Title Page
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Conducted on
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Prepared by
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Location
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Lead Inspector:
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Organisation Name:
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Location / Area:
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Supervisor:
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Inspection Date:
INSPECTION
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C = Compliant
NI = Not Compliant - Improvement needed but safe to continue
UA = Not Compliant - Unacceptable, stop and & take immediate action
NA = Not Applicable -
Hazard Board at site entrance/sign in station with names and contact details for emergency site contacts
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HAZCHEM sign at site entrance where large quatities of hazardous substances (more than 2000L) are stored
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Signs clearly visible at site entrance and around site barriers/fences warning that only authorised personnel may enter work site
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Warning signs are clean, readable and in the correct locations?
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Identification stickers are clean, readable and in the correct locations on all bulk storage tanks?
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Signs identifying PPE requirements for different yard areas are clean, readable and in the correct locations
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Signs in place identifying specific PPE required in high-risk working areas eg. Face Shield signs around drilling/cutting tools, Respirator signs in washbay around acid containers etc
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Sufficient clean and upright signage consisting of "Speed Limit", "Stop", "Give Way" and directional signs etc
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Signs in place identifying AED, First Aid and Fire Extinguisher locations
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Notice boards in place with Safety Alerts, business alerts and activity information etc
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For any Non-Compliances found, create an Action and change the 'Assignee' to timb@hiways.com.au (Au) or hennof@hiways.co.nz (NZ)
Inspection Team
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Name:
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Signature:
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Name:
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Signature:
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Name:
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Signature:
