Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Department Manager to ensure that health and safety issues are considered, and appropriate action taken to address issues prior to approval of a purchase order or capital expenditure request. Not required for purchases of food, domestic chemicals, small quantities of office supplies such as paper, pens etc.

Checklist

1. Consultation: Do you need to consult with any of the persons listed below, prior to purchasing the item?

  • Who:

2. Plant, Tools & Equipment

  • Has a risk assessment & specifications including noise emission been obtained from the supplier?

  • Are Guards / safety devices / emergency stops adequate?

  • Operating Manuals & Maintenance manuals provided?

  • Will work instructions need to be developed or changed?

  • Will training be required for persons maintaining or using item?

  • Does the item need to be registered?

  • Will the Operator require a license, permit, certificate of competency?

  • Will this require changes to workplace layout, access, storage, signs?

  • Are there any relevant standards (e.g., AS) that the item must comply with and that need to be specified to the supplier? (State AS number)

  • Any new PPE required?

  • Any requirements for packaging (size, weight, special container etc.)?

3. Chemicals and other Substances Dangerous Goods and Hazardous Substances must be approved by Dealer Principal; Chemical Risk Assessment submitted with purchase requisition.

  • Has SDS (Safety Data Sheets) been obtained?

  • Is it a Dangerous Goods or Hazardous Substances?

  • Any requirements for packaging (size, weight, special container etc.)?

  • Any special requirements for labelling of the container / package?

  • Are new Safety Signs required or need to be changed?

  • Is spill containment / clean up equipment required?

  • Any new PPE required?

  • Will specific training in use, handling or disposal be required?

4. Workplace & Employee Health Monitoring Requirements

  • Will workplace monitoring be required for Noise, Dust, Fume/vapors, Vibration, Radiation, Heat/Cold, Biological Hazards?

  • Will employee health monitoring be required? Specify type.

5. Environmental Considerations

  • Any environmental possible discharges?

  • Any special waste disposal requirements / licenses required?

  • Any potential effects on neighboring premises?

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.