Information
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Work Area
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Month and Year
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Conducted on
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Prepared by
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Identify area chosen for random checks during this audit?
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed and are all outstanding actions completed?
2.0 - Fire Safety
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2.1 - Extinguishers in place and recently serviced? (Check 6 monthly punch mark on tabs.) Record expiry date in notes.
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2.2 - All fire equipment has location Marker clearly displayed on wall above?
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2.3 - Extinguishers and hoses clear of obstructions? (1.5m arc)
3.0 - Emergency Evacuation
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3.1 - Evacuation plan clearly displayed at exit point and firmly attached to the wall?
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3.2 - Evacuation plan & instructions up to date? Does equipment correspond to plan?
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3.3 - Have all staff who commenced employment since last inspection been inducted into fire safety and evacuation procedures?
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3.4 -Emergency exit lights are clearly visible, lit and provide direction notices for fire exit?
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3.5 - Exits and egress paths are clear of obstructions? (ie Any obstructions that could hinder exit?)
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3.6 - Assembly area is allocated and understood by staff? (This may be checked by randomly asking a staff member)
4.0 - First Aid Facilities
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4.1 - A first aid kit is available in work area and employees are aware of location?
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4.2 - Are contents regularly checked, restocked and no contents past their expiry date?
5.0 - Building Safety
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5.1 - Floor surfaces even, safe for use, no trip hazards and in good condition?
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5.2 - Entry and walkways kept clear of obstructions?
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5.3 - Do you have a safety procedure for liquid spills including correct signage?
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5.4 - Do you have any structural areas requiring maintenance that could cause a potential safety issue?
6.0 - Storage Design and Use
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6.1 - Materials stored on shelves / racks and bins wherever possible?
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6.2 - Commonly used or heavy items stored safely between mid thigh and shoulder height and stacked correctly to prevent objects from falling?
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6.3 - Floors around shelving/ racking clear of trip items or rubbish?
7.0 - Electrical Safety
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7.1 - Random checks identify no double adapters in use? (Note location of random check)
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7.2 - Random checks on Electrical equipment shows tested and tagged? (Note due date)
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7.3 - Random checks identify no broken plugs, sockets or switches?
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7.4 - Random checks ensure no power leads across walkways or frayed or damaged leads?
8.0 - Chemical Safety
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8.1 - Hazardous Substance Register complete and available?
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8.2 - Material Safety Data Sheets available for all chemicals and located In chemical storage areas?
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8.3 - All containers labelled to clearly identify contents?
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8.4 - Unused substances disposed of in appropriate manner?
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8.5 - If applicable are we compliant to special storage of chemicals?
9.0 - Office Hazards
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9.1 - Office furnishings in good condition and adequate space for all operators?
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9.2 - Screen Based Equipment positioned to reduce glare from windows etc?
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9.3 - Photocopiers, printers and noisy machinery positioned to ensure safe working area?
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9.4 - If excessive noise is an identified concern has this been referred to SHAW unit for testing?
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9.5 - Lighting is adequate for type of work being undertaken in work area?
10.0 Health and Hygiene
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10.1 - Kitchen area is clean and tidy and cleaning equipment is provided including wipes, clothes and detergent?
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10.2 - Fridge, microwave and utensils are clean and operating correctly?
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10.3 - Are staff facilities including bathrooms kept clean and hygienic?
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10.4 - Compliant hand washing facilities provided including Microshield and disposable paper towels?
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10.5 - Regular pest control undertaken?
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10.6 - Work area cleaned and rubbish removed regularly?
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10.7 - If applicable have all monthly food safety plans been completed?
11.0 Other Notes or Issues Identified
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Picture of identified hazard(s), non compliance etc.
Sign Off
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Auditor's signature
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Select date
