Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • UNIT:

  • DATE / TIME OF INSPECTION

  • NAME:

  • SIGNATURE

STRUCTURE

  • Are walls, windows and structures free from cracks and damage?

  • Is the building free from roof leakage?

  • Are floor surfaces and walkways even and free of slip / trip hazards?

  • Are stair steps stable, even, and free of damage and slip / trip hazards?

  • Do stairs have suitable, secure handrails?

  • Do platforms / landings have barriers or handrails to prevent falls?

  • Is all unwanted waste disposed of correctly?

LIGHTING

  • Do installed lights work and provide sufficient lighting for tasks?

  • Are light fittings and switches operating correctly and free from damage?

VENTILATION

  • Do installed ventilation systems work and operate as designed?

  • Where installed, do temperature controls work and operate as designed?

ACCESS, EGRESS AND MOVEMENT

  • Are emergency EXIT doors clearly marked?

  • Are all illuminated Emergency Exit signs working correctly?

  • Are EXIT doors unlocked, unblocked and free of obstructions?

  • Are all internal & external EXIT routes / walkways kept free of obstructions and slip / trip hazards

AMENITIES

  • Are all washrooms, showers and toilets operating correctly, and kept clean, free from damage and adequately stocked (e.g. sufficient toilet paper and hand drying facilities)?

  • Are personal storage lockers free of damage?

  • Are meals and refreshment areas (including benches, floors, storage facilities, fridges and utensils) kept clean, regularly checked and free of damage?

  • Is all food and other waste disposed of regularly and correctly?

FIRST AID

  • Are First Aid Kit locations clearly identified by prominent signage?

  • Are all site First Aid Kits fully stocked (as per content list), with all contents current (within used by date)?

  • Where installed, is Automatic External Defibrillator (AED) clearly identified by signs, easily accessible and tested?

  • Is register of designated First Aiders maintained and current?

  • Is contact information for First Aiders displayed and current?

FIRE AND EMERGENCY

  • Is all Firefighting equipment correctly mounted, clearly identified by signs, and easily accessible?

  • Does all Firefighting equipment display current test tags?

  • Are all Emergency Alarm components clearly identified, accessible and checked for correct function within last 6 months?<br>

  • Is register of designated site wardens maintained and current?<br>

  • Is contact information for site wardens displayed and current?

  • Is the Emergency Management Plan easily accessible and current?

  • Does the Emergency Evacuation Diagram include all minimum requirements (refer to guidance - Emergency Evacuation Diagrams)?

  • Is the Emergency Evacuation Diagram prominently displayed and current?

TOOLS AND WORKBENCH AREAS

  • Are workbenches kept free of clutter and unwanted materials?

  • Are hand tools regularly checked, maintained in working order and stored for ease of access?

  • Are ladders free of damage and stored for ease of access?

  • Are trolleys suitable for task and free of damage?

  • Are any damaged / unsafe tools clearly and correctly tagged to prevent accidental use?

PLANT AND EQUIPMENT

  • Is all general plant and equipment regularly inspected, maintained in operating order and free of damage?

  • Are air compressor, lines and hoses regularly inspected for damage?

  • Are pre-use safety checks of plant and equipment undertaken?

  • Does all electrical plant and equipment display a current Electrical Test Tag?

  • Are Lock-Out Tag Out warning tags understood and readily available?

  • Are PPE requirements when using plant and equipment clearly communicated and understood?

STORAGE

  • Is storage shelving/racking stable, secure and free of damage?

  • Are Safe Working Load limits displayed for all pallet racking?

  • Ia all shelving / racking correctly rated for the items stored on them?

  • Is access to stored items on shelving / racking free of obstruction?

  • Are items correctly stored on shelving / racking for ease of handling? (heavy bulky items stored on lower shelves)

  • Are all items stored above head height secure?

  • Are all chemical containers / packaging correct;y sealed and labelled?

HAZARDOUS SUBSTANCES

  • Are all chemicals stored securely, with incompatible substances separated?

  • Are Gas Cylinders securely stored, protected from impact and away from direct sunlight?

  • Is a current Hazardous Materials register maintained?

  • Are Safety Data Sheets available and accessible?

  • Is relevant PPE readily available?

  • Are Hazardous Substances signs displayed?

  • Does a chemical Spill Kit exist, is it easily accessible and its contents complete?

OFFICE AREAS

  • Are work surfaces / desks stable, undamaged and kept free from waste and unwanted materials?

  • Are computer items adjusted to suit the users comfort?

  • Are electrical cords free from damage and displaying a current electrical Test Tag?

  • Are chairs adjustable, functioning correctly, and free from damage?

  • Is storage easy to access?

  • Current WHS policy displayed?

DISPLAY MATERIAL

  • Is the Workcover "If You are Injured" poster displayed?

  • Is the current WHS issue resolution process displayed?

  • Are Name/s of the local HSR's displayed and current?

EXTERNAL AREAS

  • Are perimeter fencing and gates free of damage?

  • Is the area clear of unwanted materials that might be a hazard?

  • Is access to the building free of obstructions and trip hazards?

  • Does the site have a Traffic Management Plan? (include defined parking areas, safe pedestrian access and forklift work areas)

SIGN OFF

  • KIMBERLY WELSH - WHS DELEGATE

  • Signature

  • Date

  • CHRISTINE WELSH - UNIT CONTROLLER

  • Signature

  • 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.