Information

  • Audit No. Format: Type-Region-Area-Cost Centre-Year e.g. (R4-21-3422-2011)

  • Station

  • OIC at time of Audit

  • Conducted on

  • Completed by

1. Business Planning

  • Is there evidence to confirm that:

  • A. There is a business plan for the workplace

  • B. The business plan includes safety & wellbeing objectives relevant to the workplace

  • C. They safety & wellbeing components of the business plan have been reviewed

  • D. There is a safety & wellbeing notice board in the workplace that displays relevant information

  • Comments on Business Plans:

2. Workplace Hazard Management

  • Is there evidence to confirm that:

  • A. There is a specific hazard register for the workplace, which identifies relevant hazards

  • B. There is a hazardous substances register (only applies to workplaces that store or use hazardous substances)

  • C. All staff have access to the workplace hazard register (s)

  • D. Hazard registers are reviewed regularly (At least every 6 months)

  • E. Identified hazards have been controlled using the NZFS approach of eliminate - isolate - minimise

  • F. Quarterly workplace inspections are conducted & recorded

  • G. Hazards identified in workplace inspections are conducted & recorded

  • H. Hazards associated with new or modified equipment have been identified & controlled

  • I. Visitor & contractor controls are in place (Based on general walk around inspection)

  • J. The workplace has good housekeeping practices

  • K. The staff have access to national & local safety & operational notices

  • L. Hazards identified as a result of an accident investigation are recorded & controlled

  • Comments on workplace hazard management

3. Contractor Management

  • Is there evidence to confirm that:

  • A. Workplace contractors have a Health & Safety plan

  • B. Contractors have been inducted

  • 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)

  • Comments on contractor management

4. Accident & Near miss Reporting

  • Is there evidence to confirm that:

  • A. All accidents and near miss events that have been entered into the NZFS Accident Reporting kiosk have been investigated

  • B. appropriate corrective actions have been developed & implemented, where applicable

  • C. Investigation findings and/or corrective actions are communicated to all personnel

  • 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)

  • E. workplace managers are involved in the accident investigation and the corrective action process

  • For this work place how many:

  • F. New accidents or near miss events that have been recorded in the NZFS Accident Reporting Kiosk (Since 1st July )

  • G. Accidents & near misses have been investigated

  • H. Accidents & near misses have been signed off (Completed)

  • Comments on accident & near miss reporting

5. Emergency preparedness

  • Is there evidence to confirm that:

  • A. A workplace/station emergency plan has been established

  • The workplace/station emergency plan has been tested within the last 12 months

  • B. Trial evacuations are scheduled (For fire stations this can be completed in SMS

  • C. Select workplace type

  • 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

  • Blue Watch

  • Green Watch

  • Red Watch

  • Brown Watch

  • For Volunteer brigades and all other workplaces, at least one trial evacuation is completed every 6 months

  • Brigade/BU

  • D. Information about what rondo in an emergency is displayed at relevant locations in the workplace (e.g. In the meeting room)

  • E. All personnel have access to first aid treatment & equipment

  • Comments on emergency preparedness

6. Health & Safety meetings/committees

  • Is there evidence to confirm that:

  • A. Health & safety meetings are held monthly. For volunteer brigades these may be included as part of general brigade meetings

  • B. Officers and/or managers attend meetings or review meeting outcomes

  • C. Minutes of meetings are available to all personnel

  • D. Management demonstrate involvement in the managing of safety & wellbeing matters, including matters arising from committee meetings

  • 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

  • Completed by:

  • Signature

  • Signed off by AM/AAM

  • AM/AAM Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.