WHS Workplace Assessment - Independent Contractors

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Key Personnel / Attendees

• Contractor Type

  Area Representative

  Carrier

  Other

Buildings and Structures (where the contracted services are being conducted)

• Is the building in good condition?

  Yes

  No

  N/A

• Doors/Locking Devices in good condition?

  Yes

  No

  N/A

• Windows, Louvres, or Skylights not broken and in a clean/good condition to allow ventilation?

  Yes

  No

  N/A

• Where racking or storage shelving is used, are they in good condition, secured, and not overloaded?

  Yes

  No

  N/A

Chemical Hazards (any chemicals in the workplace where contracted services are performed)

• Are there any labelled or unlabelled containers with chemicals?

  Yes

  No

  N/A

• Are Safety Data Sheets (SDS) for all chemicals readily available to end-users?

  Yes

  No

  N/A

Electrical Hazards (Electrical equipment that is directly related to the facility where the contracted services are being performed)

• Is there a Safety Switch installed for the premises?

  Yes

  No

  N/A

• Are electrical appliances, plugs, sockets, and leads in good condition?

  Yes

  No

  N/A

• Are double adaptors a used? (These should be removed from use)

  Yes

  No

  N/A

Fire and Explosions (Fire fighting and emergency responses directly related to the facility where the contracted services are being conducted)

• Does the facility maintain adequate fire fighting equipment?

  Yes

  No

  N/A

• Does the user understand how to raise the fire alarm if required?

  Yes

  No

  N/A

• Does the facility have an emergency response/evacuation solution?

  Yes

  No

  N/A

• Does the facility have a smoke alarm?

  Yes

  No

  N/A

• Does the facility have emergency exits? Are these clear?

  Yes

  No

  N/A

Housekeeping/Office Hazards

• Is the workstation (if available) kept clean and tidy?

  Yes

  No

  N/A

• Are refuse bins available and used?

  Yes

  No

  N/A

• Are materials, tools, or other equipment stored appropriately?

  Yes

  No

  N/A

• Are aisles, entry/exit points, and emergency exits kept clear?

  Yes

  No

  N/A

• Are floor coverings in good condition?

  Yes

  No

  N/A

• Are there any noticeable tripping hazards in and/or around the facility?

  Yes

  No

  N/A

• Is there any information available for correct seating posture or manual handling?

  Yes

  No

  N/A

Lighting

• Are light fitting clean, and in good working order?

  Yes

  No

  N/A

• Is night lighting, internal and external, available for users?

  Yes

  No

  N/A

• Is there adequate lighting available for the tasks being conducted?

  Yes

  No

  N/A

Traffic Management (The management of traffic movements that are directly related to the facility and the expected traffic and pedestrians)

• Are adequate traffic signs, notices, and markings available?

  Yes

  No

  N/A

Workplace Amenities

• Are toilets available where required and kept in good condition with adequate supplies?

  Yes

  No

  N/A

• Is there a First Aid Kit available at the Workplace?

  Yes

  No

  N/A

Other

• Any items not mentioned above such as machinery, forklifts, pallet jacks, or other equipment?

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