Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Untitled Page

  • 1. Site orientation, including EXITS, emergency facilities, workplace hazards and controls e.g., PPE (Personal Protective Equipment) requirements in areas, employee facilities.

  • 2. Company Safety Policy copy provided; vision and values shared and understood.

  • 3. Site Safety Co-Ordinator; who to go to if you would like assistance with safety hazards or policy access

  • 4. Proposed Training Schedule & buddy (Including any safety training – see TNA matrix for staff requirements)

  • 5. Employee Participation and Involvement Procedures e.g. <br>- Hazard Reporting Procedure <br>- Safety Manual & Notice Board <br>- Safety Meetings (membership, meeting freq.) <br>- Workplace Safety Representatives(s) if any <br>- Workplace Safety Inspections program

  • 6. First Aid Services Available including: <br>- Work Injury Reporting Procedures <br>- Workers Compensation Claim Procedures <br>- Location of First Aid Kit(s) <br>- Local Doctor <br>- First Aiders – who and how to contact

  • 7. Employee Health Initiatives if any

  • 8. Return to Work Procedures what to do if you are injured

  • 9. Emergency Procedures including: <br>- Evacuation Plan <br>- Alarm to be used (sound of) <br>- Location and use of Emergency Equip. (e.g., fire extinguishers, eye wash, spill kit) <br>- Emergency Exits <br>- Wardens and who they are

  • 10. Housekeeping & Storage Standards

  • 11. Employee Facilities Available

  • 12. Machine Guarding Standards <br>(e.g., machines not to be used with safeguards inoperative)

  • 13. Machine Isolation Procedures (e.g., Tag-Out & Lock-Out)

  • 14. Personal Protective Equipment; expectation, correct use and maintenance, how to get replacement.

  • 15. Site Safety Rules provide copy

  • 16. Safe Work Procedures (Relevant to individual work tasks) List them & provide appropriate training a) b) c)

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.