Westernport Water

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Grounds and Perimeters

• Are gates and locks in a sound condition

  Yes

  No

  N/A

• Is perimeter fencing secure with no holes or gaps

  Yes

  No

  N/A

• Is the grounds clear of high grass and or debris

  Yes

  No

  N/A

• Is there any evidence of intrusion <br>

  Yes

  No

  N/A

• Are there any signs of vermin/snakes

  Yes

  No

  N/A

• Does the site have appropriate lighting

  Yes

  No

  N/A

• Are there any public liability risks

  Yes

  No

  N/A

• Site access is controlled.<br>

  Yes

  No

  N/A

• No visible evidence of vandalism

  Yes

  No

  N/A

• Ladder safety & security

  Yes

  No

  N/A

• Is there access to tank water or mains water?<br>

  Yes

  No

  N/A

• Is there power to the PS

  Yes

  No

  N/A

Signage

• Emergency after hour contact details on display

  Yes

  No

  N/A

• Restricted entry signs displayed<br>

  Yes

  No

  N/A

• Manifest at gate & appropriate Dangerous Goods signage as appropriate

  Yes

  No

  N/A

Site Hazards

• All pits are covered with lids attached

  Yes

  No

  N/A

• Dangerous Goods & Hazardous Substances are stored correctly & segregated by Class

  Yes

  No

  N/A

• <br>Are all chemicals listed on the www.msdsonline.com.au/westernportwater register with MSDS’s?

  Yes

  No

  N/A

Pump Station Access

• Can the site be accessed safely, no structures in the way?

  Yes

  No

  N/A

• Is there enough access for a vehicle, sewer trailer, water tank or jetter?

  Yes

  No

  N/A

Other

• Safety showers and eye wash stations are operational?<br>

  Yes

  No

  N/A

• Other (e.g. bunding, condition of any buildings, etc)

  Yes

  No

  N/A

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