NSWBC

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add location
  Address

1.0 - Previous inspection

• 1.1 - What was the date of the last inspection?

• 1.2 - Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.3 - Are all actions completed?

  Yes

  No

  N/A

• 1.4 If NO to the above, are they identified in the Continuous Improvement Plan for the premises?

  Yes

  No

  N/A

• 1.5 - Is the office free of change (including location) since the last audit ? (if NO, please comment)

  Yes

  No

  N/A

2.0 Fire & Emergency

• 2.1 - Evacuation plan posted in prominent location eg notice board?<br>

  Yes

  No

  N/A

• 2.2 - Evacuation and emergency procedures discussed and drills conducted regularly? (3 to 4 times a year)

  Yes

  No

  N/A

• 2.3 - Are local details on this form correct?

  Yes

  No

  N/A

• If no, print new form with updated details (available on intranet)

• 2.4 - Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 2.5 - Extinguishers in place and appropriate for the hazard?

  Yes

  No

  N/A

• 2.6 - Extinguishers and hoses recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 2.7 - Extinguishers mounted, unobstructed and location signs clearly visible?

  Yes

  No

  N/A

• 2.8 - Exit signs and directions to exits in place and correct?

  Yes

  No

  N/A

• 2.9 - Exit signs illuminated?

  Yes

  No

  N/A

• 2.10 - Exits clear of obstructions?

  Yes

  No

  N/A

• 2.11 - Exit doors easily opened from inside?

  Yes

  No

  N/A

• 2.12 - Fire detection equipment inspected & maintained?eg smoke alarm, sprinklers & thermals?

  Yes

  No

  N/A

• 2.13 - Smoke alarms installed?

  Yes

  No

  N/A

• 2.14 - Fire alarm system functioning & tested regularly?

  Yes

  No

  N/A

3.0 - Lighting & Ventilation

• 3.1 - Workspaces sufficiently lit?

  Yes

  No

  N/A

• 3.2 - Light fittings clean and in good condition?

  Yes

  No

  N/A

• 3.3 - Air-conditioning system maintained?

  Yes

  No

  N/A

• 3.4 - Comfortable temperature?

  Yes

  No

  N/A

4.0 - Building Safety & Housekeeping

• 4.1 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 4.2 Floors maintained clean, dry & tidy?

  Yes

  No

  N/A

• 4.2 - Free from slip/trip hazards?

  Yes

  No

  N/A

• 4.4 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 4.5 - Office clean & tidy?

  Yes

  No

  N/A

• 4.6 Aisles and walkways unobstructed?

  Yes

  No

  N/A

• 4.7 - Sufficient rubbish bins are provided & emptied regularly?

  Yes

  No

  N/A

• 4.8 - Are liquid spills removed quickly?

  Yes

  No

  N/A

• 4.9 - Are railings in good condition?

  Yes

  No

  N/A

• 4.10 - Car parking is satisfactory? eg surface, lighting, ventilation?

  Yes

  No

  N/A

• 4.11 - Building access & footpaths satisfactory? eg condition, lighting

  Yes

  No

  N/A

5.0 - Work Stations

• 5.1 - Workstations suitable with correct set up?

  Yes

  No

  N/A

• 5.2 - Ergonomic chairs provided & adjustable?

  Yes

  No

  N/A

• 5.3 - Furniture in sound condition?

  Yes

  No

  N/A

• 5.4 - Reflected light is managed and not causing glare to employee(s)?

  Yes

  No

  N/A

6.0 - Storage & Stacking

• 6.1 - Are supplies neatly stacked/stored?

  Yes

  No

  N/A

• 6.2 - Filing cabinets & shelving tidy & in good condition?

  Yes

  No

  N/A

• 6.3- Storage of all items at shoulder height or below?

  Yes

  No

  N/A

• 6.4 - Heavy or frequently used items stored at waist height?

  Yes

  No

  N/A

• 6.5 - A safe step stool or ladder available, if required?

  Yes

  No

  N/A

• 6.6 - All objects left in safe position (none where they could fall?)

  Yes

  No

  N/A

7.0 - Electrical Safety

• 7.1 - Is there a locatable and accessible distribution board within the tenancy? If NO, go to 7.5

  Yes

  No

  N/A

• 7.2 - Safety switches installed?

  Yes

  No

  N/A

• 7.3 - Safety switches (RCDs) tested every 6 months and tests recorded? (SA/QLD - Every 2 years operating time testing. Push button testing quarterly. NSW/ACT - If present (testing as per QLD). Safety switch not required in non-hostile environment.<br>VIC - Every 2 years operating time testing. Push button testing 6 monthly).

  Yes

  No

  N/A

• 7.4 - Is there a clear space in front of switchboards of at least 1 metre?

  Yes

  No

  N/A

• 7.5 - Power use safe ?- (No double adapters in use).

  Yes

  No

  N/A

• 7.6 - Portable equipment tested and tagged? See note: NSW - not required. /ACT/QLD - 5 yearly;<br>SA - Includes extension leads & powerboards - 5 yearly;<br>VIC- 5 yearly

  Yes

  No

  N/A

• 7.7 - Power use safe ? - (No broken plugs, sockets or switches).

  Yes

  No

  N/A

• 7.8 - Power use safe ? - (No power leads across walkways).

  Yes

  No

  N/A

• 7.9 - Power use safe ? - (No frayed or damaged leads).

  Yes

  No

  N/A

• 7.10 - Power use safe ? - (No strained leads & are tidy to reduce trip hazards).

  Yes

  No

  N/A

• 7.11 - Power boards in use are fitted with a safety switch?

  Yes

  No

  N/A

• 7.12 - Office is free of "piggy backed" adaptors?

  Yes

  No

  N/A

• 7.13 - Danger tags available for isolation & maintenance of faulty plant &/or equipment? (if NO, please send email to facilities requesting stock).

  Yes

  No

  N/A

8.0 - Plant & Equipment

• 8.1 - The photocopier is safe ? - does not require loose or liquid toner.

  Safe

  At Risk

  N/A

• 8.2 - The photocopier is safe ? - does not emit fumes.

  Safe

  At Risk

  N/A

• 8.3 - The photocopier is regularly maintained by a properly trained person?

  Yes

  No

  N/A

• 8.4 - Safe operating procedures signed at location of photocopier with loose or liquid toner &/or fumes?

  Yes

  No

  N/A

• 8.5 - Safe Operating procedures signed at location of guillotine?

  Yes

  No

  N/A

• 8.6 - Safe Operating procedures signed at location of shredder?

  Yes

  No

  N/A

9.0 - Chemical Safety

• 9.1 - Are Material Safety Data Sheets (MSDS) available for all cleaning/washing etc products on site, available & accessible to staff, & current (within 5 years). eg for dishwashing detergent, cleaners.

  Yes

  No

  N/A

• 9.2 - Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• 9.3 - Containers labelled clearly & correctly?

  Yes

  No

  N/A

• 9.4 - If required is PPE available & in good condition? eg gloves (Check MSDS)

  Yes

  No

  N/A

10.0.-Amenities

• 10.1 - Clean & tidy toilets, washroom, shower?

  Yes

  No

  N/A

• 10.2 - Supplies of soap & disposable hand towels or dryer?

  Yes

  No

  N/A

• 10.3 - Water available which is clean, cool & hygienically provided, separate from toilet & washing facilities? (this includes provision of fridge for storing cool clean water)

  Yes

  No

  N/A

• 10.4 - health & safety risk from preparing food and eating in the workplace is controlled?

  Yes

  No

  N/A

• 10.5 - Is there a staff notice board located in common areas?

  Yes

  No

  N/A

• 10.6 - Is the Workcover or Safety poster displayed on the staff noticeboard? (NSW & Vic only)

  Yes

  No

  N/A

11.0 - First Aid - the questions in this section are appropriate only where there are ten (10) or more employees and a first aider is required. If less than ten (10) a first aid kit is not required.

• 11.1 - First aid kit adequately stocked, contents checklist available & register?

  Yes

  No

  N/A

• 11.2 - Are contents regularly checked?

  Yes

  No

  N/A

• 11.3 Contents are good ? - No contents past their expiry date.

  Yes

  No

  N/A

• 11.4 - Where first aid kit is stored is clearly sign posted & labelled?

  Yes

  No

  N/A

• 11.5 - Name & contact for current first aider displayed in prominent locations? ie notice board or with First aid kit

  Yes

  No

  N/A

12.0 - Security

• 12.1 - Is accessible secure storage for personal property available? eg lockable drawers

  Yes

  No

  N/A

• 12.2 - Are security measures in place & sufficient for the safety of staff?

  Yes

  No

  N/A

13.0 Current Office Contacts

• 13.1 - Name of Office Representative for Office, Operational and WHS matters.

• 13.2 - Name of First Aid Officer/s and date/s of certificate expiry (where applicable)

• 13.3 Name of Fire & Emergency Warden/s

14.0 Safe Work Procedures For Driving/Travel (Safe Driving Policy)

• This section applies to offices where there are employees driving in remote areas, where there is reduced mobile reception and/or locations that are distant.

• 14.1 How many staff does Safe Work Procedure apply to at this location?

  Yes

  No

  N/A

• 14.2 Safe Work Procedure For Driving/Travel is displayed on notice board and contains each drivers details, support person, back-up support and contact numbers/details.

  Yes

  No

  N/A

• 14.3 Details on Safe Work Procedure For Driving/Travel are up to date (verified by staff)?

  Yes

  No

  N/A

• 14.4 How many times in the last twelve (12) months has the emergency response procedure been activated as a result of a staff member failing to make contact/arrive at destination/meet scheduled return time?

  Select 1 2 3 4 5 6 +6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • +6

15.0 - Other Comments:

• Enter additional comments here....

  Safe

  At Risk

  N/A

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• Manager

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  Date