Information
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Audit No. Format: Type-Region-Area-Cost Centre-Year e.g. (R4-21-3422-2011)
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Station
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OIC at time of Audit
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Conducted on
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Completed by
1. Business Planning
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Is there evidence to confirm that:
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A. There is a business plan for the workplace
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B. The business plan includes safety & wellbeing objectives relevant to the workplace
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C. They safety & wellbeing components of the business plan have been reviewed
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D. There is a safety & wellbeing notice board in the workplace that displays relevant information
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Comments on Business Plans:
2. Workplace Hazard Management
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Is there evidence to confirm that:
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A. There is a specific hazard register for the workplace, which identifies relevant hazards
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B. There is a hazardous substances register (only applies to workplaces that store or use hazardous substances)
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C. All staff have access to the workplace hazard register (s)
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D. Hazard registers are reviewed regularly (At least every 6 months)
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E. Identified hazards have been controlled using the NZFS approach of eliminate - isolate - minimise
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F. Quarterly workplace inspections are conducted & recorded
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G. Hazards identified in workplace inspections are conducted & recorded
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H. Hazards associated with new or modified equipment have been identified & controlled
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I. Visitor & contractor controls are in place (Based on general walk around inspection)
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J. The workplace has good housekeeping practices
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K. The staff have access to national & local safety & operational notices
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L. Hazards identified as a result of an accident investigation are recorded & controlled
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Comments on workplace hazard management
3. Contractor Management
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Is there evidence to confirm that:
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A. Workplace contractors have a Health & Safety plan
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B. Contractors have been inducted
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C. Contractor safety performance is monitored - during and at the completion of the contract. (For contractors who provide ongoing services safety performance is monitored at least annually)
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Comments on contractor management
4. Accident & Near miss Reporting
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Is there evidence to confirm that:
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A. All accidents and near miss events that have been entered into the NZFS Accident Reporting kiosk have been investigated
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B. appropriate corrective actions have been developed & implemented, where applicable
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C. Investigation findings and/or corrective actions are communicated to all personnel
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D. Reported accidents & near miss events are assessed for trends periodically (e.g. By the workplace health and safety committee and/or OIC/workplace management)
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E. workplace managers are involved in the accident investigation and the corrective action process
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For this work place how many:
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F. New accidents or near miss events that have been recorded in the NZFS Accident Reporting Kiosk (Since 1st July )
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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G. Accidents & near misses have been investigated
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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H. Accidents & near misses have been signed off (Completed)
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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Comments on accident & near miss reporting
5. Emergency preparedness
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Is there evidence to confirm that:
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A. A workplace/station emergency plan has been established
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The workplace/station emergency plan has been tested within the last 12 months
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B. Trial evacuations are scheduled (For fire stations this can be completed in SMS
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C. Select workplace type
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For career stations at least one trial evacuation per watch per year has been completed (4 in total) and there is evidence that the trial evacuation result has been discussed & recorded
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Blue Watch
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Green Watch
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Red Watch
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Brown Watch
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For Volunteer brigades and all other workplaces, at least one trial evacuation is completed every 6 months
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Brigade/BU
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D. Information about what rondo in an emergency is displayed at relevant locations in the workplace (e.g. In the meeting room)
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E. All personnel have access to first aid treatment & equipment
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Comments on emergency preparedness
6. Health & Safety meetings/committees
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Is there evidence to confirm that:
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A. Health & safety meetings are held monthly. For volunteer brigades these may be included as part of general brigade meetings
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B. Officers and/or managers attend meetings or review meeting outcomes
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C. Minutes of meetings are available to all personnel
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D. Management demonstrate involvement in the managing of safety & wellbeing matters, including matters arising from committee meetings
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Comments on health & safety meetings
General comments on workplace/station/brigade safety management (Note any items to be considered in a corrective action plan)
Sign off
Sign Off
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Completed by:
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Signature
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Signed off by AM/AAM
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AM/AAM Signature