Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Instructions for completion: 1.Complete form specific to area 2.Enter Yes, No, Not applicable to each question-add remarks or enter media on items that need to be addressed. 3.Transfer all "No" responses and comments to the Rectification Action Plan (RAP) Completed Checklist a) Export to desktop b) Export both the audit and RAP to Senior H &S Coordinator once completed.

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Prevention

  • 2.1 Are evacuation maps prominently displayed and up to date?<br>

  • 2.2 - Are emergency phone numbers displayed?<br>

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?

  • 2.7 - Have fire wardens been assigned for the building and name/contact details displayed?<br>

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

  • 2.11 - Are amounts of combustible material kept to a minimum and stored appropriately?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are all external areas, pedestrian access and precincts free from clutter, rubbish,redundant materials or other obstacles which may constitute a slip, trip or fall hazard?

  • 4.7 - 4.11 - Loading area clean and tidy?<br>

  • 4.8 -

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges?

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Storage designed to minimise lifting problems?

  • 7.3 - Floors around racking clear of rubbish?

  • 7.4 - General condition of racks and pallets?

8.0 - Machines

  • 8.1 - Has a register of plant been established,and has it been updated within the last year?

  • 8.2 - Have risk assessments for major plant and equipment been conducted?

  • 8.3 - Are the floors around machines kept clean?

  • 8.4 - Are JSA's and SOP's with each machine and up to date?

  • 8.5 - Have nip points, V- drives, chain drives been adequately guarded on machines. Eg Compressors.

  • 8.6 - Have quick stops on rotating parts or blades been fitted, and are they in good working order?

  • 8.7 - Are guards adequate for transmissions, gears, pulleys, belts, ,chain drives, guillotines, presses etc?

  • 8.8 - Are emergency shutdown switches located within easy access of the operator, clearly marked and coloured in RED?

  • 8.9 - Are machines adequately locked out when not in use?<br>

  • 8.10 - Is there a logbook for significant plant and equipment ?

  • 8.11 - Are maintenance actions recorded in equipment logbooks/ registers?

  • 8.12 - Operators trained/inducted into the operation of the machines?

  • 8.13 - Is the training recorded?

  • 8.14 - Is there a system for planning/ scheduling equipment maintenance?

  • 8.15 - Are lockout procedures implemented and followed?

  • 8.16 -

9.0 - Electrical Safety

  • 9.1 - Are power boards with overload safety switches used?

  • 9.2 - Safety switches tested every 6 months and tests recorded?

  • 9.3 - Are liquids, chemicals and gasses stored away from electrical outlets of items?

  • 9.4 - Portable equipment tested and tagged?

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - Are leads secured and not potential trip hazards?

  • 9.7 - No frayed or damaged leads?

  • 9.8 - No strained leads?

  • 9.8- Are electrical leads kept away from areas that could cause damage to the lead, such as hot surfaces, sharp edges and doorways?

  • 9.10 - Are main distribution boards signed, kept closed, kept free from obstruction?

10.0 - Chemical Safety

  • 10.1 - Hazardous Substance Register complete and updated within the last 12 months and available?

  • 10.2 - Material Safety Data Sheets available for all chemicals?

  • 10.3 - Risk assessments completed for hazardous substances and reviewed in the last 5 years?

  • 10.4 - All containers labelled correctly?

  • 10.5 - Do staff have access to ChemWatch and receive training in its use?

  • 10.6 - Are chemicals, hazardous substances and dangerous goods stored in the correct cabinets and away from food products?

  • 10.7 - If applicable are special storage conditions followed?

  • 10.8 - Workers trained in the use of hazardous substances?

  • 10.9 - Is the appropriate type of PPE available for chemicals used?

  • 10.10 - Is adequate ventilation provided?

  • 10.11 - Are eye washes and showers easily accessed?

  • 10.11- Is absorbent material for chemical spills available?

11.0 Ladders

  • 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 11.2 - Are ladders in good condition?

  • 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 11.4 - Used according to instructions?

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - Has a first aid cabinet caretaker been assigned?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.7 - Are first aid officers accessible and their details up to date?

  • 12.8 - Are emergency numbers displayed?

  • 12.9- Are the names and contact details of the local HSA and HSR prominently displayed?

13.0 - Office Hazards

  • 13.1 - Condition of filing cabinets?

  • 13.2 - Condition of chairs? (Five star bases.)

  • 13.3 - Desks in good condition? (No damage.)

  • 13.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 13.5 - Photocopiers positioned to avoid fumes?

  • 13.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  • 13.7 - Air conditioning systems regularly maintained?

  • 13.8 - Stable non-slip floor coverings in good condition?

14.0 - Personal Protective Equipment ( PPE )

  • 14.1 - Are the PPE

  • 14.2 - Condition of tyres?

  • 14.3 - Brake performance?

  • 14.4 - Lights? (Check operation of brake, indicator and reversing lights)

  • 14.5 - Condition of drivers seat?

  • 14.6 - Condition of other seats?

  • 14.7 - First aid kit supplied and adequate?

  • 14.8 - Storage provisions?

Sign Off

  • On site representative

  • Auditor's signature

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.