Leisure & Aquatic Quarterly Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Admin office

• Walkways clear, no projections or trip hazards?

  Yes

  No

  N/A

• No accumulation of paper or other flammable waste in unauthorised areas

  Yes

  No

  N/A

• Filing cabinets not unstable (can be bolted to walls)

  Yes

  No

  N/A

• No excessive material on top of filing cabinet

  Yes

  No

  N/A

• Printers & photocopiers off walkways to allow unblocking of jams

  Yes

  No

  N/A

• Carpet/ vinyl in good condition

  Yes

  No

  N/A

• Redundant equipment around

  No

  Yes

  N/A

• Stairways in good condition, clearly marked nosing, handrails, sufficient lighting

  Yes

  No

  N/A

• Do doors have glass panels? Can they be opened without hitting someone

  Yes

  No

  N/A

• Are unused power points blanked or inaccessible

  Yes

  No

  N/A

Workstations

• Workstations suitable with suitable chairs (assessments can be requested)

  Yes

  No

  N/A

• Electrical wires out of the way

  Yes

  No

  N/A

• Testing and tagging done and current

  Yes

  No

  N/A

• Partitions stable and secure

  Yes

  No

  N/A

• Lighting level adequate, even

  Yes

  No

  N/A

• Guarding on machinery (guillotine)

  Yes

  No

  N/A

Shelving

• Shelving secure and suitable for stored material

  Yes

  No

  N/A

• Stored material stable shape and if stacked is it stable (boxes collapsed)

  Yes

  No

  N/A

Photocopier and other office machines such as printers

• Able to access machines to clear paper jams without obstructing walkways

  Yes

  No

  N/A

• Paper storage at suitable height

  Yes

  No

  N/A

• Is there adequate local ventilation (depends on machine type & usage)

  Yes

  No

  N/A

Staff Room

• Walkways clear, no projections or trip hazards?

  Yes

  No

  N/A

• No accumulation of paper or other flammable waste in unauthorised areas

  Yes

  No

  N/A

• Printers & photocopiers off walkways to allow unblocking of jams

  Yes

  No

  N/A

• Carpet/ vinyl in good condition

  Yes

  No

  N/A

• Redundant equipment around

  No

  Yes

  N/A

• Stairways in good condition, clearly marked nosing, handrails, sufficient lighting

  Yes

  No

  N/A

• Do doors have glass panels? Can they be opened without hitting someone

  Yes

  No

  N/A

• Are unused power points blanked or inaccessible

  Yes

  No

  N/A

Kitchen

• Clean, no ants etc.

  Yes

  No

  N/A

• Fridge correct temperature and contents hygienic

  Yes

  No

  N/A

• Food preparation area meeting 5S standard

  Yes

  No

  N/A

• Chairs suitable and in good state of repair

  Yes

  No

  N/A

Photocopier and other office machines such as printers

• Able to access machines to clear paper jams without obstructing walkways

  Yes

  No

  N/A

• Paper storage at suitable height

  Yes

  No

  N/A

• Is there adequate local ventilation (depends on machine type & usage)

  Yes

  No

  N/A

Workstation

• Workstations suitable with suitable chairs (assessments can be requested)

  Yes

  No

  N/A

• Electrical wires out of the way

  Yes

  No

  N/A

• Testing and tagging done and current

  Yes

  No

  N/A

• Lighting level adequate, even

  Yes

  No

  N/A

Shelving

• Yes

  No

  N/A

• Shelving secure and suitable for stored material

  Yes

  No

  N/A

• Stored material stable shape and if stacked is it stable (boxes collapsed)

  Yes

  No

  N/A

Boiler, Tool and Co-Gen room

• Walkway clear

  Yes

  No

  N/A

• Fire extinguisher tagging up to date

  Yes

  No

  N/A

• Sufficient lighting

  Yes

  No

  N/A

• Consumables shelf to 5S standard

  Yes

  No

  N/A

• Emergency exit lighting working

  Yes

  No

  N/A

• Contractor workspace to 5S standard

  Yes

  No

  N/A

• Tool room to 5S standard

  Yes

  No

  N/A

Plant room

• Walkways clear

  Yes

  No

  N/A

• Lighting level adequate

  Yes

  No

  N/A

• Emergency lighting working

  Yes

  No

  N/A

• Fire extinguisher tagging up to date

  Yes

  No

  N/A

• Chemical signage relevant

  Yes

  No

  N/A

• First aid kit up to date

  Yes

  No

  N/A

• Safety data sheets up to date

  Yes

  No

  N/A

• Workstation up to 5S standard

  Yes

  No

  N/A

CLO Areas, office and retail shop

Workstations

• Workstations suitable with suitable chairs (assessments can be requested)

  Yes

  No

  N/A

• Electrical wires out of the way

  Yes

  No

  N/A

• Testing and tagging done and current

  Yes

  No

  N/A

• Lighting level adequate, even

  Yes

  No

  N/A

• Filing cabinets not unstable (can be bolted to walls)

  Yes

  No

  N/A

Storage /cupboards

• Adequate capacity and shelving

  Yes

  No

  N/A

• If children around, can the cupboards be locked

  Yes

  No

  N/A

Emergency response

• Emergency plans displayed

  Yes

  No

  N/A

• Fire extinguishers tagged and current

  Yes

  No

  N/A

• Warden identification station current

  Yes

  No

  N/A

• First Aid kit current

  Yes

  No

  N/A

• Sign in/out board tidy and current

  Yes

  No

  N/A

Learn to Swim Office/ Cash Room

• Walkways clear, no projections or trip hazards?

  Yes

  No

  N/A

• No accumulation of paper or other flammable waste in unauthorised areas

  Yes

  No

  N/A

• No excessive material on top of storage

  Yes

  No

  N/A

• Printers & photocopiers off walkways to allow unblocking of jams

  Yes

  No

  N/A

• Carpet/ vinyl in good condition

  Yes

  No

  N/A

• Redundant equipment around

  No

  Yes

  N/A

• Are unused power points blanked or inaccessible

  Yes

  No

  N/A

• Filing cabinets not unstable (can be bolted to walls)

  Yes

  No

  N/A

Workstations

• Workstations suitable with suitable chairs (assessments can be requested)

  Yes

  No

  N/A

• Electrical wires out of the way

  Yes

  No

  N/A

• Testing and tagging done and current

  Yes

  No

  N/A

• Partitions stable and secure

  Yes

  No

  N/A

• Lighting level adequate, even

  Yes

  No

  N/A

Shelving

• Shelving secure and suitable for stored material

  Yes

  No

  N/A

• Stored material stable shape and if stacked is it stable (boxes collapsed)

  Yes

  No

  N/A

Photocopier and other office machines such as printers

• Able to access machines to clear paper jams without obstructing walkways

  Yes

  No

  N/A

• Paper storage at suitable height

  Yes

  No

  N/A

• Is there adequate local ventilation (depends on machine type & usage)

  Yes

  No

  N/A

Kitchen

• Clean, no ants etc.

  Yes

  No

  N/A

• Fridge correct temperature and contents hygienic

  Yes

  No

  N/A

• Microwave door not at eye height (sudden steam emission from cooked food)

  Yes

  No

  N/A

Information

• Notice board, does one exist?

  Yes

  No

  N/A

• Safety notice board tidy and current

  Yes

  No

  N/A

• Suitable current information on workers comp, safety committee minutes

  Yes

  No

  N/A

LAFit Offices

Kitchen

• Clean, no ants etc.

  Yes

  No

  N/A

• Fridge correct temperature and contents hygienic

  Yes

  No

  N/A

• Microwave door not at eye height (sudden steam emission from cooked food)

  Yes

  No

  N/A

Workstations

• Workstations suitable with suitable chairs (assessments can be requested)

  Yes

  No

  N/A

• Electrical wires out of the way

  Yes

  No

  N/A

• Testing and tagging done and current

  Yes

  No

  N/A

• Lighting level adequate, even

  Yes

  No

  N/A

Shelving

• Pigeon holes neat and tidy, not overflowing

  Yes

  No

  N/A

• Shelving secure and suitable for stored material

  Yes

  No

  N/A

• Stored material stable shape and if stacked is it stable (boxes collapsed)

  Yes

  No

  N/A

• Filing cabinets not unstable (can be bolted to walls)

  Yes

  No

  N/A

Photocopier and other office machines such as printers

• Able to access machines to clear paper jams without obstructing walkways

  Yes

  No

  N/A

• Paper storage at suitable height

  Yes

  No

  N/A

• Is there adequate local ventilation (depends on machine type & usage)

  Yes

  No

  N/A

Information

• Notice board, does one exist?

  Yes

  No

  N/A

• Emergency evacuation plan displayed

  Yes

  No

  N/A

• Door checks completed and current

  Yes

  No

  N/A

Corrective Actions Table

• Department:

• Location inspected:

• Inspected by:

  Sign

• Date of inspection:

  Date

• Location:

• Issue/ Hazard:

• Proposed Action:

• Responsibility:

• Target completion date:

  Date

• Location:

• Issue/ Hazard:

• Proposed Action:

• Responsibility:

• Target completion date:

  Date

• Location:

• Issue/ Hazard:

• Proposed Action:

• Responsibility:

• Target completion date:

  Date

• Location:

• Issue/ Hazard:

• Proposed Action:

• Responsibility:

• Target completion date:

  Date

• Location:

• Issue/ Hazard:

• Proposed Action:

• Responsibility:

• Target completion date:

  Date

• Purpose:
  To provide a checklist to assist in the 3 monthly inspections of employees work areas. The form also has Corrective Actions where the areas inspected are identified with other information and all items requiring corrective action along with responsibility and time lines are listed.
  
  The checklists must be forwarded to the Health and Safety Coordinator when the inspection has been completed. When Corrective Actions are completed they should be notified to the Health and Safety Coordinator.
  
  The number of inspections completed and the Corrective Actions are part of the Monthly Key Performance Indicator Report from the Health and Safety Coordinator to the Executive Management Committee.

• Scope:
  This checklist applies to all areas of Council where employees work regularly. It does not apply to temporary work sites in Public areas.

• Related Policies and Procedures:
  21-Pr-002 Workplace Health and Safety Policy.