SL SI

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Personnel

Previous Safety Inspection

• Was the previous inspection closed out?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Battery Room

• Do electrical items have current tags?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are power sockets, plugs and switches in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is appropriate safety signage displayed?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are all lights working?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are there adequate rubbish bins?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the floor clear of trip hazards?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is appropriate PPE available?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are warning signs and decals clearly visible?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are danger / out of service tags available and used where necessary?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Do battery chargers have RCD's fitted?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Maintenance

• Are power sockets, plugs and switches in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is appropriate safety signage displayed?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are all lights working?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are there adequate rubbish bins?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the floor clear of trip hazards?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are SDS (MSDS) available and current?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are DG's stored correctly?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are screens available for welding and grinding?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is appropriate PPE available?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are warning signs and decals clearly visible?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are work benches free of rubbish and uncluttered?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Do electrical items have current tags?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are Danger / Out of Service tags available and used where necessary?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are goods stored on shelves safely?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the racking damaged or unstable?

  Yes

  No

  Not Verified

  N-A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Plant and Control Rooms

• Is there a log book available and being used?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is appropriate safety signage displayed?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the floor clean and clear of debris with no trip hazards?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are emergency numbers displayed?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Do electrical items have current tags?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are all lights working?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are power sockets, plugs and switches in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is appropriate PPE available?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Yard

• Is the road surface in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are kerbs and gutters in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are walkways kept clear and in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is all signage clear and relevant?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are drains clear and empty?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are gardens being maintained in such a way as to reduce hazards?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are all the fences and gates in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the wind sock in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are the rubbish bins stored in their correct location?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the site clean of rubbish?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is there a 5 meter exclusion zone around the warehouse building of flammable equipment e.g. Pallets?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are pallets being stored safely?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are truck wheel stops available for use at each dock door?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the site clear of equipment graveyards?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Warehouse

• Are the dock load levelers working correctly and in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Do dock roller doors open easily?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Do zip doors safety release work?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are aisles clear and unobstructed?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is the floor clear of trip hazards?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is there a spill kit available for immediate use?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are there adequate rubbish bins?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is rubbish being put in the correct bin?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are Danger / Out of Service tags available and used where necessary?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are all lights working?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are pallets and goods stored correctly?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are goods 3 bay and up, wrapped?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are staff wearing correct PPE?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is there damage to bollards or railing?

  Yes

  No

  Not Verified

  N-A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is there damage to walls or ceilings?

  Yes

  No

  Not Verified

  N-A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is there damaged or unstable racking?

  Yes

  No

  Not Verified

  N-A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are suppliers, visitors or contractors wearing correct PPE?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Offices

• Is the floor clean, even and in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are there adequate rubbish bins?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are notice boards current?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are emergency numbers displayed?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are goods stored on shelves safely?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are all lights working?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are power sockets, plugs and switches in good condition?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Do electrical items have current tags?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Emergency Response

• Are the emergency exits unobstructed?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are spill kits available on all trucks?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Are appropriate fire extinguishers available for use across the site and on trucks?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Have the fire reels been serviced as per there schedules?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Have the fire extinguisher's been serviced as per there schedules?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Have the first aid kits been serviced as per their schedules?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Forklifts and other Mobile Lifting Equipment

• check a minimum of 5 machines

• Are forklift pre starts being completed daily before use?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• select 5 operators and check with HR that their licence details are recorded and current

• Do all operators hold a current WA High Risk licence for the machine they are operating?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• Is manual handling lifting equipment being operated as per SOP's?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• check a minimum of 3 machines records

• Are maintenance records complete?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

Trucks

• check a minimum of 5 trucks

• Are truck pre starts being completed daily before use?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• select 5 drivers and check with HR that their licence details are recorded and current

• At a minimum do all drivers hold a current WA MR licence?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• check a minimum of 3 truck records

• Are maintenance records complete?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings

• check a minimum of 5 trucks

• Do steps, grab bars and grip tape comply with Sealanes safe entry and exit from trucks procedure?

  Yes

  No

  Not Verified

  N/A
Corrective Actions

• corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out Date

  Date

• Findings