MIN O DUB FOR 018 Dubbo Housekeeping Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Administration Office / Lunch Room

• Gardens orderly

  Yes

  No

  N/A

• Footpaths in good order

  Yes

  No

  N/A

• Thoroughfares clear of trip hazards

  Yes

  No

  N/A

• Store room in neat and orderly condition

  Yes

  No

  N/A

• Kitchen clean

  Yes

  No

  N/A

• Toilets clean

  Yes

  No

  N/A

• Emergency exits clear

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment tagged and in date

  Yes

  No

  N/A

• First aid kit accessible and in good order<br>

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Truck Parking Area

• Free of debris and rubbish

  Yes

  No

  N/A

• Pallets and other items stacked appropriately

  Yes

  No

  N/A

• Trucks parked appropriately

  Yes

  No

  N/A

• Ground condition acceptable

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Warehouse 01

• Pallets and other items stacked appropriately

  Yes

  No

  N/A

• Access around pallets is clear

  Yes

  No

  N/A

• DG materials are segregated

  Yes

  No

  N/A

• DG materials in correct store location

  Yes

  No

  N/A

• Miscellaneous goods stored appropriately

  Yes

  No

  N/A

• Thoroughfares clear of trip hazards

  Yes

  No

  N/A

• Equipment stored correctly

  Yes

  No

  N/A

• Vehicle access clear and safe

  Yes

  No

  N/A

• Free from debris and rubbish

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment tagged and in date

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Warehouse 02

• Pallets and other items stacked appropriately

  Yes

  No

  N/A

• Access around pallets is clear

  Yes

  No

  N/A

• DG materials are segregated

  Yes

  No

  N/A

• DG materials in correct store location

  Yes

  No

  N/A

• Miscellaneous goods stored appropriately

  Yes

  No

  N/A

• Thoroughfares clear of trip hazards

  Yes

  No

  N/A

• Equipment stored correctly

  Yes

  No

  N/A

• Vehicle access clear and safe

  Yes

  No

  N/A

• Free from debris and rubbish

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment tagged and in date

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Warehouse 03

• Pallets and other items stacked appropriately

  Yes

  No

  N/A

• Access around pallets is clear

  Yes

  No

  N/A

• DG materials are segregated

  Yes

  No

  N/A

• DG materials in correct store location

  Yes

  No

  N/A

• Miscellaneous goods stored appropriately

  Yes

  No

  N/A

• Thoroughfares clear of trip hazards

  Yes

  No

  N/A

• Equipment stored correctly

  Yes

  No

  N/A

• Vehicle access clear and safe

  Yes

  No

  N/A

• Free from debris and rubbish

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment tagged and in date

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Warehouse 04

• Pallets and other items stacked appropriately

  Yes

  No

  N/A

• Access around pallets is clear

  Yes

  No

  N/A

• DG materials are segregated

  Yes

  No

  N/A

• DG materials in correct store location

  Yes

  No

  N/A

• Miscellaneous goods stored appropriately

  Yes

  No

  N/A

• Thoroughfares clear of trip hazards

  Yes

  No

  N/A

• Equipment stored correctly

  Yes

  No

  N/A

• Vehicle access clear and safe

  Yes

  No

  N/A

• Free from debris and rubbish

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment tagged and in date

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Site General

• Bunds clean and records kept of any release

  Yes

  No

  N/A

• Bund drains closed and locked

  Yes

  No

  N/A

• Separator clean and overflow bucket managered

  Yes

  No

  N/A

• Spill kits clean, full and ready for use

  Yes

  No

  N/A

• First flush pond is clean

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Signatures

• Signature of site representative

  Sign

• Signature of auditor

  Sign