MELM Safety Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Health and Safety Committee Tools and Consultation

• Has the Master Risk Control Plan been implemented?

  Yes

  No

  N/A

• Is the MRCP live and up-to date?

  Yes

  No

  N/A

• How many hours are spent on H&S improvement per week? Refer to rosters, time sheets for evidence on OHS improvement

• Is the health and safety notice board up to date and in a suitable position?

  Yes

  No

  N/A

• H&S notice board contents

  Select Names of Committee Memebers Names of OHS personel Access to OHS Info Sign WorkCover if you are injured poster Consultative Arrangements Issue Resolution Procedures OHS Committee Meeting Minutes Upcoming Meeting and Training Dates List of Qualified First Aiders Emergency Phone Numbers EAP Contact Details Latest Staff News New OHS Policy

  • Names of Committee Memebers
  • Names of OHS personel
  • Access to OHS Info Sign
  • WorkCover if you are injured poster
  • Consultative Arrangements
  • Issue Resolution Procedures
  • OHS Committee Meeting Minutes
  • Upcoming Meeting and Training Dates
  • List of Qualified First Aiders
  • Emergency Phone Numbers
  • EAP Contact Details
  • Latest Staff News
  • New OHS Policy

• Items needing to be added to noticeboard

  Select Names of Committee Memebers Names of OHS personel Access to OHS Info Sign WorkCover if you are injured poster Consultative Arrangements Issue Resolution Procedures OHS Committee Meeting Minutes Upcoming Meeting and Training Dates List of Qualified First Aiders Emergency Phone Numbers EAP Contact Details Latest Staff News New OHS Policy

  • Names of Committee Memebers
  • Names of OHS personel
  • Access to OHS Info Sign
  • WorkCover if you are injured poster
  • Consultative Arrangements
  • Issue Resolution Procedures
  • OHS Committee Meeting Minutes
  • Upcoming Meeting and Training Dates
  • List of Qualified First Aiders
  • Emergency Phone Numbers
  • EAP Contact Details
  • Latest Staff News
  • New OHS Policy

• When was the last OHS Committee Meeting? Meetings must run at least quarterly. Minutes must be displayed on OHS notice board.

  Date

• Have meeting minutes been sighted?

  Yes

  No

  N/A

• Is OHS included as an agenda item for all team meetings?<br><br>View departmental meeting minutes.

  Yes

  No

  N/A

• Have OHS Committee Meeting been scheduled for 2013/2014?

  Yes

  No

  N/A

• Is a monthly Hazard Inspection checklist completed?<br><br>Sight last completed MHI

  Yes

  No

  N/A

Local Staff Induction & Training

• Are staff files upto date? Source 2 files for employees that are currently working.

  Yes

  No

  N/A

• Staff file contents #1

  Select Position Description Letter of offer for each PD Relevant Qualifications document in PD New Employee induction Checklist Area Specific Induction Checlist Competency Checlist

  • Position Description
  • Letter of offer for each PD
  • Relevant Qualifications document in PD
  • New Employee induction Checklist
  • Area Specific Induction Checlist
  • Competency Checlist

• Items missing from staff file #1

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Staff file contents #2

  Select Position Description Letter of offer for each PD Relevant Qualifications document in PD New Employee induction Checklist Area Specific Induction Checlist Competency Checlist

  • Position Description
  • Letter of offer for each PD
  • Relevant Qualifications document in PD
  • New Employee induction Checklist
  • Area Specific Induction Checlist
  • Competency Checlist

• Items missing from staff file #2

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Do staff receive ongoing training to conduct their jobs safely?

  Yes

  No

  N/A

• Is their an OHS/Training Calendar available?

  Yes

  No

  N/A

• Are OHS/Training records available on the last six months of training?

  Yes

  No

  N/A

• Has training been record in the YMCA Training Record Twmplate?

  Yes

  No

  N/A

Emergency Response

• Exit Doors, stairs and pathways clear of obstructions both inside and outside of doors?

  Yes

  No

  N/A

• Emergency Exit door clearly marked and visible; signage present and illuminated

  Yes

  No

  N/A

• When was the Emergency Management Plan last updated - It is recommended that the EMP is updated annually as well as training annually

  Yes

  No

  N/A

• Has Emergency Management Training been provided to staff within the last 12 months?

  Yes

  No

  N/A

• Are training record available for EMP training? If staff could not attend how is it followed up?

  Yes

  No

  N/A

First Aid/Incident Reports

• Are First Aid stock, defibrillator and Oxygen regularly checked? Ensure checklists have been completed on regular basis.

  Yes

  No

  N/A

• Does stock meet requirements of local hazards and relevant guidelines? - Refer to GSPO FA3

  Yes

  No

  N/A

• Are logged incident reports up to date? Ensure all investigations are completed within 21 days of incident. Locate evidence to support the implementation of investigative controls.

  Yes

  No

  N/A

• Where are sharps containers located? Provide the SWP and Training record for its use.

  Yes

  No

  N/A

Contractors

• Has the contractor induction process been implemented?

  Yes

  No

  N/A

• Has a contractor sign in/out process been implemented? Site register and ensure all fields have been completed.

  Yes

  No

  N/A

• Ensure all contractors have completed an annual induction and relevant paper work is completed.

  Yes

  No

  N/A

• Is there completed JSA/Authority work forms?

  Yes

  No

  N/A

• Have relevant licences and certificates of currency been collected? All contractors must provide a certificate of currency/insurance. Contractors must provide licences appropriate to work being completed.

  Yes

  No

  N/A

• Has a high risk permit system been been implemented? Are they completed when appropriate?<br><br>e.g. Confined Space, Heights, Hot Works.

  Yes

  No

  N/A

• Identify the the last two contractors that signed in, have all necessary paperwork been completed and collected?

  Yes

  No

  N/A

• Contractor 1

  Select Contractor Induction JSA High Risk Permits Licences Certificates of Currency

  • Contractor Induction
  • JSA
  • High Risk Permits
  • Licences
  • Certificates of Currency

• Induction elements not present for contractor 1

  Select Contractor Induction JSA High Risk Permits Licences Certificates of Currency

  • Contractor Induction
  • JSA
  • High Risk Permits
  • Licences
  • Certificates of Currency

• Contractor 2

  Select Contractor Induction JSA High Risk Permits Licences Certificates of Currency

  • Contractor Induction
  • JSA
  • High Risk Permits
  • Licences
  • Certificates of Currency

• Induction elements not present for contractor 2

  Select Contractor Induction JSA High Risk Permits Licences Certificates of Currency

  • Contractor Induction
  • JSA
  • High Risk Permits
  • Licences
  • Certificates of Currency

Chemicals

• Has the YMCA Chemical Storage Protocol been implemented?

  Yes

  No

  N/A

• Have the Chemical Storage Protocol Elements been implemented?

  Select Walkways and paths to fire equipment clear Chemicals must have labeled designated storage areas Sufficient lighting Open bags stored in labelled containers/bunds MSDS's available and up to date Appropriate placarding Color coded mixing equipment

  • Walkways and paths to fire equipment clear
  • Chemicals must have labeled designated storage areas
  • Sufficient lighting
  • Open bags stored in labelled containers/bunds
  • MSDS's available and up to date
  • Appropriate placarding
  • Color coded mixing equipment

• Elements not implemented

  Select Contractor Induction JSA High Risk Permits Licences Certificates of Currency

  • Contractor Induction
  • JSA
  • High Risk Permits
  • Licences
  • Certificates of Currency

• Is the hazardous substances/dangerous goods register up to date?

  Yes

  No

  N/A

• Is there a spill kit located in the area?

  Yes

  No

  N/A

• Is the spill kit checked regularly?

  Yes

  No

  N/A

• Is there a system in place for managing contractors delivering chemicals? YMCA Chemical Delivery Protocol implemented?<br><br>Manual - 6.6.1<br>

  Yes

  No

  N/A

• Chemical storage are general house keeping

  Safe

  At Risk

  N/A

• Are all chemicals in the facility listed on the MRCP?

  Yes

  No

  N/A

• Are all chemical Risk Assessments completed, up to date and linked to the MRCP?

  Yes

  No

  N/A

• Are all chemical Safe Work Procedures completed, up to date and linked to the MRCP?

  Yes

  No

  N/A

• Is PPE maintained and regularly checked?

  Yes

  No

  N/A

• Have staff received PPE training?

  Yes

  No

  N/A

• Are all pipes, valves and pumps controlling water and chemical feeds clearly labeled?<br><br>Water - Green<br>Hypo - Violet<br>Co2 - Yellow/Ochre

  Yes

  No

  N/A

Manual Handling

• Has all hazardous manual handling been identified in the MRCP?

  Yes

  No

  N/A

• Are all MH Risk Assessments complete, up to date and linked to the MRCP?

  Yes

  No

  N/A

• Are all MH SWP's compete, up to date and linked to MRCP?

  Yes

  No

  N/A

• Are Manual Handling SWP's accessible to staff? How are they accessed?

  Yes

  No

  N/A

• Has manual handling training been provided in the last 12 months?

  Yes

  No

  N/A

• Are there training records available for the above?

  Yes

  No

  N/A

Asbestos

• Is there an up to date Asbestos register? Within the last 5 years.

  Yes

  No

  N/A

• Is asbestos included in the contractor induction?

  Yes

  No

  N/A

• Are all employees adware of the location of asbestos?<br><br>Covered in induction and communicated on H&S Notice Board if appropriate.

  Yes

  No

  N/A

• Is there a risk assessment and SWP for asbestos and linked to the MRCP?

  Yes

  No

  N/A

Working at Heights

• Are all working at heights tasks listed on the MRCP?<br>

  Yes

  No

  N/A

• Is the working at heights permit implemented.

  Yes

  No

  N/A

• Have controls been implemented, staff training and procedures been proved to staff?<br><br>Look at working at heights tasks control plan; ensure staff have had training on the controls.

  Yes

  No

  N/A

Plant and Equipment

• Has all plant and equipment been listed on the MRCP?

  Yes

  No

  N/A

• Has a preventative maintenance schedule been implemented to maintain plant and equipment?

  Yes

  No

  N/A

• Is all electrical equipment tested and tagged in accordance with Australian Standards?<br><br>Provide evidence of tags on equipment and copies of tagging report.

  Yes

  No

  N/A

Aquatic Facilities

• Is there an Operations Manual available?

  Yes

  No

  N/A

• Operations Manual contents

  Select Physical Layout Staff Structure Personnel Staff Procedures Training OHS Emergency Action Plan Reporting Maintenance Water Quality Programs Lifeguard Induction Pool Operation

  • Physical Layout
  • Staff Structure
  • Personnel
  • Staff Procedures
  • Training
  • OHS
  • Emergency Action Plan
  • Reporting
  • Maintenance
  • Water Quality
  • Programs
  • Lifeguard Induction
  • Pool Operation

• Operations Manual elements not present

  Select Emergency Procedures Life Saving Skills Resuscitation O2 Equipment First Aid Deep water recovery Training record on file?

  • Emergency Procedures
  • Life Saving Skills
  • Resuscitation
  • O2 Equipment
  • First Aid
  • Deep water recovery
  • Training record on file?

• Have lifeguards undertaken in house training covering all areas of lifeguard skills?<br><br>Sight training records and record training dates.

  Yes

  No

  N/A

• Training Covered

  Select Emergency Procedures Life Saving Skills Resuscitation O2 Equipment First Aid Deep water recovery Training record on file?

  • Emergency Procedures
  • Life Saving Skills
  • Resuscitation
  • O2 Equipment
  • First Aid
  • Deep water recovery
  • Training record on file?

• Is there an agreement/contract for all hirers of all parts of the facility?<br><br>Ensure there is a booking form filled out with terms and conditions of hire when external user groups use the facility.

  Yes

  No

  N/A

• Is all pool water monitored and maintained within regulations?

  Select Pool water tested Before opening Every 4hours Pool is retested when test are out of regulations

  • Pool water tested
  • Before opening
  • Every 4hours
  • Pool is retested when test are out of regulations

Aquatic Education

• Are emergency procedure practiced with lesson groups?<br><br>Ensure the class attendance sheets include students being trained in emergency procedures.<br>

  Yes

  No

  N/A

• Is information about Aquatic Education participants medical history sought and made available to teachers?<br><br>Provide evidence of medical history from enrolled end for is communicated to staff.

  Yes

  No

  N/A

New OHSMS and Implementation Guides

• OHS Policy Implementation Guide

  Conformance

  Partial Conformance

  Non Conformance

  Not Applicable

• Elements

  Select Policy on notice board Letter distributed to staff Comms to staff regarding OHS policy include policy in inductions Check that centre has budgeted for for H&S resources

  • Policy on notice board
  • Letter distributed to staff
  • Comms to staff regarding OHS policy
  • include policy in inductions
  • Check that centre has budgeted for for H&S resources

• Health and Safety Responsibilities implementation guide

  Conformance

  Partial Conformance

  Non Conformance

  Not Applicable

• Elements not complete

  Select Manager to read and understand policy Distribute relevant handout to staff Re-Educate staff during team meetings include in induction document actions taken include health and safety in performance appraisals

  • Manager to read and understand policy
  • Distribute relevant handout to staff
  • Re-Educate staff during team meetings
  • include in induction
  • document actions taken
  • include health and safety in performance appraisals

• Communications and Consultation implementation guide

  Conformance

  Partial Conformance

  Non Conformance

  Not Applicable

• Elements not complete

  Select OHS personnel appointed Establish H&S committee and meeting frequency HSO attends training on Safety Committes Update H&S notice board H&S agenda item for all meetings Key Stakeholder Register

  • OHS personnel appointed
  • Establish H&S committee and meeting frequency
  • HSO attends training on Safety Committes
  • Update H&S notice board
  • H&S agenda item for all meetings
  • Key Stakeholder Register

Confined Spaces

• Have all confined spaces been identified on that MRCP?

  Yes

  No

  N/A

• Have all confined spaces been assessed using the YMCA confined spaces Hazard ID Assessment and control template?

  Yes

  No

  N/A

• Are all confined space controls implemented?

  Yes

  No

  N/A

• Are the confined spaces appropriately locked and signed?

  Yes

  No

  N/A

• When contractors are entering a confined space, are appropriate permits being completed?<br><br>Ensure permits have been completed and filled in appropriately when contractors have entered a confined space.

  Yes

  No

  N/A

• Are staff issuing confined space permits have appropriate qualifications and competences?

  Yes

  No

  N/A

• Have appropriate licences been collected when contractors are entering a confined space?

  Yes

  No

  N/A

Sign Off

• Centre Manager

  Sign

• Health and Safety Officer

  Sign

• HSE Manager/Coordinator

  Sign

• Date Completed

  Date