Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
1. HSEQ MANAGEMENT SYSTEM
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1.1 Can the Manager / Supervisor access the UCR Management system?
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1.2 Can the Manager / Supervisor identify where polices and procedures are located?
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1.2 Can the Manager / Supervisor identify where forms & records are located?
2. INDUCTION, TRAINING & COMMUNICATION
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2.1 Can the Manager / Supervisor access the training matrix?
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2.2 Is the Training Matrix up to date?
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2.3 Have all current staff completed the induction process?
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2.4 Are employee Files & qualifications accessible & current? (Drivers Licences & Forklift Licences)
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2.5 Is the HSEQ notice board accessible and in use?
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2.6 Have tool box meetings been occurring regularly?
3. MANAGING CONTRACTORS & VISITORS
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3.1 Is the Visitor Induction available?
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3.2 Is the Visitor Register available?
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3.3 Is there evidence of the visitor inductions occurring?
4. INSPECTIONS & AUDITING
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4.1 Are Workplace Inspection Checklists being completed regularly Weekly?
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4.2 Are actions from previous internal audits / inspections closed out?
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4.3 Are actions from previous external audits closed out?
5. INCIDENT MANAGEMENT & CORRECTIVE ACTION
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5.1 Are Hazard & Incident Report Forms available?
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5.3 Is the Workers Compensation Poster displayed?
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5.3 Is the Rehabilitation & Return to Work Coordinators contact details displayed?
6. EMERGENCY PREPAREDNESS & RESPONSE
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6.1 Is the site Emergency Response Plan accessible and current?
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6.2 Are site emergency contacts displayed and correct?
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6.3 Are site first aiders nominated, qualified and current?
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6.4 Is the site evacuation diagram correct, legible, displayed in appropriate locations, and orientated?
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6.5 Have evacuations exercises been conducted annually?
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6.6 Are first aid kit signs installed in appropriate locations
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6.7 Is the site first aid kit compliant and accessible?
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6.8 Have first aid kit inspections been conducted regularly?
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6.9 Are fire extinguisher signs installed in appropriate locations and not obstructed?
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6.10 Are sufficient fire extinguishers available?
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6.11 Have fire extinguishers been inspected 6 monthly as required?
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6.12 Are Emergency Exits clearly marked and not obstructed?
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6.13 Are Evacuation Assembly Areas clearly sign posted and accessible?
7. HEALTH SURVEILLANCE
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7.1 Is Temperature Monitoring occurring?
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7.2 Is Noise monitoring occurring?
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7.3 Is fitness for work monitoring occurring?
8. MENTAL HEALTH
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8.1 Is the Employee Assistance Program Poster displayed? (Workers Psychological Support Service)
9. PPE
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9.1 Is adequate PPE available?
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9.2 Are workers visibly wearing PPE Glasses, Ear Protection, Gloves, Boots, Hi Vis?
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9.3 Are workers exposed to UV radiation supplied with adequate sun protection?
10. MANUAL HANDLING & ERGONOMICS
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10.1 Are mechanical lifting devices available & in serviceable condition?
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10.2 Are workers observed using safe manual handling practices?
11. HAZARDOUS CHEMICALS & SUBSTANCES
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11.1 Is the site Hazardous Substances Register current?
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11.2 Are the SDS's available for all chemicals in use and are they within 5 year expiry?
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11.3 Are chemicals stored safely in a secure location with appropriate signage?
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11.4 Are spill kits available?
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11.5 If LPG is in use, are cylinders stored safely?
12. PLANT & EQUIPMENT
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12.1 Is the forklift in good operating condition with no serious defects?
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12.2 Are forklift prestart inspections conducted before every use?
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12.3 Is the forklift SWI signed off by all operators?
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12.4 Has the forklift undergone regular service & maintenance?
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12.5 Are conveyors & counting machines in good operating condition with no serious defects with prestarts conducted prior to operation?
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12.6 Do conveyors and counting machines have adequate guarding, emergency stops and signage?
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12.7 Are the Peris Machine & conveyor SWI's signed off by all operators?
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12.8 Is the Lock Out / Tag Out SWI signed off by all operators?
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12.9 Are lock outs accessible?
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12.10 Are Out of Service Tags available?
13. VEHICLES
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13.1 Are the site light vehicles / trucks in good operating condition with no serious defects?
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13.2 Are vehicle prestart inspections conducted before every use?
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13.3 Are the Light Vehicle & Loading & Unloading Trucks & Trailers SWI's signed off by all operators?
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13.4 Are all vehicles supplied with an adequate first aid kit?
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13.5 Are all vehicles supplied with a fire extinguisher with current inspection tag?
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13.6 Are all vehicles supplied with a sharps container & tongs?
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13.7 Are all vehicles supplied with an up to date UCR vehicle information kit?
14. TRAFFIC MANAGEMENT
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14.1 Is the site TMP accessible and current?
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14.2 Is appropriate traffic control signage & line marking in place?
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14.3 Are physical barriers / bollards in place where pedestrian / traffic interaction presents a risk?
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14.4 Are forklift / loading / logistic exclusion zones clearly identified & in use?
15. PUBLIC SAFETY
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15.1 Are Conditions of Entry signage and other signage to ensure customer safety in place?
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15.2 Does the Conditions of Entry signage or other signage/controls address the safety of adult supervision of children onsite?
16. WORK ENVIRONMENT, HOUSEKEEPING & STORAGE OF MATERIALS
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16.1 Are there adequate site facilities for workers onsite including staff room, handwashing, toilets and are these regularly cleaned and maintained?
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16.2 Does the facility have sufficient lighting (natural / artificial) to allow workers to move about easily and carry out work activities?
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16.3 Does the facility have sufficient ventilation (natural / artificial), allowing exhaust fumes from forklifts and customer vehicles to escape the work zones?
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16.4 Does the facility have controls in place to protect workers from weather conditions (Sun, hot, cold, rain, etc)
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16.5 Does the facility manage noise, and exposure to noise? E.g. attenuation shrouds; ear/hearing protection; large volume glass dumping occurring outdoors where possible
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16.6 Is a pest control process in place including but not limited to regular cleaning, baits etc. and/or use of a pest control provider?
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16.7 Is the site free of slip / trip hazards?
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16.8 Is the site free of excessive broken glass?
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16.9 Are waste bins emptied and not overflowing?
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16.10 Are materials, bags, bins and shelves stacked / stored / packed safely and neatly?
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16.11 Are materials, equipment and plant are stored in allocated zones and storage facilities?
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16.12 Is the worksite free of unnecessary articles and items not related to the operation?
17. BIOLOGICAL HAZARDS (COVID19, Sharps Broken Glass / Needles, Contamination)
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17.1 Is a sharps container accessible?
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17.2 Are tongs accessible?
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17.3 Are suitable gloves available for broken glass and sharps?
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17.4 Does the Operator have a COVID Plan
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17.5 Does the Operator implement good hygiene practices including hand hygiene and workplace cleaning (e.g. disinfection products and handwashing facilities)
18. WORKING AT HEIGHTS
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18.1 Are industrially rated ladders / safety steps accessible and in good repair?
19. SECURITY / CASH HANDLING / THEFT / VIOLENCE
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19.1 Is the cash register located in a secure place and kept closed?
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19.2 Are private staff information and details are kept in secured location under lock and key / password protected?
20. YOUNG WORKERS
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20.1 Are young workers paired with a buddy / mentor until competent?
21. ELECTRICAL SAFETY
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21.1 Are electrical installations secured (lockable/restricted) and signed (electrical warning signs) including control panels; switchboards; other (sitespecific) to prevent access by unauthorised personnel?
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21.2 Are all electrical and extension cables / cords, and fittings free from visible damage / wear and tear, cords protected to prevent slips / trips during use, and stored appropriately when not in use?
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21.3 Is the electrical equipment register with records of testing / tagging performed by competent tradesperson / qualified electrician current and accessible?
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21.4 Have RCD's been tested and tagged annually?
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21.5 Have all electrical devices, cords and power boards been tested and tagged 6 monthly?
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21.6 Are all power boards and extension leads of industrial grade and suspended from the floor?
22. ENVIRONMENTAL ASPECTS & IMPACTS
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22.1 Is the site free of excessive weeds
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22.2 Are drains clear to run freely?
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22.3 Are grounds free of rubbish & litter?
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22.4 Is the site free of visible sources of contamination?