Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
INSPECTION SITE NAME:
-
Add location
-
Select date
-
WORKPLACE INSPECTION TEAM NAMES & POSITION:
LEGISLATIVE REQUIEMENTS:
-
In accordance with the Work Health and Safety (WHS) Act 2011, workplace inspections make up part of Lismore City Council's duty of ensuring a work environment that is safe and without risk, through identifying hazards and introducing controls to eliminate or minimise risk.
WHS SYSTEMS:
WHS SYSTEMS:
-
1 - WHS NOTICE BOARDS LOCATED WITHIN THE WORKPLACE IDENTIFYING ( WHS POLICY, REHABILITATION, WHS COMMITTEE, SITE WHS ROLES & RESPONSIBILITIES, SPECIFIC WHS INFORMATION)
SITE INDUCTION & TRAINING:
-
2 - SITE INDUCTION CONDUCTED (NEW WORKERS, VISITORS, CONTRACTORS)?<br>
-
3 - SITE INDUCTION REGISTER MAINTAINED?
WORKPLACE TRAINING:
-
4 - WORKERS HAVE RECEIVED JOB SPECIFIC TRAINING (PLANT, EQUIPMENT, MANUAL HANDLING, WHS)?<br><br>TRAINING RECORDS MAINTAINED ON-SITE?
SAFE WORK METHOD STATEMENTS (SWMS) / JSA / SOP'S AVAILABLE?
-
5 - SWMS, JSA'S, SOPS ARE ACCESSIBLE TO WORKERS?
-
COMMENTS:
FIRST AID / HYGIENE / WELFARE:
FIRST AID:
-
1 - FIRST AID KITS EASILY ACCESSIBLE AND IN PROMINENT POSITION?
-
2 - FIRST AID SIGNAGE VISIBLE TO ASSIST IN IDENTIFYING NEAREST FIRST AID KIT LOCATION?
-
3 - RESPONSIBLE PERSON FOR REPLENISHING AND MAINTAINING FIRST AID KITS?<br><br>KITS MAINTAINED ON REGISTER AND REPLENISHED 6 MONTHLY?
-
4 - SITE FIRST AIDERS IDENTIFIED ON KIT OR NOTICE BOARD?
-
5 - EMERGENCY PLAN AND CONTACTS AVAILABLE?
-
COMMENTS:
EMERGENCY RESPONSE
EMERGENCY RESPONSE:
-
1- NAMES OF WARDENS DISPLAYED - NOTICE BOARDS, STAFF ROOM?
-
2 - SITE SPECIFIC EMERGENCY PLAN AND MAP DISPLAYED?
-
3- EXIT DOORS, STAIRS, PATHWAYS ADEQUATELY LIT, CLEAR OF OBSTRUCTIONS (INSIDE / OUTSIDE)
-
4 - EXIT DOORS ABLE TO BE OPENED FROM INSIDE - NOT LOCKED?
-
- YES
- NO
- N/A
-
5 - EMERGENCY EXIT DOORS CLEARLY MARKED & VISIBLE - SIGNAGE PRESENT AND ILLUMINATED?
-
6 - EVACUATION ASSEMBLY POINT IDENTIFIED AND SIGN POSTED?
-
7 - EMERGENCY EVACUATION TRAINING CONDUCTED?
-
COMMENTS:
FIRE SAFETY
FIRE SAFETY:
-
1 - FIRE EXTINGUISHERS AND HOSE REELS SIGN POSTED AND ACCESSIBLE?<br><br>FREE FROM OBSTRUCTIONS - 1M CLEARANCE IN ALL DIRECTIONS
-
2 - FIRE EXTINGUISHER MAINTENANCE CHECKS IN DATE?
-
3 - OVERHEAD SPRINKLERS / SMOKE DETECTORS CLEAR OF OBSTRUCTIONS?
-
4 - ALARM / COMMUNICATION SYSTEMS TESTED PERIODICALLY BY APPROVED TESTER?
-
5 - FIRE WARDENS IDENTIFIED AND SIGN POSTED ON NOTICE BOARDS?
-
COMMENTS:
SITE ACCESS
SITE ACCESS:
-
1 - IDENTIFIED PARKING AVAILABLE FOR WORKERS / VISITORS / CONTRACTORS?
-
2 - ACCESS TO WORKSITE IS FREE FROM OBSTRUCTIONS ( PATHWAYS, ENTRANCES)
-
3 - REPORT TO SITE OFFICE SIGNAGE VISIBLE?
-
4 - ADEQUATE LIGHTING AVAILABLE (EARLY MORNING / NIGHT)?
-
5 - EXCLUSION SIGNAGE VISIBLE (NO ENTRY)?
-
6 - ARE PROCEDURES IN PLACE FOR PERSONNEL WORKING ALONE OR AFTER HOURS?
-
COMMENTS:
WORK ENVIRONMENT
WORK ENVIRONMENT:
-
1 - WORK SURFACES ARE SET UP AT THE APPROPRIATE HEIGHT FOR TASKS UNDERTAKEN?
-
2 - WORK AREA IS SUITABLE FOR TASKS - REDUCE BENDING / TWISTING / OVER REACHING?
-
3 - CHAIRS OF APPROPRIATE HEIGHT ARE PROVIDED?
-
4 - IS THERE ADEQUATE SPACE FOR MANUAL HANDLING TASKS?
-
5 - WORKPLACE LIGHTING WORKING AND SUFFICIENT FOR AREA?
-
6 - EQUIPMENT PROVIDED IS SUITABLE FOR THE TASK?
-
7 - FLOOR COVERINGS (INCLUDING STAIRS AND WALKWAYS) IN GOOD CONDITION?
-
8 - STAIR HAND RAILS / TREADS AND NON SKID STRIPS IN GOOD CONDITION?
-
COMMENTS:
ELECTRICAL EQUIPMENT
ELECTRICAL EQUIPMENT:
-
1 - ELECTRICAL APPLIANCES BOTH FIXED AND PORTABLE ARE TESTED, TAGGED AND ARE WITHIN CURRENCY TEST PERIOD, RECORDS KEPT?
-
2 - ALL FIXED AND PORTABLE EQUIPMENT IN GOOD CONDITION?
-
3 - EQUIPMENT MEETS AUSTRALIAN STANDARDS?
-
4 - DOUBLE ADAPTERS ARE NOT USED?
-
5 - POWER BOARDS HAVE OVERLOAD PROTECTION?
-
6 - POWER BOARDS AREN'T PIGGY BACKED?
-
7 - POWER LEADS HAVE BEEN TESTED AND TAGGED?<br><br>POWER LEADS MEET AUSTRALIAN STANDARDS?
-
8 - LEADS / CORDS CLEAR OF WALKWAYS?
-
COMMENTS:
HOUSEKEEPING
HOUSEKEEPING:
-
1 - ALL WORK AREAS INCLUDING STORAGE / WALKWAYS / STAIRS FREE FROM RUBBISH AND OBSTRUCTIONS?
-
2 - FLOORS CLEAN, DRY AND FREE FROM DEBRIS, SLIP & TRIP HAZARDS?
-
3 - FILING CABINETS & DRAWERS CLOSED WHEN NOT IN USE, FITTED WITH LOCKING DEVICE?
-
4 - CHEMICALS WITHIN THE WORKPLACE ARE LABELLED APPROPRIATELY?
-
5 - PROTECTIVE COVERS PROVIDED FOR COMPUTERS?
-
6 - WASTE FACILITIES AVAILABLE WITHIN WORKPLACE?
-
COMMENTS:
STAFF AMENITIES
STAFF AMENITIES:
-
1 - TOILETS AND WASH FACILITIES AVAILABLE FOR BOTH GENDERS? <br><br>CLEAN, FREE OF WASTE, SOAP AND HAND DRYING EQUIPMENT AVAILABLE?<br><br>SANITARY BINS PROVIDED?
-
2 - MEALS & KITCHEN AREAS CLEAN AND TIDY?
-
3 - FACILITIES FOR PERISHABLE GOODS (CLEAN & TIDY)
-
4 - FACILITIES FOR WARMING FOOD (MICROWAVE / TOASTER) CLEAN - FREE FROM BREADCRUMBS?
-
5 - RUBBISH BINS?
-
6 - CLEAN SUPPLY OF DRINKING WATER?
-
7 - TAPS AND OTHER WATER UNITS FREE FROM LEAKS?
-
COMMENTS:
STORAGE & MANUAL HANDLING
STORAGE & MANUAL HANDLING:
-
1 - FREQUENTLY USED ITEMS EASY TO ACCESS - BETWEEN KNEE AND SHOULDER HEIGHT?
-
2 - HEAVY ITEMS STORED AT WASTE HEIGHT?
-
3 - LOAD CAPACITY IDENTIFIED ON STORAGE RACKS?
-
4 - STORAGE RACKS / SHELVING IS STABLE OR FIXED TO WALLS?
-
5 - ONLY LIGHT WEIGHT ITEMS STORED ON SHELVES ABOVE SHOULDER HEIGHT AND STEP/PLATFORM LADDERS WITH MINIMUM 120KG RATING AND MANUFACTURED TO AS1892 USED FOR ACCESS?
-
6 - FILING CABINETS AREN'T TOP HEAVY?
-
7 - STORAGE UNITS / RACKS / SHELVING FREE FROM SHARP EDGES?
-
COMMENTS:
WORKPLACE NOISE
WORKPLACE NOISE:
-
1 - NOISE ASSESSMENTS CONDUCTED FOR WORK AREAS WITH EXCESSIVE LEVELS OF NOISE?
-
2 - HEARING PROTECTION AREAS CLEARLY DESIGNATED, LABELLING OF PLANT OR OTHER APPROPRIATE MEANS FOR THE MANDATORY WEARING OF HEARING PROTECTION?
-
3 - AUDIOMETRIC TESTING CONDUCTED FOR WORKERS IN HIGH LEVEL NOISE AREAS?
-
4 - STAFF TRAINED IN NOISE EXPOSURE AND HEARING PROTECTION?
-
COMMENTS:
PPE
PPE:
-
1 - PPE REQUIREMENTS FOR SPECIFIC WORK TASKS AND AREAS IDENTIFIED AND ENFORCED?
-
2 - WEARING PROTECTION IS ADHERED TO BY WORKERS / VISITORS / CONTRACTORS?<br><br>- EYE PROTECTION<br>- SAFETY FOOTWEAR<br>- HEARING PROTECTION<br>- RESPIRATORY PROTECTION<br>- OVERALLS / APRONS<br>- GLOVES
-
3 - SUNSCREEN AND BROAD BRIM HATS PROVIDED?
-
4 - LONG HAIR AND LOOSE CLOTHING RESTRAINED TO AVOID ENTANGLEMENT IN ROTATING EQUIPMENT
-
5 - DOCUMENTATION AND PROCEDURES (SWMS) INSTRUCTING PPE REQUIREMENTS, STORAGE AND MAINTENANCE REQUIREMENTS?
-
6 - PPE AVAILABLE TO WORKERS / VISITORS / CONTRACTORS?<br><br>PPE MAINTAINED AND IN GOOD WORKING CONDITION?
-
COMMENTS:
PLANT AND EQUIPMENT
PLANT AND EQUIPMENT:
-
1 - PLANT RISK ASSESSMENTS HAVE BEEN COMPLETED FOR ALL IDENTIFIED PLANT WHERE HAZARDS IDENTIFIED ? <br><br>DOCUMENTED CONTROLS HAVE BEEN IMPLEMENTED?
-
2 - SAFE OPERATING PROCEDURES (SOP'S) HAVE BEEN COMPLETED FOR ALL IDENTIFIED EQUIPMENT?
-
3 - SUITABLE LABELLING OF PLANT CONTROLS PRESENT?
-
4 - SUFFICIENT CLEAR WORKING AREAS BETWEEN PLANT AND EQUIPMENT TO ALLOW SAFE WORK?
-
5 - EMERGENCY STOPS ARE PRESENT / EASILY ACCESSIBLE/ IDENTIFIABLE?
-
6 - LOCK-OUT ISOLATION DEVICES AND/OR EMERGENCY STOPS WHERE FITTED TO PLANT, PLANT AND EQUIPMENT HAS NOT BEEN TAMPERED WITH OR OVER RIDDEN?
-
7 - TRAFFIC MANAGEMENT PLAN IS DOCUMENTED AND OPERATIONAL FOR WHERE VEHICLES AND MOBILE PLANT EQUIPMENT ARE IN OPERATION?
-
8 - PLANT & EQUIPMENT IS APPROPRIATE FOR USE IN THE WORKPLACE (LOAD RATINGS / NOISE / VIBRATION / EMISSIONS)?
-
9 - PLANT AND EQUIPMENT INSTALLED IN ACCORDANCE WITH RELEVANT AUSTRALIAN STANDARDS AND MANUFACTURERS GUIDELINES?
-
10 - PLANT IS ADEQUATELY GUARDED TO PROTECT OPERATORS FROM CONTACT, ENTANGLEMENT, FLYING OBJECTS AND PROPERTY DAMAGE?
-
11 - EXTRACTION DEVICES ARE INSTALLED FOR EXTRACTION OF FUMES / HEAT?
-
12 - VACUUM AND PRESSURE EQUIPMENT IS PROVIDED WITH APPROPRIATE CONTROLS SUCH AS RELIEF VALVES, GUARDS, BARRIERS?
-
13 - HAND TOOLS ARE IN GOOD CONDITION?<br><br>HAND TOOLS ARE STORED WHEN NOT IN USE?
-
14 - ADEQUATE TRAINING AND SUPERVISION PROVIDED FOR THE USE OF PLANT AND EQUIPMENT?
-
COMMENTS:
CHEMICALS
CHEMICALS:
-
1 - SAFETY DATA SHEETS (SDS) LESS THAN 5 YEARS OLD ARE PRESENT AND AVAILABLE FOR ALL CHEMICALS USED?
-
2 - CHEMICAL REGISTER MAINTAINED WITHIN CHEM WATCH?
-
3. CHEMICAL RISK ASSESSMENTS HAVE BEEN CONDUCTED FOR HAZARDOUS SUBSTANCES?
-
4. CHEMICALS DECANTED INTO CONTAINERS OTHER THAN THE MANUFACTURERS CONTAINER HAVE BEEN CORRECTLY LABELLED, NO FOOD CONTAINERS TO BE USED.
-
5 - DANGEROUS GOODS ARE STORED ACCORDING TO DANGEROUS GOODS CLASSIFICATION INCLUDING SEGREGATION FROM NON-COMPATIBLE CHEMICALS?
-
6 - DANGEROUS GOODS ARE STORED IN APPROVED CABINETS (FLAMMABLES, CORROSIVES / OXIDISERS)?
-
7 - BUNDING / SPILL TRAYS PRESENT FOR STORAGE OF LIQUIDS?
-
8 - REFRIGERATORS USED FOR STORAGE ARE SUITABLY LABELLED (NO FOOD / NO DRINK)?
-
9 - MATERIALS SUBJECT TO SPONTANEOUS COMBUSTION SUCH AS OILY & PAINT RAGS ARE PLACED IN APPROPRIATE WASTE RECEPTACLES?
-
10 - HAZARDOUS WASTE IS DISPOSED OF IN ACCORDANCE WITH EPA REQUIREMENTS?
-
COMMENTS:
COMPRESSED GASES
COMPRESSED GASES:
-
1 - GAS CYLINDERS ARE SECURED UPRIGHT TO WALL TROLLEY OR OTHER FIXTURE BY BRACKET OF CHAIN?
-
2 - PERSONNEL ARE TRAINED APPROPRIATELY IN ALL ASPECTS OF COMPRESSED GAS USAGE - RECORDS OF TRAINING?
-
3 - SAFE OPERATING PROCEDURES AVAILABLE FOR THE SAFE USE OF COMPRESSED GAS?
-
4 - REGULATORS ARE APPROPRIATE FOR THE GAS BEING USED?
-
5 - STORAGE AREA ADEQUATELY VENTILATED?
-
6 - LABELS ON CYLINDERS CLEARLY VISIBLE?
-
7 - EVIDENCE GAS LINES / HOSES REGULARLY CHECKED FOR LEAKS / WEAR AND TEAR / KINKS?
-
8 - EMPTY CYLINDERS ARE SEGREGATED FROM FULL CYLINDERS?
-
9 - GAS CYLINDERS ARE STORED ACCORDING TO CLASS AND SEGREGATION REQUIREMENTS?
-
COMMENTS:
WORKING AT HEIGHTS
WORKING AT HEIGHTS:
-
1 - SUITABLE LADDERS (AS1892) OR STEP EQUIPMENT ARE PROVIDED WHERE APPROPRIATE, AND IN GOOD WORKING CONDITION?
-
2 - JSA'S / SWMS COMPLETED FOR AREAS WHERE WORK IS REQUIRED TO BE UNDERTAKEN ABOVE 2 METRES OR WITHIN 2 METRES OF AN EDGE.
-
3 - HAS APPROPRIATE TRAINING BEEN CONDUCTED FOR WORKERS WORKING AT HEIGHTS?
-
COMMENTS:
WELDING
WELDING:
-
1 - HOT WORK PERMITS ARE ISSUED WHERE REQUIRED (HOT WORK OUTSIDE OF A DEFINED WELDING BAY / WORKSHOP, INCLUDING BUT NOT LIMITED TO THE USE OF WELDING, OXY EQUIPMENT AND ANGLE GRINDERS.
-
2 - HOSES AND WELDING LEADS ARE IN GOOD CONDITION?
-
3 - FLASH BACK ARRESTORS ARE FITTED TO ALL GAS CUTTING AND OR HEATING EQUIPMENT?
-
4 - SCREENS PROVIDED FOR WORKS OUTSIDE WELDING BOOTHS?
-
5 - VENTILATION SUFFICIENT FOR WELDING FUMES?
-
6 - WELDING MASK / OXY GOGGLES WITH CORRECT LENSES, GOOD CONDITION AND STORED CORRECTLY?
-
7 - LEATHER GLOVES / LEATHER APRONS / FIRE RESISTANT GAUNTLETS ARE WORN FOR HAND AND ARM PROTECTION?
-
COMMENTS:
CONTRACTORS WORKING ON SITE
CONTRACTORS WORKING ON SITE:
-
1 - ALL CONTRACTORS WORKING ON SITE HAVE BEEN INDUCTED?
-
2 - CONTRACTORS HAVE RELEVANT DOCUMENTATION (IDENTIFICATION, SWMS, SOPS, LICENSES)?
-
COMMENTS: