Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Emergency & First Aid
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1.1 Is the evacuation plan up to date and clearly displayed?
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1.2 Are entrance exits and evacuation routes kept clear
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1.3 Where emergency lights are installed are they in working order
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1.4 Are the emergency telephone numbers displayed
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1.5 Is there a 2-3 (min) fire extinguisher located in an appropriate place and tagged as current for testing
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1.5 Is there a 1.2 x 1.2 fire blanket located in an appropriate place
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1.6 Are smoke alarms installed in appropriate location
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1.7 Did the smoke alarms operate correctly when tested
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1.8 Is there appropriate equipment and PPE in place for cleaning bodily fluid spills and are there hand washing facilities
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1.9 Are there WIRF forms available
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1.10 Is there a well stocked first aid kit and appropriate signage displayed
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1.11 Has a fire evacuation drill been conducted and the assessment sheet completed (including recommendations for frequency of evacuation drill)?
Electrical
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2.1 Is there an electrical safety switch installed at this property
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2.2 Did the safety switch operate correctly during the push button test
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2.3 Are all lights and fittings, power points and switches in a safe working condition
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2.4 Are all fixed and portable electrical equipment in a safe working condition
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2.4 Is there any hazardous extension cords and piggy back double adaptors
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2.5 Are floors walkways or other areas clear of any temporary leads or cords that would cause a hazard
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2.6 Have all observable hazards been addressed
Chemicals
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3.1 Is there a copy of the safety assessment for the storage and use of potentially hazardous substances in AS&RS households in the household information folder
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3.2 Has the safety assessment been reviewed in the last 12 months?
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3.3 Has the safety assessment been updated with the introduction of new chemicals into the household ?
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3.4 Are chemicals stored according to the recommendation of the safety assessment
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3.5 Are all chemical contained in undamaged original containers with reliable labels
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3.6 Are material safety data sheets available for hazardous substances
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3.7 Is the poison information centre number in the household information folder?
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3.8 Have all observable hazards been addressed
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3.9 Are the appropriate products being used on floors
General
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4.1 Are floors walls and ceilings in a safe condition?
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4.2 Are all doors and windows in a safe condition?
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4.3 Can access and egress be done safely
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4.4 Are all benches,shelves and fixtures secured firmly and in a safe condition?
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4.5 Is there suitable and efficient storage space
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4.6 Is all furniture and bedding in a safe condition
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4.7 Are all baths, showers, sinks and wash trough in a safe condition?
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4.8 Is there sufficient ventilation ?
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4.9 Is there appropriate lighting?
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4.10 Are all rails, landing, verandas and steps in a safe condition?
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4.11 Is the house free of vermin?
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4.12 Noise- At the time of the audit are noise levels acceptable / work areas have been assessed for risk associated with excessive noise?
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4.13 The cleanliness of ventilation equipment (air conditioners) and clothes driers is maintained
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4.14 Have all other observable hazards been addressed
Ergonomics / Manual Handling
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5.1 Has the manual handling involving people and equipment checklist been completed in the last 12 months?
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5.2 Are mopping duties performed in a safe manner?
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5.3 Are laundering facilities safely located?
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5.4 Are laundering duties performed in a safe manner?
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5.6 Are all tasks that include the lifting or carrying of loads optioned into light, manageable loads?
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5.7 Are frequently accessed items stored at a safe working height?
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5.8 Are staff using environmental resources to support safe working postures when performing domestic activities?
Medication
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6.1 Is the medication stored in an appropriate cupboard, which is lockable if required( as per client risk assessment)
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6.2 Is all medication required and within it expiry date?
Behavior Management
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7.1 Are all behavior intervention, management and travel plans signed and up to date?
Motor Vehicle
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8.1 Have motor vehicles been serviced regularly and is there a system for recording past and due service dates?
Water temperature
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9.1 Is the temperature regulation device used in the household and the required temperature recorded in the household information folder ?
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9.2 Was the temperature of the water consistent with the requirements recorded in the household information folder?
Outside of residence
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10.1 Is there sufficient lighting to access vehicles and outdoor areas?
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10.2 Is access and egress appropriate for the residence?
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10.3 Are stairs, handrails and landings in a safe useable condition and free of hazards?
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10.4 Are all fences in good repair and free of fire hazards?
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10.5 Are all garden beds and grass well maintained and is the yard hazard free?
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10.6 Are garden sheds and other out buildings in a clean and safe condition, free of hazards and vermin?
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10.7 Are items in the shed stored appropriately and in accordance with client risk assessment?
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10.8 Has all rubbish or unused items been removed or disposed?
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10.9 Are BBQ's well maintained and has gas bottles been tested and stamped in the last ten years?
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10.10 Is all playground equipment, Garden furniture in a safe working condition and free of hazards?
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10.11 Have all observable hazards been dealt with?
WHS Consultation arrangements
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11.1 Are staff aware of the WHS consultation arrangements?
Psychological Health
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12.1 Is the staff members on shift aware of EAS, employee support program and how to access it?
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12.2 Is the employee on shift aware of the process for managing critical incidents?
Creative Actions (list below)
SWIM Advisors Signature
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Safety Representative Signature
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