Information
New Workplace Assessment
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Client / Site
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Conducted on
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Staff in Attendance
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Name of Safety and Wellbeing Assessor
Revised December 2014 Version Control V1.1
1.0 - Security
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1.1 - Are adequate locks provided on all external doors and windows?
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1.2 - Are all keys registered and records kept identifying people holding them at all times?
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1.3 - Is there an alarm system installed and is it functional?
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1.4 - Do signs and physical barriers indicate boundaries between public and restricted areas?
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1.5 - Is emergency communication (eg duress alarms) provided where appropriate?
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1.6 - Are signs clearly visible to indicate security measures are in place?
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1.7 - Are emergency procedures and evacuation points are clearly displayed and communicated to staff?
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1.8 - Is there restricted public access to objects that could be used as a weapon?
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1.9 - Are areas where an intruder could hide are identified and communicated to staff?
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1.10 - Are emergency phone numbers and procedures clearly displayed at every telephone?
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1.11 - Is there only one public access point in use at night?
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1.12 - Is there a safe area for staff where they can quickly and safely access a phone in an emergency?
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1.13 - Is there visual access to outside areas near doorways (peep hole, glass panel, CCTV, etc)
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1.14 - Have secure cupboards, lockers or drawers have been provided for staff to keep personal items?
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1.15 - Are window and door security screens fitted?
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1.16 - Is there a register of visitors and contractors kept at reception (as a requirement of entry)?
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1.17 - Have staff been provided with a secure area to store their personal property?
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1.18 - If cash is kept on the premises, is there a safety process?
2.0 - Floors / Isles / Exits
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2.1 - Are entrances and steps in good order?
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2.2 - Are entrances, doorways, stairs, ramps and steps free from obstruction?
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2.3 - Are handrails installed where appropriate at entrances, exit steps and ramps?
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2.4 - Is there disability access throughout the building?
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2.5 - Are aisles and walkways free from obstructions? (boxes, rubbish bins, equipment)
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2.6 - Are the floor coverings in good order, slip resistant, clean and fit for purpose?
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2.7 - Are electrical leads kept clear of aisles and walkways?
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2.8 - Are signs available and always placed to indicate wet floors after cleaning?
3.0 - Stairs / Landings / Lifts
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3.1 - Is the lighting adequate?
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3.2 - Is there good visual contrast between steps?
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3.3 - Are there slip resistant strips on all step edges?
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3.4 - Are handrails installed and at the appropriate height?
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3.5 - Is there minimal variation between step height and step depth (horizontal)?
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3.6 - Are stairs and steps clear of obstruction?
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3.7 - Are lifts operational and reliable?
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3.8 - Are lifts regularly maintained with maintenance logs?
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3.9 - Is an emergency alarm or telephone installed in lift/s?
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3.10 - Are fire stairs easily accessible?
4.0 - Lighting and Indoor Climate
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4.1 - Is lighting for all indoor work sufficient and suitable for work performed?
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4.2 - Are all light switches accessible?
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4.3 - Are overhead lights shielded to minimise glare?
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4.4 - Is the air temperature maintained, quality acceptable and ventilation appropriate?
5.0 - Bathrooms and Toilets
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5.1 - Are there adequate toilets for men and women?
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5.2 - Have toilets been provided for persons with a disability?
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5.3 - Are nappy change facilities are available?
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5.4 - Are toilet and bathroom facilities cleaned regularly?
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5.5 - Are hand basins and liquid soap available?
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5.6 - Have paper towels or air dryers been provided and are they working?
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5.7 - Is toilet paper available and are spare rolls available?
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5.8 - Have sanitary towel disposal units been provided in women's toilets?
6.0 - Kitchens and Lunch Break Areas
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6.1 - Have suitable eating/break facilities been provided?
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6.2 - Is food stored appropriately (refrigerated where required)?
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6.3 - Are cooking facilities clean and in good working order?
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6.4 - Are work benches clean?
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6.5 - Are kitchen staff required wear protective clothing and is this enforced?
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6.6 - Do kitchen staff wear gloves when handling food?
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6.7 - Are the exhaust fans over cooking units functional and clean?
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6.8 - Has all electrical equipment been tested and tagged?
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6.9 - Are floor surfaces anti-slip, clean from water and grease ?
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6.10 - Have procedures for food handling been provided to staff who work in the food services industry?
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6.11 - Is the dishwasher, microwave, and other appliances regularly cleaned?
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6.12 - Is paper towel available?
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6.13 - Are the tea towels regularly washed?
7.0 - General Housekeeping
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7.1 - Are appropriate containers provided for sharps disposal?
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7.2 - Are carpets regularly vacuumed?
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7.3 - Are materials and equipment stored safely?
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7.4 - Are procedures in place for cleaning up spills and breakages?
8.0 - Hazardous Substances
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8.1 - Is the ChemAlert Stock Holdings sheet up to date?
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What was the date the ChemAlert stockholding was last updated?
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8.2 - Are there procedures in place for the proper disposal of chemicals?
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8.3 - Are all chemicals clearly labelled?
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8.4 - Are fire extinguishers (correct type) located close to chemical storage?
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8.5 - Is an appropriate spills kit available?
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Who is responsible for restocking of spills kit?
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8.6 - Are dangerous goods/ flammable storage cabinets correctly installed and being used for all hazardous substances?
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8.7 - Do all staff know how to access ChemAlert?
9.0 - Storage
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9.1 - Are floors in storage areas free from rubbish and packaging materials?
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9.2 - Is lighting appropriate in storage areas?
10.0 First Aid and Emergency Response
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10.1 - Are staff aware of the requirements for first aid and emergency response (dial 000) in this facility?
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10.2 - Are staff aware of how to complete an incident report form?
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10.3 - Is there a risk register on site?
11.0 - Workstations and Office Furniture
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11.1 - Is all furniture is in a stable and unbroken condition?
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11.2 - Are all isles free from furniture and clutter?
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11.3 - Are computer and other cables stored where they will not present a trip hazard?
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11.4 - Are desks are free from clutter and have staff adopted good housekeeping practices?
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11.5 - Have footrests been provided for staff where needed?
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11.6 - Have chairs been purchased/provided that suit individual workers requirements?
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11.7 - Is the Safety Policy being displayed in staff area?
12.0 - Electrical Equipment
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12.1 - Are switchboards and electrical equipment in good, safe condition?
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12.2 - Has an RCD been installed?
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12.3 - Have all electrical cords been tested and tagged?
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12.4 - Are plugs, sockets and switches in safe places and free from obvious defects?
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12.5 - Are electrical cords secured behind skirting or pinned onto skirting boards so as not to create a trip hazard?
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12.6 - Has an adequate number of power points been provided (no double adapters)?
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12.7 - Are all electrical cords secured so as to not expose them to moisture?
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12.8 - Have Lock-out/tag-out (LOTO) procedures been communicated to staff for electrical equipment? (BEMS only)
13.0 - Have safe rooms bee provided for staff?
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13.1 - Is there another exit from the room other than the entry?
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13.2 - Has a telephone been provided for staff use?
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13.3 - Have safe room procedures been communicated to staff?
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13.4 - Does the safe room have a door handle that can be pulled closed and locked?
14.0 - Fire Exits
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14.1 - Are all smoke detectors and alarms appropriately located and in working order?
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14.2 - Are all fire exits easily assessable and free from clutter?
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14.3 - Have staff been trained in the use of fire appliances?
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14.4 - Are test dates on fire extinguishers in date?
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14.5 - Has an emergency fire evacuation drill been completed?
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What was the date of last fire evacuation drill?
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14.6 - Was staff participation in last fire evacuation exercise documented (staff names and signatures?)
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14.7 - Are the fire wardens clearly identified, trained and known to staff?
15.0 - Noise
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15.1 - Has hearing protection been provided for staff in high noise areas?
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15.2 - Has noisy equipment been isolated from staff?
16.0 - Residential Facilities Only
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16.1 - Are house rules displayed and are they understood by residents and staff?
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16.2 - Are visitors advised of house rules and do they comply?
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16.3 - Is there a facility drug and alcohol policy and is it displayed and enforced?
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16.4 - Do residents comply with curfew requirements?
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16.5 - Are residents and staff aware of emergency procedures?
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16.6 - Is house hygiene and cleaning satisfactory throughout the residential environment?
17.0 - External Environment - Vehicle Parking
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17.1 - Is there adequate lighting in all car park areas?
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17.2 - Do staff working after dark have access to parking that is close to the building?
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17.3 - Does the landscaping provide minimal or no locations for intruders to hide?
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17.4 - Is the carpark entrance and exit clearly marked?
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17.5 - Is the carpark surface free from potholes, cracks and other trip hazards?
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17.6 - Are drainage grates in good order and free from debris?
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17.7 - Are traffic and speed restriction signs clearly visible and free from obstruction?
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17.8 - Are pedestrian crossings safe and clearly marked?
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17.9 - Are all "no parking " areas clearly marked?
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17.10 - Is there a designated and safe "disabled parking " area?
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17.11 - Have emergency and service vehicle parking areas been designated (is line marking good)?
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17.12 - Have all staff completed online driver safety?
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17.13 - Is the required direction of traffic clearly indicated?
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17.14 - Are all intersections clearly marked?
18.0 - External Environment - Building Perimeter
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18.1 - Are building entrances and exits clearly marked?
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18.2 - Is an external duress alarm fitted?
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18.3 - Is the surface of pathways even and free from potholes, cracks and tripping hazards?
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18.4 - Do all pathways provide continuous, free and clear passage? (no obstacles, equipment or vegetation)
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18.5 - Do all pathways have anti-slip surfaces?
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18.6 - Have all steps and changes in level been clearly defined and indicated?
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18.7 - Are all pathways adequately lit?
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18.8 - Are all waste bins regularly emptied?
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18.9 - Are all windows secure and unbroken?
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18.10 - Have childproof locks been fitted to gates where required?
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18.11 - Are opening/closing times are clearly visible from the outside?
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18.12 - Are all walls, gates and fences in good condition without gaps or protrusions?
I9.0 - External Environment - Shade
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19.1 - Have staff that are exposed to prolonged sun exposure been provided with skin, head and eye protection?
20.0 - External Environment - Outdoor Garden Area
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20.1 - Are gardens safely maintained with no overhanging dead or loose branches, lawns mowed, cuttings removed?
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20.2 - Are gardens free of sharp objects (glass, metal, wood, sharps, etc)?
21.0 - Emergency and Risk Control
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21.1 - Is the emergency evacuation area clearly marked?
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21.2 - Are emergency procedures clearly displayed in the workplace?
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21.3 - Have evacuation routes for people with a disability been identified?
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21.4 - Is there a procedure in place to handle bomb threats?
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21.5 - Is there a procedure in place to ensure everyone (clients, visitors, contractors, staff) is accounted for during an evacuation?
22.0 - Occupational Violence
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22.1 - Has the VAMP been completed with sufficient control measures?
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Date of last VAMP
Sign Off
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Name of Manager
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Sign off by Manager (if relevant)
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Name of HSR
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Sign off by Health and Safety Representative (if relevant)
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Name of Assessor
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Sign off by Assessor
