Title Page
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Client Name (Site)
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Conducted on
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Location
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Prepared by
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In Consultation With:
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General Comments (optional)
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Work Environment
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Is there adequate space to move freely about the workplace?
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Are floors clean and dry?
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Are floors free from cracks and holes that might cause trips?
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Are pedestrian walkways clearly marked?
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Are walkways and exits clear?
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Are bins provided and not overflowing?
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Is lighting bright enough?
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Is the work area adequately ventilated?
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Will all work be performed in temperatures between 10°C and 40°C?
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If working in cold temperatures, do workers have access to warm clothing?
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Can workers take a break away from the extreme temperatures?
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Is noise low enough to easily hear a normal conversation?
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Is hearing protection readily available?
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Are hearing protection signs displayed?
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Are work areas free from dust?
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Is respiratory protection readily available?
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Are respiratory protection signs displayed?
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Is eye protection readily available?
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Are eye protection signs displayed?
Fire & Emergency
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Is an Emergency Evacuation Plan displayed?
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Are emergency contacts and numbers displayed?
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Are fire extinguishers and fire hoses available?
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Do all observed fire extinguishers and fire hoses have a current inspection tag?
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Is an illuminated green running man sign fitted above emergency exits?
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Are emergency exits clear?
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Is a first aid kit easily accessible?
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Is there evidence the first aid kit has been inspected or restocked within the last 12 months?
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If working outside, is there a 10cm wide crepe bandage in the first aid kit for treating snake bites?
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Can trained first aiders attend within a few minutes?
Amenities
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Is there a separate meal room or area?
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Is the meal room or area clean and hygienic?
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Is cool drinking water available?
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Are toilets readily accessible?
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Are toilets clean and hygienic?
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Is there water and soap for washing hands?
Storage
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Are materials not currently in use, stored off the floor?
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Are bins, crates and pallets stacked so they are unlikely to fall over?
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Is storage racking used?
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Are racks in good condition?
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Is the safe working load displayed?
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Are loads stored so they are unlikely to fall?
Manual Handling
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Are forklifts, pallet jacks or trolleys available?
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Do items that need to be lifted manually, weigh less than 15kg?
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Are items that need to be lifted manually, kept above knee height and below shoulder height?
Ergonomics
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Are work benches about waste height?
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Do workers have to stand in one place for long periods?
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Is anti-fatigue matting provided?
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Do workers perform repetitive tasks for long periods without the opportunity for micro-breaks?
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Do workers move between different tasks during a shift?
Electricity
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Are all observed electrical outlets, leads and appliances free from damage?
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Is a current test & tag attached to all observed electrical leads and appliances?
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Are extension leads kept off the floor?
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Are electrical circuits fitted with a Safety Switch?
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Is there evidence Safety Switches have been tested in the last 12 months?
Traffic Management - Outdoors
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Are roads clearly marked?
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Are roads in good condition?
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Are parking locations clearly marked?
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Are physical barriers used to separate pedestrians and vehicles?
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Are speed limits displayed?
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Were the vehicles you observed, travelling within the speed limit?
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Are traffic rules displayed?
Traffic Management - Indoors
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Are forklifts or other vehicles used inside?
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Are physical barriers used to separate pedestrians and vehicles?
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Are no-go areas used to separate pedestrians and vehicles?
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Are speed limits displayed?
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Were the vehicles you observed operating indoors, travelling within the speed limit?
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Are traffic rules or a traffic management plan displayed?
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Are workers wearing hi-visibility clothing?
Passenger Vehicles
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Do Agri Labour workers drive or ride in a passenger vehicle at work?
Vehicle
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What is the make, model and rego number of the vehicle?
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Does the vehicle appear to be road worthy?
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Are pre-start inspections conducted?
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Is there evidence of a recent service?
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Do lights and indicators work?
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Are windows clean and free from cracks?
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Are seat belts fitted?
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Do tyres have at least 2mm of tread?
Forklifts
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Are forklifts operated by, or near Agri Labour workers?
Forklift
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What is the make and model of the forklift?
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Does the forklift appear to be in a serviceable condition?
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Can the forklift operator produce their licence?
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Are seat belts fitted?
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Is overhead protection fitted to the forklift?
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Are controls clearly labelled?
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Do lights and indicators work?
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Is the reversing alarm working?
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Does the horn work?
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Is the Safe Working Load clearly marked on the data plate?
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Are pre-start inspections conducted?
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Are forklift warning signs displayed about the workplace?
Loaders, Tractors and Other Mobile Plant
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Is mobile plant (other than forklifts or passenger vehicles) operated by, or near Agri Labour workers?
Mobile plant
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What is the type, make and model of the mobile plant?
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Does the machine appear to be in a serviceable condition?
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Are pre-start inspections conducted?
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Are seat belts fitted?
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Are windows and mirrors clean and free from cracks?
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Do lights and indicators work?
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Is there an exclusion zone around the plant, when in operation?
Hazardous Substances
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Do Agri Labour workers need to use chemicals at work?
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What chemicals do they use?
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Are chemical containers clearly labelled?
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Are Safety Data Sheets available?
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Is the PPE described by Safety Data Sheets, readily available?
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Does signage on dangerous goods stores indicate the class of dangerous good?
Confined Spaces
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Are there confined spaces in or near the work area?
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Has a confined space sign been placed at the entry point of confined spaces?
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Do Agri Labour workers have to enter a confined space?
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Has a procedure or safe work method statement available for working in confined spaces?
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Is the atmosphere confirmed as safe, prior to entry?
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Is an observer located immediately outside the confined space while workers are inside?
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Is there a plan in place to rescue workers inside the confined space?
Cool Rooms
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Do Agri Labour workers have to enter a cool room?
Cool room
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Is there a method for exiting the cool room if the main door is jammed close?
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Is there an alarm or bell activated from inside the room and audible outside?
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Is lighting inside the cool room adequate?
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Is the cool room clean and free from mould?
Hand Tools
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Are power tools used by Agri Labour workers?
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Are they appropriate for the job?
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Do they appear to be in good condition?
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Has a current electrical test & tag been attached to power tools?
Machinery
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Is fixed plant or machinery used by Agri Labour workers?
Machinery
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What is the type, make and model of the machine?
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Does the machine appear to be in a serviceable condition?
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Are moving parts guarded to prevent them being touched?
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Is there an Emergency Stop near the operator?
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Is there evidence of Emergency Stops being tested regularly?
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Is there an operating procedure readily available?
Working at Heights
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Do Agri Labour workers use ladders?
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Are ladders rated for commercial use?
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Are ladders in good condition?
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Do Agri Labour workers work with their feet more than one meter from the ground (apart from on ladders)?
Work at height location
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Name or description of location
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Is a stable and securely fenced work area provided?
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Do elevated work areas have handrails, mid rails and toe boards?
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Do stair treads to elevated work areas have a non-slip surface?
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Is a fall prevention or work positioning system in place?
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Is a fall arrest system in place?
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Please call Nigel to discuss.
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Is there evidence of a recent inspection of all harnesses and ropes?
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Are all workers certified for Working At Heights?
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Is there evidence that all harnesses and ropes have had a recent inspection?
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Are all workers certified for Working At Heights?
Working Alone
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Do Agri Labour workers need to work alone?
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Are all tasks low or medium risk, when working alone?
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Do they have a radio or phone that works in all areas?
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Does someone check on them regularly?
Working Outside
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Are Agri Labour workers required to work outside?
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Is shade available?
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Are broad brimmed hats worn?
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Is sunscreen provided?