Title Page

  • Site name (eg. Henderson trade branch)

  • Prepared by

  • Location
  • Personnel

  • Conducted on

  • What was the last audit score?

Health and Safety Meeting Minutes

  • Are meeting minutes covering content in each section?

  • Have meeting minutes been distributed to the Regional HSER Advisor and Regional Manager?

  • Are meeting minutes up to date for the last meeting?

Training Matrix

  • What is the current completion percentage on the training matrix?

  • Is the training matrix saved to the intranet?

SOP training records

  • Review a number of training files, are they up to date?

Staff recognition

  • Are staff being recognised for the right action and behaviour? If so, list the details.

Loan trailer agreement forms

  • Are these being completed for each loan period and in full?

Fire evacuations

  • Is the fire service approval scheme letter or exemption letter accessible on the intranet?

  • Is there a fire action notice, along with the site plan next to each and every alarm call point?

  • Is there also a copy of the fire action notice, along with the site plan on the staff noticeboard?

Health and Safety Nominations and Elections (if relevant)

  • Is the paperwork being kept and up to date?

  • Are fire warden training records being kept up to date?

Health and Safety Representatives

  • Are copies of representative certificates being kept and up to date?

Health and Safety Constitution

  • Has this been completed and rolled out to staff?

Vehicle Checks

  • Are vehicle, forklifts, trucks, trailers, light vehicles checks and log books being completed in full?

Other Check Sheets

  • Are ladder, bench saw and key cutting machine checks being completed?

Contractor Management

  • In advance of works have contractors been pre-qualified and documentation available as evidence?

  • During the works have contractors been monitored and documentation available as evidence?

  • Following the works have contractors been reviewed and documentation available as evidence?

Annual and Quarterly Site Performance Reviews

  • Is there 12 months of clear evidence showing quarterly and annual reviews?

  • Is there an appropriate amount of goals within the annual plan - more than 5?

Investigations

  • For full investigations, are they being completed on time (within 10 days)?

  • For simple investigations, are corrective action (s) effective in managing the risk? Could more be done?

  • Have events been communicated to staff in person, via email, toolbox talk, staff meeting to close out the feedback loop?

RiskProfile / Register

  • Is this up to date and uploaded to the EHRS website?

HSNO

  • Is the site compliant with class separation?

  • Is the test certificate on display?

  • Is the layout as per the Emergency Site Plan for the site

  • Does the Emergency Site Plan follow the template document on the intranet? Does it have all of the appropriate symbols?

Traffic Management

  • Is the traffic management up to date against any recent changes?

  • Is there evidence that the traffic management plan been communicated and consulted with affected staff / parties?

  • Is the traffic management map (2.4 x 1.2m sign) displayed at the main entrance?

  • Have all relevant staff signed a motor vehicle policy?

  • When a loading process is underway, is the driver in the safety zone - leaving the forklift operator as the only person in the zone?

  • Whilst observing normal forklift operations on site, is the 3 m exclusion zone being maintained from staff, customers and visitors?

Truck Paperwork Packs

  • Are these in each truck and up to date? <br>Check that strops and chains are up to date and of good condition <br>Check that log books are being used correctly against NZTA requirements

Disaster Recovery Plan

  • Is this up to date and reflecting staff changes?

Health and Safety Noticeboard

  • Is this in accordance with the HSER Template (as from the Intranet)?

Housekeeping

  • Is the general housekeeping of the site acceptable?

  • Is the site sign in book as per the Intranet Template, with appropriate up to date information?

  • Are all emergency exits and routes clear?

Asbestos Register

  • Is this up to date?

  • Is all being done to eliminate or minimise the risk? If no asbestos on site, select N/A

Risk Manager Actions

  • Have all Risk manager actions been completed on time?

Claims Privacy

  • Is all claim information being appropriately managed?

Area Manager Site Review

  • In reviewing the latest area manager site review, are there any actions outstanding?

Change Management

  • Where a change has occurred within the workplace, is there evidence in place showing consultation with affected parties?

Storage Review

  • Has this been completed?

Mezzanines

  • Are the gates being locked and secure?

  • Does the site have the HCP on display at the entrance and is it correct?

Racking, Stacking and Storage

  • Are 75mm clearances being achieved for product on pallet racking?

  • Are 150 mm clearances being achieved on cantilever racking?

  • Is product being strapped above 2 metres, with a minimum of 2 straps?

  • Is any product being stacked in an un safe manner?

Services Safety

  • Is it possible to open electrical cabinets, is it possible to touch cabling with a finger?

  • Is the cabinet clean in and around? Has a corrective action been added in Risk Manager for a regular clean down?

  • Is there a isolation lock out board available for use and with appropriate tags, locks and clasps?

  • Are there lock out processes for all powered equipment on site?

  • For identified powered equipment above, are there emergency stops in place?<br>Where not appropriate, list N/A. Provide recommendations if one should be added.

  • Speaking with 2 staff on site, ask them to show how to isolate the plant they are working on. Are they able to detail a safe and correct process?

Work on section - no weighting to these elements

  • When truck loading and unloading is occurring, are truck drivers keeping off truck decks? Focusing on pre-slinging?

  • Has the first aid assessment been completed?

  • Is there a PPE register for expiring equipment (Risk Manager)

Close out section

  • Any other observations, comments or feedback? Remember to be positive too :)

  • Sign to close out this inspection :)

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.