Tully Monthly Hazard Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

INSTRUCTIONS

• "Safety Team Member are to wherever possible resolve hazards prior to the Safety Team Meeting –
  “FIX IT ON THE SPOT”"

• The checklist must be stored in your risk & safety store file for 2 years, then archive

• Unresolved Hazards must be transferred to minutes and a hazard report if applicable

All AREAS

• Fire Extinguishers are Fitted with an anti-tamper tag, Serviced every 6 months and Mounted to the wall safely?

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Is there clear access to firefighting equipment? – No obstructions

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Is there clear access to switchboards & plant room? – No obstructions

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are electrical appliances or equipment plugged directly into a power outlet? Extension cords are not to be used.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are we complying with the No Double Adaptor rule?

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• No electrical leads across the floor causing a trip hazard

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check power points & leads are in good condition

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Current testing and tagging is in place for equipment – Check dates on tags. Is it current?

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Only Safety Knives are being used – Check Workers

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are only approved chemicals being used as per workplace substance register

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Electrically operated machines have current testing and tagging

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Pathways are clear, and allow unobstructed access

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are Workers practicing correct manual handling techniques?

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Lights are operating

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are Emergency exit lights in good working condition

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are Fire exits and Fire equipment unobstructed - 1 metre clearance around equipment

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Workers are wearing correct PPE. E.g. steel capped boots, Hi Visibility vests, gloves etc

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are floors clean and clear

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• *Are Spill Kits available and maintained? E.g Cable tied and check stock levels

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

RECEIVING AREAS

• Hand Pallet jacks are in good condition – check Jack’s

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Electric Forklift Charger and charger power cable are in good condition – check the charger and examine the cable – not frayed or damaged

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Pallets in racking: Stock is secured to pallet stable and safe. Stock cannot be pushed off pallet if impact from other pallets occurs.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Pallets are stacked safely – No overhanging or leaning pallets. Pallets are in good condition and undamaged.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Stock/pallets have a 1Metre clearance from overhead sprinklers

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• The pallet racking ‘uprights’ are in good condition. Not damaged/bent

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• All racking bolted down and mounts secure

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Pallet racking safety clips are in place and secure on racking.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Safe Working Unit Loads for racking visible and in place

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Pallet racking beams are located at the height specified on Safe Work Load Limit signage located on pallet racking as per current configuration

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Steps/stairs are in good condition

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Stairwell’s are clear of stock/rubbish

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Under stairwell’s are clear from stock, rubbish & oddments

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Approved Ladders are available for use & are in good working order.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Compactor in good working order (verify cut out switch is working)

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Compactor entrance is clean/clear of rubbish, oddments & fixtures.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• “Danger do not enter compactor” sign present on Compactor

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• "Compactor Cut Out Switch is fully operational. Has not been tampered with to prevent operation.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Petrol operated machines, gas bottles etc. in the returns room have had fuel emptied before being returned.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

OFFICE AREAS

• Equipment such as chairs, desks, computers, etc. and in good working order

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are all computer cables neat /tested and tagged and out of the way. Eg. Cable tied/grouped if required

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Reasonable space behind office chairs, no cable across floor, nothing in roll space

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• COVID 19 office desks spaced 1.5 metres apart

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• COVID 19 signage displayed i.e. hand hygiene, sneeze and cough etiquette

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• COVID 19 checklists completed

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Paperwork filed, controlled volumes & storage of paperwork, reduced fire risk

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

AMENITIES

• Hand Cleaner, hand sanitiser, dryer, disposable hand wipes available

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Lunchroom is clean and clear.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Locker rooms are clean and free of stock.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Workers toilets are clean & in good condition. Doors close, no unbroken toilet role holders, seats or unpleasant smells.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Is the sick room clean and free of stock? (Where fitted)

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

PAINT DESK / DEPARTMENT

• "Are Workers aware of correct usage of PPE? PPE present in kit and being utilized <br>• Goggles – Mask – Apron - Gloves

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Housekeeping standards are being maintained.- Check the cupboards

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Cupboards and drawers are in good condition. Not broken or damaged.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• MSDS/SDS folder in place and workers are aware of correct usage.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

FIRST AID / EVACUATION

• "Are the names of First Aiders located on:<br>• First Aid Kits<br>• Risk & Safety Notice board<br>• Fire Emergency Evacuation Board (where fitted)

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• "The first aid kits are in a good condition and fully stocked with no out of date products.<br>Check contents list located on inside panel of kit to check contents are correct.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Emergency numbers (E.g. Chemdata) are available at the front end, courtesy desk.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Are Emergency Flipcharts in place at front end and in manager’s office?

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

TRADE YARD / TRADE OFFICE AND DRIVE THRU

• Directional signage in good condition?

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Boom Gates operating as per manufacturer’s specification? (Where applicable)

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• No stock stored on any roofs

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Designated Truck load/unload area in place & SWOP being followed

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Forklift SWOP being followed including 3m pedestrian exclusion zone

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Daily check sheets being completed for all plant and equipment

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• No metal strapping being used on site

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• No used strapping or loose rubbish lying around yard

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Gluts are not being left out as trip hazards

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Pallets stacked safely

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Saws, planners, panel saws etc have isolation switches fitted and being used

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• SWOPS in place next to Saws Planners and other power equipment

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• PPE available for Saws Planners, panel saws etc and is in good repair

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Staff wearing and using PPE, all in safety boots, hi viz.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Only safety knives being used

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• No pot holes in yard area

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Is store signage (large sign- yard) in good order, secure and no damage

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check pedestrian walkways to ensure that nothing is blocking the walkways i.e. stock, machinery or rubbish

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Remove all rubbish & clean saw cutting areas from timber dust

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

WAREHOUSE/FLOORING: PALLETS/RACKS/STORAGE PRACTICES.

• Damaged Uprights: Unless specifically designed to withstand horizontal forces, most pallet racking uprights are not capable of absorbing horizontal forces caused by impact from forklift trucks or their loads. Any signs of visible damage are inspected and measured to ensure it does not exceed those stated in AS4084, Section 9.3.
  
  A straight edge 1000mm long is placed in contact with a flat surface on the face of the damaged member so that the damaged area lies central, as near as possible to the length of the straight edge.
  

  

• Damaged Bracing: Bracing can either be damaged by direct impact from unit loads, or indirectly by forces transferred to them as a result of impact on the uprights. For bracing damage, the member deviation from a 1 meter straight edge in either plane must not exceed 10mm.

  

• Damaged Beams: Beams deflect vertically when under load and this is quite acceptable if the deflection is within the limits of the standards – AS4084 = L/180. If beams are deflecting beyond the acceptable limits it could be a sign they are overloaded.
  
  Comparison measurements must be made between straight, level edges, such as a second beam level set below the suspect beam.
  To take a measurement the comparison beam and the suspect beam must be unloaded.
  Three vertical measurements are taken from the centre and two outer edges of the suspect beam and the difference is the permanent deflection.
  

  

• Damaged Beam Connectors: AS4084 states “…. connectors shall not show visible permanent deformation or signs of cracking of welds….” When inspecting the beam connectors look for signs of stress or overload. This could appear as cracks in the surface finish, bending or bowing of connector edges or signs of cracking or excessive bending of individual connector lugs or ‘prongs.

  

• The Maximum permanent horizontal beam deflection in an unloaded condition = Span/500

  

• Check Beam clips, good condition/no damage, replace any missing clips.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check Loads stacked and/or properly secured

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check for any damaged beams, uprights. Tag out do not USE until repaired and certified for use.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• "Check SWL & Maintenance Signage - <br>Do not exceed Safe Working Loads. Review Load sign: Load sign data should be reviewed to ensure is still applicable with the current configuration of the racking.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• SHRINK WRAP - Ensure that there is no shrink wrap hanging from pallets, beams or within slot. (Where applicable)

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Rack uprights and shelving properly sized

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Rack uprights and shelving properly secured

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Empty pallets properly stored

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check for any damaged beams, uprights. Tag out do not USE until repaired and certified for use.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check FOOTING - The flat base pad that supports the upright post and spreads the load of the racking is secured, in good condition/not damaged.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Monitor posts: check for damage and/or cracks.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

TRADE YARD

TRADE YARD - CANTILEVER RACKING

• "Check SWL & Maintenance Signage - Do not exceed Safe Working Loads. Review Load sign: Load sign data should be reviewed to ensure is still applicable with the current configuration of the racking."

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check Cantilever arms for any damage. Tag Out do not USE until repaired and certified for use.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• "Check any shims used under the footplates of uprights to help level the section of pallet rack and prevent it from wobbling. Check if racking wobbles. If racking is unstable, contact maintenance to get shims checked for alignment and tension. It is important that pallet rack be installed level. Pallet rack shims are required if your concrete floor is not level. Leveling shims are offered in different sizes and thicknesses.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check cantilever diagonal braces, good condition/no damage. Tag Out do not USE until repaired/replaced and certified for use.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check cantilever horizontal braces, good condition/no damage. Tag Out do not USE until repaired/replaced and certified for use.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

TRADE YARD: TIMBER PIGEON RACKING

• Check for any damage, racking system, shelves are in good working order.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check no mezz decks are damaged/no trip hazards.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check handrails no damage/secured.

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check steps for damage/potential; slip/trip/falls. Are they in good working order/repair?

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

• Check heavier items are located on the bottom rack (where applicable)

  Yes

  No

  N/A

• "Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• By whom and by when?

TROLLEY CHECK

• "TRAVELATOR WHEEL – BRAKE ARM (if applicable)
  The two grooves (wear indicators) indicate how much the brake arms have worn. Use these indicators as a guide to determine the extent of wear in the wheel, Brake pads are worn past the wear indicators, Missing brake pad arm or missing rubber stopper, Damage brake pad / Chunk out of the wheel.
  
  

  

• TRAVELATOR WHEEL – DUAL DISC RAISED BRAKE PAD & DUAL DISC FLUSH BRAKE PAD (if applicable) - Centre brake pad has minimal grooving, Wheel discs free running (no obstructions stopping wheels from moving) or Centre Brake pad not missing, Showing severe signs of grooving on brake pad, Chunks out of the wheel disc.

  

• "STANDARD WHEEL - Front and Rear wheel assembly - Wheels free running (no obstruction), aligned and stable with minimum tread wear, Lock nut and tyre not showing + signs of separating from the centre of the wheel, Rubber not brittle/ bearings not collapsed.

  

• "TROLLEY GATES - Located inside the basket, Rear gate not swinging past the end of the basket

  

• "TROLLEY HANDLE - Handle secured with plastic sleeve coating covering full handle, no damage, corner caps not missing, no sharp edges or handles missing

  

• TROLLEY BASKETS
  1. Trolley basket wires straight and secured. No excessive gap between wires.
  2. No Missing basket wires leaving a gap large enough for a child to fit a limb through.
  3. No Protruding wires.

  

• "TROLLEY FRAME - Frame secured together, no breaks or fractures.

  

• CHILD RESTRAINTS
  1. Child restraint fitted to trolley.
  2. Plastic locking buckle clips not missing.
  3. No evident cracks in the plastic locking buckle.
  

  

• BABY CAPSULES
  1. Baby restraint buckles and straps secured.
  2. Capsule secured to trolley and stable.
  3. Straps not damaged or frayed.
  4. Baby capsule mattress not cracked
  

  

• Yes

  No

  N/A

• Other Hazard #1

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #2

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #3

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #4

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #5

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #6

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #7

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #8

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #9

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Other Hazard #10

• Write the Action taken to correct or fix. If not corrected or fixed write “Transferred to Minutes”

• Completed By Person Responsible

• Completed By Date

  Date

• Site Safety Team Member Name

• Signature

  Sign

• Date and Time

  Date

• Reviewed by Store/Duty Manager Name

• Signature

  Sign

• Date and Time

  Date