Workplace Inspection Form - Operations - Local - Local

• 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

• 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?

  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

Pictures of hazard areas

• 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?

  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

• Are controls affective?

  Yes

  No

  N/A

Amenities

• Are shower and toilet facilities clean and functional?

  Yes

  No

  N/A

• Are fridges and freezers 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 servisable 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

• Have all office staff completed an office ergonomic self assessment at their current workstation?

  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

• Pare 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, and boxes in good condition?

  Yes

  No

  N/A

• Are products stacked in a safe manner for easy access?

  Yes

  No

  N/A

• Does the storage rack design allow for safe lifting & materials movement?

  Yes

  No

  N/A

Personal Protective Equipment

• Is appropriate 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 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 MSDSs readily available where hazardous chemicals are used?<br>(MSDS's should not be older than 3 years)

  Yes

  No

  N/A

• Hazardous chemicals and used container disposal meets environmental requirements?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Waste Management

• Are there adequate waste bins available thought 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 utilized 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

• Has a noise survey been conducted to determine plant/tool noise levels?<br>Annotate last survey date in the comments section.

  Yes

  No

  N/A

• Are there any location within the work environment where there maybe a 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 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

• Is vehicle equipped with safety materials, cones, flashing lights, restraining equipment, first aid kit, fire extinguisher, hard hats, and worker reflective vest

  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

• 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

Hoist / Crane

• Are Pre-use inspection done daily with a check list and documentation?

  Yes

  No

  N/A

• Are there training records available on worker permitted to use hoist?

  Yes

  No

  N/A

• Does the hoist / crane have annual inspection done by a qualified mechanic? and Do all operators know where to find it?

  Yes

  No

  N/A

• Is a hoist / crane operational manual available for workers?

  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 (RCDs) 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 prohibited - (refer to ESO Reg's 88 & 89)

  Yes

  No

  N/A

Ladders

• Are ladders maintained, intest and stored safely?

  Yes

  No

  N/A

• Ae 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 alkalis?

  Yes

  No

  N/A

Welding

• Is welding equipment in safe condition and maintainted<br>Check integrity of leads.

  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 flash-back arresters fitted to oxy-acetylene equipment?

  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

Additional Workplace Inspection Items

• Review customer safety

  Safe

  At Risk

  N/A

• Is there a working alone policy?

  Yes

  No

  N/A

Interview Workers:

• Do workers understand their Rights and Responsibilities under the OHSA? Interview

  Understands

  Does not understand

• What is your companies procedure when you have a work related injury here?

  Understands

  Does not understand

• Who's responsibility is it to identify hazards?

  All off use

  other

• Do you have a safety committee here and do you think that hazards get controled.

  Yes

  No

  N/A

• Do you know who in your company has first aid training?

  Yes

  No

  N/A

• Can you explain what the emergency response plan is for you company?

  Understands

  Does not understand

• Do you know where to find the MSDS?

  Yes

  No

  N/A

• When your workplace has had an accident, what have you seen happen to investigating it and / or controlling it possible reoccurring? Did you feel that management takes an active part in investigating and controlling?

  Good explaination and Yes

  Poor explanation and Yes

  Nothing and No

• Where would you find WHMIS symbols in your workplace?

  Understands

  Does not understand

• Determine what machine this worker operates: Explain the type of training you received to operate this machine. eg... forklift, air up tires, hoist etc..

  Safe

  At Risk

  N/A

Supervisor Interviews

• What are your responsibilities as a supervisor when it comes to safety here in Ontario

  Understands

  Does not understand

• How do you participate with the safety committee as a supervisor?

  Understands

  Does not understand

• What type of training did you get to become a supervisor of this company?

  Safe

  At Risk

  N/A

• When you have a new worker starting what type of training do you provide for them? Explain

  Understands

  Does not understand

• As a Supervisor do you know what your liability is if a contractor or sub contractor get hurt at your company?

  Understands

  Does not understand

• If your worker is injured do to a work related injury do you have a procedure or return to work program that you offer?

  Understands

  Does not understand

• Have you ever had to give a corrective action to an employee for an unsafe act?

  Yes

  No

  N/A

Worker Safety Representative Interview

• Explain your role for sitting on this safety committee and acting as the Worker Safety Representative?

  Understands

  Does not understand

• Do you give work direction to any other workers?

  Yes

  No

  N/A

• As a safety worker representative have you ever had to investigate an accident at this work place? Explain

  Good explanation

  Didn't take part

• Were you elected by the workers or where you Volunteered by management?

  Yes

  No

  N/A

• What PPE is mandatory and what is voluntary?

  Safe

  At Risk

  N/A

• How do you do your workplace inspections?

  Understands

  Does not understand

Signoff