Title Page

  • Conducted on

  • Prepared by

  • Location

Wharf and MOF Access & Egress

  • Are designated walkways clearly marked? (E.g. Paint is not faded or missing)

  • Are aisles & walkways free of obstructions?

  • Is there clear access to electrical switchboards?

  • Is there clear access to all emergency equipment?

  • Are all emergency exits clearly marked and easily opened? (Should open in direction of egress)

  • Are advisory signs (traffic direction, speed limit, parking areas, restricted areas etc) visible and in good condition?

  • Floors have an even, unbroken and slip resistant surface that is reasonably free of indentations or other obstructions that could cause a person to trip or slip.

Wharf and MOF Emergency Equipment

  • Fire equipment (hose reels, fire extinguishers, fire alarms) is in place, in good condition and clearly marked?

  • Are test tags on portable fire extinguishers current? (Sample only – inspections are on a 6 monthly test frequency)

  • Are emergency lights & emergency exit lights operating?

  • Are the evacuation procedures, building warden details and the emergency evacuation assembly point clearly visible?

  • Spill Kits available and in serviceable condition?

  • Personnel trained in use of spill containment

Fire Prevention

  • Are waste materials removed on a regular basis, bin areas are kept clean and tidy?

  • Are flammable materials kept, and handled in a manner that minimizes the risk of fire?

  • Are flammable liquids kept in purpose built storage cabinets which are grounded to prevent static sparking?

  • Are fixed fire systems checked/monitored periodically? (check and record inspection date in comments)

  • Are fire alarm systems in place and checked periodically?

  • Fire Extinguishers in place? Inspection in date? (record date in comments)

First Aid - Wharf/Houseboat

  • Are the names of the designated first aiders or medics displayed?

  • Are First aid kits reasonably accessible to all workers, clearly signed and easily visible?

  • Are the contents of first aid kits maintained consistent with the First Aid Kit Contents List?<br>- Inspect the kit and check the contents against the list .

  • AED’s self-test function is showing correct operation (Normally indicated by a flashing green light or tick)

Buildings & Workshops (TSA Workshop)

  • Are all external pathways free of tripping hazards?

  • Are all external pathways well drained to prevent pooling of water?

  • Are all external steps and changes of level clearly delineated?

  • Is external lighting adequate & operational?

  • Is their evidence of a vermin or pest control program in place where required?

  • Are access roads, carpark and pedestrian walkway signs & markings easily seen and understood?


  • Are 240v plugs, sockets, leads and switches in good condition?

  • Do all electrical leads and appliances have test tags attached which are within their test date? (Sample only)

  • Have new appliances that were introduced since last inspection been tagged?

  • Are electrical leads clear off the floor and or kept clear of walkways?

  • Are their sufficient power outlets available to limit the over-use of electrical power boards?

  • Are power- boards used in preference to double adapters?

  • Are flexible electrical leads kept clear from wet areas?

  • Are electrical circuits protected by fixed RCD’s at switchboard?

  • Are portable RCDs used where no fixed RCD is installed?

  • Are faulty electrical equipment items tagged out of service?


  • Are bins and storage facilities provided in close proximity to work/rest areas?

  • Is there a cleaning program in place to ensure the work area and facilities are maintained in a clean and hygienic condition?

  • Are covered rubbish bins available?

  • Are there spill containment kits / facilities in place which are located in close proximity to where spills are likely to occur?

Manual Handling - Storage TSA Workshop/MOF

  • Are frequently used items stored within easy access? (between knee & shoulder)

  • Are heavy items that are manually handled stored at waist height?

  • Are stored or stacked items positioned in a way that will prevent them from falling?

  • Are mechanical aids - Available? Applicable to the task? In good condition?

  • Is a ‘Safe-step’ or step ladder available to access small items stored on high shelves?

TSA Hazardous Chemicals storage container and Hazchem on the MOF

  • If new workplace chemicals were introduced since the last inspection: Has the chemical been added to the hazardous chemical register?

  • Has the chemical been formally risk assessed?

  • Is the chemical stored in accordance with its SDS?

  • Are hazardous substance storage cabinets correctly labelled?

  • Are de-cantered hazardous chemicals correctly labelled?

  • Are Safety Data Sheets (SDS) easily available and within date? (5 years from date of print)

  • Is a Hazardous Chemical Register easily available to all workers?

  • Are incompatible dangerous goods not co-located within the same storage cabinet?

Metro Company Vehicles (if available at time of inspection)

  • Are company vehicles being regularly inspected using form the correct Vehicle Pre-start Inspection Report

  • Vehicle Pre-start Inspection Report being filled in correctly?

  • Fire extinguisher(s) fitted? Insert inspection date in comments?

Notices and Signs

  • Are safety and general signage posted and clearly visible?

  • Are notice boards in good condition and the information up to date


  • Local dust control methods in place?

  • Oil or fuel spills reported and cleaned up?

  • Oil filters, grease cartridges, oily rags and waste oil disposed of correctly?

  • Hazardous goods storage - No leaks? In the bunded area?

  • Waste streams identified and bins available?

  • Skips covered/netted?

  • All environmental incidents & spills have been reported?

  • Waste streams separated - no cross contamination?

  • All hazardous goods (fuels & oils) stored correctly in bunded areas?

  • Personnel trained in the use of spill containment?

  • Add signature

  • Select date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.