Workplace Inspection Form

• Division:

• Branch:

• Date of this Inspection:

  Date

• Name of Person Conducting Inspection:

• Role:

• Instructions

• • The workplace inspection form shall be tailored to suit the site and activities

• • The workplace inspection shall be a visual inspection of all areas of the site to establish whether any workplace hazards are controlled

• • The workplace inspection team shall access the relevant procedures to ensure that plant, equipment and workplace meet the required standards.

• • The results of the inspection shall be discussed at the health and safety committee (if applicable) with the Site Leadership, Regional Manager, and Health & Safety Representatives

• Corrective Actions

• Does further action need to be taken to rectify an issue? Record as an action items and raise the action in MyOsh when loading the Inspection into the system.

• Site Emergency Management Plant (SEMP) displayed and up-to-date?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Clear access (min. 1 meter) to fire-fighting equipment (e.g. fire hoses, extinguishers, etc.)? Are they clearly marked and serviced within 6 months?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Locations of Equipment Inspected

• Locations:

• Emergency Evacuation Site Maps located in prominent areas on site?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Location of Maps

• Locations:

• Exit doors clearly marked, not obstructed, and easily opened from inside? Exit signs appropriately displayed and illuminated?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Emergency spill kits stocked and freely accessible? Are kits secured using an anti-tamper tag or tape? (note: do not use a cable tie or wire)

  Yes

  No

  N/A

• Additional Corrective Action Required:

Location of Spill Kits

• Locations:

• Emergency equipment (e.g. alarms buttons, eye wash, showers, etc.) freely available and not obstructed?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are emergency stops functioning as required?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Location of EStops

• Locations:

• Minimum build-up of combustible materials (boxes, paper, etc.)?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• First aid kits accessible, clearly marked, and well stocked?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Location of First Aid Kits

• Locations:

• All walkways/roadways clear of obstructions and trip hazards? Clearly marked/delineated?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• All non-authorised personnel and vehicles (including plant) is segregated to reduce the likelihood of a collision.

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Site speed limits and traffic controls signposted?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Correct PPE provided and worn as required?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Additional PPE freely accessible to employees, visitors, and contractors?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Machine guarding correctly fitted and used?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are ladders, lifting equipment, load restraints, hoses and compressed gasses tested and tagged? Records are maintained?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Location of lifting gear, hoses or ladders

• Locations:

• Plant or equipment tagged-out and isolated during maintenance or repair?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Fall restraint or prevention systems used in fall risk works?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Risk assessments (RAs) and work instructions (WIs) freely accessible to workers? Records signed by worker maintained?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Health & Safety Noticeboard in place and to date with relevant company safety documentation?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• HSE Activity Planner has been reviewed and is complete

  Yes

  No

  N/A

• Additional Corrective Action Required:

• All electrical equipment has current inspection/test tags attached?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Electrical cords kept away from water or other conductors?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Electrical cords and switches are free from damage? Damaged equipment tagged out and discarded?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Electrical cords/leads are tidy and not draped over walkways, elevated off ground etc?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Electrical switch boards sign-posted and secured as required?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Electrical distribution board and RCDs have been inspected and thermal scanned in the past 12 months?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Last Test Date

• Date

• All isolations and isolation tags are in place where required?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Appropriate ventilation through the work area? Air quality free from hazardous vapours/gases/odour?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Last Clean Date

• Filters cleaned: Date

• Lighting systems fully functional and sufficient for the site?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• General housekeeping is of a suitable standard with no waste or litter lying on fence lines / boundaries?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Tools and equipment stored safely away? Are items greater than 5kg kept below shoulder height?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• There are no leaning hazards i.e. any material leaning against walls which has a potential to fall?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are racking / shelving SWLs displayed?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Stormwater Management Plan in place?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Reviewed Last

• Date:

• Trade Waste Permits are current and applicable to the site?

  Yes

  No

  N/A

• Additional Corrective Action Required:

Expiry Date

• Date:

• Triple Interceptor is clean with no signs of overflowing? Is there a schedule to clean interceptor regularly?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Drains/watercourses are free of waste & debris and permit water flow?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• There is no visible oil spills on the site, especially in parking areas?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are there provisions for site-based waste recycling?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Taps / hoses / water use are intact, no leaks, and no water wastage?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Authorised Waste Carrier approval evident in/on vehicle(s)? Waste code documents in registered vehicle? (view approval in each applicable vehicle)

  Yes

  No

  N/A

• Additional Corrective Action Required:

• There is no evidence of offensive odours around the site?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• No evidence of offensive vermin around the site?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are bins, containers, vessels etc free of pooled water?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Is packaged waste stored on sealed ground?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are bulk chemicals visibly identified and secured?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Bulk stored chemicals are stored in suitably bunded areas?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are gas cylinders securely stored?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are bunds in good and clean condition? Is there any evidence of damage to the bind walls?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are sumps and bunds clear of build-up of sludge or solid waste?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are all chemicals labelled?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are all substances stored correctly (e.g. away from ignition sources, in accordance with the ‘Dangerous Goods & Combustible Liquids Compatibility Chart’, etc.)?

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Has the site not exceeded manifest quantities listed on the site’s ‘Manifest of Hazardous Chemicals?’

  Yes

  No

  N/A

• Additional Corrective Action Required:

• Are safety data sheets (SDSs) available where hazardous substances or Dangerous Goods are used/stored?

  Yes

  No

  N/A

• Additional Corrective Action Required: