Title Page

  • Conducted on

  • Prepared by

  • Facility

  • Location
  • General Comments/Observations

Safety Leadership & Training

  • Managers/Supervisors are recognising and rewarding good safety practices

  • Supervisors are participating in investigations and following up corrective actions

  • Supervisors/Manager disciplining inadequate WHS behaviours

  • There is evidence of low tolerance for non-adherence to critical controls

  • Leaders including front line have completed training in how to complete an effective inspection

  • Leaders including front line have completed training in how to complete an incident investigation

  • Leaders including front line have completed training in how to complete an effective safety observation

  • Leaders including front line have completed training in how to effectively use OneSafe including entering an incident, hazard, near miss and closing out corrective actions

  • Leaders including front line have completed safety leadership training

  • Leaders including front line have completed training in how to complete an effective risk assessment

  • Leaders including front line understand the exposures, controls and tolerances for the activities/tasks completed in their accountability

  • Relevant leaders including front line have completed effective WHS committee training

  • Leaders including front line have completed training in how to use the risk register and verify controls are in place

  • Leaders including front line have completed training in how to effectively use the Safety Leadership Journal

Safety Plans

  • Responsibility/accountabilities for actions have been allocated

  • Tasks listed on the plan is being completed

  • There is evidence available to demonstrate that actions are being completed

  • Percentage of plan complete

  • Plan and progress on plan is discussed at the facility WHS Committee

Risk Register

  • Risk register in place and being utilised

  • Verification of risk register and implementation of controls listed on risk register is occurring

  • Controls outlined on the risk register are in place and/or where not in place there is evidence the facility is working towards resolutions

  • Where incident have occurred facility reviews risk register and outlined controls to identify deficiencies and/or controls that were not in place

  • Risk register is reviewed as part of monthly WHS Committee

  • Facility has identified localised exposure and identified controls

Traffic Management and LSE Operational

  • Speed limits being enforced and adhered to (vehicles, motorcycles, forklifts)

  • Dedicated pedestrian access ways being used

  • Facility specific Traffic Management Plan in place and displayed

  • Walkways and other areas clearly marked e.g. driver safety zones

  • Signage and line markings are unobstructed

  • The controls listed on the risk register have been implemented

  • Forklift operators are wearing seatbelts

  • Mobile phones and/or personal listening devices not being used whilst operating LSE

  • Operator drives backwards (reverse) when a load is elevated blocking forward view

  • Shunting of pallets or ULD’s is not occurring

  • Forklift Halo Lights are in place and calibrated to 3m

  • Daily pre-start checks are completed on LSE

  • Forklifts are only operated by licensed operators

  • During Loading and Un-loading of vehicles, drivers remain outside exclusion zone

  • Exclusion zone breaches identified by NCC are closed out with evidence of actions

  • LSE Operators are only carrying/lifting 2 ULD’s at a time

  • LSE operators stop operation when a pedestrian enters into exclusion zone

  • Barriers have been installed to physically separate LSE and pedestrians

  • Forklift minimum standards have been implemented into facility

  • Keys are removed from forklifts when not in use

Manual Handling/ OEP Program

  • Verification of the manual handling exposure listed on the risk register has been completed

  • Where applicable, recommendations outlined within OEP reports are being actioned

  • Manual handling task observations are occurring

  • Pre-start warm ups are being completed

  • Workers have completed manual handling training relevant to the task they perform

  • Localised activities to reduce manual handling injuries have been identified and in place

Emergency Management

  • Emergency plans & folders in place and up to date?

  • Evacuation floor plans in place and up to date and displayed

  • Facility performed a Fire Drill/ Emergency evacuation in the last 12 months

  • All Wardens trained and is the warden list current?

  • Facility has performed a Spill Response/ Suspicious Substance/ Bio hazard Drill in the last 12 months

  • Fire fighting equipment checks in date

WHS Committees

  • Current WHS Committee Meeting template being used

  • WHS Committees meeting are held at prescribed intervals

  • Items listed on the agenda are being closed out in a timely manner

Personal Protective Clothing And Equipment (PPE)

  • All PPE is in good condition and in date

Housekeeping

  • The facility and office area is generally free from rubbish build up

  • There are no combustible materials in close proximity to fuel (including LPG) refuelling facilities.

  • Walkways & Exits are clear and free from obstructions

  • Perimeter walls/fences are free from rubbish and debris

Noticeboards

Are all required documents on the noticeboard i.e

  • WHS Policy

  • HSR/Deputy HSR List

  • First aiders

  • Most recent WHS committee meeting minutes

  • Emergency procedures including list of wardens and evacuation plan

  • Most recent Starting with Safety Communication

Hazard, Near Miss, Incident Review & One Safe

  • Leaders understand how to enter incidents, hazards and near misses into OneSafe

  • Leaders understand how to close out corrective actions arising from incidents, hazards and near misses entered into OneSafe

  • Correctives actions entered into OneSafe are closed out with specified timeframes

  • Incident trends have been identified and corrective actions implemented

  • Hazard, Near Misses and Incidents are tabled and reviewed at the facility WHS Committee meeting

Inspections (where applicable)

  • Forklift daily pre-start checks are completed

  • Vehicle daily pre-start checks are completed

  • Motorcycle daily pre-start checks are completed

  • Electric Delivery Vehicles daily pre-start checks are completed

  • Quarterly Safety Inspection Checklist are completed

  • Copies of “Customer Profile & Site Safety Inspection” are available for all customers and have been reviewed in last 2 years

Senior Leader Investigations

  • Safety Leader investigations, where applicable, are tabled at the facility WHS committee

  • Facility based corrective actions outlined on the Senior Leader investigation have been actions

  • Critical control verification have been completed as part of Senior Leader investigation

Contractor Management (General)

  • Only approved contractors are being used

  • Contractors inducted and provided with a work permit?

  • Contractors have supplied WMS/JSA’s? If yes are they less than 2 years old?

  • Have the cleaning contractors supplied SDS’s?

  • Has the facility conducted on the spot monitoring to ensure that the Contractor is complying with WMS, site safety rules etc?

  • Do they label decanted substances? If so are the labelled correctly?

  • Have the relevant APG staff been trained in APG Contractor Management procedures (ie are there training records)

SiF & Critical Control Verification

  • Critical control verifications are being completed

  • Where critical control verification identified that a critical control is not in place actions are taken to close these out

  • Facility has a SiF working party in place

  • Facility knows its SiF activities and which recorded incidents are SiF potential/SiF Actual

Chain of Responsibility (Where Applicable)

  • Driver daily fitness for duty declarations being completed correctly and checked by supervisors

  • Driver run sheets are being completed correctly with drivers showing the correct regulatory Work/Rest hours, and checked and signed by the Supervisors

  • Driver medicals up to date

  • Non-conformances and breaches entered into the driver and heavy vehicle compliance register?

  • Drivers with speeding infringements are managed in line with relevant procedure

  • Checks are in place to monitor contractor arrival/departure times

  • All products being dispatched have an accurate weight affixed to the ULD/pallet?

  • Customers providing accurate weights on the ULD’s and Pallets they dispatch

  • Appropriate approved load patterns affixed to the inside of the rear doors of each heavy vehicle

  • Load sheets accurately completed and checked on the required journeys, e.g. line haul

  • Container weight declarations (CWD’s) completed correctly for all shipping container movements

  • Inbound and outbound load restraint checks being conducted and checked by the Supervisors

  • Correct load restraint certifications and Standard Operating Procedures affixed to the inside of rear doors of each heavy vehicle

  • The load restraint equipment used in good working order and condition, e.g. no frayed straps

  • Drivers have access to the correct load restraint equipment to secure their loads when at customer’s premises

  • Heavy vehicle pre-departure checks are being conducted and recorded correctly and being checked/signed by the Supervisors

  • Vehicles are being serviced at the correct intervals

  • All identified vehicle roadworthiness faults are being repaired prior to the vehicle being put back into the operation

  • All heavy vehicle defect notices are actioned with required repairs and cleared, then entered into the Driver and Heavy Vehicle non-conformance register.

Contractor Management (Delivery Contractors)

  • WHS Safety plan in place for the current contract period

  • WHS Safety plan reviewed/audit in 12 months

  • All Mail contractors have completed an induction for all Australia Post sites they will be working at

  • All Mail contractors have identified hazards relevant to their work and have implemented controls to reduce exposures

  • All Mail contractors incidents have been reported to Australia Post

  • All Mail contractor incidents have been investigated and appropriate safety controls set up to stop the incident from happening again.

  • All Mail contractors have current licenses and qualifications required by the law and Australia Post to perform assigned work

  • All Mail contractors are maintaining and regularly inspecting their vehicles, plant & equipment

  • All Mail contractors are monitoring your own safety performance.

  • All Mail contractors are meeting their Chain of Responsibility (CoR) requirements for vehicle > 4.5t GVM.

  • All Mail contractors have provided a Fatigue Management Plan that records and demonstrates how they manage fatigue risks required for vehicles > 12t GVM

Dangerous Goods (Where Applicable)

  • Process in place for ensuring compliance in regards to DG documentation held in the cabin of each vehicle for DG consignments being transported, both local and linehaul.

  • DG handling, in regards to awareness, compatibility, correct orientation if applicable, loaded at the rear of vehicles in line with company policy.

  • Packaging being used for DG consignments, correct labelling in regards to class of DG contained within the packages, pallet.

  • Access to the DG regulations applicable for the mode of transport is available

  • Availability of additional PPE, such as Hazspill equipment, and the conduct of monthly audits to ensure all items are available and in date.

  • Update Evacuation plan, fire wardens and first aiders list up to date.

  • Firefighting equipment tested and tagged.

  • General housekeeping including fire exit signs working and exits not blocked by freight.

  • DG training of staff up to date.

Dog Prevention (Where Applicable)

  • Workers know and understand that they are empowered not to make a delivery if an unrestrained dog is present on the property

  • Dog Hazard Register in place

  • All rounds have identified and listed the location of dogs

  • Where applicable, ultrasonic devices are in place and being used

  • Scanning failures where a dangerous dog prevents delivery removed from first time attempt KPI’s

  • Letters informing customers of not being able to make delivery due to dog are in place and being used

  • Engagement with local council regarding dogs is in place

Motorcycle Replacement Program (Where Applicable)

  • Does the facility have an ongoing desktop review of rounds to be converted in conjunction with NDMT modelling?

  • Are local round conversions being risk assessed and respective processes being followed correctly including HSR consultation?

  • Are rounds being actively converted?

  • Are round conversions being tabled at local LWG meetings?

  • Is the Dead Ride/journey policy being actively reviewed in conjunction with round conversions and recasts e.g. updated round maps and agreed routes?

Planned Workplace Changes (Where Applicable)

  • Planned workplace changes have been communicated to relevant workers

  • Consultation has occurred with HSR regarding planned workplace changes

  • Risk assessments have been completed on the planned changes and identified exposure and controls are listed on the facility risk register

Other

  • Hi visibility clothing/vests worn by all staff/visitors, where required

  • Visitors are being escorted

  • There is evidence that visitors and contractors are signing into the facility

  • Too Box Talks, Starting with Safety and Weekly safety communications are being delivered

Observations

  • Positive Observations

  • Opportunities for Improvement

Sign Off

  • Reviewed and checked by Facility Manager or Delegate:

  • Sent to GM, TM or similar suitable level by:

  • Conducted by:

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.