RG 19/8/14

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add media

  Media

Emergency preparedness WHS SA 2012 using AS 3745 2012

• Is an evacuation plan and procedures evident on site?<br>If not install at minimum Fire & Safety Standing orders visible to all occupants, visitors and workers. <br>Assess the need upgrade if egress is more than exiting via a single driveway or similar.

  Yes

  No

  N/A

• What is the date of the current evacuation plan?<br>If over 5 years review is mandatory.

  Yes

  No

  N/A

Fire and safety equipment - test date, level and fault? AIM: to Identify ESM items by observation, check status of maintenance testing and note if fault exists( do not record details of faults. Validity of Maintenance testing relies on appropriate records being accessible on the property.

• Do hose reels exist? (List most recent test date)

  Yes (OK)

  Yes (Fail)

  N/A

• Do hydrants exist? (List most recent test date) Note mains and type of system. Eg stand alone, booster etc..

  Yes (OK)

  Yes (Fail)

  N/A

• Do extinguishers exist? (List most recent test date)

  Yes (OK)

  Yes (Fail)

  N/A

• Is there a detector or system? Or stand alone? List evidence of fire mode testing.

  Yes (OK)

  Yes (Fail)

  N/A

• Is there Exit & Emergency lighting? (List most recent test date)

  Yes (OK)

  Yes (Fail)

  N/A

• Is there a Sprinkler system? (List most recent test date)

  Yes (OK)

  Yes (Fail)

  N/A

• Do Exit doors exist and have Unobstructed access to open space? (List locations)

  Yes (OK)

  Yes (Fail)

  N/A

• Are there fire/smoke doors? (List most recent test date)

  Yes (OK)

  Yes (Fail)

  N/A

• Is Egress clear and Unobstructed?

  Yes

  No

  N/A

• Are there air control/ mechanical ventilation systems? (List most recent test date)

  Yes (OK)

  Yes (Fail)

  N/A

• Mechanical Ventilation<br>

  Yes (OK)

  Yes (Fail)

  N/A

• Other designated safety requirement.

  Yes

  No

  N/A

• Is property free from immediate and high risk associated with fire? If not, call operations immediately.

  Yes

  No

  N/A

General observation of Hazards. Hazards not readily accessible are NOT identified in this preliminary report.

• Is traffic safety signage present on property?

  Yes

  No

  N/A

• Is the property free of Asbestos?

  Yes

  No

  N/A

• Is PPE available for equipment operations?

  Yes

  No

  N/A

• Are there controls for working at heights? Eg roof access instruction in use.

  Yes

  No

  N/A

• Is there contractor safety management on site? Eg hazard register clearly displayed when there is a hazard on site.

  Yes

  No

  N/A

• Is there provision for contractors to sign attendance register and record they understand safe work practices?

  Yes

  No

  N/A

• Is property free of confined spaces that pose a risk?

  Yes

  No

  N/A

• Is there a roof access system, is there annual certification and clear instruction for use.

Access system

• Is property free from flammable material?

  Yes

  No

  N/A

• Is property free of risk of injury to a person from a vehicle?

  Yes

  No

  N/A

CHEMICAL HAZARDS

• Is property free of chemical dangers?

  Yes

  No

  N/A

• Is property free of biological or medical danger?

  Yes

  No

  N/A

• Is property free of risk regarding the creation or containment of dangerous fumes? E.g. Monoxides in car park.

  Yes

  No

  N/A

• Is property free of vermin and related issues such as excessive droppings?

  Yes

  No

  N/A

MECHANICAL HAZARDS

• Is property free of mechanical hazards, protrusion, piercing, cutting, or overhead hazards etc?

  Yes

  No

  N/A

• Is property free of risk from plant and machinery?

  Yes

  No

  N/A

ELECTRICAL HAZARDS

• Does the site have current protection on common power?

  Yes

  No

  N/A

• Is property free of poor electrical installation? Eg meter board, ariel wiring..

  Yes

  No

  N/A

• Is equipment tested and tagged?

  Yes

  No

  N/A

• Is property free of risk from electrical plant facility, requiring a thermal scan?

  Yes

  No

  N/A

INSURANCE RISK ASSESSMENT

• Is property free of risk from water leaks (Flooding) causing damage? E.g. drains, sump, gutters, retentions etc.

  Yes

  No

  N/A

• Is common lighting adequate in areas that may create a slip, trip or fall?

  Yes

  No

  N/A

• Is property free of surface areas that may cause a slip, trip or fall?

  Yes

  No

  N/A

• Is property free of combustible opportunity?

  Yes

  No

  N/A

• Is property free of risk of a burst pipe? E.g. bad corrosion or signs of leaking from pipes.

  Yes

  No

  N/A

• Is property free of risk of cutting by glass?

  Yes

  No

  N/A

• Is property free of risk of impact damage to property or persons by vehicles / traffic?

  Yes

  No

  N/A

• Are steps well defined and of consistent height?

  Yes

  No

  N/A

• Is balcony and stair ballustrading at 1000mm or more? Risers exceed 860mm and sphere test of 125mm.

  Yes

  No

  N/A

• Is property free of protruding hazards that may pierce and cause harm?

  Yes

  No

  N/A

• Is property free of risk of falling objects? Eg branches, building pieces....

  Yes

  No

  N/A

• Is the property free of structural damage that may deteriorate or worsen over time? Eg cracks in dwelling or other structures such as fences or retaining walls.

  Yes

  No

  N/A

Administration, documentation, review, measurement and management

• Does a previous OHS report exist? If so, when was it carried out? (List most recent date)

  Yes

  No

  N/A

• Is there a maintenance plan evident?<br>If so does it address known OHS issues? Eg Asbestos removal, safety for new works etc. (Safety Action Plan) should be documented where correct actions are required.

  Yes

  No

  N/A

• Is there corrective action list with due dates of completion?<br>If so, a Safety Action Plan must be established.

  Yes

  No

  N/A

• Auditors comments<br>Is escalation required to further investigate a safety issue?<br>Has access been restricted? If so, describe.<br>

  Yes

  No

  N/A

HIGH risk immediate action required - high risk items to be phoned to the Strata Manager, property manager or owner as the PCMU persons who issue, assign, instruct or control a place where a work task is undertaken. Record person name and time/date risk is notified.

• Auditor sign here

• Sign here and date

  Sign