Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Section 1: Premises and Housekeeping
Facilities & Structures
-
Lighting sufficient for tasks undertaken
-
Floors maintained free from dirt, liquids, debris, tools and materials
-
Walkways, store areas and keep clear zones clearly demarcated
Hygiene
-
Toilet facilities maintained in a clean hygienic condition.<br><br>
-
Crib/lunch room facilities include adequate seating, sink with hot and cold potable water.<br><br>
-
Crib/lunch room facilities maintained in a clean hygienic condition.<br><br>
Guarding and Barricades
-
Machine guarding is in place around all rotating machinery such as elevators, belts etc.
Eye washes and safety showers
-
Eye washes and safety showers are accessible.<br><br>
-
Suitable signs and lights indicate the presence of eyewashes and safety showers.<br><br>
-
Eye washes and safety showers are clean and operational
Workplace signage
-
Signs are legible.<br><br>
-
Signs are in place to inform PPE requirements.
Storage Areas
-
Storage racks purpose built with appropriate durable shelving.<br><br>
-
Flammable liquids stored in purpose built cupboards.<br><br>
-
Acids, chemicals and corrosives stored in accordance with MSDS and Dangerous Goods Requirements
Waste Management
-
Rubbish bins and bulk bins available, emptied and covered as appropriate
Spill Management
-
Suitable absorbents used for clean-up<br><br>
-
Spill kits maintained and available<br><br>
-
Spill procedures current and available
Re-fuelling Facilities
-
Fuel overflow collection facility i.e. sump or similar installed<br><br>
-
Ease of access to overflow facility to clean/drain<br><br>
-
Emergency stop fitted and accessible
Wash Down Facilities
-
Sealed wash down area<br><br>
-
Waste water collection and containment measures installed<br><br>
-
Water disposed of appropriately<br><br>
Section 2: Mechanical, Electrical, Environment and Personal Safeguarding
Confined Spaces
-
Confined space signs visible <br><br>
-
Confined space permits being used<br><br>
-
Personnel trained
Plant and Isolation
-
Equipment has an isolation point that can have a lock attached to it<br><br>
-
Sufficient personal danger tags and out of service tags<br><br>
-
Personnel have a personal isolation lock
Ladders, Handrails & Scaffolding
-
Portable ladders in good condition with non-slip feet
-
Fixed ladders guarded and in good condition.
Lifting Gear
-
SWL’s displayed<br><br>
-
Inspection records current
Pressure Vessels & Cylinders
-
Flash back arrestors fitted and hoses and fittings in good condition<br><br>
-
Pressure vessels registered and in good condition
-
Cylinders stored and transported correctly<br><br>
Hazardous Substances (Cleaning agents and chemicals)
-
Stored Correctly<br><br>
-
MSDS Available<br><br>
-
Hazardous substance register
Forklifts
-
Pre-start checklist completed daily<br><br>
-
Fire extinguishers present<br><br>
-
Serviced regularly
Electrical Installations and Equipment
-
Leads and equipment have current tags
-
RCDs used<br><br>
-
Portable/extension leads tagged and protected from traffic / water
Respiratory Equipment
-
Provided where required<br><br>
-
Equipment clean and serviceable
Workplace Noise
-
Noise areas identified<br><br>
-
Hearing protectors provided
Bulk Storage
-
Hydrocarbon drums and bulk tanks contained by suitable bunding.<br><br>
-
Bunding is free from water, vegetation and debris.<br><br>
-
Bunds are closed to prevent spills and able to be drained of accumulated water.<br><br>
-
Storage tanks and drums are free from leaks.
Fire and Emergency Evacuation
-
Extinguishers in place and accessible?<br><br>
-
Signs indicating specific use of extinguishers?<br><br>
-
Exits clear of obstructions?<br><br>
-
Extinguishers checked 6 monthly and tagged?
-
Emergency Assembly Point in place and signed?
First Aid
-
Cabinets and contents clean and orderly?<br><br>
-
No replacement materials required?<br><br>
-
Cabinets contents checked regularly?
-
Name: Signature: Date: