Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Instructions

  • 1. Each question is to be answered with a Yes, No or as NA to indicate the item is not applicable. Any question marked no requires a risk rating.
    2. Only complete sections applicable to your location.
    3. Only complete sections marked ‘if applicable’ if they don’t apply to your location.
    4. Any corrective actions which cannot be immediately resolved and are rated as ‘Extreme or High Risk’ are to be reported to SafeHold at the completion of the inspection to manage and
    progress towards resolution
    5. If the corrective action is immediately completed please write ‘Completed’ in the Corrective Action column.
    6. If a facilities helpdesk has been identified please enter the helpdesk number in the Corrective Action column.
    7. Some items may be checked and tested by external contractors e.g. smoke alarms, air conditioning units.

    risk matrix.png

WHS Signage

WHS Signage

  • WHS Signage - If applicable

  • Return to Work Policy displayed (NSW SES)<br>

  • What is the Likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • WHS Policy Displayed (NSW SES)<br>

  • What is the Likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Work Cover if you are injured at work poster displayed<br>

  • What is the Likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • "Put a stop to workplace bullying" poster displayed (NSW SES)<br>

  • What is the Likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Hazardous Materials and Asbestos

Hazardous Materials and Asbestos

  • Hazardous Materials and Asbestos - If applicable

  • Asbestos Management Plan on premises, up to date and readily accessible

  • What is the likelihood

  • What is the consequences

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Hazardous Materials Survey on premises , up to date and readily accessible

  • What is the likelihood

  • What is the consequences

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

First Aid Kits

First Aid Kits

  • First Aid Kits - if applicable

  • First Aid Kit/s are locate in appropriate and easily accessible locations<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • First Aid Kit/s are adequately stocked (as per the schedule in the kit)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Fire Exits and Procedures

Fire Exits and Procedures

  • Fire Exits and Procedures - If applicable

  • Smoke detectors and alarms appropriately located and in working order<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Evacuation signage has been posted in the area<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Fire stairs/fire exits easily accessible and clear of obstacles<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Fire extinguishers readily accessible and surrounding area clear of obstacles<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Fire exits unlocked during business hours<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Fire extinguishers regularly serviced and service dates recorded on tags<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Select date

  • Evacuation drills held and members participation recorded<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Members trained in the use of fire extinguishers<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Fire wardens clearly identified (poster displayed)<br>

  • What is the Likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Emergency Risk Controls

Emergency Risk Controls

  • Emergency Risk Controls - if applicable

  • Members have been informed about the emergency procedures and fully briefed accordingly<br>

  • What is the likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

  • Assembly area for emergency evacuation is identified<br>

  • What is the likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

  • Emergency procedures are clearly displayed in appropriate locations<br>

  • What is the likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

  • Evacuation route has been identified and the needs of members with disabilities considered<br>

  • What is the likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

  • Emergency Procedures Flipchart to be displayed in a prominent position and easier accessible<br>

  • What is the likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

  • Exit doors are marked, clearly visible and closed but not locked<br>

  • What is the likelihood

  • What is the Consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

General

General

  • General - if applicable

  • Members carry official photo identification<br>

  • What it the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

  • Visitors, Contractors and others are accounted for (sign in register)<br>

  • What it the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Action

Office Workplace Layout

Office Workspace Layout

  • Office Workspace Layout - if applicable

  • Document holder provided for continuous typing and reading (only if required)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Frequent used items located within comfortable reach (e.g. mouse, telephone)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Computer cables are secure beneath the work surface<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Computer monitor is at the recommended ergonomic standards<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Keyboard positioned correctly as per ergonomic standards<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Chairs adjustable for heights and lumbar support as per ergonomic standards<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Foot rests available (only If required)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Sufficient leg room beneath the desk<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Adequate space between the workstation and other furniture items (filling cabinets under the desk)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Adequate space for staff and visitors in the work area passageways<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Walkways clear of any potential hazards<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Floors have even surface/devoid of trip hazards<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Photocopiers

Photocopiers

  • Photocopiers - if applicable

  • Photocopier equipment regularly maintained (maintenance register logs)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Noisy equipment enclosed or isolated from staff/members (if required)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Lighting and Indoor Climate

Lighting and Indoor Climate

  • Lighting and Indoor Climate - if applicable

  • Lighting adequate for all indoor use (e.g. lights working, sufficient light, bulbs working)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Overhead lights shielded to minimise glare (only if required)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Stairwells and exits well lit (e.g. lights area working in stairwells, exit signs illuminated)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Temperature maintained at appropriate (comfortable) level<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Air conditioning filters cleaned regularly<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Air quality acceptable (no fumes, odours, particles)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Adequate ventilation (e.g. air conditioning system that draws in fresh air)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Electricity and Electrical Equipment

Electricity and Electrical Equipment

  • Electricity and Electrical Equipment - if applicable

  • Electrical installations and equipment regularly inspected or test and tag carried out yearly and stickers displayed as "passed"<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • plugs, sockets and switches in safe places and free from obvious defects (loose, broken, overheating)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • electrical leads free from kinks, frays, loose or exposed wires or leads<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Adequate number of power points for appliances and equipment in use

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Electrical cords secured behind skirting cover or pinned (i.e. not dangling or trailing on ground)

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • electrical cords not exposed to moisture

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Earth leakage protection installed

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • main and isolating switches clearly signed and accessible

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • power boards, extension leads regularly maintained and in safe condition

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • all power outlets and switches are in good condition (not broken)

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • extension leads/power boards are used as designed i.e no piggy backing, no over loading, no makeshift leads or power boards

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Kitchen and Lunch Rooms

Kitchen and Lunch Rooms

  • Kitchen and Lunch Rooms - if applicable

  • Suitable eating and tea break facilities provided (e.g. chairs, table, utilities)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Kitchen areas are clean and free of insects and rodents<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Food stored appropriately (e.g. refrigerated)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Cooking facilities are clean and in good working condition (stove top, ovens)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Exhaust fans above cooking unit functional and clean<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Anti slip mat used in wet areas (near the kitchen sink)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Fire blanket readily accessible in kitchen<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Floors free from water and grease<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Refrigerators regularly cleaned<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Dishwasher regularly cleaned<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Microwave/ovens regularly cleaned<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Tea towels regularly washed<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Paper towels available in kitchen<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

  • Cleaning sponges regularly changed<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corective Actions

Toilets

Toilets

  • Toilets - if applicable

  • Toilet access for people with disabilities<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Toilet and bathroom facilities cleaned regularly<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Wash basins and soap available<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Paper towels or air dryers available and working<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Toilet paper available with spare rolls readily accessible<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Sanitary disposal units in women's toilet (regularly serviced)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Air quality acceptable (no fumes, odours)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Facilities well ventilated<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Stairs

Stairs

  • Stairs - if applicable

  • Good visual contrast between stairs<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Slip resistant strips on step edges (where appropriate)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Handrail/s installed on either sides of stairs and run parallel to the stair nosing<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Ramps installed for wheelchair access (if required)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Hazardous Substances and Dangerous Goods

Hazardous Substances and Dangerous Goods

  • Hazardous Substances and Dangerous Goods - if applicable

  • Chemical register folder (SDS) on premises and up to date and readily available<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Register of hazardous substances on premises (stored in chemical register folder)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • MSDS online register regularly updates (www.msds.com.au)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Hazardous containers are being used to store substances (poison, paints, rat sack) no food containers<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Hazardous substances are stored according to dangerous goods class (flammable liquids, gases, corrosives, toxic)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Chemicals are stored together according to compatibility (incapability report on msds online)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Dangerous goods class signage has been posted on storage areas<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Compressed Gases

Compressed Gases

  • Compressed Gases - if applicable

  • Cylinder contents are identified<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Cylinders are secured<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Cylinders stored according to dangerous good class<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Gas lines are free from leaks, kinks, wear and tear<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Building External and Boundary Perimeter

Building External and Boundary Perimeter

  • Building External and Boundary Perimeter - if applicable

  • Entrance and exits to the building are clearly marked<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • External lighting appropriate and working<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Entrance and exits to the building are well illuminated<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Surface of pathways and walkways are even and free of pot holes or other tripping hazards<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Continuous, clear, accessible pathways (i.e. no barriers or encroaching foliage)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Pathways free from raised curbs and projections<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Pathways well drained to prevent flooding and the pooling of water<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Waste bins provided and are regularly emptied<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Wall gates and fences in good condition without gaps or protrusions<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • After hours contact phone number/s clearly visible on external door<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Security

Security

  • Secuity - if applicable

  • Adequate locks on all external doors<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Adequate locks on all external windows<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Alarm system installed and functional<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Window and door security screens fitted<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Signs clearly visible to indicate security measures are in place<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Plant and Equipment

Plant and Equipment

  • Plant and Equipment - if applicable

  • Area around plant/equipment clean<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Plant and equipment maintained and in good condition<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Plant cannot be operated/accessed when left unattended<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Emergency stops are working<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Plant guarding in place<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Log book maintained for use<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Warning labels / procedures on equipment<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Welding screens maintained and in good condition<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Electrical equipment tested, tagged and in date<br>

  • Select date

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Power leads in good condition<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Power boards used (no double adaptors)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Forklifts are maintained in accordance with manufacturers specifications with records kept<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Forklift operators have completed a recognised training course and hold appropriate licence<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Safety controls in place when a forklift In use (designated walkways)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Forklift is fitted with flashing light, seatbelt and reversing buzzer/beep<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Pallet racking secured to floor, safe working load signage no evidence of shelf bowing<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Personal Protective Equipment (PPE)

Personal Proective Equipment (PPE)

  • Personal Proective Equipment (PPE) - if applicable

  • PPE correctly stored (well ventilated area)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • PPE maintained and in good condition<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Signage of PPE requirements displayed<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Storage

Storage

  • Storage - if applicable

  • Materials stored in racks, cupboards, compactus, storage rooms to minimise manual handling (e.g. training material, records)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Floors in storage areas free from rubbish and packaging materials (e.g. store rooms)<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Mezzanine level have hand rails installed on either side<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Manual Tasks

Manual Tasks

  • Manual Tasks - if applicable

  • Heavy items stored at waist height<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Handling equipment available for heavy items and loads<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Ladders stored correctly and secured with a chain<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

  • Walkways / forklift area markings clearly visible<br>

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

Other Comments

  • Are SMS sheets completed and filed

  • What is the likelihood

  • What is the consequence

  • Risk Matrix

    risk matrix.png
  • Risk Rating

  • Corrective Actions

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.