MIN O TOM FOR 010 Tomago Housekeeping Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Administration Office

• Gardens orderly

  Yes

  No

  N/A

• Footpaths clear and in good condition

  Yes

  No

  N/A

• Thoroughfares are 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

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment in date

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Personal offices in orderly condition

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

AN Store 01

• Bulka bags stacked safely

  Yes

  No

  N/A

• Access is clear

  Yes

  No

  N/A

• No buckets of prill

  Yes

  No

  N/A

• No incompatible goods

  Yes

  No

  N/A

• Equipment stored appropriately

  Yes

  No

  N/A

• No vegetation around store

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment in date

  Yes

  No

  N/A

AN Store 02

• Bulka bags stacked safely

  Yes

  No

  N/A

• Access is clear

  Yes

  No

  N/A

• No buckets of prill

  Yes

  No

  N/A

• No incompatible goods

  Yes

  No

  N/A

• Equipment stored appropriately

  Yes

  No

  N/A

• No vegetation around store

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

AN Store 03

• Bulka bags stacked safely

  Yes

  No

  N/A

• Access is clear

  Yes

  No

  N/A

• No buckets of prill

  Yes

  No

  N/A

• No incompatible goods

  Yes

  No

  N/A

• Equipment stored appropriately

  Yes

  No

  N/A

• No vegetation around store

  Yes

  No

  N/A

• Electrical equipment tagged and in date

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

AN Store 04 (containers)

• Bolt seals are fitted to all full AN containers

  Yes

  No

  N/A

• Containers are correctly stacked

  Yes

  No

  N/A

• Are AN containers correctly placarded

  Yes

  No

  N/A

• Yes

  No

  N/A

Backyard / 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

• Other

  Yes

  No

  N/A

Fuel storage

• Trainstank integrity check for leaks around tank or bowser

  Yes

  No

  N/A

• Free of debris and rubbish

  Yes

  No

  N/A

• Equipment stored appropriately

  Yes

  No

  N/A

• Access clear

  Yes

  No

  N/A

• Check oil/water separator water is clean and electrical box is in good condition and spillage has occurred

  Yes

  No

  N/A

• Fire fighting equipment access clear

  Yes

  No

  N/A

• Fire fighting equipment in date

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Signatures

• Signature of site representative

  Sign

• Signature of auditor

  Sign