Workplace Inspection Checklist - S.A.F.E template 1.13

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Responsible Business Unit Manager

• Select Damien McMullen Barry Rankin Judy Densley Peter Collyns

  • Damien McMullen
  • Barry Rankin
  • Judy Densley
  • Peter Collyns

Have risks been identified on this inspection

• Safe

  At Risk

  N/A

Previous inspection

• 1. Has the last inspection been reviewed

  Yes

  No

  N/A

• 2. Are there no outstanding actions.

  Safe

  At Risk

  N/A

A. Organisation and Administration _ WHS board to Display

• 1. QF Safety Policy

  Yes

  No

  N/A

• 2. Emergency Procedures

  Yes

  No

  N/A

• 3. Injury Management Policy

  Yes

  No

  N/A

• 4. Evacuation plan displayed

  Yes

  No

  N/A

• 5. Alcohol and drugs policy

  Yes

  No

  N/A

• 6. Emergency personnel

  Yes

  No

  N/A

• 7. Doubtful and suspicious article and Hazardous mail process.

  Yes

  No

  N/A

• 8. QF Group Chemical, Biological, Radiological Procedures

  Yes

  No

  N/A

• 9. WHS Committee Constitution

  Yes

  No

  N/A

• 10.WHS Committee minutes on the Terminal

  Yes

  No

  N/A

• 11.QLD Workers Compensation Intranet/Internet Location

  Yes

  No

  N/A

• 12.Bomb threat Checklist

  Yes

  No

  N/A

• 13.MCT checklist

  Yes

  No

  N/A

• 14.REACT instructions - Staff involved in REACT centre

  Yes

  No

  N/A

• 15.Visitors Register available and used. Reception level 9

  Yes

  No

  N/A

B. House Keeping

• 1. Is the work area clean and orderly.

  Yes

  No

  N/A

• 2. Waste bins are located at suitable points and are cleared.

  Yes

  No

  N/A

• 3. Papers,folders, boxes stacked away from passageways.

  Yes

  No

  N/A

• 4. Are the floors clean.

  Yes

  No

  N/A

• 5. Bomb threat / MCT cards at each workstation.

  Yes

  No

  N/A

C. Emergency Exits

• 1. Fire exit stairwell and landings clear.

  Yes

  No

  N/A

• 2. Adequate directional notice for fire exists.

  Yes

  No

  N/A

• 3. Emergency contacts and numbers displayed near exits.

  Yes

  No

  N/A

• 4. Exit paths checked for clear access.

  Yes

  No

  N/A

• 5. Exit doors checked for ease of opening and closing.

  Yes

  No

  N/A

• 6. Exit lights functioning.

  Yes

  No

  N/A

• 7. Emergency lighting testing.

  Yes

  No

  N/A

• 8. Public address and fire alarm. Test date checked.

  Yes

  No

  N/A

• 9. Duress alarm tested (reception desk level 9)

  Yes

  No

  N/A

• 10. Emergency torches / batteries / bulbs checked

  Yes

  No

  N/A

D. Employee Facilities.

• 1. Toilets are clean and in good condition.

  Yes

  No

  N/A

• 2. Kitchen facilities are clean and in good condition.

  Yes

  No

  N/A

• 3. Washroom, airlock are clean and in good condition.

  Yes

  No

  N/A

• 4. Drinking water taps / zip taps in working order.

  Yes

  No

  N/A

E. General Lighting

• 1. Ceiling lights all functional

  Yes

  No

  N/A

• 2. Light fittings clean and in good condition.

  Yes

  No

  N/A

• 3. Emergency exit lighting operable

  Yes

  No

  N/A

• 4. Windows are in good order and clean.

  Yes

  No

  N/A

F. Electrical Safety

• 1. Safety switches test every 6 months (date)

  Yes

  No

  N/A

• 2. No double adapters in use.

  Yes

  No

  N/A

• 3. All electrical appliances have been inspected and tested with durable tag applied with re-inspection date.

  Yes

  No

  N/A

• 4. Electrical equipment tested and tagged with durable tag applied with re-inspection date.

  Yes

  No

  N/A

• 5. Extension leads if used are in are in good condition and correctly positioned.

  Yes

  No

  N/A

• 6. No broken plugs, sockets or switches.

  Yes

  No

  N/A

• 7. No frayed / damaged leads / strained leads.

  Yes

  No

  N/A

• 8. Small appliances in working order and clean.

  Yes

  No

  N/A

• 9. Electrical register checked and up to date.

  Yes

  No

  N/A

G. Chemical Safety

• 1. Cleaners cupboard locked and secure.( this means that all items of a hazardous substance are kept in a restricted area, that is locked and accessible only by key personnel.)

  Yes

  No

  N/A

• 2. Cleaners cupboard orderly. Mops, cloths ( blue, green, red) separated etc

  Yes

  No

  N/A

• 3. Material Safety Data Sheets available for all chemicals.

  Yes

  No

  N/A

• 4. All containers labelled correctly.

  Yes

  No

  N/A

• 5. Chemicals stored correctly.

  Yes

  No

  N/A

• 6. Cleaners cupboard is pest free.

  Yes

  No

  N/A

• 7. Date of last MSDS audit on office and cleaners supplies.

  Yes

  No

  N/A

H. First Aid Facilities

• 1. Are first aid cabinets and contents clean and orderly.

  Yes

  No

  N/A

• 2. Are contents regularly checked. Last audit inventory verified.

  Yes

  No

  N/A

• 3. Cabinets clearly labelled and locked. Emergency keys location checked.

  Yes

  No

  N/A

• 4. Is there easy access to cabinets.

  Yes

  No

  N/A

• 5. Employees aware of location of first aid cabinet. (Spot check with employee)

  Yes

  No

  N/A

• 6. Trained first aid officer list and emergency numbers are available next to F/A kits.

  Yes

  No

  N/A

• 7. Are emergency numbers displayed

  Yes

  No

  N/A

• 8. MSDS folder located next to first aid cabinet.

  Yes

  No

  N/A

I. Office Hazards

• 1. Condition of chairs? (Five star bases.)

  Yes

  No

  N/A

• 2. Desks in good condition? (No damage.)

  Yes

  No

  N/A

• 3. Monitor lift arm / LCD monitor / base unit / keyboard equipment functional and to ergonomic requirements.

  Yes

  No

  N/A

• 4. Doors to cupboards, lockers, open and close fully.

  Yes

  No

  N/A

• 5. Trolleys , fixed cabinets in good repair.

  Yes

  No

  N/A

• 6. Photocopier machines in good order.

  Yes

  No

  N/A

• 7. Headset data base checked and up to date.

  Yes

  No

  N/A

• 8. Are staff aware of headset fault reporting procedure. ( spot check )

  Yes

  No

  N/A

• 9. Air conditioning issues fault reported. Property fault reports sited.

  Yes

  No

  N/A

• 11. Authority to commence work documentation records checked.

  Yes

  No

  N/A

J. Fire Prevention

• 1. Extinguishers in place, wall and cupboard ,clearly marked for type of fire.

  Yes

  No

  N/A

• 2. Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 3. Extinguishers clear of obstructions.

  Yes

  No

  N/A

• 4. Extinguisher no more than 1200 mm max height & base not lower that 100 mm

  Yes

  No

  N/A

• 5. Evacuation Indicator signs 2.1 m above floor level.

  Yes

  No

  N/A

• 6. Adequate direction notices for fire exits.

  Yes

  No

  N/A

• 7. Exit doors easily opened from inside.

  Yes

  No

  N/A

• 8. Exits clear of obstructions.

  Yes

  No

  N/A

• 9. Fire alarm system tested regularly by building management/ ACAMS

  Yes

  No

  N/A

• 10. Evacuation procedures discussed regularly? (2 to 3 times a year)

  Yes

  No

  N/A

• 11. Transfer and new hire staff receive emergency evacuation training within 5days of site arrival. Site records.

  Yes

  No

  N/A

K. Environmental

• 1. Last environmental survey date.

  Safe

  At Risk

  N/A

L. Training records

• 1. First aid register skills matrix checked.

  Yes

  No

  N/A

• 2. First five minutes online training records. Date check

  Yes

  No

  N/A

• 3. WHS committee member skills matrix checked.<br>

  Yes

  No

  N/A

ACTION REGISTER -Please detail the hazard/ issue and recommended action. Please ensure that all open hazards are transferred to the hazard register.

• Item 1.

• Issue / Problem / Risk Assessment

• Responsible person / Due Date

• Item 2.

• Issue / Problem / Risk Assessment

• Responsible Person / Due date

• Item 3.

• Issue / Problem / Risk Assessment

• Responsible Person / Due date

• Item 4.

• Issue / Problem / Risk Assessment

• Responsible Person / Due date

• Item 5.

• Issue / Problem / Risk Assessment

• Responsible Person / Due date

• Item 6.

• Issue / Problem / Risk Assessment

• Responsible Person / Due date

• Item 7.

• Issue / Problem / Risk Assessment

• Responsible Person / Due date

Sign Off

• Health Safety Representative

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• Health Safety Representative

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• Consultant

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• Supervisor

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• Supervisor

  Sign

• Auditor's signature

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• Management signature

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