Venue Verification Checklist

• Document No. SH.Tool.18.02.01

• Audit Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

• Personnel

• Number of employees

Safety Notice Board

• Is the SH.Fact.01.01 - ALH SH Policy (v3 30.06.15) on the notice board?

  Yes

  No

• Is the ALH SH Plan - FY 2015/2016 posted on the notice board?

  Yes

  No

• Are the latest SH.Form.06.01 - Employee Safety Meeting Agenda / Minutes posted on the notice board?

  Yes

  No

• Date of last staff meeting held using SH.Form.06.01 - Employee Safety Meeting Agenda / Minutes?

• Is the SH Issue Resolution Flow Chart posted on the notice board?

  Yes

  No

• Are the current State Safety Steering Committee minutes posted on the notice board?

  Yes

  No

• Does the safety notice board comply with SH.Fact.06.02 – SH Notice Board Content (v)

  Yes

  No

• Are emergency plans in place?

  Yes

  No

• Are the plans up to date?

  Yes

  No

• Are the chief fire warden and wardens identified and communicated on the notice board?

  Yes

  No

• Are first aiders listed on the notice board and are details up to date? Verify certificates to notice board list

  Yes

  No

• Does the approved manager schedule reflect first aid requirements? Minimum one first aider per shift

  Yes

  No

• Is the availabilty of first aid kits identified on the notice board?

  Yes

  No

• "Is the ""speak up"" communication posted on the notice board?"

  Yes

  No

Safety Management System Folder

• How many documents are in the Safety Management System folder at the venue?

• How many documents are required as per the SH.Reg.05.01 - ALH Management System Document Hierarchy?

• If required, have all missing documents been identified, downloaded from google drive, printed and correctly placed in the Safety Management System folder?

  Yes

  No

• Has the completed SH Reg.04.01 - SH Skills and Training Register (State Specific) (v01 May 2015) been printed and available?

  Yes

  No

Evidence Folder

• What percentage of staff current staff have completed SH.Form.04.01 - SH Training Needs Analysis (v01 Jun 2015)?

• What percentage of staff have signed off on SH.SOP.10.05.01 - Carrying plates (v01 Aug 2015) using SH.SOP.10.05.01.01

• What percentage of staff have signed off on SH.SOP.10.05.02 - Changing light bulbs using a Portable ladder (v01 Aug 2015) using SH.SOP.10.05.02.01

• What percentage of staff have signed off on SH.SOP.10.05.03 - Coin Clearance (v01 Aug 2015) using SH.SOP.10.05.03.01

• What percentage of staff have signed off on SH.SOP.10.05.04 - Emptying Full Coin Cannisters into Dispenser (v01 Aug 2015) using SH.SOP.10.05.04.01?

• What percentage of staff have signed off on SH.SOP.10.05.05 - Loading and Unloading dishwasher (v01 Aug 2015) using SH.SOP.10.05.05.01?

• What percentage of staff have signed off on SH.SOP.10.05.06 - Moving Full and Empty Kegs (v01 Aug 2015) using SH.SOP.10.05.06.01

• What percentage of staff have signed off on SH.SOP.10.05.07 - Moving Function Chairs (v01 Aug 2015) usin SH.SOP.10.05.07.01?

• What percentage of staff have signed off on SH.SOP.10.05.08 - Moving Gaming Stools (v01 Aug 2015) using SH.SOP.10.05.08.01?

• What percentage of staff have signed off on SH.SOP.10.05.09 - Moving Tables (Without Mechanical Aids) (v01 Aug 2015) using SH.SOP.10.05.09.01?

• What percentage of staff have signed off on SH.SOP.10.05.10 - Carrying Trays of Glasses (v01 Aug 2015) using SH.SOP.10.05.10.01

• What percentage of current employees have completed ALH Group Online Induction?

• What percentage of current employees have completed site specific Induction?

• Has the VM attended SH Management System implementation workshop?

  Yes

  No

• Date of attendance

• What percentage of staff have completed SH.Form.04.01 - SH Training Needs Analysis (v01 Jun 2015) identify refresher training being done?

• Is SH.Reg.08.01.01 – Kitchen Hazard Register (v01 May 2015) available to all staff?

  Yes

  No

• Is SH.Reg.08.01.02 – Accommodation Hazard Register (v) available to all staff??

  Yes

  No

• Is SH.Reg.08.01.03 – Bistro Hazard Register (v) available to all staff??

  Yes

  No

• Is SH.Reg.08.01.04 – Functions Hazard Register (v) available to all staff??

  Yes

  No

• Is SH.Reg.08.01.05 – Gaming Hazard Register (v) available to all staff??

  Yes

  No

• Is SH.Reg.08.01.06 – Public Sports Bar Hazard Register (v) available to all staff??

  Yes

  No

• Is SH.Reg.08.01.07 – Above Ground Cellar Hazard Register (v) available to all staff??

  Yes

  No

• Is SH.Reg.08.01.08 – Below Ground Cellar Hazard Register (v) available to all staff??

  Yes

  No

• Is SH.Reg.08.01.09 – Nightclub Hazard Register (v) available to all staff?

  Yes

  No

• Are SH.Form.10.04 - SH Inspection Checklists available and completed within required time frames?

  Yes

  No

• What percentage of current employees has the SH.Fact.10.01 - Fact Sheet - Isolation (Lock Out/Tag Out) (v01 Aug 2015) been communicated to and recorded as complete on the TNAs?

• What percentage of current employees has the SH.Fact.10.02 - Fact Sheet – Manual Handling (v01 June 2015) been communicated to and recorded as complete on the TNAs?

• What percentage of current employees has the SH.Fact.10.03 - Fact Sheet – Danger Tagging (v01 June 2015) been communicated to and recorded as complete on the TNAs?

• What percentage of current employees has the SH.Fact.10.05 - Fact Sheet – Housekeeping (v01 Aug 2015) been communicated to and recorded as complete on the TNAs?

• What percentage of current employees has the SH.Fact.10.06 - Fact Sheet – Safe Use, Handling, Transfer and Transport of HS/DG (v01 Aug 2015) been communicated to and recorded as complete on the TNAs?

• What percentage of current employees has the SH.Fact.10.08 - Fact Sheet – SH.Fact.10.08 – Supervisory Arrangements (wip) been communicated to and recorded as complete on the TNAs?

• What percentage of current employees has the SH.Fact.10.07 - Fact Sheet – Bodily Fluids Clean Up (v01 Aug 2015) been communicated to and recorded as complete on the TNAs?

• Does the SH.Proc.08.01 - SH Risk Management document show update and reviewed dates?

  Yes

  No

• Are the SH.Form.10.01 – Hot Work Permit (v01 Jun 2015) available, completed and filed (when applicable)?

  Yes

  No

  N/A

• Are the SH.Form.10.02 – Electrical Work Permit (v01 Jun 2015) available, completed and filed (when applicable)?

  Yes

  No

  N/A

• Are the SH.Form.10.03 – Roof Access/Working at Height Permit (v01 Jun 2015) available, completed and filed (when applicable)?

  Yes

  No

  N/A

• Does the venue have a current and relevant SH Venue Specific HS/DG Register in place?

  Yes

  No

• What was the date completed?

• Is the approved supplier listing current, available and utilised?

  Yes

  No

• Is the SH.Proc.08.04 - Hazardous Substances Dangerous Goods policy in place and available?

  Yes

  No

  N/A

• How many SH.Form.08.03 HS/DG Evaluation forms have been completed for identified high risk HS/DG on an annual basis?

• Has SH.Fact.08.01 - Using Portable Electrical Equipment Provided by Third Parties (wip) been comunicated with employees and filed?

  Yes

  No

  N/A

• Is SH.Reg.08.02 - Venue PPE register (v01 July 2015) in place and completed for all PPE available?

  Yes

  No

  N/A

• Are all Safety Data Sheets available for all HS/DG current? Less than 5 years old

  Yes

  No

• Are4 Safety Data Sheets available for all HS/DG online or hard copy?

  Yes

  No

Yellow box

• Are completed yellow copies of SH.Form.16.01 - Incident Report Form A filed in the yellow box for a minimum of 12 months?

  Yes

  No

• Are completed yellow copies of SH.Form.16.02 - Incident Report Form C filed in the yellow box for a minimum of 12 months?

  Yes

  No

• Are danger tags readily available in the yellow box?

  Yes

  No

• Are SH.Form.08.01 – SH Hazard Report Form (v01 Jun 2015), completed for known hazards over the last 12 months, available in the yellow box?

  Yes

  No

• Is the latest asbestos register located in the Yellow box and contractor sign in register?

  Yes

  No

  N/A

• Is the asbestos register updated to reflect any changes?

  Yes

  No

  N/A

• What was the date of the last update?

• Does emergency plan contain documentation showing completion of annual training and practice?

  Yes

  No

Black Box

• Is the most recent C + LP Pulse audit in the black box?

  Yes

  No

  N/A

• Have the identified C+LP Pulse Audits safety items been corrected?

  Yes

  No

Venue observations

• Does the venue have a non pedestrian forklift

  Yes

  No

• Is the forklift registered

  Yes

  No

• What is the expiry date? Confirm with venue or SSC fleet manager.

• Does the venue have a courtesy bus?

  Yes

  No

• Is the vehicle registered?

  Yes

  No

• What is the expiry date? Check with SSC fleet manager.

• Does the venue have a cargo van/light commercial ute?

  Yes

  No

• Is the vehicle registered?

  Yes

  No

• What is the expiry date? Check with SSC fleet manager.

• Does the venue have registerable plant?

  Yes

  No

• Is the plant registered?

  Yes

  No

• What is the registration number?

• Is the SH.Form.04.02 - Annual ALH SH State Specific Training Plan (v01 Jun 2015) available in the Venue Managers office?

  Yes

  No

• Are State Steering Safety Committee minutes available on the intranet?

  Yes

  No

• Is relevant signage in place in internal and external areas of the venue advising of access controls where necessary?

  Yes

  No

• Is the certificate of classification current and displayed at main entrance?

  Yes

  No

  N/A

• When visiting venue are all HS/DG stored correctly?

  Yes

  No

• Are relevant signs, barricades, danger tags, locks, etc available for use in controlling the safety of people during maintenance or servicing of plant and equipment?

  Yes

  No

• Is compliant signage on display where required throughout the venue? Fire, evacuation, gas and asbestos

  Yes

  No

• Does the contractor sign in register have the yellow asbestos sticker attached?

  Yes

  No

  N/A

• Do contract cleaners (not housekeepers) leave electrical equipment on-premise?

  Yes

  No

• Is it tested and tagged?

  Yes

  No

• What was the test date recorded

• Do contract cleaners leave chemicals on-premise?

  Yes

  No

• Is there an in date MSDS for each chemical left on premise?

  Yes

  No

• If no, has the Venue Manager spoken to the Cleaning supervisor to rectify?

  Yes

  No

  N/A

• Are notations made in regard to noise testing where relevant or required?

  Yes

  No

  N/A

• Additional comments

  Notes

• Safety Team Member

  Sign

• Venue Representative

  Sign