Title Page

  • Station Name:

  • Conducted on

  • Inspection Conducted By:

Health & Safety Information Consultation

  • Is relevant health & safety information displayed &/or easily accessible by workers?

  • Are workers consulted on decisions about the facilities i.e. modifications, additions, suitability for purpose etc?

  • Is there a process in place for workers to communicate & report WHS issues? (Noticeboards, meetings etc)

Access and Egress

  • Emergency exit doors are clearly marked & visible; signage present and illuminated

  • Exit doors and pathways are clear of obstruction both inside and outside of doors

  • There is adequate lighting for staff entering / exiting the building at night

Emergency Preparedness

  • The evacuation diagram is displayed with emergency contact details

  • Fire extinguishers are easy to access, properly mounted to wall / bracket and sign posted and maintenance checks conducted within the last 6 months

  • Emergency drills and debriefs are conducted annually: last evacuation held....

  • First Aid Kit location(s) are clearly identifiable accessible and fully stocked (check sticker / book date)

Work Environment

  • Light fittings are in good condition and lighting fit for tasks undertaken

  • Extension cords are: not used in place of permanent wiring; not run through walls, ceilings, doors equipped with proper plugs (three prongs), and not damaged or taped cords; not daisy-chained

  • Electrical equipment checked and Testing & Tagging in date

  • All areas including storage, walkways and stairs free from rubbish and obstructions to prevent trip hazards

  • Facilities are cleaned on a regular schedule and bins located at suitable points and emptied regularly

  • Are materials stored correctly e.g. Not on top of cupboards which are not safely accessible.

  • Area where food is prepared is kept clean and tidy (check hot water tap is not dripping)

  • All areas free from pests or evidence thereof

  • Supply of clean water for drinking is available (includes bottled water)

  • Floors are free of oil build-up / spills: spill kit provided

Amenities

  • Are there adequate toilet facilities for workers with disabilities? (Where relevant)

  • Toilets and wash basins are clean and sanitary

  • Hand wash (soap or liquid), hand drying (blowers, paper towels) & toilet paper are available

  • Where relevant is there accessible, secure storage at the workplace for workers’ personal property?

  • Is it separate from any storage facilities provided for personal protective clothing and equipment?

Storage Areas

  • Frequently used items within easy access between knee and shoulder height (including paper storage)

  • General storage racks & shelving displays weight load limits is stable and fixed to walls/floor if required

  • Items are stored safely so they are not at risk of falling off or causing injury

Equipment

  • Electrical appliances (both fixed and portable) are tested, tagged and are within current test period (on plant register & ITM schedule)

  • No broken plugs, sockets, switches, no frayed or defective leads.

  • Faulty or damaged equipment labelled and removed from service

  • Double adaptors not used in all work areas & extension leads only used for short term

  • There are no broken plugs, sockets, and switches, no frayed or defective leads

  • Machinery and equipment is maintained (on Plant Register & ITM Schedule) and stored for easy access

  • Machinery guards are undamaged, in place and used where relevant

Chemical & Compressed Gas Storage

  • Safety Data Sheets (SDSs) are accessible for all hazardous substances present

  • Flammables are stored in the appropriate cabinet (where relevant)

  • Cylinders are securely restrained (chain or bracket) , cylinders labelled and caps in place when not in use

  • Chemicals are stored correctly (i.e. secure lids)

  • All chemicals including decanted chemicals are clearly labelled

  • Personal Protective Equipment as required by the SDS, is provided

Additional Comments

Other Inspection items as identified to this site where revelant

  • undefined

  • Action Items added to CAP (Form F05) where relevant

Repairs or Issues

  • Any repairs or issues that require fixing

  • Issues or repairs required. Ensure Pictures are taken

Pictures

  • Pictures

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.