Title Page

  • Authorised inspector:

  • Inspection team members:

  • Local workers you seek input from during inspection

  • Conducted on

  • HSR Invited

  • HSR Participation

  • Building Name
  • Room Number

Before You Start

Before You Start

  • 1. Are there any outstanding corrective actions from previous inspections? (Check with WHS Officer/Manager or Directors if unsure.)

  • 2. Seek input from workers Do they know what induction and training exist in the high risk area? Are they in accordance with Chapter 3.3 requirements?

  • 2.1 Look in Figtree Corrective Actions Register of the area. Pick 5 high priority actions that involves the implementation of a control measure.

  • 2.2 Seek input from workers – Do they feel these controls and actions effective?

Emergency Management

  • 3. Do all Emergency Evacuation Diagrams inspected have the correct information and are within its validity? (e.g. exits/evacuation routes/assembly area)?

  • 3.1. How many Inspected

  • 3.2. Total

  • 6. Are the fire extinguishers the correct type for the hazards of the area, sign posted, clearly visible and accessible? (Based on the activity being undertaken if specific fire hazards are present)

  • 7. Have the fire extinguishers been tested within the past 6 months? (check metal tag on the extinguisher)

  • 8. Are emergency showers/eye washes signposted and have they been tested in the last month? (Check tag attached to equipment)

  • 10.1 Seek input from workers – During an emergency, are there any emergency lighting systems in the building? If so, are they working?

  • 11. Is the nearest first aid kit and AED correctly sign posted, free from obstruction, checked in the last 6 months and kept up to date? (Check expiration date on a few items in kit)

Lighting and Noise

  • 16. Are any noise levels potentially hazardous noise [85dB(A),LAeq 8h or 140 dB (C)]?

  • 16.1 If yes, is there any Personal Hearing Protection provided and is it suitable?

Manual Handling and Ergonomics

  • 26. Are workstations set up ergonomically? (Relevant to prolonged lab/workshop/clinic use).

  • 27. Are laboratory/workshop/clinic chairs serviceable, of appropriate height and ergonomically designed?

Plant Equipment and Steel Racking

  • 35.1. Seek local supervisor and worker assistance – Test the integrity of the emergency stop [i.e. press and see if it works].

  • 35.2. How many checked __________

  • 35.3. out of total _______________

  • 36.1. Seek local supervisor and worker assistance – Test the integrity of the interlock.

  • 36.2. How many checked __________

  • 36.3. out of total _______________

  • 40. Has plant/equipment which is under pressure been registered and inspected? (Sight registration certificate adjacent to plant)

  • 41.1 Is the area free from timber ladders?

Fume cupboards, biological cabinets, laminar flows and fume hoods

  • 61.1. Are fume cupboards in test validity and tested within the last 6 months?

Animals

  • 69. Where applicable are animal facilities clean and tidy? (indoor and outdoor)

  • 70. Are current risk assessments and safe work procedures (SOPs) available for animal related tasks/processes?

Compressed Gases

  • 74. Has natural gas leakage been checked for bench top gas taps?

  • 74.1. Are LPG Gas bottles kept to minimal quantity (2) and have been checked for leakage periodically and are serviced frequently?

Cryogenics

  • 77. Are there RA’s and SWP’s for the use of liquid nitrogen, including transport in lifts?

  • 78. If there is a potential for oxygen depletion and/or asphyxiation then is there a serviceable monitoring system present and is monitoring at 19.5% oxygen level?

  • 79. Has the area using cryogenics calculated the quantity of cryogenics required to cause oxygen depletion (i.e. at 19.5% oxygen level)? AND only cryogenics lower than this quantity is used in the area?

Radiation - ionising (radioactive sources, x ray)

  • 82. Is a radiation spill kit available for use with unsealed sources?

  • 83. Are appropriate radiation disposal systems being used?

  • 84. Are all radioactive sources securely stored, labelled, and kept in good condition?

  • 87. Are work surfaces for unsealed radioactive material impervious (not wooden/tiled)?

  • 88. Is secondary containment used for all work with unsealed sources?

  • 89. Are contamination checks conducted before and after each procedure with unsealed radioactive sources?

Other

  • 97. Is everything else inspected compliant, safe and in order?

  • 100. Any Additional comments of Observations identified during the workplace inspection?

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.