Information
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Tailem Bend Civic Centre
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Select date
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Audit Title
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WHS 05-04
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Select date
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Inspected by?
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Inspected by?
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HSR Representative Signature
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Manager / Coordinator Signature
FRONT RECEPTION (Ground Floor)
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Are the relevant WHS Policy and Procedures available and accessible?
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Are the relevant WHS Safe Work Procedures available and accessible?
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Are the relevant Task Risk AssessmentsJob (TRA'S) available and accessible?
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Are the relevant Safe Operating Procedures (SOP's) available and accessible?
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Is the customer service counter adequate with respects to height, visual etc?
GENERAL OFFICE (Ground Floor)
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FIRST AID KIT
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Is the location appropriate?
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Is there adequate signage?
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Is the kit adequately stocked?
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Is there quick and easy access?
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FIRE EXTINGUISHERS
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Is the location and height adequate?
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Is the type of sign appropirate?
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Is testing of the unit up to date?
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LIGHTING (GENERAL) & VENTILATION
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Is the lighting adequate for the type of work?
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Is there ventilation or means to ventilate?
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ACCESS & EGRESS
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Are access and exits points secure and lockable?
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Are handles working and in good order?
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Are steps and lighting acceptable?
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EMERGENCY LIGHTING
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Is the test button operational?
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Is the general condition and adequacy of lighting acceptable?
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EMERGENCY PROCEDURES
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Are procedures written up and up to date?
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Are procedures circulated & evacuation drills carried out every 6 months and record made?
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Are responsible people trained?
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SECURITY
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Are doors secure?
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Is the alarm working?
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Is there an alert or doorbell chime when someone enters the building? (if not this needs to be installed, switched on or a change of batteries)
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Is there a duress alarm? is this located in an appropriate location?
COMPUTER STATIONS / OFFICES Level 1
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COMPUTER STATION / OFFICE 1
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested & is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 2
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested & is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 3
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested & is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 4
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Title or name of user?
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested & is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 5
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested & is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 6
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested & is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 7
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 8
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 9
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 10
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 11
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 12
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 13
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 14
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
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COMPUTER STATION / OFFICE 15
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Title or name of user:
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Are cords arranged to prevent a tripping hazard?
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Have ergonomic issues been addressed?
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Has equipment used been electrical tested and is the test tag current?
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Is general tidiness acceptable?
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Is storage adequate?
GENERAL OFFICE
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ELECTRICAL LEADS (not at personal workstations)
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Are cables and connections in good condition?
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Has equipment used been tested and is the test tag current?
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Is general condition acceptable?
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FILE AND ARCHIVE STORAGE (Strong Room)
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Is the access and egress acceptable?
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Is the lighting appropriate?
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Is shelving adequate and in good condition?
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Is the safe fire proof?
CLEANERS ROOM LEVEL 1
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Is the area tidy and organised?
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Is storage and shelving provisions adequate?
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Are items off the ground where possible?
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Have manual handling considerations been taken? (e.g. heavy items at the bottom)
KITCHEN Level 1
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Is the floor clean and free from rubbish?
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Are rubbish bins fly proof, clean and emptied frequently?
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Is the water supply adequate?
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Are electrical switches, powerleads, plugs and appliances in good working order and test and tagged?
TOILET Female Level 1
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Is there a cleaning program in place? (e.g. is someone rostered to clean weekly)?
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Are rubbish bins tidy and emptied frequently?
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Is there hand drying facilities avaliable?
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Is the lighting and ventilation adequate?
TOILET Male Level 1
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Is there a cleaning program in place? (e.g. is someone rostered to clean weekly)?
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Are rubbish bins tidy and emptied frequently?
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Is there hand drying facilities avaliable?
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Is the lighting and ventilation adequate?
BOARDROOM / CHAMBER
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Is the area tidy and organised?
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Are electrical switches, powerleads, plugs and appliances in good working order and test and tagged?
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Are table and chairs in a good condition? List any which are not safe or in need of repair
COMMENTS
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To be signed by WH&S Officer once inspection completed and checklist forwarded
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Date Signed