Title Page
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Conducted on
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Location
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Document Reference
Individual Staff Questions
- Individual Staff Questions
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Name of Staff Member
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Do you know where to obtain a policy manual?
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Are you aware of the OHS Policy?
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Can you find the OHS policies in the manual?
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Can you verbalise the position of the Electricity Meter
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Can you verbalise the position of the Gas Bottles
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Can you verbalise the location of at least one fire extinguisher on the building plan?
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Can you verbalise the location of at least one fire blanket on the building plan?
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Can you Verbalise standing fire orders?
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Can you Point out the location of the Hazard Register?
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Are you able to report a hazard as outlined by the Policy? (Eg - Hazard Report).
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Do you know where to locate the Policies for Bullying and Sexual Harassment?
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Do you know where to locate High Risk Work SWMS?
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Have you had any grievances regarding OHS in the last two years?
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Were they dealt with satisfactorily?
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Do you wish to report the OHS Issue now?
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What OHS grievances would you like to report, that has not been dealt with or dealt with satisfactorily?
Training Records
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Are Training Records Kept?
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Are the Training Records up to date?
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Have all staff attended Fire Training in the last year?
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Have all staff attended Manual Handling in the last year?
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Do all staff have current First Aid Certification?
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Have all staff attended work health and safety training in the last two years?
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Do all Staff and Board have Covid-19 Immunizations?
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Have all clients and staff signed on to safe method statements?
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Do you wish to add any additional comments regarding training records in this Audit report?
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Additional Comments:
Insurances
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Are workers compensation insurances up to date?
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Volunteers personal accident insurances up to date?
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Do you wish to add any additional comments regarding Insurances in this Audit report?
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Additional Comments:
Vehicles
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Is there a Policies and Procedures for Vehicles?
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Are all vehicles insured?
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Are Records kept of staff drivers licenses?
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Do all staff have correct and current drivers licenses?
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Are staff vehicles clean and in good order?
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Are all vehicles licenced?
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Are Vehicle safety checks carried out?
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Do you wish to add any additional comments regarding Vehicles in this Audit report?
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Additional Comments:
Incident Forms
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Ensure incident forms are available for:
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Staff
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Recipients
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Vehicle Incidents
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Medication Incidents (Where applicable)
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Where applicable, are all the above forms available for use?
Completed Forms
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Where applicable, check up to ten completed incident forms: (Select N/A where no forms are available to check)
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Section A Forms
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Section B Forms
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Section C Forms
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Were procedures as detailed on the form implemented correctly?
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Were incidents reported to QSC?
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Are Incident forms stored correctly?
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Do you wish to add any additional comments regarding Incident Forms in this Audit report?
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Additional Comments:
Fire and Evacuation
Emergency Exits
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Are Emergency Exits clearly signed?
Fire Extinguishers
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Are Fire Extinguishers present in the locations designated by the fire officer?
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Does each Fire Extinguisher have a sign?
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Is the sign two meters above the ground?
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Is the Fire Extinguishers checked bi-annually and recorded?
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Are the Fire Extinguishers tagged correctly?
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Is the area around the Fire Extinguishers clear up to two meters?
Fire Blankets
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Are Fire Blankets present in the locations designated by the fire officer?
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Does each Fire Blanket have a sign?
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Is the sign two meters above the ground?
Evacuation Charts
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Are Evacuation Charts present throughout the building?
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Does the Evacuation Chart clearly state evacuation procedures?
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Des the Evacuation Chart clearly state the assembly point?
Torches
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Select if this category is necessary at your location to audit.
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Are there torches located around the building designated for emergency use?
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Are the locations labelled?
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Are the torches designated a specific location?
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Are there spare batteries available, or where applicable are the batteries charged?
Emergency Numbers
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Is there a list of Emergency numbers near the:
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Office Phone?
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Staff Phone?
Practices
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Are evacuation practices carried out every four months?
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Do practices occur on a variety of shifts and situations?
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Are practice checklists compelted?
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Are checklists tabled at QSC?
Smoke Detectors
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Are batteries checked April 1st?
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Are all smoke alarms checked every two months and reported to QSC?
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Do you wish to add any additional comments regarding Fire and Evacuation in this Audit report?
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Additional Comments:
Manual Handling
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Select if this category is necessary at your location to audit.
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Are the Manual Handling considerations clearly outlined in recipients files?
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Is the Correct Manual Handling procedures outlined in the files?
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Is there appropriate Manual Handling equipment supplied?
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Do you wish to add any additional comments regarding Manual Handling in this Audit report?
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Additional Comments:
General
First Aid Box
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Is the first aid box accessible to all staff?
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Is the First Aid box location clearly signed?
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Is the Contents clean and orderly?
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Is the Contents all within expiry date?
Building
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Is the building accessible for wheelchairs?
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Are the floors smooth?
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Are the floor coverings safe?
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Are the exit doors blocked?
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Can the exits be easily opened?
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Are the walk ways clear of obstructions?
Electrical
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Are all electrical items are tagged?
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Are there any temporary leads on the floor?
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Are there any frayed or damaged leads?
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Are all emergency lights working correctly?
Rubbish
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Are the bins located at a suitable location?
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Are the bins emptied regularly?
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Are the bins over flowing?
Kitchen
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Is the kitchen clear of clutter?
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Is the kitchen clean and tidy?
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Do you wish to add any additional comments regarding General in this Audit report?
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Additional Comments:
Final
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Is there a business Continuity Plan (7.14.4.3)?
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Audit Policy Report Section 7 - Are there any additional comments?
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Additional Comments:
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Audit Policy Report Section 7 - Are there any additional pictures?
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Additional Pictures:
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Audit Completion Date:
Audited By:
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Signiture