Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Checklist

1. Fire

  • Extinguishers are in place

  • Are clearly marked

  • Have been serviced in the past 6 months

  • Area around extinguisher is clear for a 1 meter radius

  • Fire exit signs are in working order

  • Exit doors are not blocked

  • Exit doors can easily be opened

  • Fire alarm is in working order

  • Emergency plan is displayed

  • Emergency drill caned out within the last 6 months

2. Electrical

  • No broken plugs, sockets or switches

  • No frayed or damaged leads

  • Portable power tools in good condition

  • No temporary leads on the floor

  • Testing and tagging of electrical items has been attended within the last 12 months

  • Testing and tagging Next testing date

3. General Lighting

  • There is adequate illumination in working areas

  • There is good natural lighting

  • There is no direct or reflected glare

  • Light fittings are in good working condition and are clean

  • Emergency lighting is operational

4. Walkways

  • No oil or grease

  • Walkways are clearly marked`

  • Walkways are clear of obstructions

  • There is unobstructed vision at intersections

  • Stairs not blocked and are in good condition

5. Rubbish

  • Bins are located at suitable points

  • Bins are not overflowing

  • Bins are emptied regularly

6. Work Benches

  • Clear of rubbush

  • Tools are stored properly

  • Adequate work height

  • No sharp edges

7. Storage

  • Materials stored in racks in a safe manner

  • Pallets are in good condition (no broken wood)

  • Floor around racking is clear of rubbish or obstacles

  • Racking is in good condition, no damaged uprights, beams etc

8. Chemicals

  • SDS for all chemicals

  • SDS Register is available and up to date

  • Containers are clearly and accurately labelled

  • All chemicals are stored in accordance with the SDS

9. First Aid

  • First aid kits and contents clean and orderly

  • First aid kit is adequately stocked (as per the Schedule in the kit)

  • First aid kit next inspection date

  • Easy access to first aid kits

  • AED present

  • AED unit assessable

  • AED battery checked and in the green

  • Advanced resuscitation kit is adequately stocked (as per the Schedule in the kit)

  • Advanced resuscitation kit next inspection date

  • Medical O2 content level

  • All employees are aware of location of first aid kits

  • At least one worker on site with current First Aid cert

10. Floors

  • Even surface with no large cracks, holes or trip hazards

  • Floors are not obstructed

  • Floors are free from grease,oil, etc

11. Office, paper storage area and ally way

  • No exposed leads

  • Air conditioning working adequately

  • Filing cabinets are stable and in good repair

  • Workers' chairs at correct height (knees at right angles, feet flat)

  • Workers' monitors correct distance (arms length away when seated)

  • Workers' monitors correct height (eyes in line with top of screen)

  • Workers' mouse located beside keyboard (allows relaxed arms and wrists)

  • Workers' keyboard located near edge of desk (allows relaxed arms)

  • Wally way clean and tidy of trip hazards, clutter and hazards

12. Machines

  • Power equipment maintenance carried out

  • Power equipment clean

  • All guarding in place and interlocks working

13. Ladders and towers

  • Tower Physical appearance

  • Tower ladSafe inspection dew date

  • Tower Safety system available and inspected for functionality

  • Tower authorized personal only signs present

  • GWO ladder Physical appearance

  • GWO Ladder inspection dew date

  • GWO Ladder Safety system available and inspected for functionality

  • GWO Ladder authorized personal only signs present

  • CSE Platform Physical appearance

  • CSE platform inspection dew date

  • CSE Platform Safety system available and inspected for functionality

  • CSE Platform authorized personal only signs present

  • WTG Simulator Access Ladder Physical appearance

  • WTG Simulator authorized personal only signs present

14. Equipment

  • Equipment Inspection tag

  • Heights / CSE equipment storage racking tidy

  • Heights / CSE equipment Correct inspection tag as pre inspection roster

  • Emergency response and rescue training equipment storage racking tidy

  • Emergency response and rescue training equipment Correct inspection tag as pre inspection roster

  • GWO equipment storage racking tidy

  • GWO Correct inspection tag as pre inspection roster

  • Gas monitors in working order and on charge

  • Drager Gas monitors in calibration

  • Drager Gas monitors in next calibration date

  • MSA Gas monitors in calibration

  • MSA Gas monitors in next calibration date

  • BA cylinders Physical condition

  • BA cylinders within Hydro

  • BA cylinders next Hydro date

  • BA sets physical condition

  • BA set next service date

  • First aid and advance resuscitation training equipment storage racking tidy

15. Display Material

  • WHS policy statement signed by Managing Director and displayed on notice boards

  • Return to work program signed by Managing Director and displayed on notice boards

  • "No smoking" signs are displayed

  • "Staff only" or "Restricted area" signs are displayed in relevant areas

  • "Report that Hazard" poster displayed

  • "Manual Handling" poster is displayed in warehouse area

  • Safety noticeboard is available and up to date

16. WHS Information

  • WHS Manual available to workers

  • Incident report form available

  • Hazard report forms available

  • Emergency evacuation plan displayed

  • Training records up to date

  • Additional comments or actions required:

Sign-off

  • Inspected by:

  • 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.