Peter Cations Workplace Inspection Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Previous inspections

• Have items from pervious inspections be closed out ?

  Yes

  No

  N/A

Yard Control

• Speed limits, directional signage

  Yes

  No

  N/A

• Doorways, clearways clear

  Yes

  No

  N/A

• Pedestrian access ways marked

  Yes

  No

  N/A

• Parking areas identified

  Yes

  No

  N/A

• Security fencing maintained

  Yes

  No

  N/A

• Storage areas identified

  Yes

  No

  N/A

• Orderly storage of Plant and Equipment

  Yes

  No

  N/A

Stormwater/Litter Control

• Drains/ponds clean and clear of debris

  Yes

  No

  N/A

• Water irrigation system operational

  Yes

  No

  N/A

• Wash bay water contained

  Yes

  No

  N/A

• Wash bay water disposed of correctly

  Yes

  No

  N/A

• Site free of litter

  Yes

  No

  N/A

• Litter control measures appropriate

  Yes

  No

  N/A

Solid/Liquid Waste Disposal

• Waste bins available and utilised

  Yes

  No

  N/A

• Solid wastes disposed correctly

  Yes

  No

  N/A

• Liquid wastes contained

  Yes

  No

  N/A

• Liquid wastes disposed correctly

  Yes

  No

  N/A

• Bulk storage areas bunded and dry

  Yes

  No

  N/A

• Used chemicals disposed correctly

  Yes

  No

  N/A

• Tyres, batteries etc disposed correctly

  Yes

  No

  N/A

Dust/Noise Odour Control

• All areas sweep and dust free

  Yes

  No

  N/A

• No sources of visible dust

  Yes

  No

  N/A

• Noise levels of equipment, acceptable

  Yes

  No

  N/A

• Noise levels monitored

  Yes

  No

  N/A

• No sources of noticeable odours

  Yes

  No

  N/A

• Odour suppression available

  Yes

  No

  N/A

Office Area

• Doorways clear/unobstructed

  Yes

  No

  N/A

• Floors clean/tidy

  Yes

  No

  N/A

• Walls and windows clean/maintained

  Yes

  No

  N/A

• Lighting cleaned/maintained

  Yes

  No

  N/A

• Work areas clean and tidy

  Yes

  No

  N/A

Amenities Area

• Doorways clear/unobstructed

  Yes

  No

  N/A

• Floors clean/tidy

  Yes

  No

  N/A

• Eating area, equipment clean/hygienic

  Yes

  No

  N/A

• Lighting cleaned/maintained

  Yes

  No

  N/A

• Toilet facilities, clean/hygienic

  Yes

  No

  N/A

• Change/washroom/s, clean/hygienic

  Yes

  No

  N/A

First aid

• Qualified first aiders available

  Yes

  No

  N/A

• Kits identified/ accessible

  Yes

  No

  N/A

• Kit contents meets requirements

  Yes

  No

  N/A

• Injury register available

  Yes

  No

  N/A

• MSDS available to first aider

  Yes

  No

  N/A

• Emergency procedures displayed

  Yes

  No

  N/A

Workshop Area

• Doorways clear/unobstructed

  Yes

  No

  N/A

• Floors clean/tidy

  Yes

  No

  N/A

• Walls and windows clean/maintained

  Yes

  No

  N/A

• Lighting cleaned/maintained

  Yes

  No

  N/A

• Work areas clean and tidy

  Yes

  No

  N/A

• Storage areas marked, orderly/secure

  Yes

  No

  N/A

Electrical Equip

• Distribution boards identified

  Yes

  No

  N/A

• Switch boards/boxes closed/locked

  Yes

  No

  N/A

• Earth leakage protection in use

  Yes

  No

  N/A

• Equipment inspected, tagged/current

  Yes

  No

  N/A

• Correct plugs/sockets used

  Yes

  No

  N/A

• Equipment stored correctly

  Yes

  No

  N/A

Fire Protection

• Extinguishers/hoses unobstructed

  Yes

  No

  N/A

• Correctly mounted and clearly marked

  Yes

  No

  N/A

• Extinguishers fully charged

  Yes

  No

  N/A

• Equip inspections current/tagged

  Yes

  No

  N/A

• Flammable materials stored correctly

  Yes

  No

  N/A

• Fire Warning/No Smoking Signs

  Yes

  No

  N/A

Hazardous Substances Storage

• MSDS available

  Yes

  No

  N/A

• Chemicals clearly labelled

  Yes

  No

  N/A

• Chemicals stored correctly

  Yes

  No

  N/A

• Storage, access clear and identified

  Yes

  No

  N/A

• PPE available and used

  Yes

  No

  N/A

Compressed Gas storage

• Bottles stored/chained securely

  Yes

  No

  N/A

• Acetylene and oxygen separated

  Yes

  No

  N/A

• Flash back arresters fitted

  Yes

  No

  N/A

• Trolleys maintained and used correctly

  Yes

  No

  N/A

Hand Tools

• Stored in assigned location

  Yes

  No

  N/A

• Clean and free of oil/grease

  Yes

  No

  N/A

• Serviceable and maintained

  Yes

  No

  N/A

• Air power tools/airlines maintained

  Yes

  No

  N/A

• SWL labels clearly attached

  Yes

  No

  N/A

• Equipment stored correctly

  Yes

  No

  N/A

Noise/ Eye Protection

• Hazard areas/operations signposted

  Yes

  No

  N/A

• Ear/eye protection available

  Yes

  No

  N/A

• Ear/eye protection being used

  Yes

  No

  N/A

Plant and Equipment

• Safety signage adequate

  Yes

  No

  N/A

• Controls clearly marked/displayed

  Yes

  No

  N/A

• Guards fitted over moving parts

  Yes

  No

  N/A

• Guards maintained and used correctly

  Yes

  No

  N/A

• No excessive oil/grease

  Yes

  No

  N/A

• Access clear and tidy

  Yes

  No

  N/A

Sign off

• Person/s Conducting the Inspection

• Signature of the Person/s Conducting the Inspection

  Sign

• Select date

  Date