Information
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Host Employer Business Name
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Host Employer Representative Name
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Conducted on
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Field Officer
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Location
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This audit is to be completed in consultation with the Host Employer.
The checklist is a guide only and not all items will be present in all situations. Indicate N/A if not applicable.
Where compliance problems are identified, comments/explanations should be included.
MANAGEMENT
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Is there Work Health & Safety Policies in place? If no, why
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Does the Host have supporting procedures and forms? e.g. hazard reporting document. If no, why
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Does the Host have a formal written On Job Induction process which occurs on the first day? If no, why
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Legislation - are copies of regulations, standards and codes of practice available on site / on-line? If no, why
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Does the Host have Safe Work Management System (SWMS) that reflect the way in which jobs must be done to ensure safety? If no, can MT&E assist
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Does the Host provide employees with information, training, supervision and consultation to ensure they perform the work safely? <br>If no, why.
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If Yes, How? - select whichever applies
- Verbal on the Job
- Training Session - WHS course
- Tool Box Meeting
- Direct Supervision when required
- Released for Trade School
HOUSEKEEPING / EGRESS
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Exits - equipped with emergency lighting, clear on both sides and clearly identified?
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Aisles & Walkways - identified, marked and not obstructed?
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Steps, Stairs and Ladders - in good condition?
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Steps, Stairs and Ladders - hand rails continuous?
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Pits/Cellars - edges clearly defined and built to Australian Standards?
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Floor Surfaces - level and free from spills and no tripping hazards?
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Dust Control - clean up scheduled?
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Waste materials - do they accumulate?
ELECTRICAL HAZARDS
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Switchrooms - controlled access?
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Switchrooms - warning signs posted?
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Switchrooms - clear of storage and rubbish?
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Switchboards - clear access?
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Switchboards - any exposed or temporary wiring?
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Switchboards - master switches identified?
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Switchboards - covers fitted and locked where applicable?
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Power Leads - cords clear of water and water outlets?
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Power Leads - are they creating tripping hazard?
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Power Leads - inspection tagged in current test period?
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RCD - Residual Current Device available for use?
SERVICES
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Compressed Air - any leaks?
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Oil - any leaks?
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Oil - absorbent material available for spill clean up?
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Pressure Vessell - inspections scheduled?
MATERIAL STORAGE
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Storage / Racking - stable?
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Material - is identified and accessible?
MATERIAL HANDLING
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Equipment - is lifting equipment present and serviceable?
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Equipment - regular scheduled inspections (if applicable) carried out?
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Methods - mechanical aides used for heaving or repetitive lifting?
HAZARDOUS MATERIALS
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MSDS's - Material Safety Data Sheets available?
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Appropriate signs on display?
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Operator instructed on safe work methods?
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Containers well marked with material name and potential hazard?
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Storage - correct storage as per MSDS
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Correct use of PPE as per MSDS?
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First Aid Instructions displayed?
MECHANICAL HAZARDS
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Machinery - guards securely fitted?
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Machinery - interlocks operating?
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Machinery - any unguarded contact points where an employee can be caught/crushed?
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Safe Operating Procedures (SOP's) available - High Risk Machinery?
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Training in SOP's provided?
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Emergency STOP - accessible to operator during operation?
FIRE AND EMERGENCY
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Portable Extinguishers - correct type for fire risk and in good condition?
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Hose Reels - identified with sign and accessible?
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Smoke Detectors - installed / tested?
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Procedures - is there an emergency procedure and are staff trained to evacuate?
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First Aid - is kit equipped and available?
PERSONAL PROTECTIVE EQUIPMENT
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Correct Footwear - worn by all employees?
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Needs Identified for Eyes, Ears, Head, Hands, Respiratory?
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Is wearing of PPE issued as required and supervised?
AMENITIES
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Is there ready access to adequate toilet and washroom facilities?
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Is there a ready supply of cool drinking water?
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Is there facilities or reasonable arrangements to allow the the consumption of a meal?
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Is there facilities or reasonable arrangements to secure personal belongings?
Signatures
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MT&E Field Officer
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Host Employer Representative
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Attach any photo evidence
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AUDIT SUMMARY - List any issues identified and agreed remedial actions or Comments