Information

  • Site conducted

  • Document No.

  • Audit Title

  • AMIS Facility Code

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Security

  • Are the perimeter fences and gates maintained and secure?

  • Is the facility Code & Description displayed?<br>

  • Is the Gippsland Water logo clearly displayed?<br>

  • Is the site emergency number displayed? 1800 057 057<br>

  • Are visitors are inducted onto the site? (Induction not exceeding 2 years)<br><br>

  • Are visitors visibly displaying swipe cards?<br><br>

  • Are visitors are signed onto a visitors register?<br>

Public Protection

  • Is appropriate signage in place?<br><br>

  • Is appropriate barricading in place?<br>

  • Are on-site noise levels likely to cause nuisance or complaints?<br><br>

  • Are dust and noise controls in place?<br><br>

  • Are the footpaths clean and suitable for public use?<br>

  • Is appropriate traffic control measures in place?<br><br>

  • Is the water extraction or discharge point clearly signed?<br><br>

Fire Control

  • Is fighting equipment serviced and tagged within last 6 months?<br>

  • Are extinguishers appropriately signed and easy to locate?<br><br>

  • Are alarm system and sprinkler system is in place and tested regularly?<br><br>

  • Are smoking/naked flame restrictions are observed?<br><br>

  • Are minimum quantities of flammables stored in work area?<br><br>

  • Can anyone be injured by fire or explosion?<br><br>

  • Can regrowth of vegetation or plant debris build-up causing a hazard? <br><br>

Emergency

  • Are emergency exit signs in place and illuminated where appropriate?<br>

  • Are exit pathways clear of obstructions?<br>

  • Are employees aware of their muster area?<br><br>

  • Are emergency numbers displayed on or near telephone?<br>

  • Are exit doors are easily opened from inside?<br><br>

  • Are emergency personnel are identified and trained?<br>

  • Are emergency procedures clearly displayed?<br>

  • Are evacuation floor plans clearly displayed?<br><br>

  • Are alarms tested regularly?<br>

  • Are emergency simulations are conducted?<br>

  • Are staff are aware of the emergency code for their work area?<br>

  • Is the emergency cabinet Information current?

Systems of Work

  • OH&S Policy and Procedures current and available to employees

  • SHE Committee Poster displayed?

  • Employees aware of how to report incidents?<br>

  • “Are you injured?” Poster displayed?

Dangerous Goods and Hazardous Substances (incl Asbestos)

  • Is Asbestos material known to be present on site?

  • Material Safety Data Sheets available and current?

  • Chemical inventory current?

  • Chemicals stored in a safe manner and bunded appropriately?

  • Stored in line with segregation requirements?

  • HAZCHEM signage displayed where required?

  • Adequate ventilation/exhaust systems?

  • Containers labelled appropriately?

  • PPE available and used?

  • Waste procedure known and used?

  • Spill kit available and placed near bunds/chemicals/potential spills?

  • Chemical handling procedures followed?

  • Appropriate emergency/first aid equipment available?

  • Safety shower/eye wash available & working?

  • Visible chemical spills outside of bunded areas?

  • Visible waste water spills outside of bunded areas?

  • Leaking/dripping taps or valves on chemical storage vessels?

  • Exposure to chemicals, toxic gases, fumes, dust, noise, vibration, radiation, pressure, vacuum?

Housekeeping

  • Are the floors of offices and passageways, store rooms and stairways kept free from obstruction?<br>

  • Are the floors of offices and passageways, store rooms and stairways adequately illuminated?<br><br>

  • Are the floors of offices and passageways, store rooms and stairways clear of electrical leads?<br><br>

  • Are work surfaces <br>

  • Are work surfaces clear of rubbish?<br>

  • Are tools put away?<br><br><br>

  • Areas free of slip and trip hazards?<br>

  • Any floor openings covered and clearly identified?<br>

  • All stock and material stored safely?<br><br>

  • Oil and grease spot wiped up?<br><br>

  • Sawdust, shavings swept up?<br>

  • Surface water drains clear of debris and no sign of damage?

  • Grass cutting & weed control?

  • Pest (non-native animals) & Vermin control?

  • Is any vegetation required to be removed?

  • Is earth moving proposed in the next 6 months?

Amenities

  • Appliances Clean?<br>

  • Clean drinking water available?<br>

  • Rubbish and recycling bins available and are covered?<br>

  • Visible signs of vermin?<br>

Stairs, Steps, Landings, walkways, handrails and ladders

  • No excessively worn or broken steps?<br>

  • Handrail in good repair/order?<br>

  • Non-slip treatment to treads?<br>

  • Kick plates where appropriate?<br>

  • Treads do not have liquid spilt on them?<br>

  • Step edge highlighted where appropriate i.e. painted yellow?<br>

  • Any signs of degradation (i.e. rust)<br>

  • Uneven surfaces, obstacles, wet or greasy surfaces<br>

Material Storage

  • Are stacked materials stable?<br>

  • Sufficient space is allowed for moving items into and out of storage areas?<br>

  • Materials are stored in appropriate areas i.e. racks, bins, etc.?<br>

  • Storage shelves are free of rubbish and clean?<br>

  • Pallets are in good repair?<br>

  • Heavier items are stored at waist height?<br>

  • Items stored are not in danger of falling?<br>

  • Items stored do not have protruding sharp edges?<br>

  • Safe means available for accessing high shelves?<br>

  • Storage racks do not present a hazard with lights, sprinklers or fittings?<br>

Lighting

  • Are employees able to control incoming natural light or glare sources?<br>

  • Artificial lighting not causing reflections from work surfaces or shadows over the task?<br>

  • Light fittings clean and in good repair?<br>

  • No flicking or inoperable lights?<br>

Ergonomics

  • Workstation set up acceptable?<br>

  • Ergonomic factors considered in work layout and task design?<br>

  • Use of excessive and repetitive movements minimised?<br>

  • Staff aware of where to seek advice regarding ergonomics?<br>

  • Poor design or layout of facility which creates a hazard?<br>

Manual Handling

  • Hazardous manual handling tasks been assessed and controlled?<br>

  • Mechanical aids provided and used?<br>

First Aid

  • Cabinets and contents clean and checked in last 12 months?<br>

  • First aid material adequate for work area?<br>

  • Names of trained first aider are prominently displayed?<br>

  • First aid treatment form available?<br>

Personal Protective Equipment

  • Appropriate PPE being worn for tasks?<br>

  • PPE stored and maintained appropriately?<br>

  • PPE signage is appropriately displayed?<br>

Sunsmart

  • Recommended clothing being worn?<br>

  • 30+ sunscreen available and being used?<br>

Traffic Management

  • Traffic flows present any hazards?<br>

  • Vehicle parking presents any hazards? <br><br>

Prevention of Falls

  • Unsafe area signposted and barricaded?<br>

  • All work platforms have secure handrails and guarding?<br>

  • All ladders are visibly in good condition?<br>

  • Employees are aware of fall prevention requirements?<br>

  • Ladders not used as work platforms?<br>

  • Ladders are securely fixed at the top and bottom?<br>

  • Metal ladders not used near live exposed electrical equipment?<br>

  • Areas free of slip and trip hazards?<br>

Electrical equipment & Control Cubicles

  • No broken plugs, sockets or switches?<br>

  • No frayed or uninsulated leads?<br>

  • Electrical equipment & appliances PETE tested tagged & current?<br>

  • Switches/circuits identified?<br>

  • No work being conducted near exposed live electrical equipment?<br>

  • Power tools in a visibly good condition?<br>

  • No strained leads?<br>

  • Lock out procedures and danger tags used where appropriate?<br>

  • Earth leakage devices used?<br>

  • Start/Stop switches clearly identified?<br>

  • Switchboards secured?<br>

  • No visible signs of vermin?<br>

Control Cubicles

  • Control cubicle structurally sound?<br><br>

  • Adequate signage to draw attention to potential hazard?<br>

JSEA & Job Start

  • JSEA and Job Start books available and being completed?<br>

  • Hot Work Permits completed?<br>

Lifting Equipment

  • All portable lifting equipment tested and tagged?<br>

Confined Spaces

  • Confined Space Permits completed correctly?<br>

Pits & Manholes

  • Correct signage in place?<br>

  • Pit or Manhole structurally sound?<br>

  • Covers & lids in good condition?<br>

  • Covers & lids prevent unauthorised access to pit or manhole?<br>

  • Free of pests & vermin?<br>

  • Ventilation adequate for normal operations?<br>

  • Ventilation sufficient to prevent asset damage?<br>

Pump Sets

  • Leaks?<br>

  • Are pumps in good operating order?<br>

Storage Tanks, Basins and Pits

  • Adequate barriers, guard rails & signage to prevent falling?

  • Non-slip walkways fitted to floating basin covers?<br>

  • Tank or basin in good condition?

  • Covers & lids in good condition?<br>

  • Is it possible for a person to enter a storage pit without authorisation?<br>

  • Covers & lids prevent unauthorised access?<br>

  • Storage freeboard level maintained to prevent over-topping?<br><br>

  • Observable signs of leakage or seepage?<br><br>

  • Algae present in lagoon or basin?<br><br>

  • If yes, has algae type been identified and risks communicated?<br><br>

  • Potential damage to lagoon walls (e.g. erosion, vegetation)?<br><br>

Exposure to raw sewerage/contaminated water

  • Is there potential for exposure to raw sewerage/contaminated water?<br>

Damage to Assets

  • Is there potential for accidental/deliberate damage to assets?

Structural Integrity of Building

  • Can the structural condition of building contribute to a hazard?<br>

Incorrect Use of Controls

  • Can controls be incorrectly used resulting in asset damage?

Extremes of temperature

  • Can anyone come into contact with objects at high temperature?<br>

  • Can anyone suffer ill health due to high or low temperature?<br>

Powerlines and powerpoles

  • Provide serial numbers of power poles located onsite

Environmental Management

  • Have there recently been uncontrolled discharges to the environment beyond the site boundary (e.g. odour, chemicals, water, wastes)?<br>

  • If yes, Have any actions required been completed?<br><br>

  • Have there been any recent complaints regarding noise, odour, air emissions, water, waste? <br><br>

  • If yes, Have any actions required been completed?<br><br>

  • Natural water bodies and lagoons fenced from access by livestock?<br><br>

  • Bank erosion or visible contamination of waterways?<br><br>

  • Waste generated on-site transferred to a waste or recycling facility?<br><br>

  • Are portable monitoring devices being calibrated as required? <br><br><br>

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.