Location
Address
Work area
Conducted on
Date
Add signature
Sign
Add signature
Sign
Add signature
Sign
Materials Stacked safely and correctly.
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Laydown areas delineated, clean & tidy.
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Signage erected to identify hazardous storage / disposal area.
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Signs and barricading erected and maintained around hazardous areas
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Solid barricading erected around potential fall areas
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Barricading complies with site requirement. i.e. hard barricading
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Sharp objects capped. i.e. star pickets & Reo bar
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
High housekeeping standards maintained
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Bin locations prominent, adequate and emptied regularly
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Tex
Add image
Media
Waste segregation measures in place & containers labled
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Access / Egress points clear of obstruction
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Access to elevated work areas complies with site requirements
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Add image
Media
Text
Handrails installed on ramps & stairs etc
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Sharp edges are covered on walkways / access ways
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Ladders are secured, 1-4 metre lean, the ladder projects 1 metre above the platform
Acceptable
Needs Improvement
Unacceptable
Not Assessed
Text
Add image
Media
Required Action
link copied
Derek Searle
LPI#4 Housekeeping, Access & Egress
Ichthys Onshore - Blaydin Point
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.