Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there any outstanding actions?
9 Golden rules of safety
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0 - Has a golden rule been discussed?
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1 - Adopt safety behaviour
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2 - I report any incident near miss, accident or disease linked to inadequate safety
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3 - I comply with work permit requirements
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4 - I use a safety harness and life line when working at height.
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5 - I always lockout the installations and the equipment
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6 - I do not stand or walk near or under a load in the process of being lifted.
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7 - I give preference to protective equipment and I cannot deliberately bypass them.
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8 - I only enter a confined space with a permit.
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9 - I abide by the highway code and the safety rules when travelling from one place to another.
2.0 - Fire Prevention
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2.1 - Evacuation plan displayed and understood by all employees?
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2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?
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2.8 - Adequate direction notices for fire exits?
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2.9 - Exit doors easily opened from inside?
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2.10 - Exits clear of obstructions?
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2.11 - Fire alarm system functioning correctly?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fittings clean and in good condition?
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3.4 - Emergency exit lighting operable?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are spills removed quickly?
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4.7 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Are footpaths in good condition?
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4.10 - Furniture in sound condition?
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4.11 - Is the relevant signage in place (PPE, emergency signs etc.)
6.0 - Rubbish Removal
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
9.0 - Electrical Safety
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9.3 - No double adapters in use?
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9.4 - Portable equipment tested and tagged?
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9.5 - No broken plugs, sockets or switches?
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9.6 - No power leads across walkways?
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9.7 - No frayed or damaged leads?
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9.8 - No strained leads?
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9.10 - Where required are emergency shut-down procedures in place?
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiry date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
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12.6 - Employees aware of location of first aid cabinet?
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12.7 - Are first aid officers accessible and easily identifiable?
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12.8 - Are emergency numbers displayed?
Sign Off
11.0 Ladders
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11.1 - Used according to instructions?
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11.2 - For extension ladders are ropes, pulleys and treads in a good state of repair?
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11.3 - Have they been inspected and currently in date?
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On site representative
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Auditor's signature
