Title Page
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Document No.
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Department / Area assessed
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Conducted on
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Location (i.e Level 1, Carpark, Pool etc)
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Hotel Address
General Safety.
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Are walkways and doors clear of obstructions and hazards?
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Are floors and walkways in good condition?
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Is fire extinguishing equipment regularly maintained, tagged and correctly mounted?
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Is lighting steady with no blown bulbs?
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Are associates aware of emergency procedures and know who their first aiders are?
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Do associates know what the hotel emergency number is?
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Do associates know who their Safety Committee representative is?
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Do associates know where to access the Safety committee meeting minutes?
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Are "wet floor" signs easily available and utilized? Are they clean and free of dings/marks/etc.?
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Are doors closing and locking appropriately?
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Are "3E Protect" available where chemicals are being used?
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Are first aid kits and first aid room appropriately stocked?
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Is PPE being used in good condition or good working order?
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Are stored items (boxes, stock, crates etc) at appropriate height, below sprinklers and at no risk of falling?
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Are all electrical items tested and tagged and within date, cord are not freyed and not creating trip hazards?
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Are JSA's known and available?
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Are facilities clean and tidy and well maintained? (Canteen, toilets, locker room, smoking area)
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Are bins, including glass disposal, regularly emptied? (I.e no overflowing rubbish or insects / pests present?)
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Is there any visible damage to fixtures and fittings?
Behavioural observations
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Are associates wearing appropriate shoes (non slip safety shoes)?
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Was safety discussed in team meetings and daily stand ups (ask someone)?
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Are associates using correct lifting and carrying techniques?
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Are stretch breaks encouraged and performed?
Kitchen Safety
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Are associates using correct knife handling skills?
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Are associates trained in the use of hot / sharp equipment?
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Are knives and sharp equipment stored correctly?
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Is PPE worn and used where applicable? (Gloves for handling hot items, sharps, and / or chemicals, shoes with non-slip soles to prevent falls, )
Office Safety
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Is the top third of the monitor at eye height?
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Are elbows and knees at 90 degrees when seated?
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Does associates know how to adjust their chair height / tilt / seat pitch?
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Are associates using correct manual handling techniques?
Miscellaneous
Facilities
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Are facilities clean, tidy and well maintained? (Canteen, Toilets, Locker Room, Smoking Areas)
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Are bins emptied regularly? (i.e. no overflowing rubbish around bin)
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Is the car park and common areas free from hazards?
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Is there any visible damage to fixtures and fittings?
Additional observations. Please note any Positive Observations of a positive Safety Culture not covered above. Additionally, please note any areas of concern (risks, hazards, near-hits, incidents) which have not been covered above.
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Observation 1
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Observation 2
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Observation 3
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