Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Manual tasks

  • Are workers using minimal force/ effort to perform the task?

  • If the task is performed for prolonged periods, can it be performed at an easy pace?

  • Are workers able to perform the task with their arms close to their body (ie not reaching away from their body or overhead)?

  • Are workers able to perform the task in an upright, forward facing position (ie not bent over or twisting/turning their back)?

  • Are workers necks in a comfortable position when viewing things (ie not bent, tilted or twisted)?

  • Are workers able to vary their posture throughout the task (ie don’t have to stand, sit, kneel or squat for extended periods)?

  • Are workers able to perform the task with their wrist and forearm in a comfortable position (ie not bent or twisted)?

  • Are workers protected against vibration when using hand-held power tools or driving trucks/ forklifts for long periods?

Machinery and equipment

  • Is your equipment regularly serviced and maintained according to the manufacturer’s instructions?

  • Are there lock out, tag out or isolation procedures in place when maintenance is performed?

  • Are all operators of equipment trained in how to use it safely?

  • Do operators of equipment have the appropriate ‘ticket’ where necessary (eg forklifts)?

  • Does all equipment have guarding to prevent operators and others accessing hazardous parts?

  • Is there adequate work space around equipment and is it on a stable foundation to prevent it moving during operation?

Slips, trips and falls

  • Are controls in place to prevent floors from becoming slippery?

  • Are all floor surfaces even and undamaged?

  • Are ramps and steps clearly marked?

  • Are walkways/stairways/ramps kept clear of boxes, rubbish, leads, or other trip hazards?

  • Are controls in place to prevent people falling off mezzanine floors or other high areas (eg loading bays)?

  • Are all ladders used stable and in good condition (all ladders should be rated for industrial use and have a load rating of at least 120kg)?

  • Are all areas well lit?

First aid

  • Is a first aid kit available at the workplace?

  • Are the first aid kit/ s contents suitable for the types of injuries that may be sustained at your workplace?

  • Is the first aid kit regularly checked and items replaced if they are no longer usable?

  • Are there any trained first-aiders at the workplace?

  • Name the trained first-aiders at the workplace and provide heir contact number.
  • Name

  • Contact number

  • Closest hospital

  • Emergency phone numbers
  • Name of the emergency contact

  • Contact number


  • Does any part of your business proceedings involve noise issues (loud machinery, ventilators, hairdryers etc.)?

  • When buying new appliances for the business do you consider noise levels they may generate?

  • Where noise issues cannot be eliminated or reduced do workers wear hearing protection? <br>

  • Are machines and ventilation equipment regularly maintained?

  • Can job rotation be used to reduce the length of time of exposure to noise?


  • Does any part of your business proceedings may involve asbestos?

  • Does the workplace contain asbestos?

  • Are contractors and building maintenance workers made aware of asbestos in the workplace?

  • Has the asbestos been labelled and warning signs appropriately placed?

  • Is asbestos removal conducted by a licensed removalist?

Chemical and hazardous substances *

  • Does any part of your business proceedings involve using chemicals or hazardous substances?

  • What dangerous goods are used - select as many as possible

  • Are dangerous goods stored within a compliant non-combustible cabinet or storage unit with self closing doors?

  • Have you obtained a Material Safety Data Sheet (MSDS) for all the chemicals used in your workplace?

  • Have you read each MSDS and identified which chemicals are hazardous substances?

  • Have you got a register which has a list of the hazardous substances used and a copy of each substance’s MSDS?

  • Is a copy of each hazardous substance’s MSDS available near where it is used?

  • Have you done a written risk assessment for each hazardous substance?

  • Have you identified ways to prevent people being exposed to hazardous substances and put those controls in place?

  • Have you identified any hazardous substances for which you have to provide health surveillance?

  • Do ALL hazardous substance containers have a label showing what is in it?

  • Have you given workers using hazardous substances training in how to use those hazardous substances safely?

Hot or extreme conditions *

  • Does any part of your business proceedings involve working in hot or extreme conditions?

  • In hot areas, have steps been taken to minimise the exposure to heat such as providing shade, adjusting workflow to work in the cooler times of the day?

  • Is cool water made available to employees?

  • Are cool, shaded rest areas available for employees?

  • Are employees encouraged to wear light-weight, light-coloured and loose-fitting clothing in hot areas?

Hot works - such as welding, grinding or use of naked flames

  • Is there a documented hot works procedure and permit system in place and implemented?

  • Does the hot works permit require a fire watch during and 30 minutes after the completion of work?

  • Is a monitoring period undertaken after the completion of fire watch (minimum 1 hour)?

  • Is a minimum of 10m separation from combustible materials, or fire resistant shielding / covers required?

  • Is equipment checked prior to use and the flashback arrestors fitted?

Final comments

  • Additional Comments - Is there anything else you would like us to know?

  • How did you find the process of completing these questions?

  • What did you like about your experience?

  • If you have any other questions in regards to the template or would like to book a risk consultation please contact us at hello@mitti.com.au

  • What would make the process easier for you?

  • What would make the process easier for you?

  • What did you like about your experience?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.