Title Page

  • Client / Site

  • Region/Program

  • Conducted on

  • Prepared by

  • Location Address
  • INSTRUCTIONS

    1. Please answer "Yes", "No" or "N/A" on the questions below.
    2. Add Photos and Findings as notes by clicking on the Paperclip icon
    3. To add a Corrective Action click on the Paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
    4. Complete audit by providing digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link

1 ENTRY, EGRESS & OUTDOOR AREA

  • 1.01 Are pathways and verandas free from slip / trip hazards

  • 1.02 Is the area around the building clear from rubbish and materials

  • 1.03 Is the lawn and gardens maintained

2 INDOOR AREAS

  • 2.01 Are the indoor areas clean and clear of waste build up, pests and mould

  • 2.02 Are all sharp knives locked away

  • 2.03 Is fridge/freezer clean and clear of spoilt food

  • 2.04 Are hot water urns or kettles situated on a stable surface

  • 2.05 Are lint filters on dryers clean, and regularly checked

3 LIGHTING / VENTILATION

  • 3.01 Are all internal/external areas adequately lit and lights working

  • 3.02 Are all light covers free from dust and bugs

  • 3.03 Are individuals satisfied with the air temperature/air quality

  • 3.04 Are portable heaters not located near flammable items

4 FIRE

  • 4.01 Are all smoke alarms working (test required)

  • 4.02 Are smoke detectors fitted near bedroom areas and on every level of the premises

  • 4.03 Are there an adequate number of fire extinguishers

  • 4.04 Is there a fire blanket hung in the kitchen

  • 4.05 Have all extinguishers/blankets been tested within 6 months

  • 4.06 Are the locations of fire extinguishers indicated by signage

  • 4.07 Are all emergency exits clear from obstruction

  • 4.08 Is there a designated emergency exit for wheelchairs

  • 4.09 Are building evacuation drills conducted every 6 months

  • 4.10 Are building emergency procedures / floor plans displayed

  • 4.11 Does site have a recent (reviewed in the last year) bush fire survival plan in place –for bush fire prone properties.

  • 4.12 Are there any trees overhanging the roof

  • 4.13 Is the building fitted with a monitored fire alarm system

  • 4.14 Has the building been issued a fire safety certificate in the past year

  • 4.15 Are there non-ambulant people residing in the household?

  • 4.16 If yes, are there equipment aids to assist these people in the event of a fire (drag mats etc)?

  • 4.17 Do the people who reside in the household know what to do in the event of a fire?

  • 4.18 Are the people who

5 HAZARDOUS SUBSTANCES

  • 5.01 Are chemicals stored out of reach of clients or locked away

  • 5.02 Are all chemical containers clearly labelled

  • 5.03 Is there a current hazardous substances register and Safety Data Sheets for hazardous substances used on site

  • 5.04 Are gas bottles stored correctly and free from rust or damage

  • 5.05 Is an asbestos register available

  • 5.06 If asbestos is present do labels identify the asbestos areas

  • 5.07 If asbestos is present are the walls/areas not damaged

6 ELECTRICAL

  • 6.01 Are all light switches and power points in working order with no cracks or faults

  • 6.02 Are there sufficient power point outlets

  • 6.03 Are all walkways free from electrical leads

  • 6.04 Are power points free from overloading i.e. piggybacking of power boards

  • 6.05 Are all leads on the ground tapped down or run behind furniture to avoid a trip hazard

  • 6.06 Have all portable RCD’s been tested and tagged in the last 3 months

  • 6.07 Do power boards have socket covers & trip switches

  • 6.08 Are all other electrical test tags in date, including, bedroom bathroom, kitchen, living areas and portable items

7 FIRST AID

  • 7.01 Are there suitable first aid kits available and accessible

  • 7.02 Are all kits fully stocked, and items in date

  • 7.03 Is a site Register of Injuries in place and up to date

8 FLOORS

  • 8.01 Are all floors clean and free from rubbish and clutter

  • 8.02 Are all carpeted areas free from rips and worn patches

  • 8.03 Are all floors free from uneven surfaces, with no major cracks or holes present?

9 EQUIPMENT/PLANT

  • 9.01 Is machinery guarded against unsupervised use

  • 9.02 Is the LPG cylinder pressure valve pointing away from the premises

10 HOUSEKEEPING

  • 10.01 Is garden equipment, fuels, gas bottles and pool chemicals stored safely in a locked & ventilated shed/garage

  • 10.02 Are gas bottles free from rust or damage

  • 10.03 Are all curtain/blind cords either tethered to the wall or raised to a height inaccessible to children

  • 10.07 Are furniture and equipment in good condition and well maintained

  • 10.08 Has defective equipment / furniture been removed from use

  • 10.09 Are air conditioning outlets & filters clean and free from dust

  • 10.10 Is all disability assistance equipment i.e. shower chairs, nonslip mats etc. in good working condition

11 SECURITY

  • 11.01 Is staff bedroom/office areas lockable, and locks are working

  • 11.02 Are all window/door locks and deadbolts in working order

12 SIGNAGE

  • 12.01 Are emergency contact details on display and up to date

  • 12.02 Are high risk hazards marked by appropriate signage

  • 12.03 Are all safety signs clearly visible

13 Other Safety Concerns

  • 13.01 Photographs required in the following areas:

  • Front of House (taken from curb)

  • Back yard

  • Electrical switchboard

  • Kitchen / Dining / Living Rooms

  • Bedrooms

  • Bathrooms

  • For all ongoing hazardsthat are not controlled, add to HSE 07 03 007 Site Risk Register

Manager Review

  • Completed by: (Name and Signature)

  • By signing below you agree that the actionsindicated will be reviewed and implemented to mitigate the identified hazard.
    You agree that un-eliminated hazards have been added to the Site Risk Register for regular review.

  • Name and Signature

  • Position

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