Workplace Inspection Form - Operational

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Inspection Items

• Does the emergency evacuation plan clearly reflect the workplace layout?

  Yes

  No

  N/A

• Are color-coded building emergency response cards located at each workstation?

  Yes

  No

  N/A

• Have workers received information about the emergency plan for the workplace?

  Yes

  No

  N/A

• Has an evacuation drill been conducted in last 12 months? <br>(seek conformation from Emergency warden and record the last evacuation drill date in comments section)

  Yes

  No

  N/A

• Is the Emergency contacts poster up to date? <br>(Poster should have Wardens, First aid officer, Safety coordinators, Environmental coordinators and Emergency services)

  Yes

  No

  N/A

• Are building fire exits appropriately signposted?

  Yes

  No

  N/A

• Is fire fighting equipment (extinguishers, fire hoses) tagged and in current test? Are fire hose reels stored with hose handle in the correct position in the cradle (hose cannot be run out without water) ?

  Yes

  No

  N/A

• Is there unobstructed access to fire fighting equipment?<br>(1m to clear access)

  Yes

  No

  N/A

• Emergency cabinet contains required information. ( Hazardous substance manifest, Fire fighting equipment maintenance records, Emergency evacuation employee training records, Fire alarm maintenance records - where applicable)

  Yes

  No

  N/A

Buildings and Fences

• Is building's roof cladding, gutters and drains in a sound condition?<br>( Perform a visual inspection from ground level)

  Yes

  No

  N/A

• Are drains inlets/outlets and pits throughout the site clear of silt/waste/weed build-up? Have identified confined spaces been clearly signed ?

  Yes

  No

  N/A

• Is wash down area adequately maintained and checked for weeds?

  Yes

  No

  N/A

• Are building door and locks operational?

  Yes

  No

  N/A

• Are fences and gates maintained in serviceable condition?

  Yes

  No

  N/A

• Are signs/notices in good condition, appropriate, clearly visible and identifiable?

  Yes

  No

  N/A

Workplace Traffic

• Are roadways and path surfaces in good condition?

  Yes

  No

  N/A

• Are adequate controls in place to ensure vehicle and pedestrian safety in workplace areas?

  Yes

  No

  N/A

• Are pedestrian walkways clearly defined and signposted as required?

  Yes

  No

  N/A

• Are signs/notices in good condition, appropriate, clearly visible and identifiable?

  Yes

  No

  N/A

• Is access restricted to Hazardous operating areas where required?

  Yes

  No

  N/A

Amenities

• Are shower and toilet facilities clean and functional?

  Yes

  No

  N/A

• Are fridges, freezers and ice machines clean and operational?

  Yes

  No

  N/A

• Are workplace amenities maintained in a clean, hygienic manner?

  Yes

  No

  N/A

Office Environment

• Is the office equipment fit for purpous and in servicable condition?

  Yes

  No

  N/A

• Is the office area clean and tidy, free of trip hazards?

  Yes

  No

  N/A

• Is appropriate information available to employees on office workstation and computer monitor setup?

  Yes

  No

  N/A

• Are employees using appropriate manual handling techniques?

  Yes

  No

  N/A

• Are manual handling/ergonomic posters placed in strategic areas?

  Yes

  No

  N/A

• Are computer cables and electrical leads stored/placed suitable to minimize trip hazards?

  Yes

  No

  N/A

• Is mechanical assistance available for handling heavy loads?

  Yes

  No

  N/A

Lighting

• Is workplace lighting adequate for task? <br>If unsure, have light level measured.

  Yes

  No

  N/A

• Are all lights operational?

  Yes

  No

  N/A

• Is the level of natural lighting satisfactory?<br>Check condition of sources (eg. Are windows kept clean?)

  Yes

  No

  N/A

• Are lighting levels adequate for any recent changes to site/building layout?

  Yes

  No

  N/A

Housekeeping

• Are traffic areas, access ways, exits, straits or work areas clear of obstructions?<br>Check electrical leads are restrained.

  Yes

  No

  N/A

• Are work areas/benches in good conditions and clear of rubbish and surplus equipment?

  Yes

  No

  N/A

• Are stock materials clear of work areas & stored safely?

  Yes

  No

  N/A

• Workplace yard maintained in tidy condition (mowing, storage, etc)?

  Yes

  No

  N/A

Floors & Access Ways

• Are stairs and access ways in sound condition (eg. No worn/damaged treads, trip hazards, slippery)?

  Yes

  No

  N/A

• Are pedestrian walkways clearly marked? (Where applicable)

  Yes

  No

  N/A

• Are handrails in safe condition?

  Yes

  No

  N/A

• Are there any location where a person may fall, if so have these been assessed?

  Yes

  No

  N/A

• Are floor surfaces/coverings in good condition?<br> Check position/condition of mats.

  Yes

  No

  N/A

• Are floor surfaces free of slippery substances?

  Yes

  No

  N/A

Warehouse/Storage Areas

• Are storage bins and cupboards provided?

  Yes

  No

  N/A

• Are storage bins racks in a sound condition and SWL signage erected where applicable?

  Yes

  No

  N/A

• Is inspection regime for racking up to date? ( Where applicable)

  Yes

  No

  N/A

• Are pallets, racks and shelvings in good condition?

  Yes

  No

  N/A

• Are materials stored in safe manner, materials properly stacked, secured on pallets or not hanging out of shelves or racks?

  Yes

  No

  N/A

• Are pallets correctly secured in upright racking?

  Yes

  No

  N/A

• Are access equipment (ladders, stools) inspected and in test?

  Yes

  No

  N/A

• Are storage containers, pallets, boxes, cable drums in good condition?

  Yes

  No

  N/A

• Are cable drums in a serviceable condition in accordance with MP001200R105, and BS00140R146?

  Yes

  No

  N/A

Personal Protective Equipment

• Is appropriate personal protective equipment (PPE) available and in good condition?

  Yes

  No

  N/A

• Are employees wearing PPE appropriate for task?

  Yes

  No

  N/A

• Have employees been trained in use and maintenance of PPE?

  Yes

  No

  N/A

• Is there appropriate storage facility for PPE where required?

  Yes

  No

  N/A

Hazardous Chemicals

• Are hazardous chemical storage containers labelled with product name, manufacturer, any hazard/risk associated with the product and a safety phrase?

  Yes

  No

  N/A

• Are hazardous chemical signage/placards displayed as required?

  Yes

  No

  N/A

• Is workplace hazardous chemical register up to date?

  Yes

  No

  N/A

• Are up to date SDSs readily available where hazardous chemicals are used?<br>(SDS's should not be older than 5 years)

  Yes

  No

  N/A

• Are hazardous chemical storage requirement addressed?

  Yes

  No

  N/A

• Hazardous chemicals and used container disposal meets environmental requirements?

  Yes

  No

  N/A

• Are bund area walls, floors and outlets maintained?

  Yes

  No

  N/A

• Are oil/water separator maintained?

  Yes

  No

  N/A

• Is site clear of signs of recent spills or leaks?

  Yes

  No

  N/A

• Are portable spill pallets available and maintained?

  Yes

  No

  N/A

• Are oil spill containment kits available where required and maintained with a tamper proof seal?

  Yes

  No

  N/A

Asbestos Management

• Is there an Asbestos Waste bin located at the site as per the Asbestos Register ?

  Yes

  No

  N/A

• Is asbestos waste being contained correctly, ie double bagged before being placed in the asbestos waste bin including disposable P2 Respirators and gloves.

  Yes

  No

  N/A

• Does the Asbestos Handling Kit, as a minimum, contain all required contents as per the requirement of the Asbestos Management Plan ? (ES000901R101)

  Yes

  No

  N/A

• Does the Depot have an approved HEPA Vacuum Cleaner ?

  Yes

  No

  N/A

• Is the HEPA Vacuum Cleaner and hoses secure in a plastic bag or air tight container and labelled as containing asbestos.

  Yes

  No

  N/A

• Is the HEPA Vacuum Cleaner "In Test" ie Mandatory 12 monthly filter and air tight testing ?

  Yes

  No

  N/A

• Is the PROFLOW Pump/Units "In Test" ie Mandatory 12 monthly certification ?

  Yes

  No

  N/A

• Are the PROFLOW Pumps/Units secure in their air tight cases with the dust covers on the filters ?

  Yes

  No

  N/A

• Are the filters on the PROFLOW Pump/Units within their 6 monthly usage date ?

  Yes

  No

  N/A

Waste Management

• Are there adequate waste bins available thought out the workshop?

  Yes

  No

  N/A

• Are waste bins regularly emptied and accumulated rubbish removed?

  Yes

  No

  N/A

• Is liquid waste storage and disposal utilized where provided?

  Yes

  No

  N/A

• Are recycling/special purpose containers utilised where provided and is there regular collection program in place?

  Yes

  No

  N/A

Pressure Vessels/Systems

• Is the workplace pressure vessel register maintained?

  Yes

  No

  N/A

• Are LPG decanting requirement adhered to?

  Yes

  No

  N/A

• Are hoses and connection in good conditions?

  Yes

  No

  N/A

• Is adequate fire protection facilities available around pressure vessel work area?

  Yes

  No

  N/A

Pipelines

• Are Pipelines in good condition, labelled and appropriate placards erected?

  Yes

  No

  N/A

Noise

• Is there any plant/equipment or locations within the work environment requiring further checks due to a high risk from noise ?

  Yes

  No

  N/A

• Are control measures in place to address high noise exposure?<br>(Sign, PPE etc)

  Yes

  No

  N/A

Tools, Plant & Equipment

• Are work surfaces in good condition?<br>(benches etc)

  Yes

  No

  N/A

• Is bench mounted equipment securely fastened and in safe condition?

  Yes

  No

  N/A

• Are tools & equipments not in use, correctly stored?

  Yes

  No

  N/A

• Are tools, plant and equipment maintained and in safe operating condition?

  Yes

  No

  N/A

• Is adequate work space provided around machinery?

  Yes

  No

  N/A

• Are moving parts adequately guarded? Eg. Nip in points

  Yes

  No

  N/A

• Are pre-start check conducted on plant where applicable?<br>(eg. Forklift)

  Yes

  No

  N/A

• Where pre-start checks are conducted on plant are actions raised to correct defects?

  Yes

  No

  N/A

• Are operators competent and authorized to use plant and equipment as required?

  Yes

  No

  N/A

• Are mobile plant reversing alarm functional?<br>(eg. Forklift)

  Yes

  No

  N/A

• Are isolation and tag out procedures followed when machines maintained?

  Yes

  No

  N/A

Vehicles

• Are Vehicle inspection/maintenance records current?

  Yes

  No

  N/A

• Are Vehicle wash down records current and in vehicles ?

  Yes

  No

  N/A

• Are vehicle decals in good condition?<br>(Ergon energy, registration labels etc)

  Yes

  No

  N/A

• Are vehicle pre-start check being performed as required?

  Yes

  No

  N/A

• Is safety signage/decals in good condition?<br>(hazard signage on VLC's, exclusion zone table, operate using remote control etc)

  Yes

  No

  N/A

• Vehicle tray is clear of rubbish and loose debris/components to minimize risk of item falling from vehicle ?

  Yes

  No

  N/A

• Packing is available for when plant is in operation (Eg. VLC, Borer/lifter) as per BS001404R148 ?

  Yes

  No

  N/A

• Heavy vehicle driving records completed and maintained ?

  Yes

  No

  N/A

• Are safe work instructions (manuals) up to date?<br>(where applicable)

  Yes

  No

  N/A

Electrical Equipment

• Is portable electrical equipment maintained, tagged and in current test?

  Yes

  No

  N/A

• Is electrical equipment maintained (switches, power points etc)?

  Yes

  No

  N/A

• Are safety switches (residual current devices) fitted/used where required and tested regularly?

  Yes

  No

  N/A

• Are in test power boards in use in lieu of double adapters or piggy back plugs which are not approved for use within Ergon Energy ?

  Yes

  No

  N/A

Ladders

• Are ladders maintained, in test and stored safely?

  Yes

  No

  N/A

• Are defective ladders withdrawn from service, tagged as unserviceable and quarantined?

  Yes

  No

  N/A

Lifting Equipment

• Is the lifting equipment fit for purpose and in test?

  Yes

  No

  N/A

• Is the workplace lifting equipment register maintained and current?

  Yes

  No

  N/A

• Is the lifting equipment stored correctly, away from oils, acids and alkalises ?

  Yes

  No

  N/A

Welding / Hot Work

• Is welding equipment in safe condition and maintained ? Check integrity of fittings, hoses, and connections.

  Yes

  No

  N/A

• Are welding areas screened to reduce welding flash?

  Yes

  No

  N/A

• Are electric cables/gas hoses positioned clear of welding work area?

  Yes

  No

  N/A

• Are double flash-back arresters fitted to oxy-acetylene equipment ? (Flash back arrestors should be fitted at the blow pipe and to the oxygen and fuel gas regulators)

  Yes

  No

  N/A

• Is oxy acetylene ventilation provided?

  Yes

  No

  N/A

• Are oxy acetylene hoses purged of gas when stored?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Is the welding area clear of flammable/combustible material?

  Yes

  No

  N/A

• Is fire fighting equipment close by and easily accessible ?

  Yes

  No

  N/A

Additional Workplace Inspection Items

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

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