Varley Workplace Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A

2.0 Access and Egress

• 2.1 Work area allows clear visibility to traffic arriving, leaving or passing?

  Yes

  No

  N/A

• 2.2 Clearly identified work area, plant storage area and vehicle access?

  Yes

  No

  N/A

• 2.3 Restricted access controlled (lockable gates, chains, barricade tape, isolation tags etc)?

  Yes

  No

  N/A

• 2.4 Speed restriction/caution or traffic/pedestrian control signs as appropriate?

  Yes

  No

  N/A

• 2.5 Work height correct for the type of work and the employee?

  Yes

  No

  N/A

3.0 General Plant

• 3.1 Emergency stops provided and signed - lanyards, emergency stop buttons?

  Yes

  No

  N/A

• 3.2 All removable guards securely bolted and/or locked in place?

  Yes

  No

  N/A

• 3.3 All pinch/nip points and hot surfaces are protected?

  Yes

  No

  N/A

• 3.4 Clear access around equipment or access restricted where necessary?

  Yes

  No

  N/A

• 3.5 Signage on equipment in good condition. KKS, Confined Space, Tag Outs, gas bottles etc?

  Yes

  No

  N/A

4.0 - Electrical Safety

• 4.1 - Electrical equipment in good condition and safe to use?

  Yes

  No

  N/A

• 4.2 Test and Tag dates current (monthly/3monthly)?

  Yes

  No

  N/A

• 4.3 Electrical supply protected with RCD (tested and tagged)?

  Yes

  No

  N/A

• 4.4 Cords running safely, off ground, no pinch points, not rubbing or coiled?

  Yes

  No

  N/A

• 4.5 No power leads across walkways?

  Yes

  No

  N/A

5.0 Chemical Safety

• 5.1 SDS Register complete and available?

  Yes

  No

  N/A

• 5.2 Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• 5.3 All containers labelled correctly?

  Yes

  No

  N/A

• 5.5 Unused substances disposed of?

  Yes

  No

  N/A

• 5.6 If applicable are special storage conditions followed?

  Yes

  No

  N/A

• 5.7 Workers following conditions of the SDS?

  Yes

  No

  N/A

• 5.8 Workers are wearing PPE required?

  Yes

  No

  N/A

• 5.9 Is adequate ventilation provided?

  Yes

  No

  N/A

6.0 Emergency Equipment

• 6.1 Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• 6.2 Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 6.3 Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 6.4 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 6.5 Emergency shower/eyewash clear of obstruction and in good working order?

  Yes

  No

  N/A

• 6.6 Fire fitting and hoses rolled up and stored appropriately?

  Yes

  No

  N/A

• 6.7 Emergency Exit lights are working?

  Yes

  No

  N/A

• 6.8 Exit doors easily opened from inside?

  Yes

  No

  N/A

• 6.9 Exits clear of obstructions?

  Yes

  No

  N/A

• 6.10 Emergency phone clearly marked and working (dial tone)?

  Yes

  No

  N/A

7.0 PTW General

• 7.1 PTW is being used with a completed JSEA with workers signed on?

  Yes

  No

  N/A

• 7.2 All workers working with a PTW have signed and locked onto the PTW board?

  Yes

  No

  N/A

• 7.3 Confined Space Permit has been completed appropriately? Rescue Plan in place?

  Yes

  No

  N/A

• 7.4 Hot Work Permit has been completed appropriately? Controls in place?

  Yes

  No

  N/A

• 7.5 Barrier tape is appropriate to the work being performed and fitted with correct signage?

  Yes

  No

  N/A

• 7.6 Floor/Handrail Permit has been completed appropriately? Controls in place?

  Yes

  No

  N/A

8.0 Floor, Stairs, Ladders, Platforms and Roof

• 8.1 Floor surfaces even, no uncovered holes?

  Yes

  No

  N/A

• 8.2 Flooring is secure and free of trip hazards?

  Yes

  No

  N/A

• 8.3 Clearly defined and well laid out storage/work areas?

  Yes

  No

  N/A

• 8.4 Stairways , corridors, passageways and emergency exits not obstructed?

  Yes

  No

  N/A

• 8.5 Stairs, ladders and platforms have handrails, mid rails and toe boards?

  Yes

  No

  N/A

• 8.6 Are fall preventative measures in place and used where gaps occur in railings and flooring?

  Yes

  No

  N/A

• 8.7 Scafftag fixed to access points on scaffolds?

  Yes

  No

  N/A

• 8.8 Good natural lighting/portable lighting place?

  Yes

  No

  N/A

• 8.9 Light fittings clean and in good condition?

  Yes

  No

  N/A

9.0 General Storage

• 9.1 Materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• 9.2 Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• 9.3 Storage areas are clean and tidy, not a fire hazard?

  Yes

  No

  N/A

• 9.4 Items stored near handrail or at height are protected from falls

  Yes

  No

  N/A

• 9.5 Rubbish bins provided, labelled with waste product, used appropriately and regularly emptied?

  Yes

  No

  N/A

10.0 Personal Protective Equipment

• 10.1 Adequate PPE provided, clean, maintained and stored?

  Yes

  No

  N/A

• 10.2 Workers using appropriate PPE as required :<br>* Hard Hat<br>* Safety Boots<br>* Safety Glasses<br>* Hearing Protection<br>* Task specific Gloves<br>* Double eye protection<br>* Respirators<br>* Sleeves rolled down

  Yes

  No

  N/A

11.0 Tools and Equipment

• 11.1 Hand tools well maintained and appropriate for the task, equipment clean and stored well?

  Yes

  No

  N/A

• 11.2 Fall protection and or lanyards being used to prevent tools from falling?

  Yes

  No

  N/A

• 11.3 Machinery adequately guarded (no exposed pinch points)?

  Yes

  No

  N/A

• 11.4 Gas cylinders appropriately stored and restrained?

  Yes

  No

  N/A

• 11.5 Oxy/Acet fitted with flash protection and regularly inspected (tagged in date)?

  Yes

  No

  N/A

• 11.6 Harness/restrain equipment being used has been inspected and free of damage (tagged in date)?

  Yes

  No

  N/A

• 11.7 Sling/chain being used has been inspected and free of damage (tagged in date)?

  Yes

  No

  N/A

• 11.8 Machines have been kept clean, swarf disposed of?

  Yes

  No

  N/A

12.0 Action

• Safe actions Observed

• At Risk Actions Observed

• Follow up Actions to Occur

Sign Off

• Auditor's signature

  Sign