Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Manual tasks
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Are workers using minimal force/ effort to perform the task?
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If the task is performed for prolonged periods, can it be performed at an easy pace?
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Are workers able to perform the task with their arms close to their body (ie not reaching away from their body or overhead)?
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Are workers able to perform the task in an upright, forward facing position (ie not bent over or twisting/turning their back)?
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Are workers necks in a comfortable position when viewing things (ie not bent, tilted or twisted)?
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Are workers able to vary their posture throughout the task (ie don’t have to stand, sit, kneel or squat for extended periods)?
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Are workers able to perform the task with their wrist and forearm in a comfortable position (ie not bent or twisted)?
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Are workers protected against vibration when using hand-held power tools or driving trucks/ forklifts for long periods?
Machinery and equipment
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Is your equipment regularly serviced and maintained according to the manufacturer’s instructions?
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Are there lock out, tag out or isolation procedures in place when maintenance is performed?
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Are all operators of equipment trained in how to use it safely?
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Do operators of equipment have the appropriate ‘ticket’ where necessary (eg forklifts)?
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Does all equipment have guarding to prevent operators and others accessing hazardous parts?
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Is there adequate work space around equipment and is it on a stable foundation to prevent it moving during operation?
Slips, trips and falls
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Are controls in place to prevent floors from becoming slippery?
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Are all floor surfaces even and undamaged?
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Are ramps and steps clearly marked?
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Are walkways/stairways/ramps kept clear of boxes, rubbish, leads, or other trip hazards?
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Are controls in place to prevent people falling off mezzanine floors or other high areas (eg loading bays)?
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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)?
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Are all areas well lit?
First aid
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Is a first aid kit available at the workplace?
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Are the first aid kit/ s contents suitable for the types of injuries that may be sustained at your workplace?
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Is the first aid kit regularly checked and items replaced if they are no longer usable?
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Are there any trained first-aiders at the workplace?
Name the trained first-aiders at the workplace and provide heir contact number.
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Name
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Contact number
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Closest hospital
Emergency phone numbers
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Name of the emergency contact
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Contact number
Noise
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Does any part of your business proceedings involve noise issues (loud machinery, ventilators, hairdryers etc.)?
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When buying new appliances for the business do you consider noise levels they may generate?
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Where noise issues cannot be eliminated or reduced do workers wear hearing protection? <br>
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Are machines and ventilation equipment regularly maintained?
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Can job rotation be used to reduce the length of time of exposure to noise?
Asbestos*
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Does any part of your business proceedings may involve asbestos?
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Does the workplace contain asbestos?
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Are contractors and building maintenance workers made aware of asbestos in the workplace?
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Has the asbestos been labelled and warning signs appropriately placed?
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Is asbestos removal conducted by a licensed removalist?
Chemical and hazardous substances *
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Does any part of your business proceedings involve using chemicals or hazardous substances?
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What dangerous goods are used - select as many as possible
- Class 1 - Explosive
- Class 2 - Gases - compressed, liquified, dissolved under pressure
- Class 3 - Flammable
- Class 4 - Flammable Solids
- Class 5 - Oxidising Agents & Organic Peroxides (non-flammable)
- Class 7 – Radioactive Materials
- Class 8 – Corrosive Substances and Articles (non-flammable)
- Class 9 - Miscellaneous Dangerous Goods (Dry Ice, Asbestos and Environmentally Hazardous Substances) (non-flammable)
- Other – Combustible Dusts or Metals
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Are dangerous goods stored within a compliant non-combustible cabinet or storage unit with self closing doors?
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Have you obtained a Material Safety Data Sheet (MSDS) for all the chemicals used in your workplace?
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Have you read each MSDS and identified which chemicals are hazardous substances?
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Have you got a register which has a list of the hazardous substances used and a copy of each substance’s MSDS?
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Is a copy of each hazardous substance’s MSDS available near where it is used?
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Have you done a written risk assessment for each hazardous substance?
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Have you identified ways to prevent people being exposed to hazardous substances and put those controls in place?
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Have you identified any hazardous substances for which you have to provide health surveillance?
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Do ALL hazardous substance containers have a label showing what is in it?
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Have you given workers using hazardous substances training in how to use those hazardous substances safely?
Hot or extreme conditions *
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Does any part of your business proceedings involve working in hot or extreme conditions?
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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?
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Is cool water made available to employees?
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Are cool, shaded rest areas available for employees?
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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
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Is there a documented hot works procedure and permit system in place and implemented?
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Does the hot works permit require a fire watch during and 30 minutes after the completion of work?
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Is a monitoring period undertaken after the completion of fire watch (minimum 1 hour)?
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Is a minimum of 10m separation from combustible materials, or fire resistant shielding / covers required?
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Is equipment checked prior to use and the flashback arrestors fitted?
Final comments
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Additional Comments - Is there anything else you would like us to know?
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How did you find the process of completing these questions?
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What did you like about your experience?
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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
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What would make the process easier for you?
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What would make the process easier for you?
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What did you like about your experience?