WHS Systems Assessment V5.4 (RP) - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Does the workplace have a JASANZ Accredited Workplace Safety Management System (WHSMS)?

  Yes

  No

  N/A

• Validation notes?

• Add photograph of assessment.

  Media

• YES - Assessment completed
  
  Photograph of WHSMS must be forwarded to GTO WHS manager.

• NO - proceed with assessment

1.0 Policy and Commitment:

• 1.1 Is there a WHS policy?

  Yes

  No

  N/A

• How often is the policy reviewed?

  annually

  bi-annually

  review date

• Review date?

  Date

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 1.2 Is this communicated to the workers?

  Yes

  No

  N/A

• Guide: The policy is communicated to workers by the following methods?
  (displayed, at induction,toolbox meetings, employee hand book nor accessed electronically)

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

2.0 Planning:

• 2.1 Does the Host Employer have a formal process in place to manage WHS within the business?

  Yes

  No

  N/A

• Guide: Does the host use any of the following to manage WHS?
  (Must have safety management plans or a schedule (program) of WHS activities and corrective action plans and risk assessments for full compliance), Partial for Safe Work Method Statements (SWMS) or Job site Analysis (JSA's), worksite inspection checklists only and/or objectives/ targets or WHS goals are set.

• Validation notes?

• Photographic evidence?

  Media

• Level of Compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 2.2 Is there a risk assessment and planning process for off site work?

  Yes

  No

  N/A

• Guide: Does the host have a formal procedure & forms in place to conduct job site risk assessments (job site analysis (JSA's), job quotation forms etc.)?

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 2.3 Are there any Safe Work Method Statement (SWMS)/Job Safety Analysis (JSA's) available?

  Yes

  No

  N/A

• If so, Are they job specific? Is there a list of safe work method statements (SWMS) or job safety analysis (JSA's) for key tasks performed by the business?

  Yes

  No

  N/A

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 2.4 Does the host keep up to date with current legislation?

  Yes

  No

  N/A

• Guide: This can be achieved by subscriptions to the government agency, SMART kit, WHS training, Associations, Affiliations or Client)

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

3.0 Implementation:

• 3.1 Do officers and workers know their WHS roles and responsibilities?

  Yes

  No

  N/A

• Guide: The following are used to inform officers and workers of their responsibilities. (WHS procedure, Job descriptions, WHS training outlines, organisational chart)

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.2 Does the Safety Management System (SMS) have procedures to address the host's key risk or hazard exposures?

  Yes

  No

  N/A

• Guide: The host may have a list of documents or contents page of a manual, or supporting procedures ie. confined spaces, working at heights, manual handling, electrical, use SMART kit.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.3 Are there any Safe Operating Procedures (SOPs) in place?

  Yes

  No

  N/A

• Guide: SOPs are a 1or 2 pages on how to safely use dangerous plant/equipment ie. angle grinders, jack hammers, hydrojets, commercial dishwashers, ovens & drill press.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.4 Do documents have appropriate document control?

  Yes

  No

  N/A

• Guide: Does the document control include a document name, numbering system, version control and review date?

• Validation Notes?

• Photographic Evidence?

  Media

• Level of Compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.5 Are workers consulted regarding WHS?

  Yes

  No

  N/A

• Guide: Determined by a formal consultation procedure, toolbox meeting/minutes, management meetings/minutes or health and safety committee (HSC)/minutes or health and safety representatives (HSRs).

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.6. Are there formal arrangements in place to resolve WHS issues?

  Yes

  No

  N/A

• Guide: Is there a formal issue resolution procedures

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned Compliance

  Non compliance

• 3.7 Does WHS information get communicated to workers?

  Yes

  No

  N/A

• Guide: WHS is communicated by formal communication procedure, news letters, SMS, memos, notice boards, committee minutes.

• Validation notes?

• Photographic evidence?

  Media

• Level of Compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.8 Do workers receive necessary safety training?

  Yes

  No

  N/A

• Guide: business training plans, training register, training records, training certificates , toolbox minutes, GTO for apprentices.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.9 Is there an induction process?

  Yes

  No

  N/A

• Guide: Does the host have the following induction procedure, induction checklist, site inductions, workers files or informal walkthru's/discussion.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.10 Are hazards and risks controlled?

  Yes

  No

  N/A

• Guide: The host uses the following to control risks/hazard eg. hazard management procedure, hazard reports, corrective action register, worksite inspections, contractor management documentation and site audits/visit.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.11 Are there first aid arrangements in place?

  Yes

  No

  N/A

• Guide: Host has first aid procedure, trained first aiders, first aid kits ( in vehicle, office,workshop), first aid kits regularly stocked

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 3.12 Are potential emergencies identified and planned for?

  Yes

  No

  N/A

• Guide: Emergency procedure, Emergency scenarios are risk assessed. Emergency plan, Evacuation plan, Emergency test results, Permit to work or in SWMS/JSA

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

4.0 Measuring Performance:

• 4.1 Is all testing and tagging of flexible cords, Fixed Residual Current Devices (RCDs) (safety switches in switchboards), portable ( RCDs) up to date?

  Yes

  No

  N/A

• Guide: How is this demonstrated eg. test & tagging, registers or certificates of compliance provided.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned Compliance

  Non compliance

• 4.2 Are accidents and incidents investigated?

  Yes

  No

  N/A

• Guide: Accidents are investigated by a documented investigation procedure & forms, completed forms or evidence of statutory reporting (notification of incidents)

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 4.3 Are environmental or health monitoring requirements needed a for workers?

  Yes

  No

  N/A

• Guide: Do they do Hep A or B vaccinations, Medical assessments with asbestos exposure, audiometric testing for workers exposed to high noise levels or workplace/site inspections.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

• 4.4 Do WorkCover claims and injury rates get monitored?

  Yes

  No

  N/A

• Guide: Dependent on claims experience or claims data/incidents which are discussed at management meetings.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned compliance

  Non compliance

5.0 Review performance:

• 5.1. How does the host review it's performance and overall safety management system?

  Yes

  No

  N/A

• Guide: Performance is reviewed by formal management meeting & minutes, review of targets and objectives, development of action plans for the next 12 months.

• Validation notes?

• Photographic evidence?

  Media

• Level of compliance?

  Fully compliant

  Partially compliant

  Planned Compliance

  Non compliance

Office use only:

• Date of audit?

  Date

• Host signature

  Sign

• Assessor signature

  Sign

• Version: safety cloud/ iauditor V5.4
  Created: May 2014 - Modified: August 05 - Review: August 2015