Work Health and Safety

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Health and Safety Systems (All)

• A. WHS policy displayed and current

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Who Represents you displayed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Emergency procedures in place

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Record of tool box minutes or team meetings being communicated

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Safety signs/notices clean and well maintained

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

2. Housekeeping (All)

• A. Work areas free from rubbish and obstructions

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Access and egress paths are clear

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Floor surfaces safe and suitable free from slip/trip hazards

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Floor openings covered secured correctly

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Aisles unobstructed and clearly defined

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Adequate lighting

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Vision at corners adequate or mirrors provided

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

3. Office Safety and Ergonomics (All Office areas)

• A. Workstation self-assessment checklist completed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Desk and chair suitable for required tasks

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Chairs are easily adjustable (height and back rest)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Footrests and document holders available

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Layout of work area is suitable for tasks and reduces bending, twisting or overreaching

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Free standing fittings (eg filing cabinets, bookcases) are secure and stable

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Laptops only used for short periods or additional ergonomic equipment provided eg workstations provided

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Persons protected from sharp objects eg no sharp or protruding objects from walls or edges

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

4. Electrical (All as applicable)

• A. No broken plugs, sockets or switches

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Electrical leads in good working order (no frayed or defective leads)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. No work near or exposed to electrical equipment

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Electrical tools/equipment, including portable power tools etc and leads:<br>* inspected - in good condition and working order<br>* tested and tagged - record test date<br>* stored safely and appropriately

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. No strained leads

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. No cable-trip hazards

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Lock-out procedures/danger tags in place where required

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• I. Safety switch (RCD) if used, record date of last inspection

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• J. Switchboards secured eg doors locked

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• K. No double adapters being used

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• L. Lights operational (no flickering lights)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

5. Machinery Plant Equipment and Workbenches (All as applicable)

• A. Adequate work space available

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Workspace clean and tidy

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Warnings or instructions displayed - manual available

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Non slip mats / flooring for workbenches

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. A maintenance register and regular maintenance is in place for equipment and machinery

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Moving parts of all machinery and equipment are guarded

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. All machines are fitted with the safety signs and SOPs displayed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Start/stop switches clearly identified

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• I. Machine noise and fume level acceptable

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• J. Pre-start checks conducted prior to use and record

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• K. All plant and equipment is safe and maintained in a good state of repair

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

6. Chemicals Hazardous and Dangerous Goods (all as applicable)

• A. Chemicals stored in designated area or cupboard (SDS)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Flammable goods cupboard is self-closing

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Chemical containers clearly labelled, including household chemicals in their original containers

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Ventilation/exhaust systems in storage area

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Protective clothing/equipment available/used

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Chemical storage sign in place

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Spill kits in place/available

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Safety data sheets available for all chemicals classified as hazardous

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• I. Appropriate emergency/first aid equipment shower, eye bath, extinguisher

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• J. Chemical register/manifest developed and easily accessed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• K. Risk assessment completed for hazardous chemicals

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• L. Bunding available and used in chemical storage area

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

7. Stairs Steps Ladders and Landings (all if applicable)

• A. No worn or broken steps, rungs or styles

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Handrails in good repair

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Clear of obstructions

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Adequate lighting

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Emergency lighting installed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Non-slip treatments/treads in good condition

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Kick plates (toe boards) where required

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Clear of debris and spills

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• I. Ladders rated and labelled industrial use

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• J. Platform ladders over 2m are fitted with guard rails and kickboards

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• K. Ladders in good state of repair eg no visible cracks in welding, no broken rungs, non-slip feet undamaged

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

8. Personal Protection (All as applicable)

• A. Employees provided with appropriate PPE and PPE is worn

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Employees trained in the use of PPE eg how to put on correctly

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Regular maintenance checks performed on PPE (eg hard hat replacement dates) hard hats are within the life span set out by AS 1800 (2 yrs)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Sun protection measures in place (eg sun screen, hats, sunglasses etc provided)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Correct signage for PPE at access points

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Hard hat areas correctly sign posted

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Hard hats available to visitors on site

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Safety footwear appropriate to the job are worn

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• I. Hearing protection appropriate and being worn

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• J. Eye protection appropriate and being worn

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• K. Hand protection appropriate and being worn

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• L. High visibility clothing is worn

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

9. Manual Handling (all as applicable)

• A. Mechanical AIDS provided and used

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Safe systems of work in place where required

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Manual handling controls implemented

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Persons trained in manual handling procedure

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Trolleys in good state of repair

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Trolleys are clean and stored appropriately when not in use

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

10. Material Handling and Storage (all areas as applicable)

• A. Site storage areas established

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Stacks stable

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Heavier or frequently used items are stored at waist height

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Sufficient space for moving stock

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Heights of material safe and accessible

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. No sharp edges

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Material stored in racks/bins

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Shelves free of rubbish and dust

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• I. Pallets in good repair

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• J. Racks clear of lights and sprinklers

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• K. Racks not stacked above SWL

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

11. Amenities (all as applicable)

• A. Washrooms clean

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Toilets clean

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Meal rooms clean and tidy

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Rubbish bins available covered

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Drinking water supplied

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Running water available in wash room

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Soap and hand washing facility available

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

12. First Aid (All as applicable)

• A. Cabinets and contents clean and orderly

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Contents meet requirements for risk level and are in date

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. First aiders names displayed on phones

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. First aid numbers displayed on phones

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. First aiders location and phone number (on site)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Qualified first aider(s)

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Record of treatment

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

13. Fire/Emergency Control (All)

• A. Fire-fighting equipment in place and accessible (eg extinguisher, hose reel or fire blanket) clear of obstruction

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• B. Fire-fighting equipment is serviced (eg date of last inspection is not more than 8 months). <br>Record date of last inspection.

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• C. Fire equipment location is signed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• D. Emergency lights and exit signage in place, undamaged and operational

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• E. Exit doors open outwards and pathways clear of obstructions

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• F. Smoking/naked flame restrictions observed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• G. Flammable goods storage available

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• H. Emergency personnel identified and trained

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• I. Emergency procedures displayed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• J. Emergency telephone numbers displayed

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• K. Trial evacuations conducted<br>Record date of last evacuation held.

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• L. Telephone threat incident checklist displayed next to the phones

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• M. Occupancy limits to ensure building does not become over crowded

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable

• N. Duress alarms/panic buttons installed are routinely tested? Is this testing recorded?

  Acceptable

  Not Acceptable

  Not Checked

  Not Applicable