Monthly Site Safety Check

• Conducted on

  Date

• Prepared by

• Add signature

  Sign
• Location
  Address

WHS Systems

• All job checklists completed for the month on a daily basis

  Compliant

  Non-Compliant

  N/A

• Outstanding items on the Register of Non-Conformance have a risk level ascertained and responsible person allocated

  Compliant

  Non-Compliant

  N/A

• Completed items in the Register of Non-Conformance have actions taken and date rectified recorded

  Compliant

  Non-Compliant

  N/A

• Hazard / Near Miss forms have been completed and sent to the YMCA Safety Department for any new hazards that have been identified and unable to be eliminated

  Compliant

  Non-Compliant

  N/A

• Are there any outstanding ations required from the previous WH&S audit?

  Compliant

  Non-Compliant

  N/A

• Steps taken to rectify

  Yes

  No

• All incident report forms have been sent to YMCA Administration

  Compliant

  Non-Compliant

  N/A

Instruction & Training

• Any new employees have had inductions completed

  Compliant

  Non-Compliant

  N/A

• Any new staff have been added to the Staff Register

  Compliant

  Non-Compliant

  N/A

• All staff have completed a General Induction

  Compliant

  Non-Compliant

  N/A

• All staff have completed an OHS Induction

  Compliant

  Non-Compliant

  N/A

• All staff have received Fire and Emergency Evacuation Training within the past 12 months and have signed the training register (Form 255) and had the date of training added to the Staff Register

  Compliant

  Non-Compliant

  N/A

• A Fire Evacuation Drill has been completed in the last 12 months and an Emergency Drill Observation Record (Form 369) has been completed

  Compliant

  Non-Compliant

  N/A

• Compliant

  Non-Compliant

  N/A