OHSE Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Site Specific

• Cleaner has been indicted to Blue Sky Services

  Yes

  No

  N/A

• Cleaner has been inducted to the site

  Yes

  No

  N/A

• SWMS - Safe Work Method Statement - Observed and Completed

  Yes

  No

  N/A

• Cleaning Specification and Scope- Educate Cleaner in Detail

  Yes

  No

  N/A

• Recycling and Waste Disposal Options- Educate cleaner in Detail

  Yes

  No

  N/A

• Site manual available and up to date

  Yes

  No

  N/A

Housekeeping

• Work areas free from excess materials, rubbish and Obstructions

  Yes

  No

  N/A

• Floor surfaces safe and well maintained

  Yes

  No

  N/A

• Steps and stairways well lit and clear of obstructions

  Yes

  No

  N/A

• Equipment are stored safely

  Yes

  No

  N/A

Environmental Concerns

• Hazard identified and controlled

  Yes

  No

  N/A

• Appropriate water disposal available ( cleaners room sink , toilet bowl )

  Yes

  No

  N/A

• Waste and recycling options available ( General rubbish, Recycle, Commingle, Organic)

  Yes

  No

  N/A

• Adequate Spill control available ( Rags, mops)<br>

  Yes

  No

  N/A

• Onsite evacuation plan available

  Yes

  No

  N/A

• Chemicals stored appropriately

  Yes

  No

  N/A

• Potential for noise problems

  Yes

  No

  N/A

Occupational Health and Safety - General

• Hazards identified and controlled

  Yes

  No

  N/A

• Aisles and Hallways - Obstructions

  Safe

  At Risk

  N/A

• Aisles and Hallways - Lighting

  Safe

  At Risk

  N/A

• Aisles and Hallways - Wide Enough and Access

  Safe

  At Risk

  N/A

• Personal Protective Equipment ( PPE ) available and staff are using

  Yes

  No

  N/A

Occupational Health and Safety - Equipment

• Broken plugs, sockets, and switches

  Safe

  At Risk

  N/A

• Frayed or defective leads

  Safe

  At Risk

  N/A

• Equipment and leads - Tested and Tagged

  Yes

  No

  N/A

• Equipment in good working order ( Visual)

  Yes

  No

  N/A

• Cable trip hazards

  Safe

  At Risk

  N/A

• Staff are trained to use the equipment

  Yes

  No

  N/A

Material Safety Data Sheets ( MSDS)

• MSDS sighted

  Yes

  No

  N/A

• MSDS expiry date

  Date

Manual Handling

• Equipment stored to minimise risks

  Safe

  At Risk

  N/A

• Access to high shelves

  Safe

  At Risk

  N/A

Personal Safety and Security

• Safe access to and from site / parking

  Yes

  No

  N/A

• External doors kept secure

  Safe

  At Risk

  N/A

• Staff mobile phone carried and functional

  Yes

  No

  N/A

• Staff are aware of safety procedures and emergency contacts

  Yes

  No

  N/A

Emergency Control- If applicable

• Emergency control procedures posted in the cleaners room

  Yes

  No

  N/A

• Emergency exits sighted and clear if obstructions

  Yes

  No

  N/A

• Firefighting equipment sighted and accessible / serviced and tagged

  Yes

  No

  N/A

• First aid cabinet accessible and sighted and socked

  Yes

  No

  N/A

Head Office Only

• Flammable materials are isolated

  Yes

  No

  N/A

• Fuel containers in trailers isolated from<br>Flammables

  Yes

  No

  N/A

• Materials safety located in shelves

  Yes

  No

  N/A

• Trolleys available for handling materials

  Yes

  No

  N/A

Next OHSE inspection

• Due Date

  Date

Inspection is completed to the next if my knowledge and experience

• Signature

  Sign

Cleaner Declaration

• Onsite Inspection was completed and I was at present

  Sign

• Cleaners Name