Title Page
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Site
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Conducted on
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Prepared by
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Location
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Site Contact
Location
Location
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Is the workplace near appropriate facilities? (eg Dr Surgery, Food, Public Transport)
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Is the means of access safe? (eg Adequate lighting, uneven surfaces)
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Is this a multi level office building?
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How many levels do Northcott occupy
- 1
- 2
- 3
- 4
- 5
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Are facilities (bathroom, kitchen etc) shared with another business?
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Are facilities maintained regularly?
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Do all Staff on all shifts have access to the workplace ? (eg keys)
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Is parking within 100m of workplace?
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Is pest control part of the scheduled maintenance?
Policy and Procedures
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WHS Policy and Injury Management Policy on display on notice board?
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Is there a dedicated bulletin board for WHS?
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Are the latest Safety Committee minutes on display?
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If You Are Injured notice on display?
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Have all staff completed the Northcott online induction?
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Have all staff completed the onsite induction?
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Inductions verified?
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Is there a WHS office rep appointed?
Working Alone
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Is there a working alone procedure in place?
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Is the entrance into the office secure?
- Door locked at all times
- Entry by door release from inside
- Entry by PIN
- Entry by swipe card or Fob
- Door is open at all times
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Are parking areas well lit, safe?
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Are contact lists current and easily accessible?
- Current and accessible
- Not current
- Not easily accessible
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Have staff expressed concern with working alone procedures?
Emergency Plan
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Is there a written emergency plan?
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Are there clear emergency procedures on display for all to see?
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Are Staff, managers and supervisors instructed and trained in the procedures?
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Have emergency warden been appointed? On display with photos?
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Are emergency contact details relevant to the types of possible threats (e.g. fire, police, poison information centre) displayed at the workplace in an easily accessible location?
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Are contact details updated regularly?
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Is there a mechanism, such as a siren or bell alarm, for alerting everyone in the workplace of an emergency?
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Is there a mechanism, such as flashing light alarm for those with a hearing loss?
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Are procedures in place for assisting others if needed?
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If there is a site plan and is it displayed in key locations throughout the workplace?
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Are site plans relevant to the layout of the building?
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Are site plans current? (within 5 years)?
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Date plan last updated?
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Does site plan show the location of fire protection equipment, smoke detectors, sprinklers, emergency exits and assembly points? List those missing.
- Fire Extinguishers
- Emergency Lighting
- Fire Blankets
- Sprinklers
- Smoke Detectors
- No Fire Extinguishers
- No Sprinklers
- No Fire Blankets
- No Smoke Detectors
- No Emergency Lighting
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Have neighbouring businesses been consulted in relation to emergency procedures?
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Have you considered the risks from neighbouring businesses (e.g. fire from restaurant/takeaway food outlets)?
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Are emergency practice runs (e.g. evacuation drills) regularly undertaken to assess the effectiveness of the emergency plan?
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Are the results of drills recorded? Times, challenges etc
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Do drills include customers, contractors and visitors?
Emergency Exits
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All emergency exits clear of obstruction?
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Are emergency signs in place? (Illuminated and above exits)
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Is there unobstructed pathway to emergency exits?
Fire Equipment
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Is the fire protection equipment suitable for the types of risks at the workplace (e.g. foam or dry powder type extinguishers for fires that involve flammable liquids)?
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Is equipment easily accessible in an emergency?
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Are Staff trained to use emergency equipment?
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Have extinguishers been tested within the last six months?
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Have Fire Services equipment been tested within the last month? (eg sprinklers, alarms)
First Aid
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Are First Aid Officers onsite? Names and photos on display?
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Do any First Aid Officers require training?
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Which training is due?
- First Aid
- CPR
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Does the workplace have first aid facilities?
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How often are first aid kits checked?
- Weekly
- Fortnightly
- Monthly
- Quarterly
- Annually
- Not Checked
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First Aid kits fully stocked, items within use by date
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Does the workplace have an AED?
Managing Facilities
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Is broken or damaged infrastructure, such as plumbing, air-conditioning or lighting, repaired promptly?
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Is equipment and furniture, like fridges, lockers and seating, maintained in good condition?
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Is storage suitable? (Built in, fixed to walls)
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Are heavy items such as paper stored low? (between knees and ground?
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Is manual handling equipment available to take delivery of heavy consumables (eg paper)
Workspace
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Is there enough clear space, taking into account the physical actions needed to perform tasks?
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Are personal belongings stored away to avoid trip hazards?
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Is there enough space in walkways and around cupboards, storage, printers or doors?
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Are the floors maintained to be free of slip and trip hazards?
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Further Comment
Ergonomics
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Can the work be easily done from a seated position?
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Can the chair be adjusted for individual needs and is it appropriate to the type of work being carried out?
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Is there additional seating for Staff who work standing and need to sit from time to time?
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Are there any concerns relating to the office furniture? (eg broken chairs etc)
Environment
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Is there adequate lighting through the office space?
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Does the working environment minimise the amount of glare, contrast or reflection?
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Does lighting provide a natural light?
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Are there broken light fittings? (flickering etc)
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Are ventilation and air-conditioning systems serviced regularly?
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Is sun block available for staff while conducting outdoor activities?
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Is there access to clean/cool drinking water?
Smoking
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No smoking signs in place?
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Is there a designated smoking area?
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Means to safely dispose of butts? eg ashtrays
Toilets
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If the workplace has more than 10 Staff, are there at least one male toilet for every 20 men and one female toilet for every 15 women?
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Are the toilet facilities accessible? With handrails?
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Are toilets clearly marked, and do they have lockable doors, adequate lighting and ventilation?
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Are toilets cleaned regularly?
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Is there adequate toilet paper, soap, rubbish bins?
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Is sanitary disposal available and serviced regularly?
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Further Comments
Handwashing
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Is hot and cold water, soap or other cleaning product provided?
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Are there enough hand washing basins for men and women?
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Is hygienic hand drying provided that does not involve Staff sharing towels?
Showers
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Are showers provided for Staff?
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Is there a slip-resistant floor?
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Are showers accessible? With handrails?
Dining facilities
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If a shared dining facility is used, can it accommodate all Staff likely to be eating at one time?
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Have appliances been test tagged?
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Is kitchen cleaned daily?
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Are the drinking water outlets separate from toilet and washing facilities?
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Is filtered water provided?
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Is the water clean, cool and hygienically provided?
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Further Comments
Personal storage
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Is there secure storage at the workplace for Staff’ personal property?
Incidents
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Have there been any incidents/injuries in the past 12 months?
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What type of injury was sustained?
- LTI
- MTI
- FAI
- Non WComp
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Cause of Injury? (Trips, Manual Handling etc)
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Further Comments
PPE
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Is PPE easily accessible?
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List PPE available
- Gloves
- Masks
- Glasses
- Shoe Covers
- Sleeve Covers
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Further Comments
Northcott owned vehicles
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List safety features available in vehicles?
- Seat Belt Cutter
- Fire Extinguisher
- Hazard Signage
- First Aid Kit
- No Fire Extinguisher
- No Seat Belt Cutter
- No First Aid Kit
- No Hazard Signage
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Is a vehicle safety maintenance check completed monthly?
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Further Comments
Manual Handling
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Is manual handling equipment used?
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Have all staff completed Manual Handling training?
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Is there a scheduled maintenance for manual handling equipment, such as hoists?
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Is there an equipment register in place?
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Is there a procedure in place to isolate or tag broken equipment?
Signatures
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WHS Representative
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Site Representative