Watercare Operations - Safety Inspection

• Process Area

• Treatment Plant

• Conducted on

  Date

• Prepared by

• Location
  Address

• STARTING NOTE: Select Response Priority Based on Risk Rating: 1 extreme risk - stop work until rectified, 2 high risk - repair within 24 hours, 3 moderate risk - repair within a week, 4 negligable risk - improve at manager's discretion, 5 no risk - no action required

ACCESS

• SLIP TRIP FALL

• Are slip and trip hazards controlled?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are all access ways kept clear?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are items stacked and stored safely?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• HOUSEKEEPING

• Is safety equipment (eg fire extinguishers) available, clearly identified and serviceable?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is signage clearly visible and in good condition?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is all required signage in place?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is the area free of rubbish and debris?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is plant/equipment clean and tidy and labelled?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are tools safe, clean and serviceable?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• CONFINED SPACES

• Are there confined spaces in this area?

  YES

  No

• Are confined spaces clearly signed?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are confined spaces securely isolated?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Have all confined spaces been identified?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• FALL FROM HEIGHT

• Are there high working platforms in this area?

  YES

  No

• Are all raised working areas effectively guarded against falling?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are handrails and other fall prevention safety installation free of visible damage?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are there ladders (fixed or portable) in this area

  YES

  No

• Are ladder guards to prevent unauthorised use locked?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are all ladders identified and tagged?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are ladders free of visible damage?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are ladders correctly stored?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

ENVIRONMENT

• Is the area free of unstable ground causing safety risks?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are potential sources of fire and/or explosion identified with appropriate warning?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are potential sources of hazardous radiation (eg UV) identified and controlled?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are open water areas causing potential drowning risks identified with warnings and reference to PPE?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are there controls in place for potential sources of pathogens?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is the area free of hazardous noise and, if not, is the hazard identified with reference to PPE requirements?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is the area provided with suitable lighting that is well maintained?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are there controls in place for potential sources of hazardous atmospheric contaminants (VOC's, CO, dust)?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are traffic hazards adequately controlled?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

MECHANICAL

• Is correct guarding in place for moving machinery?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is there heavy lifting equipment in this area?

  YES

  No

• Is lifting gear correctly stored?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is lifting equipment correctly tagged?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is rated capacity clearly visible on lifting gear?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is lifting gear free of visible signs of damage?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is pipework containing liquids or gases under pressure free of visible signs of damage?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are pressure vessels appropriately certified?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

HAZARDOUS MATERIAL

• Are there hazardous materials in this area?

  YES

  No

• Are hazardous materials correctly stored?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are correctly sized bunds in place for bulk chemical tanks?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Is there appropriate separation of chemicals that can react together?<br>

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are there MSDS sheets available for all chemicals?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

ELECTRICAL

• Are all electrical appliances/equipment correctly tagged?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

• Are electrical cables routed safely (protected and tied off to prevent cable damage)?

  Pass

  Fail

  N/A

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

OTHER

• Have all safety issues observed been captured in this report?

  YES

  No

• Description of Issue

• Photos

  Media

• Response Priority Based on Risk Rating (see starting note)

  Extreme Risk -stop work

  High Risk - rectify with 24 hrs

  Moderate Risk - rectify within a week

  Negligable Risk - discretionary improvements

• Follow up Action/Comments (include responsibility allocation and tracking reference - M5 Notification)

SIGN OFF

• M5 Notifications have been raised for all actions identified.

• Sign off by person undertaking the inspection

  Sign