Information
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Inspection No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Section 1 - Documentation
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Training records present
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SWI & RA for chemicals/equipment/processes
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Dated within last 2 years
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3 representative chemicals present in register and MSDS sighted
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Inspection records present
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Evidence of actions
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Emergency booklet by phone
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Floor plan visible
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Area emergency procedure posted
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Wardens identified
Section 2 - Emergency Equipment
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Safety shower/Eye wash accessible
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Operational
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Tested and tagged
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Fire extinguishers accessible
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Appropriate
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Tested and tagged
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First aid kits within 20 metres
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Modules/size appropriate to area
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Stocked and within expiration date
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First adders identified
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Ergonomic conditions - Noise
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Lighting
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Ventilation
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Heat/Cold mitigation
Section 3 - Chemical storage and handling
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Chemicals stored according to Monash's guidelines
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In compatibles segregated
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Chemicals in use labelled and stored in closed vessels
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Bulk storage - handling issues
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Spill kits available
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Appropriate to the substances present in work area
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Spill management procedures visible
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Gas cylinders secured
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Connections secure and tubing suitable for pressure
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Cryogenic liquids stored in appropriate vessel
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PPE available
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Waste chemicals storage - designated and labelled storage vessels
Section 4 - other hazards
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Are Lithium Polymor Batteries present ?
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Stored Appropriately ?
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LiPo Safe Bags available ?
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Manual handling - heavy items stored low
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Lifting devices available
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Biological hazard
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Ionising radiation
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UV Radiation
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Lasers
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Access to Class 3 or 4 lasers is controlled
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Beam stops installed, Access to beam restricted
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Wavelength specific eye protection available
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PPE available, appropriate and in good condition
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Dangerous goods signage
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PPE available signage
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Hazard Alerts
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Permits to operate attached to rigs
Section 5 - Electrical and Machinery
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Appliances tested and tagged
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Good condition
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Fume cupboards - sash height level with yellow diamond
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Tested annually
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Storage minimised and no items close to leading edge
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Refrigeration/Freezing devices used appropriately
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Signed where required
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Machines/Rigs fitted with guarding
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Emergency stop features
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Isolation capabilities
Section 6 - Housekeeping and hygiene
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Non power equipment appropriately stored, used and in good condition
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Is the general area clear from obstruction
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Are cupboards/racking/other storage devices utilised
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Bench storage minimised
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Housekeeping (i.e. doorways clear/aisles and landings)
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Floor space, exits, aisles clear from obstruction
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Waste receptacles clearly identified
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No food in work area
Miscellaneous
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Self Audit Undertaken
Signed Off
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Inspection Team Member
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Inspection Team Member
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Inspection Team Member
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Inspection Team Member
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Lead Inspector
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Class