Quarterly Station Safety Inspection

• Document No.

• Station Safety Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Exterior of Building

• Outside of Building clear of rubbish and debris

  Yes

  No

  N/A

• Building cladding and spouting secure

  Yes

  No

  N/A

• Building roof secure and free of leaks

  Yes

  No

  N/A

• Building glazing secure, free of cracks and damage

  Yes

  No

  N/A

• Building roller doors are operational, in good condition and free of damage

  Yes

  No

  N/A

• Exit path doors are clear

  Yes

  No

  N/A

Interior of Building

• Building WOF displayed

  Yes

  No

  N/A

• Fire Doors in good condition, close properly and not left open

  Yes

  No

  N/A

• Fire Alarm system is operational, has been tested as per building compliance schedule

  Yes

  No

  N/A

• Emergency lighting is operational

  Yes

  No

  N/A

• Designated exits are clear and signage compliant

  Yes

  No

  N/A

• First aid kit fully stocked and supplies have not expired

  Yes

  No

  N/A

• First aid Fire fighting equipment (Fire hoses and extinguishers) have a current inspection and pressure test stamp

  Yes

  No

  N/A

• Access for people with disabilities is clear, hand rails secure and ramps in good condition

  Yes

  No

  N/A

• Carpets are rip free and present no trip hazards

  Yes

  No

  N/A

• Toilets/Showers are clean, have soap, hand towels and toilet paper

  Yes

  No

  N/A

• Cleaning products are available for use by occupants

  Yes

  No

  N/A

• Kitchen is clean, no expired products in fridge, soap and hand towels available for use

  Yes

  No

  N/A

• Chairs/seating in good condition

  Yes

  No

  N/A

• Tables are in good condition

  Yes

  No

  N/A

Appliance Bay

• All gear/equipment kept off the floor and stored properly

  Yes

  No

  N/A

• Appliance Bay clean

  Yes

  No

  N/A

• Shelving - secured, heavy items down low and light items up higher

  Yes

  No

  N/A

General

• All electrical equipment tested and tagged

  Yes

  No

  N/A

• Sign in sheet available

  Yes

  No

  N/A

• Safety notices are displayed?

  Yes

  No

  N/A

• Accident forms (Safe at Work / Salmon Cards) are available?

  Yes

  No

  N/A

• Operational Instructions are displayed?

  Yes

  No

  N/A

• Psychological health and well being booklets and Peer Support information are available and displayed?

  Yes

  No

  N/A

Vehicles

• All vehicles and trailers have current registration

  Yes

  No

  N/A

• All vehicles have current warrant/certificate of fitness

  Yes

  No

  N/A

• All vehicles have adequate Road User Charges

  Yes

  No

  N/A

• Have drivers checks been completed for the vehicle?

  Yes

  No

  N/A

Fuel / Flammable Liquids

• Is there less than 40 litres stored of petrol on station or within limits of the certified dangerous goods store?

  Yes

  No

  N/A

Fire Fighting Equipment

• Station/Depot has sufficient foam supplies

  Yes

  No

  N/A

• Station/Depot has sufficient retardant supplies

  Yes

  No

  N/A

• Signature required

  Sign