Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Employer

  • Contact Person

COIDA

  • Letter of Good Standing available and valid?

HEALTH & SAFETY POLICY AND STRATEGIC OBJECTIVES

  • Does the company have a OHS policy?

  • Is it displayed?

RESOURCES

  • Facilities, plant and equipment meet legislative and H&S regulatory requirements

  • Is there competent personnel and adequate infrastructure to respond to and mitigate emergency situations?

  • Is the evacuation plan

TRAINING

  • Is there a trained fire fighter?

  • Is there a trained first aider?

  • Is there a trained risk assessor?

  • Is there a trained accident / incident investigator?

PLANNING

  • Is there formal Risk Management Plan in place?

  • Are documented OHS risk assessments for the organisation conducted and reviewed

  • Are there SOP/SWP's in place for critical activities?

  • Have employees been trained on the Risk Assessment and/or SOP/SWP's?

  • Is there a Risk Review Register in place?

ACCIDENT / INCIDENT INVESTIGATION AND REPORTING

  • Is there a accident / incident management plan in place?

  • Are accident / incident reported?

  • Are accident / incident recommendations followed up?

  • Have all employees been trained on the accident / incident procedures?

FIREFIGHTING AND EVACUATION PREPAREDNESS

  • Is the fire fighting equipment stored correctly?

  • Has the equipment been serviced?

  • Are there any apparent hazards present on the evacuation route e.g cluttered walkways or stepped surfaces

FIRST AID EQUIPMENT

  • Is the first aid box inventory sufficient?

  • Is the first aiders name indicated anywhere?

  • Is there a log of items used and for what they were used for?

  • Has the first aid box been ispected monthly?

SIGNAGE

  • Is all relevant safety signage displayed?

HOUSEKEEPING

  • Do all areas abide by good houskeeping practices

  • Are the houskeeping protocols being completed and actioned where necessary

Signoff Sheet

  • Comments

  • OHS Compliance Level

  • Assessor

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.