STA NSW

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Office Hazards

• 1.1 - Work areas around desks & filing cabinets free of clutter

  Yes

  No

  N/A

2.0 - Walkways

• 2.1 - Walkways clear & free from obstructions

  Yes

  No

  N/A

• 2.2 - Stairs well lit, not slippery , with hand rails firmly attached

  Yes

  No

  N/A

3.0 - Electrical

• 3.1 - Plugs, sockets and switches are in good condition

  Yes

  No

  N/A

• 3.2 - Leads are free from damage such as fraying and straining

  Yes

  No

  N/A

• 3.3 - Electrical leads and and or cables are metal tied and secured

  Yes

  No

  N/A

4.0 - Fire

• 4.1 - Extinguishers are<br>• in place, clear and free from obstruction<br>• clearly marked for type of fire<br>• regularly serviced (within the last 6 months)

  Yes

  No

  N/A

• 4.2 - Emergency /fire doors are unlocked and free from obstructions

  Yes

  No

  N/A

• 4.3 - An evacuation plan for the site is displayed

  Yes

  No

  N/A

5.0 - First Aid

• 5.1 - Automatic External Defibrillator stand-by indicator OK

  Yes

  No

  N/A

6.0 - Traffic areas

• 6.1 - Road surface in Depot Yard is in good condition

  Yes

  No

  N/A

• 6.2 - Line markings/speed signs in yard are clearly visible

  Yes

  No

  N/A

• 6.3 - Vehicles are following traffic operating plan including speed restrictions

  Yes

  No

  N/A

• 6.4 - Pedestrians are following designated pathways and wearing PPE as required

  Yes

  No

  N/A

7.0 - Bus Wash ( Do NOT enter if bus wash is in use)

• 7.1 - Floor and surrounding areas clean and clear of clutter

  Yes

  No

  N/A

• 7.2 - Chemicals stored & correctly labelled

  Yes

  No

  N/A

8.0 - Steam Bay/Chassis Wash (Do not enter if bay is in use)

• 8.1 - Sludge pit covers in good condition, free from gaps

  Yes

  No

  N/A

• 8.2 - Floors and surrounding area clean

  Yes

  No

  N/A

• 8.3 - Hoses and fittings clean & in good condition

  Yes

  No

  N/A

• 8.4 - Plugs, leads and sockets in good condition

  Yes

  No

  N/A

9.0 - Chemicals ( Cleaners area, behind Fuel Bay Area )

• 9.1 - Chemicals stored in labelled containers

  Yes

  No

  N/A

• 9.2 - Chemicals are stored or bund correctly

  Yes

  No

  N/A

• 9.3 - Sharp disposal station available (pick up tool available )

  Yes

  No

  N/A

• 9.4 - Workers use appropriate PPE correctly when handling Chemicals

  Yes

  No

  N/A

10.0 - Fuel Bay Area

• 10.1 - Clean and tidy (no fuel spills)

  Yes

  No

  N/A

• 10.2 - Spill pits clean and regularly emptied

  Yes

  No

  N/A

• 10.3 - Fire equipment available and current ( checked in last 6 months)

  Yes

  No

  N/A

• 10.4 - Spill kits readily available

  Yes

  No

  N/A

• 10.5 - All hoses and fittings clean and in good condition

  Yes

  No

  N/A

• 10.6 - Non slip surface in refuelling area intact and in good condition

  Yes

  No

  N/A

11.0 Walkways and floors

• 11.1 - Clean and free from obstructions

  Yes

  No

  N/A

• 11.2 - Walkways adequate and clearly marked

  Yes

  No

  N/A

• 11.3 - Stairs clear, non slip rails firmly attached

  Yes

  No

  N/A

• 11.4 - Floor surface even, free from cracks or holes

  Yes

  No

  N/A

• 11.5 - Floor surface, removable boards and grills free of oil and grease

  Yes

  No

  N/A

12.0 - Plant & Equipment/Operations

• 12.1 - Plant and surrounds kept clean (Swarf removed, free of excess grease/grime)

  Yes

  No

  N/A

• 12.2 - Area clear of oil or grease on floor

  Yes

  No

  N/A

• 12.3 - Hearing protection available and worn where required

  Yes

  No

  N/A

• 12.4 - Adequate work space around equipment

  Yes

  No

  N/A

• 12.5 - Ladders in good condition and clearly marked industrial complaint with AS 1892

  Yes

  No

  N/A

• 12.6 - Task lighting satisfactory

  Yes

  No

  N/A

• 12.7 - Tools not in use are stored in their place

  Yes

  No

  N/A

• 12.8 - Hand & power tools in good condition

  Yes

  No

  N/A

13.0 - Storage

• 13.1 - Materials are stored in racks or bins

  Yes

  No

  N/A

• 13.2 - Floors around racks or bins clear of clutter

  Yes

  No

  N/A

• 13.3 - Safe working load signs displayed

  Yes

  No

  N/A

14.0 - Pits

• 14.1 - Entrance/stairs to pit clean, clear of oil , rubbish etc.

  Yes

  No

  N/A

• 14.2 Stringers (pit guide rails) in good condition and painted yellow

  Yes

  No

  N/A

• 14.3 - Step edging has adequate grip

  Yes

  No

  N/A

• 14.4 - Pit floor clear of oil grease rubbish water unused tools, etc

  Yes

  No

  N/A

• 14.5 - All pit lights/covers in good condition

  Yes

  No

  N/A

• 14.6 - Pit walls clean and in good condition

  Yes

  No

  N/A

• 14.7 - Plugs and sockets in good condition

  Yes

  No

  N/A

• 14.8 - Grease and oil lines connections in good condition

  Yes

  No

  N/A

15.0 - Spray Booths (Do not enter if booth is in operation)

• 15.1 - Extraction system installed and operational

  Yes

  No

  N/A

• 15.2 - Lighting in booth is operational

  Yes

  No

  N/A

• 15.3 Flammable goods cabinets available and in use

  Yes

  No

  N/A

16.0 - Electrical

• 16.1 - Plugs, sockets, conduit covers and switches in good condition

  Yes

  No

  N/A

• 16.2 - Leads are free from damage such as fraying and straining

  Yes

  No

  N/A

• 16.3 - Electrical leads and or cables are neatly tied and secured

  Yes

  No

  N/A

17.0 - Chemicals

• 17.3 - Chemicals stored in labelled containers

  Yes

  No

  N/A

• 17.2 - Chemicals are stored or bund correctly

  Yes

  No

  N/A

• 17.3 - Workers use appropriate PPE correctly when handling Chemicals( refer to SDS)

  Yes

  No

  N/A

18.0 - Fire

• 18.1 - Extinguishers are<br>• in place, clear and free from obstruction<br>• clearly marked for type of fire<br>• regularly serviced (within the last 6 months)

  Yes

  No

  N/A

• 18.2 - Emergency /fire doors are unlocked and free from obstructions

  Yes

  No

  N/A

• 18.3 - An evacuation plan for the site is displayed

  Yes

  No

  N/A

• Add media

  Media

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign