Sandvik Inspection Report - Warehouse V4

• Client / Site

• Area Inspected

• Date

  Date

• Start Time

  Date

• Finish Time

  Date

• Prepared by

• Location
  Address

• Rating Scale: How Bad is it? What to do

• -1 Dangerous Extreme Potential for Incident / Accident Fix / Control Immediately

• 0 Poor High Potential for Incident / Accident - Nil Compliance Fix / Control immediately

• 1 Fair Medium Potential. Nil to Some compliance Fix within two weeks

• 2 Average Low Potential - Moderate compliance Fix within two months

• 3 Good Low Potential - Mostly in compliance Improve when possible

• 4 Excellent Complies fully with legal, company & site requirements

• N/A* (Not applicable):

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Comments

• 1.2 - Are there no outstanding actions?

  Comments

2.0 - Building and Structures

2.1 Lighting

• No lights out/broken

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Sufficient lighting

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Windows clean and undamaged

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

2.2 Ventilation

• Natural air flow and air extraction

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Mechanical (include A/C, fans etc)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Filters clean/inspected

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No build up of hazards or flammable material

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

2.3 Amenities

• Hygienic toilets/urinals

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Hygienic kitchen/crib room

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Cleanliness of fridge and cooking appliances

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Hygienic showers/change rooms

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Adequate supply of drinking water

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

2.4 Emergency

• Exits identified

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Exit doors and equipment unobstructed

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Evacuation plan in place

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Emergency lighting

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Eye Wash clean, accessible & serviceable

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Emergency shower accessible & serviceable

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

2.5 First Aid Facilities

• Clean,

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Fully stocked,

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• First aiders names visible

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Emergency procedure & Numbers visible

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

2.6 Fire Protection & Prevention

• Extinguisher Location accessible

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Signs visible

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Signs indicated type of equipment

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Signs to standard

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Current Tags/seals in place

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Condition good

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

2.7 Buildings and Floors

• No building damage

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No floors damaged/dirty

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Aisles good width, safe & free from obstruction

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stairs to approved standard - gradient

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Floors good surface, oil free

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

3.0 Housekeeping

3.1 Aisles and Storage

• Good demarcation/ not worn

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Not cluttered/obstructed

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Clear access to emergency equipment & exits

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

3.2 Stacking and Storage

• Racks secure against falling,

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Doesn’t obstruct flow and services

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Sufficient racks/areas for storage

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Clear access and egress

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Load ratings obvious

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Condition of packing / pallets

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

3.3 Plant and Yard

• No redundant plant

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No redundant material

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Tidy

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

3.4 Waste / Scrap Removal System

• Sufficient bins

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Adequate removal/emptied

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Waste segregated correctly

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Waste oil from bins captured

  Yes

  No

  N/A

• Comments

4.0 Electrical Safeguarding

4.1 Portable Electrical Equipment

• Identified and on register

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No damaged cables/plugs

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Earthing

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Protection from liquids and dust

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Current inspection tag (> 32v)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Appropriate storage

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No visible damaged to tools or electrical leads

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

4.2 Earth Leakage

• Complete coverage – distribution board/temp supply

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Tested regularly by competent person

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Documentation

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Inspection tag

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

4.3 Electrical Installations Safe

• Electrical equipment safe

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Wiring safe

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Unauthorised access to switch gear/substations restricted

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Terminal/distribution cupboards labeled

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Earthing and polarity correct

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No exposed wires

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No damage to protective sheath/cable guide or conduit

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

5.0 Fixed Plant & Equipment

5.1 Machine Guarding

• Machines comply with appropriate standards

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Guards in place when operating preventing reaching into moving parts

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Guards secure while machine operating

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• interlocks prevent machine operating when open

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Guards protect against hazards to the rear and sides of machines

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• All nip points guarded and signed

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Not loose, broken or inadequate

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

5.2 Bench Grinders, Drills & Saws

• Guards in place & serviceable

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Operating Instructions visible

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Bench grinder wheel condition

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No damage to saw blades

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Bench grinder tool reset within 1.5mm of grinding wheel.

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Face shield available &clean (double face protection signed)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

5.3 Energy Lock-out System and Usage

• Written procedure

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• positive lock out systems for all power/individually powered systems

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Lockout permits multiple lock outs

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Covers all sources of energy

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• lock out reduces energised equipment to a zero energy state

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Switches lockable

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Tags/locks available

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

5.4 Ladders, Handrails and Walkways

• Uprights of ladders not damaged

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Labels of SWL in place

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Rubber footings

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Rungs free from grease/oils

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Metal ladders NOT used for electrical work

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stairways/landings toe-boards fitted

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stairways anti slip

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stairways at least one handrail

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Portable ladders inspected/tested

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Identified and on register

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

5.5 Lifting, Supporting Gear and Machinery

• Identified and on register

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No defective items

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Standard of Jacks

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Support Stands engineered

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Safe working load marked with MRC (Maximum Rated Capacity)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Lifting hook safety latches in place

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Regular inspections and tagged

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Quarantine procedure and disposal

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stored correctly on rack

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

6.0 Portable Equipment & Hand tools

6.1 Hand tools

• No damaged or defective tools

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Sharp edges covered,

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Mushroomed hammers ends

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No split handles

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stored correctly

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Clean of oil & grease

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Soft metal hammers clearly labeled

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

7.0 Gas Cylinders and Pressure Vessels

7.1 Gas Cylinders

• Cylinders correctly stored vertically, secure

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Segregation distance > 3 M

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Equipment safe condition

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Correct flashback arrestors used on hand piece and valves

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Transported correctly, secure

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stored out of direct sunlight

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

8.0 Mobile Plant & Machines

8.1 Forklift

• Condition of Vehicles/Plant

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Daily check/documentation

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Fumes extracted

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• No defective items

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Operator competent

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Isolated when unattended

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Seat belts in use

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Safe Access & Egress

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Fire Extinguisher

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Flashing light/reversing alarm

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Maintenance records

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

9.0 Hazardous and Flammable Substances

9.1 Chemicals and Substances

• Chemical register

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Manifest and emergency plan

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Products labeled

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• MSDS sheets up to date (Within 5 Years)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Stored appropriately, bunding & containment

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Segregation distances

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Fumes extracted

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

9.2 Spills

• Spill kits on site and accessible

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Drain covers on site and accessible

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

9.3 Pest Control

• Evidence of regular pest control exists (every 6-12months)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Rodent baits are free of decomposed rodents and other animals. (Do not touch trap to check this)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Rodent baits are in good shape and are not heavily chewed or missing. (Do not touch trap to check this)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Devices are labelled with service information. (Do not touch trap to check this)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

10.0 PPE & Signage & Notice boards

10.1 Head Protection

• Area identified – sign

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Hard hats provided

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Being worn

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

10.2 Eye and Face Protection

• Area identified – signs

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Equipment provided

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Worn correctly

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

10.3 Hearing Protection

• Area identified –signs

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Equipment provided

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Worn correctly

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

10.4 Other PPE

• Safety harness & lanyards

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Hand protection (gloves etc)

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Respiratory equipment

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Sun protection, Sunscreen

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Sun hat or attachment

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Insect repellent

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Welding PPE

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

10.5 Signage

• Appropriate signs displayed

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• To standard requirements

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Visible & correctly located

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Good condition

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

10.6 Notice Boards

• Conspicuous position

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Suitable size

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Up to date

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Procedure in case of fire

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

• Procedure in case of electric shock

  Select -1 0 1 2 3 4 N/A

  • -1
  • 0
  • 1
  • 2
  • 3
  • 4
  • N/A

• Comments

Sign Off

• Staff signature

  Sign

• Staff signature

  Sign

• Date all actions entered onto Cintellate.

• Select date

  Date

• Cintellate Actions Numbers

• Manager Sign off

  Sign

• • Original form to be kept as a record on site/premises.

• • Findings tabled at Safety / Toolbox Meetings.

• • Copy to Safety department of principal (if applicable)