Information

  • Depot/Office

  • Conducted on

  • Prepared by

  • Have you reviewed the previous audit and ensured actions are closed?

  • Any outstanding actions

  • Comment
  • Add media

Notice Board

  • Emergency Evacuation Plan

  • H&S Issue Resolution Procedure Flow Chart 14-30P0001) 10/9/09

  • Health & Safety Policy 20/12/10

  • Schedule of Designated Work Groups 14-05-F0004)

  • Converge International Counselling Service Poster

  • Incident Report Form

  • Safety Grams, Red Alerts, Incident Advice

  • Danger - Do Not Operate " tags

  • If you are injured poster

  • Return to Work Policy

  • H&S Thermometer

  • Completed First Aiders List (14-40-F0004)

  • Completed Evacuation Wardens List ( 14-35-F0002)

  • Notice Board
  • Location

  • Emergency Evacuation Plan

  • H&S Issue Resolution Procedure Flow Chart 14-30P0001) 10/9/09

  • Health & Safety Policy 20/12/10

  • Schedule of Designated Work Groups 14-05-F0004)

  • Converge International Counselling Service Poster

  • Incident Report Form

  • Safety Grams, Red Alerts, Incident Advice

  • Danger - Do Not Operate " tags

  • If you are injured poster

  • Return to Work Policy

  • H&S Thermometer

  • Completed First Aiders List (14-40-F0004)

  • Completed Evacuation Wardens List ( 14-35-F0002)

Communication Consultation

  • Are contractors inducted as required. Check property facilitator records.

  • Is the equipment maintenance register being maintained

  • Have per purchase checklist being completed for non catalogued items. i.e tools & equipment, office furniture

  • Is signage in place at visitor entrance locations to induct visitors

  • Are visitors registered on arrival and provided with instructions on emergency response requirements

  • Is the health and safety actions register being maintained

  • Other
  • Add media

Emergency

  • Emergency plan on display at exit points. D plans show the " are you here" symbol

  • Are evacuations drill practices yearly

  • Has the emergency planning committee (EPC) met in the last 12 months<br>Check minutes<br>Check for evacuation performance being measured <br>Issues discussed

  • Have wardens being trained in emergency response<br>Note dates trained<br>Refresher to be 3 yearly

  • Has the site emergency guideline on myConnect been updated to reflect training completed and trial evacuation dates performance

  • Where installed are emergency alarms tested. Monthly or six monthly depending on system

  • Are evacuation doors clear and well signed

  • Are illuminated signs operational

  • Are fire extinguishers and hoses tested

  • Are fire extinguishers and hoses free from impediments.

  • Other
  • Add media

First Aid

  • Are first aid kits signed, numbered, audited 6 monthly, adequately stocked (check use by dates on items)

  • Are first aid rooms clean, tidy and adequately stocked

  • Is first Aiders training up to date

  • Is a defibrillator securely mounted,signage installed above unit, green tick visible in the indicator panel

  • Other
  • Add media

Electrical

  • Are electrical cords & appliances tested and tagged as per PETE requirements<br>Construction items 6 monthly<br>Workshop items 6 monthly<br>Portable items 12 monthly<br>Non portable (TV) 5 years<br>

  • Have microwave oven been leak tested.

  • Other
  • Add media

Dangerous Goods & Hazardous Substances

  • Are MSDS's have been removed from service as they are now online

  • Are substances appropriately labelled. Check decanted substances

  • Are substances stored safe and secure

  • Are substances stored clear of potential ignition sources i.e. power-points, switches and batteries

  • Adequately signed

  • Are substances stored away from drains

  • Are spill trays installed where required

  • Are gas cylinders stored correctly

  • Locked in cages or cabinets and securely chained

  • Flammable gas stored 3m from oxygen cylinders

  • Class diamonds signage installed

  • Clear of combustible materials

  • Are cylinders within the 10 year test period. Check for date stamp on cylinder

  • Other
  • Add media

Tools and Equipment

  • Are safety operating instructions on display next to equipment

  • Are authorised personnel signs installed at workshop entrances

  • Are safety signs i.e. hearing protect, eye ware installed in workshops and next to equipment

  • Are guarding and emergency stops fitted to equipment where required

  • Are rest plates fitted to grinders and is the gap between it and the wheel sufficient

  • Is the side of wheel free of use. Check for any grooves and tag out and non compliance

  • Is all other equipment being maintained as per requirements

  • Are safety operating instructions on display next to equipment

  • Are ladders tested and tagged as per policy (6 monthly)

  • Does lifting equipment have clearly marked maximum safe load limits

  • Are non compliant ladders tagged out of service and placed in quarantine

  • Are instruments and PPE within test date ( Modiewalk, NST Testers, Hot sticks)

  • Does lifting equipment have clearly marked maximum safe load limits

  • Are warning devices working when being operated

  • Where forklift warning lights are fitted to the property are they operating as required

  • Are fork lift drivers wearing their seat belt

  • Is all other equipment being maintained as per requirements

  • Other
  • Add media

  • Are fork lift drivers turning of the ignition when they make a temporary exit

  • Are lifting items (chains, slings, jibs) tested and showing correct test colour

Housekeeping

  • Are floors, roadways, walkways, mess rooms, toilets lockers, clean and free form slip and trip hazards

  • Is there compliance to the "No Smoking" policy. Check there are adequate disposal containers

  • Is alcohol stored under lock and key

  • Are thermometers located in fridges

  • Other
  • Add media

Offices and Buildings

  • Is lighting fit for purpose in offices and depot areas

  • Ae all desks set up ergonomically

  • If a way air conditioner system is in use is it being maintained. (Ardeer only)

  • Other
  • Add media

Environment

  • Are heating and cooling adequate for worker comfort

  • Are fumes, dust and noise adequately controlled in workshops

  • Other
  • Add media

Traffic Management

  • Are traffic management plans available, displayed at exit points and up to date

  • Are line markings in place and clearly marked and loading zone barriers available

  • Are people wearing hi via vests where required, using walkways

  • Are vehicles obeying the signed speed limits in depots

  • Other
  • Add media

Working at height and falls

  • Are roof safe access points available

  • Are anchor points and or fall prevention barriers available to enable safe maintenance

  • Are restricted access signage and locks installed where verticals ladders are installed

  • We're service pits are installed are barriers and signage in place

  • Other
  • Add media

Storage

  • Ae storage racks and mezzanine floors appropriately labeled with safe load limits

  • Are storage racks being maintained through the inspection program. Records retained at Supply Chain for visual reviews and annual review records kept with property coordinators

  • Are items stored without manual handling issues or subject to falling

  • Are failed mercury lamps being removed from fittings before disposal

  • Ae fluorescent tubes being stored to prevent breakage

  • Is waste being disposed of appropriately. Check Recycle, Asbestos, Mercury, Scrap metal etc bins

  • Other
  • Add media

Tag out & Quarantine

  • Are there adequate quarantine areas established and clearly sign posted

  • Is there evidence that the company tag out procedure is being applied

  • Other
  • Add media

Gymnasium (where applicable)

  • Is there signage in place restricting access to authorised employees only

  • Is there safe usage signage in place

  • Is equipment is good working order. Check for frayed cables and loose parts

  • Is equipment stored appropriately to prevent trip hazards

  • Other
  • Add media

Vehicles Inspections

    Vehicle
  • Registration

  • First aid kit check dates on items

  • Are lifting items (chains, slings, jibs) tested and showing correct test colour

  • Ladders tested and free of damage

  • Electrical lead PETE tested

  • Are instruments and PPE within test date ( Modiewalk, NST Testers, Hot sticks)

  • Extinguishers tested

  • Are cylinders within the 10 year test period.check for date stamp on cylinder

  • Electrical testing of EWP performed

  • Are substances appropriately labelled. Check decanted substances

  • Are towing attachments serviceable. Check for safety pins and worn tow balls and hooks

  • Gas bottle secured in flammable cabinet

  • Are fuel containers labeled and stored in a flammable cabinet away from exhaust pipe

  • Is vehicle clear of slips and trips hazards

  • Other
  • Add media

Other

    Other
  • Add media

General Comments

Actions

    Action
  • Agreed Action

  • Responsibility

  • Care raised

  • CARE No:

Sign Off

  • Add 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.