Site Hazard Inspection Checklist

• Month

• Site Name

• Site Number

• Conducted on

  Date

• Prepared by

• Prepared by

What is a Site Hazard Inspection Checklist (SHIC)?

• This is a comprehensive checklist that helps to identify hazards in your workplace and links into the SafetyCARE Hazard Management System. The content has been developed for Target, Target Country and Target Multi Offsite Reserves and may be varied from time to time to reflect changes in the Target risk profile, business needs or from feedback from Evaluations, Self-Insurance Audits, Legislative changes and Incident trends. When this happens the updated SHIC will be posted on the intranet and communicated to all sites.

Who completes a Site Hazard Inspection checklist?

• The SafetyCARE procedures require a trained Team Member to conduct the SHIC to ensure consistent and reliable results. As a minimum, Management completing the SHIC must have completed SafetyCARE in the Workplace and Safety. Any untrained Team Member can be the second participant. Remember to consult with Team Members who work in the areas of being inspected, as they are often aware of hazards that exist in their work area and are trained in work processes and equipment. This broader consultation will also allow for better identification of hazard frequencies and outstanding hazards from previous inspections, Safety Committee meetings and Incidents/ Incident Investigations.

How do you complete a Site Hazard Inspection Checklist?

• Before starting you should review the most recent Operational Health and Safety Plan for outstanding items. Walk through the workplace looking at each section and consult with Team Members in each area. This should include the selling area, preparation areas and other back of house areas including car parks and surrounds where applicable. This information will help focus attention on areas that still need improvement. For example, if outstanding electrical hazards were previously identified, then greater attention should be given to the electrical section during completion of the SHIC. Where the checklist requires you to question Team Members, write down the names of those you spoke to. After reviewing an item in the checklist, place the relevant letter in the ‘priority’ column, using the following categories. These categories are not Risk Assessment Scores but have been selected to indicate propriety for controlling the hazard. Use the comments column to describe what was done to control the hazard and make any additional comments about the hazard.

• S= Satisfactory - Complies with the requirements

• L= Low - Priority - Monitor and/ or control the hazard within 2 months

• M= Medium - Priority - Action plan required. Highest level of control to be completed within 1 month

• H= High - Priority - Immediate action required

• N/A - Not Applicable

• Hazards prioritised as ‘High’ need to be actioned immediately, even if the control is short term until a more permanent control is adopted. i.e. - if there is an electrical hazard an ‘out of service’ tag should be put on it, or if a fire door is blocked by stock, have the stock moved immediately. Inform the Store Manager or their delegate to arrange for appropriate controls to be adopted. Most hazards can be controlled by one of the following-
  1- Controlled by yourself and signed off
  2- Controlled and Communicated to Team members
  3- Becomes a Team control documented onto the Site Operational Plan
  4- Becomes a Repairs and Maintenance request
  You may also need to review controls detailed within the applicable risk assessment (i.e. down loaded from Risk Assessment Database on the intranet.) Where a risk assessment is not available, contact your Regional Health & Safety Advisor for advice. All items prioritised as ‘High, Medium and Low’ should be discussed with your Site Health and Safety Committee/Team and actions/ risk controls that cannot be implemented immediately must be recorded in the site Operational Health & Safety Plan. Any maintenance issues should be transferred to your Repairs and Maintenance Register. NB: This will be reviewed when a Safety evaluation is undertaken.
  

1) Housekeeping:

• Flooring / ground in good condition and free of slip and trip hazards?

  S

  L

  M

  H

  N/A

• No liquid or other waste on floor that could create a slip / trip hazard?

  S

  L

  M

  H

  N/A

• Aisles and walkways are free from obstruction i.e. no cords, boxes, bags or other items in aisles or passageways that could be a hazard?

  S

  L

  M

  H

  N/A

• Noticeboards and wall hangings are securely fixed and in good order?

  S

  L

  M

  H

  N/A

• Ends and gondolas have the correct brackets for the type of shelving. Ensure dense end panels (peg boards) in Toy department have correct stock pegs (hooks) (10cm pegs) and existing pegs do not protrude beyond the base of the fixture?

  S

  L

  M

  H

  N/A

• Stairs and landings in good repair and clear of trip hazards?

  S

  L

  M

  H

  N/A

• No obstacles on the stairs and landings?

  S

  L

  M

  H

  N/A

• Non-slip treads are in place and in good condition?

  S

  L

  M

  H

  N/A

• Stair hand railing in good condition and secure?

  S

  L

  M

  H

  N/A

• No combustible material, e.g. waste paper and pallets, under the stairs?

  S

  L

  M

  H

  N/A

2) General work environment:

• Doors open and close and are not obstructed by boxes, bags or other items?

  S

  L

  M

  H

  N/A

• Hinges are securely attached to doors and in good working order?

  S

  L

  M

  H

  N/A

• Staff entry doors are well-lit and free of hazards and do not open directly onto vehicles thoroughfares?

  S

  L

  M

  H

  N/A

• Reserve plastic doors do not have sharp edges are clear and provide visibility from both sides. Doors have "Authorised Personnel Only" or similar signs on them?

  S

  L

  M

  H

  N/A

• All team rooms, washrooms, showers, toilets (including customer facilities) and lockers are clean and in good working order?

  S

  L

  M

  H

  N/A

4) Workstation setup:

• Workstation chairs have five castors?

  S

  L

  M

  H

  N/A

• Computer monitor in good condition and correctly positioned (refer to SWP 032 Office Workstations)?

  S

  L

  M

  H

  N/A

• Computer monitor screen is clear, not flickering and is positioned in front of the operator with the top level with their eyes, approximately an arms length away from the body?

  S

  L

  M

  H

  N/A

• Items are not located in floor space below causing obstruction to legs/feet?

  S

  L

  M

  H

  N/A

• Computer displays free of unwanted reflections, dust and glare?

  S

  L

  M

  H

  N/A

• Files, documents and records are stored safely and securely so that they cannot fall and can be accessed without over-reaching (i.e. Archive Documents)?

  S

  L

  M

  H

  N/A

• Filing cabinet drawers and cupboard doors are closed when not in use?

  S

  L

  M

  H

  N/A

5) Emergency management:

• Emergency information is current, displayed and accessible?

  S

  L

  M

  H

  N/A

• Assembly Area location and position / Names of the Wardens / First Aid Attendants, Emergency Numbers near telephones?

  S

  L

  M

  H

  N/A

• Sprinkler heads clear and unobstructed (maintain at least 500 mm below each fire sprinkler on the Sales Floor and in Reception. In the Reserves a minimum clearance of 1000mm must be maintained below each sprinkler unless otherwise indicated by "Do not stack above this line" signage)?

  S

  L

  M

  H

  N/A

• Fire extinguishers, hose reels, hydrants & fire blankets have signage indicating their location and are they present where indicated by signage?

  S

  L

  M

  H

  N/A

• Yellow metal tag is attached and appliance has been tested within last 6 months (check date punched on tag). Document last test date in 'Details' section?

  S

  L

  M

  H

  N/A

• Pressure gauge (Water, Dry Chemical and Foam type) pointing in the green. Safety pin is sealed with a plastic tie?

  S

  L

  M

  H

  N/A

• No other items are stored in fire equipment cupboards?

  S

  L

  M

  H

  N/A

• Surrounding area is clear and unobstructed - Minimum 1 Metre clearance required?

  S

  L

  M

  H

  N/A

• Emergency Exit signage point to a correct exit point and is illuminated?

  S

  L

  M

  H

  N/A

• Exit Signage is clearly visible around the store and not obstructed by stock or point of sale?

  S

  L

  M

  H

  N/A

• Fire / Smoke doors are not chocked open?

  S

  L

  M

  H

  N/A

• Torches used for emergency lighting are indicated by signage & ECO Team Minutes: (Number of torches are determined by your Emergency committee)?

  S

  L

  M

  H

  N/A

• Torch battery is charged (operate torch for 5 seconds) and is easily accessible, i.e. ECO Control Meeting Area?

  S

  L

  M

  H

  N/A

6) First Aid:

• First Aid Cabinets clearly identified and accessible?

  S

  L

  M

  H

  N/A

• List of names of First Aiders is located on or near First Aid Kits?

  S

  L

  M

  H

  N/A

• All First Aid Cabinets located across the store are clean and stocked according to SafetyCARE procedure and supplies are within expiry dates? (Seek assistance from a First Aider to check kit contents)?

  S

  L

  M

  H

  N/A

• Sharps disposal kits available for disposal of syringes and other contaminated sharps, including used blades from a carton cutter?

  S

  L

  M

  H

  N/A

7) Chemical management:

• Chemicals being used by Team Members are listed in the Target Approved Chemical Register?

  S

  L

  M

  H

  N/A

• Gas cylinders stored safely, attached to plant, chained or caged. Check all cylinders (including Cleaners Cupboard)?

  S

  L

  M

  H

  N/A

• Gas cylinders are clearly labelled, in good condition and within 10 year test period (check date stamped on cylinder which indicated date of last test)?

  S

  L

  M

  H

  N/A

• Gas cylinders are stored in an upright position?

  S

  L

  M

  H

  N/A

• Gas cylinders are located in an area which provides protection from potential damage – i.e. away from ignition sources.

  S

  L

  M

  H

  N/A

• Gas cylinders are stored so they cant fall over (I.e.. chained or caged).

  S

  L

  M

  H

  N/A

• Gas cylinders are located in a well-ventilated area?

  S

  L

  M

  H

  N/A

• Gas cylinders are not stored with combustible or waste materials around them?

  S

  L

  M

  H

  N/A

• Gas Cylinders are not stored near electrical switchboards, or other heat or ignition sources?

  S

  L

  M

  H

  N/A

8) Spill Kit Contents - Available and correctly stocked as listed below:

• Absorbent Material to Absorb 20 Litres of Fluid?

  Yes

  No

  N/A

• Chemical Resistant Goggles?

  Yes

  No

  N/A

• Dust Pan and Brush?

  Yes

  No

  N/A

• Disposable Respirator Masks (dust / mist)?

  Yes

  No

  N/A

• Floor Safety Sign?

  Yes

  No

  N/A

• Heavy Duty Disposable Bags?

  Yes

  No

  N/A

• Mop?

  Yes

  No

  N/A

• Overboots (Shoe Protectors)?

  Yes

  No

  N/A

• PVC Apron?

  Yes

  No

  N/A

• PVC Elbow Length Gloves?

  Yes

  No

  N/A

• Yard Broom?

  Yes

  No

  N/A

• Shovel / Scoop?

  Yes

  No

  N/A

9) Stairs, Lifts and Escalators:

• Stairs and landings in good repair and clear of trip hazards?

  S

  L

  M

  H

  N/A

• No obstacles on the stairs and landings?

  S

  L

  M

  H

  N/A

• Non-slip stair treads are intact?

  S

  L

  M

  H

  N/A

• Combustible materials such as pallets, paper or gas cylinders are not stored under stairs?

  S

  L

  M

  H

  N/A

• Stair handrails are securely attached to the wall?

  S

  L

  M

  H

  N/A

• A clearway of two metres maintained around escalators, travelators and atriums.

  S

  L

  M

  H

  N/A

• The Escalator Daily Operational Checklist is completed - Check last 2 weeks of Entry.

  S

  L

  M

  H

  N/A

• Emergency phones inside lifts in good working order?

  S

  L

  M

  H

  N/A

• Check emergency phone in lifts are operational - dial emergency number?

  S

  L

  M

  H

  N/A

• Check lift stops each level and door movement sensors are working to prevent closure on people?

  S

  L

  M

  H

  N/A

10) Electrical safety:

• Power Cords are in good condition and not damaged?

  S

  L

  M

  H

  N/A

• Power Cords are not stretched and are of a suitable length?

  S

  L

  M

  H

  N/A

• Overhead leads (Curly Cords) are supported by a chain or wire to prevent overstretching?

  S

  L

  M

  H

  N/A

• Electrical Equipment has been tested and tagged with current tag attached? Check office areas, break-out room, entertainment department (where radios are plugged in), reserves, plant rooms,training rooms, toilets, change rooms, etc).

  S

  L

  M

  H

  N/A

• Power tracks (tracks on ceiling where curly cords or spot lights are attached) have warning labels on them stating 'WARNING - LIVE Parts inside'?

  S

  L

  M

  H

  N/A

• Cords are not crossing walkways, lying along bench tops, twisted or at risk of being physically damaged or exposed to water?

  S

  L

  M

  H

  N/A

• All switches on electrical equipment are in good condition (not cracked, damaged, dirty, condensation present or at risk of being splashed by liquids e.g.: water, etc.)?

  S

  L

  M

  H

  N/A

• Power points and light switches are in good condition (check for cracks, melted plastic, excessive dirt, burn marks or other damaged)?

  S

  L

  M

  H

  N/A

• Double adaptors are NOT being used?

  S

  L

  M

  H

  N/A

• Contractors' (including contract cleaners) electrical equipment Tested & Tagged with current tags attached?

  S

  L

  M

  H

  N/A

• Check for use of untagged electrical equipment, not approved for use, e.g. stock off shelves, items brought from home i.e. radios, heaters etc?

  S

  L

  M

  H

  N/A

• Faulty or Out of Service equipment NOT being used?

  S

  L

  M

  H

  N/A

• Switchboards in public areas are key locked with key removed?

  S

  L

  M

  H

  N/A

• All other switchboards closed, but not locked?

  S

  L

  M

  H

  N/A

• Correctly labelled warning signs (DANGER – Authorised Personnel Only [or similar) sticker displayed on door of switchboard?

  S

  L

  M

  H

  N/A

• No stock, waste or other material blocking access. Minimum 600 mm clearance unless area is already hatched out?

  S

  L

  M

  H

  N/A

11) Lighting:

• Lights are functioning and not flickering?

  S

  L

  M

  H

  N/A

• Car parking lights are functioning and not flickering. (Sites only that have responsibility for car parks)?

  S

  L

  M

  H

  N/A

• Levels of illumination are adequate?

  S

  L

  M

  H

  N/A

12) Manual Handling:

• Stock on floor is stacked securely?

  S

  L

  M

  H

  N/A

• Front Ends and Bulk Stacks are stable and securely stacked with no potential to fall.

  S

  L

  M

  H

  N/A

• Stock in aisles is stable and securely stacked with no potential to fall.

  S

  L

  M

  H

  N/A

• Observe 3 Team Members pushing cages and ensure stock is not stacked above the top of the cage.

  S

  L

  M

  H

  N/A

• Heavy and frequently used / accessed items should be stored between knee and shoulder height wherever possible (this is applicable to Layby Department also)?

  S

  L

  M

  H

  N/A

• In Layby Reserves heavy and bulky items are labelled with weight stickers?

  S

  L

  M

  H

  N/A

• Safety step and ladders available to access lay-by parcels?

  S

  L

  M

  H

  N/A

• Operators can see people/objects when moving stock (vision is not obstructed when pushing cages, pallet jacks or trolleys)?

  S

  L

  M

  H

  N/A

• Empty pallets stored flat and are not stacked more than eight (8) pallets high?

  S

  L

  M

  H

  N/A

13) Fixtures and Fittings:

• Fixtures and fittings in good working condition?

  S

  L

  M

  H

  N/A

• Fixtures and fittings are stable?

  S

  L

  M

  H

  N/A

• Fixtures and fittings are built as detailed in drawings (e.g.. Correct number of bolts)

  S

  L

  M

  H

  N/A

• Stock is kept to a maximum height of 50cm?

  S

  L

  M

  H

  N/A

• No stock weighing greater than 7 kilograms should be placed on canopy?

  S

  L

  M

  H

  N/A

• Stock is not double stacked on canopy?

  S

  L

  M

  H

  N/A

14) Contractor Management:

• Spot checks are conducted on one contractor per month?

  S

  L

  M

  H

  N/A

• Spot checks are conducted on one demonstrator per month?

  S

  L

  M

  H

  N/A

• Spot checks are conducted on one supplier every 3 months?

  S

  L

  M

  H

  N/A

• Corrective Action Reports (CAR) completed for non-compliances?

  S

  L

  M

  H

  N/A

15) Plant and equipment (Includes Personal Protective Equipment):

• All Team Members observed are wearing fully enclosed shoes?

  S

  L

  M

  H

  N/A

• Safety steps are available, and those currently in your department are in good condition and correctly used?

  S

  L

  M

  H

  N/A

• Clean, stable, non-slip tape and rubber stops at base?

  S

  L

  M

  H

  N/A

• Crates, chairs etc, not being used in place of safety steps?

  S

  L

  M

  H

  N/A

• Ladders that are not in use within the department are removed from the selling area and returned to their designated home?

  S

  L

  M

  H

  N/A

• Ladders are stored securely?

  S

  L

  M

  H

  N/A

• Is there enough equipment or mechanical aids available to perform manual handling tasks safely?

  S

  L

  M

  H

  N/A

• Check there are Black Cages, trolleys, pallet jacks, mobile lift aide, heavy duty trolleys and other lifting devices available for Team Members' use?

  S

  L

  M

  H

  N/A

• Check the wheels are in good working order, they glide and turn freely and the brakes are functioning where fitted?

  S

  L

  M

  H

  N/A

16) Platform ladders:

• Steps: Treads are in place; No broken welds, missing or damaged pop rivets or bolts, step not bent. Check bottom step is painted Yellow?

  S

  L

  M

  H

  N/A

• Stiles and legs: Straight and undamaged with rubber feet in position; Wheels and brakes are working.

  S

  L

  M

  H

  N/A

• Shelf straight and undamaged: No broken welds, missing or damaged pop rivets or bolts, Shelf is straight and securely fastened to the ladder?

  S

  L

  M

  H

  N/A

• Platforms and Steps: Brakes and wheels are working; Clear of stock and debris?

  S

  L

  M

  H

  N/A

• Reserve Platform Ladders (for use in between Brownbuilt) has sticker stating 'Use in Narrow Reserve Aisle Only'?

  S

  L

  M

  H

  N/A

17) Registers:

• Team Members know how to adjust the height and tilt of the register screen.

  S

  L

  M

  H

  N/A

• Register areas have anti-fatigue mats in good working condition. Check mats are in place, in good condition and provide cushioning (NB: This applies to vinyl or concrete floors only - Mats on top of underlay carpet may cause trip hazards)?

  S

  L

  M

  H

  N/A

18) Safety Knives Carton Cutters

• Are all Team Members using approved safety knives / carton cutters (I.e. retractable cutter)?

  S

  L

  M

  H

  N/A

• Safety knives / carton cutters safely stored and not accessible to the public when not in use.

  S

  L

  M

  H

  N/A

19) Plant Room:

• Plant rooms with doors locked at all times?

  S

  L

  M

  H

  N/A

• There is signage “Danger Plant Room Access to Authorised Personnel Only” or similar in place?

  S

  L

  M

  H

  N/A

• Where required, there is signage "Hearing Protection Required" in place on Plant Room door?

  S

  L

  M

  H

  N/A

• Equipment, stock, chemicals and fixtures are not stored in Plant Room?

  S

  L

  M

  H

  N/A

• Signage “Beware of sudden drop” or equivalent is located on double doors (if applicable) [double doors are installed in some plant rooms located above ground level to allow access for heavy plant or equipment]?

  S

  L

  M

  H

  N/A

20) Reserves:

• Stock/Cages not placed over Yellow Marked Lines?

  S

  L

  M

  H

  N/A

• Brownbuilt Weight Load signage is visible (Must be located in clearly visible positions within Brownbuilt reserves)?

  S

  L

  M

  H

  N/A

• Pallet Racking weight load signage is in a conspicuous position (Applicable to Sites that have Pallet Racking)?

  S

  L

  M

  H

  N/A

• Is there signage "No Stock above this line"? Is all Stock under this line?

  S

  L

  M

  H

  N/A

• Personal Protective Equipment (PPE) & Hazard Signage has been installed is clearly visible?

  S

  L

  M

  H

  N/A

21) Conveyor (Powered & Gravity):

• Are all wiring covers and guards on the conveyor in place?

  S

  L

  M

  H

  N/A

• All Emergency STOP buttons and Emergency STOP Cords (where fitted) work and are not broken?

  S

  L

  M

  H

  N/A

• Are all Emergency STOP buttons and Emergency STOP Cords (where fitted) are accessible?

  S

  L

  M

  H

  N/A

22) Compactor/Bale Press:

• In good working condition, with controls and instructions clearly marked?

  S

  L

  M

  H

  N/A

• Bars across the compactor chute are in place and not damaged (i.e. bent apart)?

  S

  L

  M

  H

  N/A

• Function buttons (start / stop) are not broken or without protective cover?

  S

  L

  M

  H

  N/A

• Emergency STOP is working (a test is to be performed by an appropriately trained Team Member)?

  S

  L

  M

  H

  N/A

• Controls, warning signs and labels are clearly marked?

  S

  L

  M

  H

  N/A

• SWP displayed on or near the Compactor/Bale Press?

  S

  L

  M

  H

  N/A

23) Pallet Racking:

• Pallet racking free of visual damage, e.g. bent uprights and cross beams?

  S

  L

  M

  H

  N/A

• Locking pins or Bolts are in place?

  S

  L

  M

  H

  N/A

• Safe Working Load signs and Operation and Maintenance of Racking signs are located in conspicuous locations on the pallet racking?

  S

  L

  M

  H

  N/A

• Pallet racking securely bolted to the floor / wall?

  S

  L

  M

  H

  N/A

24) Mobile Plant and Equipment including Battery Charging:

• Daily pre-operational safety checks completed for forklifts, walkie stackers, electric pallet. Look at past 7 days pre-operational log book for mobile equipment.

  S

  L

  M

  H

  N/A

• Forklift operators have a current licence on them?

  S

  L

  M

  H

  N/A

• Drivers hold a current licence from relevant State Authority - View Licence?

  S

  L

  M

  H

  N/A

• Forklifts are not operated when there are pedestrians in the area?

  S

  L

  M

  H

  N/A

• Site maintains list of authorised forklift drivers?

  S

  L

  M

  H

  N/A

• Walkie Stacker operators are working safely?

  S

  L

  M

  H

  N/A

• Walkie Stackers and electric jacks are operated at walking pace?

  S

  L

  M

  H

  N/A

• Walkie Stacker / Forklift data plate details are clear and visible?

  S

  L

  M

  H

  N/A

• List of authorised Walkie Stacker and Electric Pallet Jack Operators is displayed on the equipment?

  S

  L

  M

  H

  N/A

• Confirm who the Mobile Coach is. Ask Store Manage to view Certificate of Competency?

  S

  L

  M

  H

  N/A

• Operators are looking where they are driving and are alert for pedestrians, mirrors are fitted?

  S

  L

  M

  H

  N/A

• Keys are not left in forklifts, walkie stackers or electric pallet jacks when unattended or not in use?

  S

  L

  M

  H

  N/A

• Battery charging area located in a well-ventilated area?

  S

  L

  M

  H

  N/A

• Area does not have an overwhelming smell of acid fumes and has good airflow and ventilation?

  S

  L

  M

  H

  N/A

• Equipment being charged located in charge bays?

  S

  L

  M

  H

  N/A

• Equipment under charge is located in the designated charging area?

  S

  L

  M

  H

  N/A

• Batteries in good condition with no signs of acid lead or corrosion?

  S

  L

  M

  H

  N/A

• Cables and plugs not damaged, casing in good condition and filler caps not damaged?

  S

  L

  M

  H

  N/A

• Battery kit available and used when checking and topping up wet cell batteries?

  S

  L

  M

  H

  N/A

• Acid-resistant gloves, eye protection and full length apron are available and in good condition. Chemicals spills kit readily available?

  S

  L

  M

  H

  N/A

Dangerous Goods & Hazardous Substances

• Chemicals being used by Cleaners hare current Safety Data Sheet (SDS) also known as MSDS located in Cleaners room (SDS must not be older than 5 years from date of issue)?

  S

  L

  M

  H

  N/A

• Containers used for decanting have supplier labels - Hand written descriptions are not acceptable.(check cleaners room)? Throw away containers with hand written labels.

  S

  L

  M

  H

  N/A

• Chemicals meet Cleaners Chemical Register or cleaning contract lists and are stored correctly, upright to prevent spills or leaks and lids are firmly closed?

  S

  L

  M

  H

  N/A

25) Store Tool Kit Contents - Available and correctly stocked as listed below:

• Tool box, plastic with tray, 40 cm?

  Yes

  No

  N/A

• Mallet, rubber fibreglass handle, 450 grams?

  Yes

  No

  N/A

• Ratchet handle, ½" drive, 245 mm?

  Yes

  No

  N/A

• Socket ½" drive, 15 mm?

  Yes

  No

  N/A

• Diagonal cutter, 115 mm?

  Yes

  No

  N/A

26) Traffic Management:

• Loading dock can be safely accessed and Traffic Management Plan in place?

  S

  L

  M

  H

  N/A

• Check availability of stairs or wall ladders and that they are in good condition?

  S

  L

  M

  H

  N/A

• Check that a site specific traffic management plan is in place and controls are being implemented?

  S

  L

  M

  H

  N/A

• Receiving area / loading dock has signage indicating ‘no unauthorised persons past this point’?

  S

  L

  M

  H

  N/A

• Customer parcel pick up car park area is free from obstructions, segregated and clearly marked?

  S

  L

  M

  H

  N/A

• Customer Parcel Pick Up signage is in place in receiving area/loading dock?

  S

  L

  M

  H

  N/A

• Road markings, bollards and external dock signs are in good condition, visible and not obstructed?

  S

  L

  M

  H

  N/A

Questions/Observations

• Date completed

  Date

• Completed by

• Interviewer is to ask 2 Team Members to respond to each question. Provision is given for Sites to include any "Site Specific" questions.
  Interviewer is to provide coaching if Team Member scores Basic or No Knowledge when asked the question.

• Team Member Name

• Can you name and explain the 5 key points (Staying Alive) from the Electrical safety DVD? <br>A -Assess the task L -Look for damage I -Isolate by turning power off V -Visualise the task E -Exercise caution

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• What would you do if you saw a spill on the floor? <br>Answer - Ask someone to stand by the spillage, while I get a slippery when wet sign, then organise for the spill to be cleaned

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Where will you find the slippery when wet signs? <br>Answer - Varies from store to store

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Do you know where to access the MSDS? <br>Answer - They can be accessed via the Target Chemical Register or ring 000 and ask for Fire Brigade

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Do you know how to obtain information on how to clean up chemical spills? <br>Answer - Refer to Target Approved Chemical Register and applicable MSDS's

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Observe Team Member performing manual handling activities. <br>(Refer to Manual Handling guidelines- select different guideline each month)

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Can you tell me where to Emergency Assembly area is located? <br>Answer - Varies from store to store

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Can you tell me what type of system we use to alert you of an emergency? <br>Answer - Beep beep, whoop whoop tones, alarms, colour codes

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Who needs a Site Orientation and where is the Sign-In Register kept? <br>Answer - Every person that visits or works at the site needs a Site Orientation. Location varies from store to store.

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Who needs an Induction card? <br>Answer - Every contractor that works at the site needs their Induction Card verified by the Site Manager.

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Team Member Name

• Can you name and explain the 5 key points (Staying Alive) from the Electrical safety DVD? <br>A -Assess the task L -Look for damage I -Isolate by turning power off V -Visualise the task E -Exercise caution

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• What would you do if you saw a spill on the floor? <br>Answer - Ask someone to stand by the spillage, while I get a slippery when wet sign, then organise for the spill to be cleaned

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Where will you find the slippery when wet signs? <br>Answer - Varies from store to store

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Do you know where to access the MSDS? <br>Answer - They can be accessed in the Target Chemical Register or ring 000 and ask for Fire Brigade

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Do you know how to obtain information on how to clean up chemical spills? <br>Answer - Refer to Target Approved Chemical Register and applicable MSDS's

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Observe Team Member performing manual handling activities. <br>(Refer to Manual Handling guidelines- select different guideline each month)

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Can you tell me where to Emergency Assembly area is located? <br>Answer - Varies from store to store

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Can you tell me what type of system we use to alert you of an emergency? <br>Answer - Beep, beep, whoop, whoop tones, alarms, colour codes.

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Who needs a Site Orientation and where is the Sign-In Register kept? <br>Answer - Every person that visits or works in the site requires a Site Orientation. Location varies from store to store.

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Who needs and Induction card? <br>Answer - Every contractor that works at the site needs their Induction Card verified by the Site Manager.

  Over and Above Knowledge

  Good Knowledge

  Basic Knowledge

  No Knowledge

• Any additional hazards identified?

SHIC Sign off

• Please Sign

  Sign

• Consulted with

• Please Sign

  Sign

• Sign off date/ time

  Date