Safety and Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Manual tasks-lifting safety checklist

• In consultation with workers, all hazards in relation to manual tasks have been identified

  Yes

  No

  N/A

• Risk assessment has been conducted for all hazards related to manual tasks have been<br>taken into account and include:<br> postures<br> repetitive movements<br> forces<br> duration and frequency of tasks<br> environmental conditions

  Yes

  No

  N/A

• Practical control measures have been implemented and maintained to eliminate or reduce<br>risk associated with manual tasks after consulting workers:<br> altering the workplace environment, design, layout or systems of work<br> change the systems of work used<br> modify the load being handled or change the objects used to do the task<br> use mechanical aids

  Yes

  No

  N/A

• Everyone exposed to manual task hazards have been provided with adequate instruction<br>and training (induction and ongoing training)

  Yes

  No

  N/A

• Suitable mechanical aids are provided where necessary eg. suitable carts, pallet jacks,<br>forklifts and other (lifting) equipment

  Yes

  No

  N/A

• Carts and other mechanical aids are suitable for the job and are well maintained

  Yes

  No

  N/A

Slips trips and falls safety checklist

• Floor or any stair or ramp has an unbroken and slip resistant surface

  Yes

  No

  N/A

• Floor or any stair or ramp is free from any obstruction that may cause a person to fall (eg.<br>electrical leads, hoses, tools and floor mounted power boxes in walkways, etc.)

  Yes

  No

  N/A

• Access to egress from workplace safe and kept free from obstructions at all times

  Yes

  No

  N/A

• Safe systems of work (eg. clean as you go) are in place to ensure that the floor is free from<br>fall hazards or obstructions

  Yes

  No

  N/A

• Warning signs available and erected near spills

  Yes

  No

  N/A

• Guard rails or other safeguards are provided on ramps and stairs

  Yes

  No

  N/A

• Appropriate protective equipment, such as slip resistant footwear, is required

  Yes

  No

  N/A

• Ramps are available in areas where height of floor levels change and trolley access is<br>required or items are carried regularly

  Yes

  No

  N/A

Working from heights safety checklist

• Hazard identification and risk assessment of falls has been conducted <br>Practical control measures have been implemented and maintained to eliminate or reduce the risk associated with work at heights (would a fall be stopped before the person hits the ground or a structure ?)

  Yes

  No

  N/A

• Fall protection is required if could fall more than 3 feet from scaffold, fixed stairs,<br>landing, suspended slab, formwork, or false work<br>In any other case greater then 3 feet: fall injury prevention systems (eg. catch platform,<br>scaffold, safety nets, safety mesh, or fall protection system) or fall protection are provided

  Yes

  No

  N/A

• There is safe means of access and egress to the work being performed at heights<br>Stairs, walkways, ladders, mechanical lifts etc are free of obstructions

  Yes

  No

  N/A

• People required to work at height have been provided with adequate information, instruction and training for the work being performed

  Yes

  No

  N/A

Safe movement of vehicles at the workplace safety checklist

• Are all traffic routes of safe design ensuring Team Members and or Visitors are able to move safely within the<br>workplace?

  Yes

  No

  N/A

• Are all workplace routes well maintained and free from obstructions such as slippery<br>substances, vehicle parts, equipment etc?

  Yes

  No

  N/A

• Employees and customers who bring private vehicles to the workplace are provided with<br>and comply with specified safe routes and information and instruction on safe driving on<br>workplace routes.

  Yes

  No

  N/A

• Safe loading docks - are situated in a safe suitable location where vehicles can be<br>maneuvered easily and safely.

  Yes

  No

  N/A

• Safe lighting – maneuvering areas and yards are adequately lit, attention is paid to junctions,<br>buildings, warehouse, walkways and vehicle routes.

  Yes

  No

  N/A

Equipment safety checklist

• Yard Truck is maintained to minimize risks – pre-start checks are conducted and<br>logbooks/records are kept of pre-start checks and maintenance

  Yes

  No

  N/A

• Employees are trained in the use of Equipment – where applicable, All operators<br>are certified. e.g. forklift, boom type elevated work platform over 3 feet.

  Yes

  No

  N/A

• The equipment is in a safe condition – for instance seat is maintained, seatbelt is in place,<br>load chart is in place as required, operator manual is available, controls are labeled,<br>dangerous parts are guarded, Equipment is registered if required, FOPS/ROPS are in place if<br>required

  Yes

  No

  N/A

• The work is organized in such manner that employees are not exposed to hazards – for instance, pedestrian walkways, traffic management/signage, high visibility Safety Vests or<br>clothing, two-way communication as required is in place.

  Yes

  No

  N/A

• Where Equipment is used, site hazards such as ramps, slopes, rough ground, power lines,<br>excavations, ground load limits, underground services, etc. are identified, assessed and<br>controlled

  Yes

  No

  N/A

Noise safety checklist

• A risk assessment on noise has been conducted where it is likely that employees are<br>exposed to noise levels > 85dB(A)<br> So far as is practicable, control measures have been put in place to reduce the risk of<br>injury as a result of noise, where exposure levels exceed 85 dB(A)<br> So far as is practicable, hearing protection has been provided to employees that are<br>exposed to noise levels > 85dB(A)<br> Employees have received information and training in relation to noise at the workplace

  Yes

  No

  N/A

Machine guarding safety checklist

• The highest level of guarding that is practicable is provided

  Yes

  No

  N/A

• Adequate safe work procedures are provided and documented to set, test and use<br>machinery during all cycles of production and maintenance – for instance look for:<br> Pre-operational checks<br> Appropriate isolation and lock-out procedures provided for maintenance<br> Where setting, testing and start-up of machinery is required with the final means of<br>safeguarding removed, have interim safeguards been provided<br> Where fixed physical guards are provided is adequate provision made for cleaning,<br>maintenance, adjustment and repair<br> Where it is not practicable to guard machinery is a safe system of work in place for<br>persons operating or passing in close proximity

  Yes

  No

  N/A

• Operators and maintenance personnel are properly trained, and are familiar with the<br>operation and the set up of the machinery and able to demonstrate safety features

  Yes

  No

  N/A

• Manufacturers decals, manuals and operator instructions are readily available and in both English and Spanish.

  Yes

  No

  N/A

Hazardous substances safety checklist

• Register of hazardous substances<br>A register of hazardous substances is available and accessible for workers likely to be<br>exposed to hazardous substances at the workplace<br>The register of hazardous substances is complete – the register includes a contents list and<br>current Material Safety Data Sheets (MSDS)<br>The register of hazardous substances is current – MSDS are not older than 5 years

  Yes

  No

  N/A

• Labeling<br>Hazardous substances are properly labelled – eg. containers are labeled with<br>manufacturers labels that are complete and legible<br>Chemicals used into other containers are labeled with name, risk and safety phrases<br>Empty food or beverage bottles are not used to store chemicals

  Yes

  No

  N/A

• Risk assessment and control<br>Risk assessments have been completed for all hazardous substances.– when conducting a<br>risk assessment, consider how the substances is used, where it is stored, is ventilation<br>required, are directions in the MSDS followed, what personal protective equipment is<br>required.<br>A record is made in the hazardous substances register that the assessment has been done<br>A risk assessment report is available where the risk is significant<br>Practical control measures have been implemented and maintained.

  Yes

  No

  N/A

• Information, instruction and training<br>Workers who may be exposed or work with hazardous substances have been provided with<br>adequate information, instruction and training<br>A record of the training is kept and includes health effects, controls, safe work methods,<br>personal protective equipment and where applicable health surveillance

  Yes

  No

  N/A

Emergency procedures safety checklist

• Evacuation procedure and diagram (showing the exits) are displayed in a prominent place. Evacuation and Weather related Drills are conducted as scheduled. Evacuation procedure to be followed in the event of a fire or other emergency is provided.

  Date

• Emergency egress enables safe egress in event of an emergency (doors not obstructed)<br>Exit signs have been provided and are maintained

  Yes

  No

  N/A

• Adequate portable fire extinguishers have been provided and maintained

  Yes

  No

  N/A

• An adequately stocked first aid kit is provided at a central location

  Yes

  No

  N/A

• An adequate number of people have been trained in first aid, having regard to the types of<br>hazards and number of people in the workplace

  Yes

  No

  N/A

Communication with workers safety checklist

• Control measures have been implemented and maintained so that there is a<br>means of communication available which will enable the employee to call for help in the<br>event of an emergency and that there is procedure for regular contact to be made with the<br>employee and that the employee is trained in the procedure

  Yes

  No

  N/A

• Clean, cool, drinking water is provided for, and is readily accessible to persons working at<br>the workplace

  Yes

  No

  N/A

New workers safety checklist

• Induction, information, instruction and training on hazards at the workplace has been provided to new and young workers

  Yes

  No

  N/A

• Staff capabilities are assessed and where applicable a training plan is developed and agreed<br>by both parties

  Yes

  No

  N/A

• Induction, information, instruction and training in emergency and evacuation procedures has<br>been provided

  Yes

  No

  N/A

• Information and training in hazard and accident reporting has been provided

  Yes

  No

  N/A

• Induction, information, instruction and training on the prevention of drugs and alcohol use at<br>the workplace has been provided to workers

  Yes

  No

  N/A

• Induction, information, instruction and training on the prevention of bullying and violence at<br>the workplace has been provided to workers

  Yes

  No

  N/A

• Induction, information, instruction and training in the use, maintenance and storage of<br>personal protective equipment has been provided

  Yes

  No

  N/A

• Trainees are under constant supervision

  Yes

  No

  N/A

• Employers ensure the risk of injury or harm to visitors is reduced by means<br>appropriate for the workplace and the type of work activity

  Yes

  No

  N/A

Other issues safety checklist

• Reportable accidents have been reported

  Yes

  No

  N/A

• Lost time injuries or accidents and notified hazards have been investigated

  Yes

  No

  N/A

• Personal protective equipment is provided without any cost to workers

  Yes

  No

  N/A

• Gas cylinders are secured<br>Gas cylinders are not stored near ignition sources<br>Safe work procedures are in place for changing gas cylinders

  Yes

  No

  N/A

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