Title Page
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Location / Site
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Prepared by
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Conducted on
Office and Amenities
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Health & Safety notice boards available, unobstructed and with relevant information
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Emergency persons names / photos displayed i.e. HSR’s, Wardens, First Aid Attendants
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Facility Emergency Management Plan available containing correct information, staff have signed acknowledgement section
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Emergency Wardens have completed relevant training
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Evacuation diagram is displayed and correct for building
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Are incident report forms (Staff and Public) or Elumina available
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Fire extinguishers available, serviceable, tagged (up to date) & correctly identified
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Access to fire extinguishers unobstructed
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Entry & exits clearly marked and unobstructed
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Bins provided & emptied regularly
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Kitchen area clean and tidy
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Electrical Equipment in good working order and tested / tagged
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Toilets clean and tidy, hand wash, soap, paper towel
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Floor surfaces secure ie carpet, tiles in good order.
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All walkways clear from unnecessary obstructions
First Aid Facilities
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Current first aid equipment list available in cabinet.
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Contents within use by dates
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Sign showing where first aid kit is located
Mobile Plant
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Photos
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ID:
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Model:
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Daily pre start inspection checklist completed by operator.
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Faults identified have been signed off.
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Operator competencies verified
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Safety devices fitted – seat belts / fire extinguishers / reverse alarms / machine guards / brakes / flashing beacon
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Safe working load charts in place and legible.
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Motion alarms fitted and operational
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Vehicles and trucks are maintained to manufacturers specification.
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Operators manual on site and available to operator.
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Mobile plant being used correctly eg. Use of spotters, not overloaded etc.
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Motion alarms fitted and operational if required
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Mobile plant not blocking access ways
Risk Assessment
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Title:
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Has a SWMS / JSA been carried out for the task?
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Is the SWMS / JSA sufficient for the task?
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Does SWMS reflect the current job steps?
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Have all hazards associated with the task been identified?
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Are the hazard controls adequate?
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Was the work group involved in development of the SWMS / JSA?
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Has the work group signed on the SWMS / JSA?
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Is the work being carried out in line with SWMS / JSA?
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Are emergency requirements identified in the SWMS / JSA?
Chemical Management
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Photos of storage
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Register of substances on site, current and up to date.
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Access to register and SDS sheets available to employees
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Segregated from other works and warning signs displayed
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Compliance by Personnel with SDS / SWMS & PPE requirements.
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Emergency equipment adequate and available ie. Spill containment.
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All containers are correctly labelled
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Are risk control measures in place and known by end users
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Are adequate first aid facilities available at storage area i.e. Eye wash
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Are training records available for personnel using or handling hazardous substances.
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Are Hazardous substances being disposed of correctly
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Access and egress unobstructed to storage areas
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Ventilation adequate to remove and maintain atmospheric levels below exposure limits
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All PPE as per the SDS (section 8) is available on site
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Spillage retention measures adopted where containers are opened for transfer
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Storage of chemicals is such, that spillage cannot affect other chemicals?
Traffic Management
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Adequate segregation of plant / equipment including public vehicles and pedestrians
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Exclusion zones set up during loading / unloading when in close proximity to other plant / vehicles / pedestrians
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Park up areas correctly designed.
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Traffic management and / or control plans in place, available and followed.
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Speed limits posted correctly.
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All signs, markings and delineating devices as seen by road users are acceptable
Contractor Management
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Contractors have a SWMS / JSA for the task
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Contractor have signed onto Visitor / Site Inspection SWMS
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Contractor is aware of emergency evacuation procedure
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Contractor has all required Personal Protective Equipment
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All licences and accreditation's are current and available for inspection
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Further Findings:
Sign
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Name:
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Select date
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Signature: