observed

• Are workers working to XL Retail and/or client procedures ?

  Yes

  No

  N/A

• Do workers have access to appropriate PPE including disposable gloves and safety glasses ?

  Yes

  No

  N/A

• Is appropriate PPE being worn, maintained and stored correctly ?

  Yes

  No

  N/A

• Are workers using correct manual handling techniques ?

  Yes

  No

  N/A

• Are the correct cleaning signage requirements in place ?

  Yes

  No

  N/A

Hazards

• Do workers know how to report a hazard ?

  Yes

  No

  N/A

• If yes, what is the proposed corrective action for reducing the risk of this hazard ?

• Did workers inform you of any hazards during this inspection ?<br>Note down hazards identified

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A