Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Shift observed

Staff Amenities (Lunch Room, Prayer Room, Toilets, Showers & Change Rooms)

  • Corrective Action must be recorded in "notes" for any non-conformance raised in report.

Items observed

  • Staff Lunch Room is clean, no build up of rubbish on tables or floors.

  • No build up of food scraps in the sink, microwave or fridges.

  • All food kept inside fridges or lunch bags.

  • No build up of dust or rubbish on top or under the fridges or microwaves.

  • Prayer Room is clean, no build up of rubbish.

  • Toilets are clean, no build up of grime or stains in the toilets, no build up of waste paper or rubish on the floors.

  • No uniforms stored in Change Rooms. No build up of rubbish in Change Rooms.

  • Walls, floors and ceilings are in good condition.

  • Showers are clean and in good condition.

  • Free from pest activities, no signs of pests or droppings in the facilities.

  • Chemical cage locked. SDS available and up to date.

  • All bait stations are securely attached.

  • No birds roosting or nesting observed at loading/ unloading areas.

Dry Store, Staff Carpark, Maintenance Workshop, Canola Oil Tank, Dry Store Transfer, Compactor Area, Receival Area

  • No build up of rubbish under pallet rackings, allergens stored on the bottom rackings, no spillages in Dry Store and Dry Store Transfer.

  • No build up of dirt, dust and debris on the floors at Dry Store and Workshop.

  • No excessive cobwebs in Dry Store, Dry Store Transfer and Maintenance Workshop.

  • No damaged bags in Dry Store and Dry Store Tranfer. No pallets of dry ingredients stacked on top of each other without pallet slip sheets in between.

  • No build up of weeds or rubbish in the Staff Carpark.

  • No build up of oil on the ground by Canola Oil Tank.

  • Compactor area is clean and no rubbish overflowing.

  • Receival area / loading area is clean, no build up of rubbish.

  • Personnel are adhering to PPE requirements.

  • Free from pest activities, no signs of pests or droppings inside the facilities. No damaged bait stations including toxic and non-toxic.

  • Chemicals are stored separately. Chemical cages are locked.

  • All bait stations are securely attached.

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.