Rowan Version 2 April 8th 2913

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General overview of added Hazards

• Is there any evidence of Asbestos?

  Yes

  No

  N/A

• Add media

  Media

• 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

• Are there 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

• Record type

• Record date

• Is there flammable material present?

  Yes

  No

  N/A

• Is there risk of injury by vehicles?

  Yes

  No

  N/A

CHEMICAL HAZARDS

• Is there evidence of chemical dangers?

  Yes

  No

  N/A

• Is there biological or medical danger?

  Yes

  No

  N/A

• Is there potential to create or contain dangerous fumes? Monoxides from Carpark!

  Yes

  No

  N/A

MECHANICAL HAZARDS

• Is there any mechanical hazards, protrusion, piercing, cutting, or overhead hazards etc?

  Yes

  No

  N/A

• Is there a 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 there evidence of poor electrical installation? Eg meter board, ariel wiring..

  Yes

  No

  N/A

• Is equipment tested and tagged?

  Yes

  No

  N/A

• Does the electrical plant facility require a thermal scan?

  Yes

  No

  N/A

INSURANCE RISK ASSESSMENT

• Is there possibility of water leaks(flooding)causing damage? - drain,sump,gutters,retentions..

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there any combustible opportunity?

  Yes

  No

  N/A

• Is there a risk of a burst pipe? Eg bad corrosion signs of leaking from pipes..

  Yes

  No

  N/A

• Is there risk of cutting by glass?

  Yes

  No

  N/A

• Is there risk of impact damage by vehicles or pedestrian traffic?

  Yes

  No

  N/A

• Are steps we'll defined and of consistent height?

  Yes

  No

  N/A

• Are balcony and stair ballustrading at 1000mm or more?

  Yes

  No

  N/A

• Is there any hazard tags protrudes that may pierce and cause harm?

  Yes

  No

  N/A

• Is there a risk of falling objects? Eg branches, building pieces....

  Yes

  No

  N/A

• Auditor sign here

• Sign here and date

  Sign