Site Hazard Inspection Checklist - Stores (Version 1)

Target - Site Hazard Inspection Checklist

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• Store Number

• Store Name

• Date Completed

  Date

• Store Manager Signature

  Sign

Instructions

• Completing this checklist will assist in making your site a safe place to work by identifying hazards, developing actions to address them and ensuring that hazards are controlled. While this is a quarterly formal process Team Members are to be encouraged to report any hazard to their Line Manager immediately.

What is a 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 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.

Who completes a SHIC?

• The Safety Care 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 Committee Members conducting the SHIC must have completed their Safety Committee Training. Any untrained Team Member may assist in the consultation process.
  
  Remember to consult with Team Members who work in the areas 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.

When do you complete a SHIC?

• The SHIC is to be completed every two months as a minimum and tabled at your Health & Safety Meeting

How do you complete a SHIC?

• Before starting, you should review the most recent Operational Health & 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 priority for controlling the hazard:
  
  S Satisfactory - Complies with the requirements.
  H High - Priority - Immediate action required
  M Medium - Priority - Action plan required.
  Highest level of control to be completed within 1 month
  L Low - Priority - Monitor and/or control the hazard within 2 months.

What to do if a Hazard cannot be controlled immediately?

• 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 one of the following:
  1 - Controlled by yourself and signed off.
  2 - Controlled & Communicated to Team members.
  3 - Becomes a Team control documented onto the Site Operational Plan.
  4 - Becomes a Repairs & 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 related issues should be transferred to your Repairs and Maintenance Register. NB: This will be reviewed when a Safety evaluation is undertaken.

SHIC Comments Column

• Use the Comments column to:
  Describe what was done to control the hazard
  Make any additional comments about the hazard.

Filing

• File the completed checklist in the Risk Register under the ‘Site Hazard Inspection Checklist' tab. (NB: Always keep 3 months current copies of SHIC's in Risk Register then file in archive for 7 years.)

ELECTRICAL EQUIPMENT

• Date Completed:

  Date

• Completed by:

• Consulted with:

• Time Commenced:

  Date

• Time Completed:

  Date

Electrical

• 1. Check Electrical Equipment:

• Power cords in good condition and not damaged. Where applicable cords to be bundled together to prevent damage

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• Overhead leads (curly cords) are supported by a chain or wire to prevent over-stretching

  S

  L

  M

  H

  N/A

• Comment

• Electrical equipment used on site has been tested with current tag attached

  S

  L

  M

  H

  N/A

• Comment

• Power tracks on ceiling have warning labels on them stating "WARNING - LIVE PARTS INSIDE"

  S

  L

  M

  H

  N/A

• Comment

• Cords are not crossing walkways, lying across bench-tops, not twisted or at risk of being splashed or immersed in liquid or being caught in other equipment

  S

  L

  M

  H

  N/A

• Comment

• All switches on electrical equipment are in good condition (not cracked, damaged, dirty, condensation present or at risk of being splashed by liquids

  S

  L

  M

  H

  N/A

• Comment

• Inspect TV wall for electrical hazards. Check that Power Cable Guards are installed on all Television Power Cables

  S

  L

  M

  H

  N/A

• Comment

• 2. Power points and light switches are in good condition:

• Check for cracks, melted plastic, excessive dirt, burn marks or other damage

  S

  L

  M

  H

  N/A

• Comment

• 3. Double adapters not being used

  S

  L

  M

  H

  N/A

• Comment

• 4. Approved electrical appliances:

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

  S

  L

  M

  H

  N/A

• Comment

• 5. Faulty or out of service equipment NOT being used

  S

  L

  M

  H

  N/A

• Comment

• 6. All work area lights working correctly (including car park lighting):

• Check lights are functioning and not flickering

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• 7. Switchboards:

• Switchboards in public areas key locked with key removed

  S

  L

  M

  H

  N/A

• Comment

• All other switchboards closed, but not locked

  S

  L

  M

  H

  N/A

• Comment

• Correctly labelled warning signs displayed on door of switchboard

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• 8. Contractors' (including contract cleaners) electrical equipment Tested and Tagged with current tags attached

  S

  L

  M

  H

  N/A

• Comment

Equipment (includes Personal Protective Equipment - PPE)

• 1. All Team Members observed are wearing fully enclosed shoes

  S

  L

  M

  H

  N/A

• Comment

• 2. Safety steps:

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

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• 3. Ladders:

• 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

• Comment

• Ladders are stored securely

  S

  L

  M

  H

  N/A

• Comment

• 4. Mechanical Aid :

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

  S

  L

  M

  H

  N/A

• Comment

• Check there are Black Cages, trolleys, pallet jacks, mobile lift aide, heavy duty trolleys and other lifting devices available for team member use

  S

  L

  M

  H

  N/A

• Comment

• 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

• Comment

• 5: Platform Ladders:

• Platform ladders across the entire store are in good condition

  S

  L

  M

  H

  N/A

• Comment

• 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

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• 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

• Comment

• Platforms and steps: Brakes and wheels are working; clear of stock and debris

  S

  L

  M

  H

  N/A

• Comment

• Reserve Platform Ladders (for use in between Brownbuilt ) has a sticker stating "use in narrow reserve aisle only"

  S

  L

  M

  H

  N/A

• Comment

• 6. Checkout:

• Checkout or POS areas have anti-fatigue mats in good working order. Check mats are in good condition and provide cushioning. (Applies to vinyl or concrete floors only)

  S

  L

  M

  H

  N/A

• Comment

• 7. Carton Cutters:

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

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• 8. Conveyors: Electrical and Manual

• Are all wiring covers and guards on the conveyors in place

  S

  L

  M

  H

  N/A

• Comment

• All emergency stop buttons and emergency stop cords (where fitted) are accessible

  S

  L

  M

  H

  N/A

• Comment

• 9. Compactor/Bale Press:

• Compactor/Bale Press in good working condition, with controls and instructions clearly marked

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• Function Buttons are not broken or without protective cover

  S

  L

  M

  H

  N/A

• Comment

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

  S

  L

  M

  H

  N/A

• Comment

• Controls, warning signs and labels are clearly marked

  S

  L

  M

  H

  N/A

• Comment

• SWP displayed on or near the Compactor/Bale Press

  S

  L

  M

  H

  N/A

• Comment

HOUSEKEEPING AND EMERGENCY PREPAREDNESS

• Date Completed:

  Date

• Completed by:

• Consulted with:

• Time Commenced:

  Date

• Time Completed:

  Date

Housekeeping and Work Environment

• 1. Flooring / Ground in good condition:

• Free of slips and trip hazards, potholes, lifted carpet, broken tiles and mats

  S

  L

  M

  H

  N/A

• Comment:

• No liquid or other waste on floor

  S

  L

  M

  H

  N/A

• Comment:

• 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

• Comment:

• 2. Fixtures and fittings in good working condition:

• Fixtures and fittings are stable and have no sharp edges (check front ends and four ways)

  S

  L

  M

  H

  N/A

• Comment:

• Notice boards and wall hangings are securely fixed and in good order

  S

  L

  M

  H

  N/A

• Comment:

• Ends and gondolas have the correct brackets for the type of shelving. Peg boards have correct stock pegs and do not protrude beyond the base of the fixture

  S

  L

  M

  H

  N/A

• Comment:

• 3. Stairs and landings are in good condition and clear of trip hazards:

• No obstacles on the stairs and landings

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• Sturdy hand railing in good condition and securely attached to wall

  S

  L

  M

  H

  N/A

• Comment:

• No combustible material (i.e. waste paper and pallets) under the stairs or scissor lift

  S

  L

  M

  H

  N/A

• Comment:

• 5. Doors in good working order and unobstructed:

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

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• Stockroom / Loading dock 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

• Comment:

• 6. Filing cabinet drawers and cupboard doors closed when not in use

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• 8. Pallet racking in good condition:

• Check racking for visual damage (i.e. bent uprights and cross beams)

  S

  L

  M

  H

  N/A

• Comment:

• Locking pins or Bolts are in place

  S

  L

  M

  H

  N/A

• Comment:

• 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

• Comment:

• Pallet racking is bolted to the floor / wall

  S

  L

  M

  H

  N/A

• Comment:

• 9. Plant room Safety:

• Plant rooms with doors locked at all times

  S

  L

  M

  H

  N/A

• Comment:

• There is signage saying: "Danger Plant Room Access to Authorised Personnel Only" or similar in place

  S

  L

  M

  H

  N/A

• Comment:

• There is signage "Hearing Protection Required" in place on Plant Room door? (VIC Only)

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• Signage "Beware of Sudden Drop" or equivalent is located on double doors (if applicable)

  S

  L

  M

  H

  N/A

• Comment:

Emergency Preparedness

• 1. Emergency information is current, displayed and accessible

• Includes the assembly area location and position / names of wardens / First Aid Attendants, emergency numbers near telephones

  S

  L

  M

  H

  N/A

• Comment:

• 2. Sprinkler heads clear and unobstructed:

• Maintain at least 500mm below each fire sprinkler on the Sales floor and in Reception.<br>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

• Comment:

• 3. Fire extinguishers, hose reels, hydrants and fire blankets:

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

  S

  L

  M

  H

  N/A

• Comment:

• Yellow metal tag is attached and appliance has been tested within the last 6 months (check date punched on tag).<br>Document last test date in comments.

  S

  L

  M

  H

  N/A

• Comment:

• 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

• Comment:

• No other items are stored in fire equipment cupboards

  S

  L

  M

  H

  N/A

• Comment:

• Surrounding area is clear and unobstructed - minimum 1 metre clearance

  S

  L

  M

  H

  N/A

• Comment:

• 6. Emergency Exit signage point to a correct exit point and operational

  S

  L

  M

  H

  N/A

• Comment:

• 7. Check that Exit Signage is clearly visible around the store and not obstructed by stock or point of sale

  S

  L

  M

  H

  N/A

• Comment:

• 8. Torches:

• Torches used for emergency lighting are indicated by signage and ECO Team Minutes <br>(Number of torches are determined by your Emergency committee)

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

MANUAL HANDLING

• Date Completed:

  Date

• Completed by:

• Consulted with:

• Time Commenced

  Date

• Time Completed:

  Date

Manual Handling

• 1. Stock on Floor:

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

  S

  L

  M

  H

  N/A

• Comments:

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

  S

  L

  M

  H

  N/A

• Comments:

• 2. Stock on Canopy Shelves:

• Stock is kept to a maximum height of 50cm

  S

  L

  M

  H

  N/A

• Comments:

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

  S

  L

  M

  H

  N/A

• Comments:

• Stock is not double stacked on canopy

  S

  L

  M

  H

  N/A

• Comments:

• 3. Heavy and frequently used/accessed items should be stored between knee and shoulder height wherever possible (applicable to Lay-by also)

  S

  L

  M

  H

  N/A

• Comments:

• 4. In Lay-by reserves, heavy and bulky items are labelled with weight stickers

  S

  L

  M

  H

  N/A

• Comments:

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

  S

  L

  M

  H

  N/A

• Comments:

• 6. 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

• Comments:

• 7. Empty pallets stored flat and not stacked more than eight pallets high

  S

  L

  M

  H

  N/A

• Comments:

Ergonomics

• 1. Office chairs stable, adjustable and have a firm backrest

• Workstation chairs have five castors

  S

  L

  M

  H

  N/A

• Comments:

• 2. Computer screens in good condition and correctly positioned?
  (See SWP 032: Office Workstations)

• 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

• Comments:

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

  S

  L

  M

  H

  N/A

• Comments:

• 3. Computer displays free of unwanted reflections, dust and glare

  S

  L

  M

  H

  N/A

• Comments:

• 4. Office Environment

• Files, documents and records 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

• Comments:

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

  S

  L

  M

  H

  N/A

• Comments:

BACK OF HOUSE AND TRAFFIC MANAGEMENT

• Date Completed:

  Date

• Completed by:

• Consulted with:

• Time Commenced:

  Date

• Time Completed:

  Date

Reserves

• 1. Stock/Cages not placed over Yellow Marked Lines?

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• 3. Pallet Racking weight load signage is in a conspicuous position (Applicable to sites that have Pallet Racking)

  S

  L

  M

  H

  N/A

• Comment:

• 4. Is there signage: "No Stock Above this Line"? Is all stock under this line?

  S

  L

  M

  H

  N/A

• Comment:

• 5. Ensure Personal Protective Equipment (PPE) and hazard signage has been installed and is clearly visible

  S

  L

  M

  H

  N/A

• Comment:

Traffic Management

• 1. Loading dock can be safely accessed and Traffic Management is in place:

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

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• Receiving area / loading dock has signage indicating "no unauthorised persons past this point"

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

Mobile Plant and Equipment including Battery Charging

• 1. Daily per-operational safety checks completed for forklifts, walkie stackers and electric pallets. (Look at past 7 days per-operational log book for mobile equipment and enter date last competed in comments below)

  S

  L

  M

  H

  N/A

• Comment:

• 2. Forklift operators have a current licence on them:

• Drivers hold a current licence from the relevant State Authority (View Licences)

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• Site listing of authorised forklift drivers

  S

  L

  M

  H

  N/A

• Comment:

• 3. Walkie Stacker operators are working safely:

• Walkie Stackers and Electric Jacks are operated at walking pace

  S

  L

  M

  H

  N/A

• Comment:

• Walkie Stacker data plate details are clear and visible

  S

  L

  M

  H

  N/A

• Comment:

• Check that the listing of authorised Walkie Stacker and Electric Pallet Jack operators is displayed on the equipment

  S

  L

  M

  H

  N/A

• Comment:

• Confirm who the Motorised Plant Workplace coach is. Ask Store Manager to view Certificate of Competency

  S

  L

  M

  H

  N/A

• Comment:

• Operators are looking where they are driving and are alert for pedestrians. Mirrors are fitted.

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• 5. Battery charging area is located in a well-ventilated area. Check:

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

  S

  L

  M

  H

  N/A

• Comment:

• 6. Equipment being charged located in charge bays:

• Equipment under charge is located in the designated charging area

  S

  L

  M

  H

  N/A

• Comment:

• 7. Batteries in good condition:

• Leads and plugs are not damaged, casing is in good condition and filter caps are not damaged

  S

  L

  M

  H

  N/A

• Comment:

• 8. Battery kit is available and used when checking and topping up wet cell batteries:

• Acid-resistant gloves, eye protection and full length apron are available and in good condition. Chemical spill kits are readily available

  S

  L

  M

  H

  N/A

• Comment:

Dangerous Goods and Hazardous Substances

• 1. Cleaner's chemicals:

• Chemicals being used by Cleaners have current MSDS' located in Cleaners Room<br>(Note: MSDS must not be older than 5 years)

  S

  L

  M

  H

  N/A

• Comment:

• Containers used for decanting have supplier labels<br>(Check Cleaners Room. Hand written descriptions are not acceptable)

  S

  L

  M

  H

  N/A

• Comment:

• Chemicals meet Cleaners Chemical Register or Cleaning Contract Lists, and are stored correctly (i.e. upright to prevent spills or leaks) and lids are firmly closed.

  S

  L

  M

  H

  N/A

• Comment:

• 2. Approved Chemicals:

• Chemicals being used are listed in the site's Approved Chemical Register

  S

  L

  M

  H

  N/A

• Comment:

• 3. Gas Cylinders are stored safely:
  (Attached to plant, chained or caged. Check all cylinders, including Cleaner's Cupboard)

• Gas cylinders are clearly labelled, in good condition, and within a 10 year test period<br>(Check date stamped on cylinder which indicated date of last test)

  S

  L

  M

  H

  N/A

• Comment:

• Stored in an upright position

  S

  L

  M

  H

  N/A

• Comment:

• Located in an area which provides protection from potential damage (e.g. Rupture)

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• Located in a well-ventilated area

  S

  L

  M

  H

  N/A

• Comment:

• Not stored with combustible or waste materials around them

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

• 6. Chemical Spill Kit available and correctly stocked?
  Check against contents list below. Order stock that is missing:

• Absorbent Material (enough 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

• Store Tool Kit Contents:

• 

• Tool Box<br>Plastic with Tray, 40cms

  Yes

  No

  N/A

• 

• Mallet<br>Rubber fibreglass handle, 450 grams

  Yes

  No

  N/A

• 

• Screwdriver<br>Standard 6.5mm x 150 mm

  Yes

  No

  N/A

• 

• Screwdriver<br>Phillips #2 x 150mm

  Yes

  No

  N/A

• 

• Spanner<br>Open ended, 14mm x 15mm

  Yes

  No

  N/A

• 

• Hex key set<br>Metric, 9 pieces

  Yes

  No

  N/A

• 

• Hex key set<br>Imperial, 9 pieces

  Yes

  No

  N/A

• 

• Ratchet handle<br>1/2" drive, 245mm

  Yes

  No

  N/A

• 

• Socket<br>1/2" drive, 15mm

  Yes

  No

  N/A

• 

• Diagonal Cutter<br>115mm

  Yes

  No

  N/A

FIRST AID AND CONTRACTORS

• Date Completed:

  Date

• Completed by:

• Consulted with:

• Time Commenced:

  Date

• Time Completed:

  Date

First Aid

• 1. First Aid Cabinets clearly identified and accessible. <br>List of names of First Aiders is located on or near First Aid Kits

  S

  L

  M

  H

  N/A

• Comment:

• 2. All First Aid Cabinets located across the store are clean and stocked according to company requirements and supplies are within expiry dates.<br>Seek First Aider assistance to check contents.

  S

  L

  M

  H

  N/A

• Comment:

• 3. Sharp disposal kits available for disposal of syringes and other contaminated sharps, including used blades from a carton cutter

  S

  L

  M

  H

  N/A

• Comment:

Contractor Management

• 1. Spot Checks:

• Are conducted on one contractor per month

  S

  L

  M

  H

  N/A

• Comment:

• Are conducted on one demonstrator per month

  S

  L

  M

  H

  N/A

• Comment:

• Are conducted on one supplier every 3 months

  S

  L

  M

  H

  N/A

• Comment:

• Corrective Action Reports completed for non-compliances

  S

  L

  M

  H

  N/A

• Comment:

Stairs, Elevators and Lifts:

• 1. Escalators, Travelators and Atriums:

• A clearway of two meters must be maintained around escalators, travelators and atriums

  S

  L

  M

  H

  N/A

• Comment:

• The Escalator Daily Operational Checklist is completed <br>(Check last two weeks of entries)

  S

  L

  M

  H

  N/A

• Comment:

• 2. Stairs and landings in good repair and clear of trip hazards:

• No obstacles on the stairs and landings

  S

  L

  M

  H

  N/A

• Comment:

• Non-slip treads are intact

  S

  L

  M

  H

  N/A

• Comment:

• Check handrails are securely attached to the wall

  S

  L

  M

  H

  N/A

• Comment:

• Check that combustible materials such as pallets, paper or gas cylinders are not stored under stairs where there is not a sprinkler present

  S

  L

  M

  H

  N/A

• Comment:

• Emergency phones inside lifts in good working order:

• Check emergency phones in lift are operational <br>(Dial emergency number to check)

  S

  L

  M

  H

  N/A

• Comment:

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

  S

  L

  M

  H

  N/A

• Comment:

TEAM MEMBER QUESTIONNAIRE

• Date Completed:

  Date

• Completed by:

• Interviewer is to ask 3 Team Members to respond to each of the following questions.
  
  Slide the bar in accordance with their answers:
  4 = Over and Above Knowledge
  3 = Good Knowledge
  2 = Basic Knowledge
  1= No Knowledge
  
  Interviewer is to provide coaching if Team Member scores Basic or No Knowledge when asked the question

Electrical Safety

• 1. Can you name and explain the 5 key points (Staying Alive) from the Electrical DVD?

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Answer:
  A - Assess the task
  L - Look for damage to equipment
  I - Isolate by turning power off (before pulling plug out)
  V - Visualise each step of the task
  E - Exercise Caution - only use authorised equipment

Hazard Management

• 2. What would you do if you saw a spill on the floor?

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Answer: ask someone to stand by the spill while I get a "Slippery When Wet" sign, then organise for the spill to be cleaned
  Answer: may differ in each site - committee member will know the answer

Chemical Management

• 2a. Team Members know where to access MSDSs and how to obtain information on cleaning chemical spills

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Answer: Target Approved Chemical Register
  Answer: Contact 000 in an emergency and ask for Fire Brigade or refer to Target Approved Chemical Register for minor spills)

Manual Handling

• 3. Team Members are demonstrating safe manual handling techniques

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Answer: Observe 3 Team Members performing manual handling activities
  (Refer to Manual Handling Guidelines - select different guideline each month)

Emergency Preparedness

• 4. Emergency locations and calls are known

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Answer: Team Members know where the store's assembly area is located and can explain what type of system you use to alert of an emergency

Contractor Management

• 5. Ask Team Members for their knowledge of:
  - Site Orientation and Sign-In register
  - Induction Card (Contractors must have this to begin work in Store)
  - Work Method Statement (Safe Method of Working for all tasks to be performed)

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

Traffic Management

• 6. Ask Team Members for their knowledge of:
  - No walk-up deliveries
  - One delivery at a time
  - All drivers must wear high visibility top or safety vest
  - All team members entering the Loading Bay Area must wear a high-visibility top or safety vest at all times
  - Pedestrian walkways are marked in loading and receiving areas

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

Site Specific

• Enter any site specific question here

• Team Member 1:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 2:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Team Member 3:

• 1 (No Knowledge) | 2 (Basic Knowledge) | 3 (Good Knowledge) | 4 (Over and Above Knowledge)

• Enter the site specific answer here