Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Risk Rating guide
    Low - Monitor and/or control the hazard within 2 months.
    Medium - Action plan required. Highest level of control to be completed within 1 month.
    High - Immediate action required.

1) Housekeeping:

  • Overall Risk Rating for this section:

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

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

  • 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?

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

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

  • No obstacles on the stairs and landings?

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

  • Stair hand railing in good condition and secure?

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

2) General work environment:

  • Overall Risk Rating for this section:

  • Doors in good working order and unobstructed?

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

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

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

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

3) Workstation setup:

  • Overall Risk Rating for this section:

  • Workstation chairs have five castors?

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

  • 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?

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

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

  • 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)?

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

4) Emergency management:

  • Overall Risk Rating for this section:

  • Emergency information is current, displayed and accessible?

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

  • Sprinkler heads clear and unobstructed (maintain at least 500 mm below each fire sprinkler to ensure correct water coverage)

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

  • 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?

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

  • No other items are stored in fire equipment cupboards?

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

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

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

  • Fire / Smoke doors are not chocked open?

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

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

5) First Aid:

  • Overall Risk Rating for this section:

  • First Aid Boxes/kits are clearly identified and accessible?

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

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

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

6) Chemical management:

  • Overall Risk Rating for this section:

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

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

  • 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)?

  • Gas cylinders stored in an upright position?

  • Located in an area which provides protection from potential damage – i.e. rupture?

  • Stored to prevent the cylinder from falling over i.e.. chained or caged?

  • Located in a well-ventilated area?

  • Not stored with combustible or waste materials around them?

  • Not stored near electrical switchboards, or other heat or ignition sources?

  • Chemical Spill Kit available and correctly stocked? Check against current contents list:

7) Stairs, Lifts and Escalators:

  • Overall Risk Rating for this section:

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

  • No obstacles on the stairs and landings?

  • Non-slip stair treads are intact?

  • Stair handrails are securely attached to the wall?

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

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

  • Emergency phones inside lifts in good working order?

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

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

8) Electrical safety:

  • Overall Risk Rating for this section:

  • Power Cords are in good condition and not damaged?

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

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

  • Electrical Equipment used in Site is Tested and Tagged with current tag attached?

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

  • 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.)?

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

  • Double adaptors are not being used?

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

  • 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?

  • Faulty or Out of Service equipment NOT being used?

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

  • All other switchboards closed, but not locked?

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

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

9) Lighting:

  • Overall Risk Rating for this section:

  • lights are functioning and not flickering?

  • Levels of illumination are adequate?

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

10) Manual Handling:

  • Overall Risk Rating for this section:

  • Items are stable and securely stacked with no potential to fall.

  • Heavy and frequently used / accessed items should be stored between knee and shoulder height wherever possible such as printer paper?

  • Safety step and ladders available to access items stored at height?

11) Fixtures and Fittings:

  • Overall Risk Rating for this section:

  • Fixtures and fittings in good working condition?

  • Fixtures and fittings are stable?

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

12) Contractor Management:

  • Overall Risk Rating for this section:

  • Spot checks are conducted on one contractor per month?

  • Spot checks are conducted on one demonstrator per month?

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

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

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

  • Overall Risk Rating for this section:

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

  • Ladders are stored securely?

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

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

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

14) Ladders:

  • Overall Risk Rating for this section:

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

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

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

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

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

15) Carton Cutters:

  • Overall Risk Rating for this section:

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

  • Carton cutters safely stored and not accessible to the public when not in use?

16) Plant Room:

  • Overall Risk Rating for this section:

  • Plant rooms with doors locked at all times?

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

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

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

  • 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]?

17) 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)?

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

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

18) Traffic Management:

  • Overall Risk Rating for this section:

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

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

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

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

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

19) Additional hazards identified:

  • Overall Risk Rating for this section:

  • Hazard 1

  • Hazard 2

  • Hazard 3

  • Hazard 4

  • Hazard 5

  • Hazard 6

SHIC Sign Off

  • Please sign

  • Consulted with

  • Please sign

  • Sign off date/time

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.