Title Page

  • Office/Site name or location

  • Address of facility
  • Conducted on

  • Inspection carried out by: Name and job title-

  • Supported by: Name and Job title-

  • Document No.

  • Office Manager: Name-

  • Is the facility a 2020 EHS site.

Objectives

  • The purpose of this document is to provide a consistent inspection approach in relation to the "Safe Place" Project. It is designed to capture all types of avtivities that may or may not be active at the site.

  • Our Zone safety ambition is provide a safe workplace for everyone. This workplace is one that is free from significant harm and risk. In line with the 2020 global strategy, we will initially focus on WAH, First Aid and AED, Ergonomics, Machine Guarding and Chemical Safety. The SPS concept of ‘visual workplace’ should be evident and visitors and contractors are to go through an orientation to ensure they remain safe whilst in attendance at any of our sites.

EHS2020

  • Does the site fall under the scope of the EHS2020

  • Overall current score

  • Is the site aiming to achieve a higher score

  • Are plans in place to achieve this higher score

Accident Performance

  • What is the most recent accident recorded

  • What actions have been planned or agreed to prevent reoccurrence

  • What is the most significant near miss category

  • What is the plan to address this

Visitor Information

  • Did you sign In when arriving at the office?

  • Did you receive a Visitor Pass to wear?

  • Were you given clear emergency arrangements instructions (verbal or hardcopy)

  • Are the COVID 19 controls inplace, sufficient and compliant?

  • Were you instructed of any specific arrangements for the office (welfare, food, PPE, etc)

  • Is the office covered by any ISO standards?

  • Are the Certificates on display and in date?

  • Are Policy Statements on display and current?

  • Is the Health & Safety Law poster current and clearly displayed with responsible names?

  • Are Employee Liability insurance documents on display and current?

  • Is reverse parking being adhered to 100%

Contractors

  • Are contractors working on site

  • Have RAMS been submitted and approved

  • Has a permit been issued

  • Have they undergone a site induction

  • Observed acting in a safe manner

Notice Of Contravention Adherence

  • Regulation: The Workplace (Health, Safety and Welfare) Regulations 1992, Regulation 17(1)<br>Breach: You have failed to organise your workplace in such a way that pedestrians and vehicles can circulate in a safe manner.<br>Actions: Removed the offending items and implemented a new process to prevent further incidences.<br>Sustained?

  • Regulation: The Workplace (Health, safety and Welfare) Regulations 1992, Regulation 12(3) <br>Breach: You have failed to ensure, so far as is reasonably practicable, that every floor in your workplace and the surface of every traffic route has been kept free from obstructions.<br>Actions: The aisles have been cleared and processes implemented to avoid reoccurrence. Sustained?

  • Regulation: Avoidance of risks from work at height, Regulation 6 (3) <br>Breach: Failure to control sub contractors working at height at your facility<br>Actions: A Safe system of work deployed for all delivery vehicles with regard to WAH. All vehicles to have safety barriers installed before WAH can be applied.<br>Sustained?

  • Regulation: Regulation 5 of the Management of Health and Safety at Work Regulations <br>Breach: FLT Drivers did not always observe and consider the actions of other pedestrians or forklifts operating in the same area.<br>Actions: Stand down all Fork lift truck drivers and went through a training session on operator and pedestrian safety. <br>Sustained?

  • Regulation: Regulation 6 of the Provision and Use of Work Equipment Regulations 1998.<br>Breach: FLT Drivers not wearing seat belts & not filling in the pre use inspection cards.<br>Actions: Stand down for all Fork Lift Drivers and re emphasised the importance of seat belts and pre use inspections.<br>Sustained?

Quarterly Campaigns

  • Did the site participate in the Q1 2020 Safety campaign

  • Did the site participate in the Q2 2020 Safety campaign

  • Did the site participate in the Q3 2020 Safety campaign

  • Did the site participate in the Q4 2020 Safety campaign

Fire and First Aid

  • Has the office got an up to date Fire Risk Assessment in place that’s been carried out by a competent person?

  • Comments

  • Are Fire Marshals appointed and identified on posters?

  • Comments

  • Is firefighting equipment suitable and in good order, located in its correct position and maintained in date

  • Comments

  • Has an emergency evacuation taken place in the last 6 months and being recorded?

  • Comments

  • Are evacuation routes clearly identified and clear of any obstructions?

  • Comments

  • Has the Fire Alarm System being regularly serviced?

  • Comments

  • Have First Aid Personnel been appointed

  • Comments

  • Is there a poster on display clearly identifying First Aid Staff

  • Is there an adequate number of First Aid staff on site (refer to First Aid at Work Policy)

  • Are First Aid kits/equipment available and checked on a regular basis, check must be recorded.

  • Does the office have a Defibrillator and trained staff poster on display?

  • Is there adequate signage identifying the location of First Aid facilities?

  • Comments

Building and Facilities

  • Is the office easily located and accessible?

  • Are floors and coverings even, level and in good condition?

  • Are walkways and passages free from hazards and marked appropriately?

  • Do heating/cooling systems work?

  • Is ventilation adequate but draft free?

  • Is lighting adequate in all areas? Natural and artificial.

  • Are windows clean and unobstructed and do window blinds work?

  • Is emergency lighting tested periodically?

Office Risk Assessment

  • Is there an up to date Office Risk Assessment?

  • Is there an up to date Car Park/Pedestrian Risk Assessment?

  • Are Risk Assessments freely available to all staff?

DSE and office layouts

  • Have DSE Self Assessments been carried out by staff?

  • Is good practice being adhered to? (posture, layout, seating, tidiness)

  • Has Portable Appliance Testing (PAT) been carried out and up to date? (sample)

  • Office is clear of trailing leads and trip hazards?

  • Are electrical distribution boards locked or closed?

  • Is electrical equipment been used in a safe manner? (no overloading etc)

  • Are cupboard/cabinet tops clear of material/clutter and are they closed when not in use?

  • Is all furniture fit for purpose and used as intended?

  • Are heavy items stored at an appropriate height

  • Are storage areas clear of clutter and maintained?

Expectant or New Mothers

  • Does the site have any New or Expectant Mothers

  • Has the New or Expectant Mothers Assessment been completed

Disabled Staff

  • Does the site have any disabled staff

  • Has a PEEPs been carried out

Lifting Equipment and Working at Heights

  • Does the office have lifting or moving equipment? (sack trolley or pump trucks)?

  • Is the lifting equipment checked and maintained with evidence of records

  • Has training been provided for the safe use of sack trolley or pump trucks?

  • Does Working at Height take place at this office?

  • Can Working at Height be removed?

  • Has the Working at Height been Risk Assessed?

Sustainability

  • Is waste been segregated in at least a 2 bin system?

  • Is waste been collected by our current FM provider? If No to the above then review waste transfer notes from alternative waste management provider

  • Windows are closed when heating or cooling is switched on?

  • Are the lights in empty store rooms and offices switched off?

  • Is Energy conservation evident in the office?

General activities

  • Is signage in place when entering the office to guide to a reception area?

  • Is emergency signage adequate?

  • Is an escape route clearly identified?

  • Are staff observed to behave in a safe manner and complying the office HS&S processes?

  • Is smoking policy being complied with?

  • Are contractors observed to behave in a safe manner and complying with Schneider processes and procedures?

  • Is reverse parking policy being complied with?

  • Is the SHE Coordinator Checklist being filled in on a monthly basis.?

  • Comments and Observations

  • • This inspection should be completed at least twice per year. • Any shortfalls or Actions must be added to the office Action Plan. • This document should be stored in both editable and PDF formats in the 011 Site Inspections folder. • A copy should be sent to the HS&S Coordinator with the office Manager in copy.

Workplace Transport

  • Do PITS operate at this location? if "no" then move to next section.

  • Do PIT operators maintain the One meter (3’) space between their PIT and personnel when the PIT is in motion?

  • Do PIT operators maintain 3 meter (10’) space between their PIT's and any personnel when the loaded forks are above the 1.5 meter (5’) level from the floor?

  • Do PIT operators maintain distance equal to three vehicle lengths between their moving PIT and any PIT?

  • Are battery charging areas equipped with appropriate PPE and eye wash stations?

  • Loading docks and loading areas shall have documented general inspections performed periodically

  • Do PIT drivers lower the forks before driving?

  • The PIT driver only Repositioning the forks when the PIT is not travelling?

  • The PIT driver does not extend any part of the body outside of the equipment safety zone?

  • The PIT drivers remove the key from the PIT when not in use?

  • Are closed cab order pickers equipped with guards that are interlocked to prevent unit from vertical travel when guards are not engaged?

  • Do all personnel working in the warehouse wear High-visibility vests or clothing?

  • Pedestrians shall maintain a minimum distance of 1m (3’) from any PIT in motion and 3 m (10’) from any PIT/FLT with loaded forks at or above the 1.5 m (5’) from the floor

  • Do Visitor instructions include the one and three meter rules?

  • Are signs that communicate the 1m & 3m rules placed throughout the facility and on all PIT's?

  • Contractors are not permitted to operate PIT’s that are owned by Schneider Electric

  • Are trailer doors opened carefully to avoid the potential fall of an unstable package?

  • PIT drivers have an unobstructed view of the route of travel?

  • Safety belts, when available, shall be worn at all times when the PIT is in motion?

  • PIT drivers bring the PIT to a complete stop, apply the parking brake, lower the forks and switch off the PIT before dismounting?

  • The PIT drivers shall slow and sound their horn prior to crossing aisles and/or when their line of sight is restricted?

  • Are all PIT's equipped with blue lights, mounted in the direction of travel?

  • Is guarding in place on PIT equipment to prevent hands from getting inside moving parts such as forklift mast?

  • Access to the battery charging areas shall be restricted authorized personnel only

  • Do operators perform checklist inspections prior to loading each vehicle?

  • There is a protection of grid or plexiglass on the mast of the PIT to prevent pinching when the forks are raising/lowering?

  • Open cab order pickers are forbidden regardless of the lifting height of the platform unless the employees is tied off to a manufacturer certified anchor point located on the PIT with a full body harness fall restraint system in use?

  • Prior to operation of a PIT, it shall be inspected using a documented (or electronically recorded) checklist of items for review

  • Are safe walk areas shall be established (Pedestrian aisles shall be clearly marked on the floor and barriers) for areas that have frequent traffic for both pedestrians and vehicles?

  • Do Pedestrians make eye contact with vehicle drivers prior to crossing into vehicle operating areas?

Chemical Safety

  • Are chemicals used in process or production

  • Are Material safety data sheets available and up to date

  • Has a COSHH Assessment being completed inthe last 12 months and freely available

  • Have staff being trained to use the chemicals and are training documents avaialable

  • Are emergency facilities available in the event of incident with persons

  • Are suitable emergency procedures, equipment and training in place in the event of a spillage

  • Is PPE needed when using the dangerous substances and is it suitable based on the MSDS and COSHH Assessment requirements

  • Have staff being trained to use PPE and are records available

  • If RPE is required has it been chosen based on the MSDS and COSHH asessment. Has "Face Fit" being sought.

  • ARe chemicals being disposed of effectivley and safely with consideration to staff. memebers of the public and the environment. Hazardous waste transfer notes? Bunding?

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.