• Date of hazard inspection:

  • Site/Location - area inspected:

  • Inspection conducted by:

  • Follow-up actions authorised by (Manager/Coordinator):

  • Health & Safety Representative:

  • Next inspection to be conducted by (date): (Quarterly requirement is the current MVCC standard minimum)

Health and Safety Systems

  • OH&S Policy displayed on OH&S Notice Board?

  • 'If you are injured' poster displayed in worksite on OHS NOTICE BOARD?

  • Induction records available?

  • Return to Work - Rehabilitation Policy on OHS NOTICE BOARD?

  • Workplace Inspection records maintained in folders?

  • Training records kept by Supervisor?

  • Standard operating procedures (SOP's), Safe Work Method Statements (SWMS), other Pre-starts & Routine rosters are maintained as required?

  • Protective Clothing & Equipment records are maintained?

  • Manual of OHS Policies and Procedures are available & staff know how to access them?

  • HSR is appointed (by election) & on OHS NOTICE BOARD?

  • Contractors risk assessment available?

  • Contractors health and safety plan available?


  • Work areas free from rubbish & obstructions

  • Surfaces safe and suitable?

  • Free from slip/trip hazards?

  • Stock/material stored safely?

  • Aisles - unobstructed and clearly defined?

  • Aisles - adequate lighting?

  • Aisles - vision at corners?

  • Aisles - wide enough?


  • No broken plugs, sockets, switches?

  • No frayed or defective leads?

  • Leads and portable equipment inspected and tagged?

  • No strained leads?

  • No cable-trip hazards?

  • Lock-out procedures/danger tags in place?

  • Appropriate fire fighting equipment?


  • Adequate and free from glare?

  • Lighting clean and efficient?

  • Windows clean?

  • No flickering or inoperable lights?

  • Emergency lighting system?

Fire Control & Emergency Response

  • Extinguishers in place?

  • Fire fighting equipment serviced/tagged?

  • Appropriate signing of extinguishers?

  • Extinguishers appropriate to hazard?

  • Personnel trained in use of fire fighting equipment?

  • Emergency exit signage?

  • Exit doors easily opened from inside?

  • Exit pathways clear of obstruction?

  • Alarm/communication system adequate?

  • Alarms tested?

  • Smoking restrictions observed?

  • Emergency personnel identified and trained?

  • Emergency procedures documented - issued?

  • Emergency telephone numbers displayed?

  • Trial evacuations conducted?

Hazardous Substances

  • Material Safety Data Sheets available?

  • Risk assessments documented and controls implemented?

  • Hazardous substances register maintained?

  • Containers labelled correctly?

  • Adequate ventilation/exhaust systems?

  • Protective clothing/equipment available and used?

  • Personal hygiene products provided?

  • Waste disposal procedures?

  • Stored appropriately?

  • Hazardous substance handling safe work procedures followed?

  • Appropriate emergency/first aid equipment - shower, eye bath, extinguishers?

  • Hazchem signage displayed?

Personal Protection Equipment

  • Employees provided with PPE and Clothing?

  • Required PPE being worn by employees?

  • Sunscreen and sunglasses provided?

  • Correct PPE signage at access points?

Manual Handling

  • Mechanical aids provided and used?

  • Safe operating procedures in place?

  • Manual handling risk assessment performed?

  • Manual handling controls implemented?

Workplace Ergonomics

  • Workstation and seating design acceptable?

  • Ergonomic factors considered in work layout and task design?

  • Use of excessive force and repetitive movements minimised?

  • Appropriate training provided?

Material Storage

  • Storage stable?

  • Safe means of accessing high shelves?

  • Heavier items stored low?

  • No danger of falling objects?

  • No sharp edges?

First Aid

  • Cabinets and contents clean and orderly?

  • Stocks meet requirements?

  • Qualified First Aiders names displayed?

  • First Aiders location and phone numbers displayed?

  • Record of treatment and of supplies dispensed?

Staff Safe Working Observation (to be completed by Supervisor/Team Leader)

  • Does the employee traverse through passageways in their work area in an appropriate and safe way?

  • Are mirrors used when approaching corners and/or are staff utilising the window within the door?

  • Are the handrails used when on the stairs?

  • Does the employee approach and exit the tea station in an orderly manner?

  • Is adequate space given to employees using the tea station?

  • Did the employee clean up after themselves and leave the tea station in a tidy manner?

  • Are details of your floor warden displayed?

  • Do you know where the relevant assembly point are?

  • Do you know who the First Aider for your area is?

  • Upon gaining access to the building, does the employee wait for the door to close behind them?

  • Are valuables stored in a secure place, out of sight?

  • Has the worker adopted the correct posture?

  • Are all frequently used items within the envelope of reach?

  • Is the document holder used when transferring data from hard copy to PC?

  • When using the phone, does the worker avoid resting the phone between neck and shoulder?

  • Are there minimum items stored under the desk?

  • Hazard/Omissions identified:

  • Reviewed and Signed:HSR:

  • Reviewed and Signed: Supervisor/Team Leader:

  • Reviewed and Signed: Coordinator/Manager:

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.