WHS

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

Lighting

• Lighting is adequate for the area and is in full working order

  Yes

  No

  N/A

• Lighting appears to be securely attached

  Yes

  No

  N/A

• Lighting is not cracked or damaged and is free of dust, cobwebs and pests

  Yes

  No

  N/A

Signage

• Signs appear to be securely attached

  Yes

  No

  N/A

• Signs are clean and free of dust

  Yes

  No

  N/A

Traffic areas

• Traffic areas are clear of obstruction

  Yes

  No

  N/A

• There are no obvious trip hazards

  Yes

  No

  N/A

Benches and counter tops

• Benches are at adequate work height

  Yes

  No

  N/A

• Benches are clean and tidy with no sharp edges

  Yes

  No

  N/A

• Equipment and appliances are stored properly

  Yes

  No

  N/A

• Paper towel is available to dry hands

  Yes

  No

  N/A

• All cutting implements are correctly stored and secured

  Yes

  No

  N/A

• Hand washing facilities with approved hand soap are available

  Yes

  No

  NA

  Critical Fail

Storage

• Shelving is stable and in good order

  Yes

  No

  N/A

• Display items are not placed near edges of storage

  Yes

  No

  N/A

• Storage shelves are not overloaded

  Yes

  No

  N/A

• Heavy items are stored between shoulder and knee heights

  Yes

  No

  N/A

• Items on top shelves do not obstruct smoke detectors or sprinklers

  Yes

  No

  N/A

Fire Safety

• Fire extinguishers are in place and clearly marked

  Yes

  No

  N/A

• Fire extinguishers have been serviced in the last 6 months

  Yes

  No

  N/A

• There are no obstructions in a 1m radius around the fire extinguisher

  Yes

  No

  N/A

• Fire exit signs are visible and working

  Yes

  No

  N/A

• Exit doors are not blocked and can be easily opened

  Yes

  No

  N/A

• Fire alarm is working

  Yes

  No

  N/A

• Store emergency plan and evacuation plan are displayed

  Yes

  No

  N/A

• Evacuation drill has been held in the past 12 months

  Yes

  No

  N/A

Electrical

• All appliances and plugs are in working order

  Yes

  No

  N/A

• There is no overloading of power points, no use of double adaptors or piggy back plugs

  Yes

  No

  N/A

• No temporary leads are across the floor or traffic areas

  Yes

  No

  N/A

• Equipment is plugged into power points that provide the required power level

  Yes

  No

  N/A

• Testing and tagging of electrical items has been completed in the last 12 month period

  Yes

  No

  N/A

Chemicals

• Containers are clearly and accurately labelled

  Yes

  No

  N/A

• Chemicals are stored away from food preparation areas

  Yes

  No

  N/A

• Hazardous Substance Register and Safety Data Sheets (or MSDS) are available

  Yes

  No

  N/A

• Only chemicals listed in the Hazardous Substances Register are on site

  Yes

  No

  N/A

First Aid

• At least one team member has a Senior First Aid Certificate

  Yes

  No

  NA

  Critical Fail

• First aid kits and contents are clean, orderly and adequately stocked

  Yes

  No

  N/A

• First aid kits contain blue band aids

  Yes

  No

  N/A

• First aid kits are easily accessible and signed

  Yes

  No

  N/A

• Team members are aware of location of first aid kit

  Yes

  No

  N/A

General WHS

• All staff have been inducted and there is an Induction Checklist signed by each employee

  Yes

  No

  N/A

• All team members can identify the hazard and incident response processes of the business

  Yes

  No

  N/A

• All team members can identify the evacuation assembly area

  Yes

  No

  N/A

• WHS Policy signed by the Franchise Owner is displayed on the notice board

  Yes

  No

  N/A

• The Risk Register is up to date with copies of risk assessments; the last one of which has occurred in the last 30 days

  Yes

  No

  N/A

• Return to Work and other required posters are displayed

  Yes

  No

  N/A

• The Register of Injuries is up to date

  Yes

  No

  N/A

• WHS Manual is on site and up to date

  Yes

  No

  N/A

Comments