Midland Safety Health and Safety Inspection

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

General

• Store Name

• Store Manager

• Type of areas to be inspected

  Select Shop Floor Counter Area Prescription Preparation Area External Building (shop entry, carpark) Staff Facilities Public Facilities (Bathroom/Consultation Area) Other

  • Shop Floor
  • Counter Area
  • Prescription Preparation Area
  • External Building (shop entry, carpark)
  • Staff Facilities
  • Public Facilities (Bathroom/Consultation Area)
  • Other

• Describe activities being undertaken on site

Site Safety Inspection

First Aid Facilities

• Are first aid facilities to be inspected in this audit?

  Yes

  No

  N/A

• Is there easy access to the first aid kit?

  Yes

  No

  N/A

• Employees aware of location of first aid kit?

  Yes

  No

  N/A

• Are emergency numbers displayed?

  Yes

  No

  N/A

• Is there a trained First Aider on site?

  Yes

  No

  N/A

Fire Prevention & Emergency

• Are fire and emergency procedures to be inspected in this audit?

  Yes

  No

  N/A

• Exit routes easily opened from inside?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced? (check punch mark on tabs)

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Has an emergency plan been communicated to all staff?

  Yes

  No

  N/A

Site Security

• Is site security to be inspected in this audit?

  Yes

  No

  N/A

• Are site entry and exit points clearly designated?

  Yes

  No

  N/A

• Are all entries and exits closed and locked at night and during weekends?

  Yes

  No

  N/A

• Are precautions taken for the security of sensitive drugs and medicine?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is Personal Protective Equipment to be inspected in this audit?

  Yes

  No

  N/A

• Is eye protection worn where required?

  Yes

  No

  N/A

• Are surgical masks worn to prevent the spread of airborne viruses to venerable customers?

  Yes

  No

  N/A

• Are gloves worn while working with potentially hazardous materials?

  Yes

  No

  N/A

• Is footwear in good condition and of correct type?<br>

  Yes

  No

  N/A

• Is additional PPE used where required?

  Yes

  No

  N/A

Housekeeping

• Is site housekeeping to be inspected in this audit?

  Yes

  No

  N/A

Storage Design and Use

• Site storage to be inspected in this audit?

  Yes

  No

  N/A

• Are materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• Are floors around racking clear of rubbish?

  Yes

  No

  N/A

• Are racks and pallets in good condition generally?

  Yes

  No

  N/A

Waste & Rubbish

• Waste and rubbish to be inspected in this audit?

  Yes

  No

  N/A

• Are bins/dumpsters located at suitable points in the building?

  Yes

  No

  N/A

• Is site generally orderly, with rubbish or waste materials disposed of correctly?

  Yes

  No

  N/A

• Is there provisions for clinical waste disposal?

  Yes

  No

  N/A

• Is there provisions for sharps disposal?

  Yes

  No

  N/A

• Are bins/dumpsters emptied regularly?

  Yes

  No

  N/A

• Is the loading / delivery area clean and tidy?

  Yes

  No

  N/A

• Do work and office areas have adequate lighting?

  Yes

  No

  N/A

• Is site furniture and work benches in sound condition?

  Yes

  No

  N/A

Trip and Fall Safety

• Trip and fall safety to be inspected in this audit?

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are entry and walkways kept clear?

  Yes

  No

  N/A

• Are walkways adequately and clearly marked?

  Yes

  No

  N/A

• Are footpaths in good condition?

  Yes

  No

  N/A

• Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

Electrical Safety

• Electrical safety to be inspected this audit?

  Yes

  No

  N/A

• Are safety switches installed?

  Yes

  No

  N/A

• Are safety switches tested every 6 months and tests recorded?

  Yes

  No

  N/A

• There are no outlets are overloaded / No double adapters in use?

  Yes

  No

  N/A

• Has portable equipment been tested and tagged?

  Yes

  No

  N/A

• There are no broken plugs, sockets or switches?

  Yes

  No

  N/A

• There are no power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• There are no strained leads?

  Yes

  No

  N/A

Chemical Safety

• Chemical safety to be inspected this audit?

  Yes

  No

  N/A

• Is a Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• Have risk assessments been completed for hazardous substances?

  Yes

  No

  N/A

• Are Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Are all containers labelled correctly?

  Yes

  No

  N/A

• Are unused substances disposed of?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Are workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

Incident, Injury & Accident Procedures

• Incident, Injury & Accident Procedures to be inspected this audit?

  Yes

  No

  N/A

• Are Incident, Accident, Near Miss and Injury procedures in place?

  Yes

  No

  N/A

• Are adequate reporting forms for for these events in place?

  Yes

  No

  N/A

• Are all incidents investigated?

  Yes

  No

  N/A

• Are Corrective Actions then implemented?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Shop Manager

  Sign