Title Page
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Site Location Name
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Conducted on
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Prepared by Lead observer
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Observation team name/s
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Site location
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Business unit
Observation results
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The Workplace Inspection Form should only be a walk around the site to establish whether anything requires attention – it is not to be used as an audit form.
EMERGENCY EQUIPMENT & PLANNING
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SEMP displayed and up to date?
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Clear access (min 1m) to Firefighting equipment, incl. hose reels and electrical switch boards, clearly marked and serviced within 6 months?
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Emergency Evacuation Site Maps located in prominent areas on site?
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Exit doors clearly marked, not obstructed & easily opened from inside. Exit signs appropriately displayed and illuminated?
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Emergency spill kits well stocked & freely accessible?
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Sprinkler heads not obstructed (at least 50cm clearance from any object)?
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Emergency equipment (incl. alarms activations, eye wash, chemical wash) freely available and not obstructed?
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Minimum build-up of combustible materials (boxes/paper etc.)?
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First aid kit accessible, clearly marked & well stocked? (contents not expired)
PROCEDURAL COMPLIANCE
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All walkways/roadways clear of obstructions & trip hazards? Clearly marked/delineated.
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All non-authorised personnel and vehicles (including plant) is segregated and suitable controls in place to reduce the likelihood of a collision.
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Site speed limits & traffic controls signposted?
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Correct PPE provided and worn as required?
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Additional PPE freely accessible to employees, visitors & contractors?
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Machine guarding correctly fitted and used?
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Plant/equipment tagged-out & isolated during maintenance/repair?
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Fall restraint/prevention systems used in fall risk works?
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All substances labelled & stored correctly? (E.g. away from ignition sources / bulk volumes bunded)? Remove any unlabelled containers.
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SDS’s available where hazardous substances or Dangerous Goods are used/stored?
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Relevant procedures & work instructions freely accessible to workers? (E.g. SOPs / Manuals etc.)?
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HSE Noticeboard in place with relevant Company safety documentation (check portal for last update dates)?
ELECTRICAL SAFETY
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All electrical equipment have current inspection/test tags attached?
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Electrical cords kept away from water or other conductors? (elevated off ground)
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Electrical cords & switches free from damage? Damaged equipment discarded?
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Electrical cords/leads are tidy and not draped over walkways, elevated off ground etc.?
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Electrical switch boards signposted and secured as required?
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All isolations in place where required
PHYSICAL WORK ENVIRONMENT
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Appropriate ventilation through the work area? Air quality free from hazardous vapours/gases/odour? Filters cleaned regularly?
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Lighting systems fully functional and applicable to the site?
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General Housekeeping is of a suitable standard with no waste or litter lying on fence lines?
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Tools & equipment stored safely away? Shelving SWL’s displayed? Condition?
VEHICLE INSPECTION
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Driver flip chart for Emergency Procedures available in the vehicle and suitably located?
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Relevant procedures & work instructions freely accessible in Drivers manual? (E.g. WI’s / Manuals etc.)?
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Pre Start Inspection is completed each time?
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Correct PPE worn as required? (E.g. high-vis, footwear)?
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Cleanliness of cabin OK?
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Emergency Triangles and equipment available in the vehicle and suitably located?
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Spill Management kits suitably available/located in the vehicle?
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Complete and up to date First Aid kit – Are any items expired?
ENVIRONMENTAL COMPLIANCE
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Stormwater Management Plan in place?
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Trade Waste Permits are current and applicable to the site? No;________________________
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Triple Interceptor in place and clear/clean of debris or waste? Last Service?
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Drains/watercourses are free of waste & debris and permit water flow?
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Bulk stored chemicals are stored in suitably bunded areas?
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Are there any visible oil spills on the site especially in park up areas?
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Are there provisions for site based waste recycling? (Plastics /paper etc.)?
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Taps / hoses / water use are intact, no leaks, and no water wastage?
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Verify Vehicle inspection completed using EPA Vehicle Checklist within previous 12 months
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Authorised Waste Carrier approval evident in/on vehicle(s)? Waste code documents in registered vehicle? (view approval in each applicable vehicle)
Completion
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Inspected by