• Cabinet tops free of stored items

  • Floor space clear of objects / debris

  • Work area clear of electrical leads / network cables

  • Filing cabinets/desk drawers closed when not in use

  • Waste paper bins free of hazardous materials (eg broken glass)

  • Floor coverings in good condition

  • Further Comments

Electrical Equipment

  • Damaged electrical, plugs, sockets or leads

  • Electrical appliances in a safe working area (eg heaters/fans)

  • Computers safely & appropriately situated on desks

  • Leads tested and tagged

  • Further Comments


  • Sufficient ventilation

  • Lighting adequate

  • Noise level satisfactory

  • Further Comments


  • Dining / lunch room facilities

  • Shower & change-room facilities

  • Toilet facilities

  • Further Comments


  • Extinguishers/hose reels in place

  • Extinguishers/hose reels serviced within 6 months

  • Exit doors easily opened from inside

  • Exit signage operable

  • Emergency equipment & exits unobstructed

  • Fire instructions available and displayed

  • Emergency Warden list displayed

  • Health & Safety Rep’s list displayed

  • Further Comments

First Aid

  • Cabinet in an accessible position

  • Signage displayed

  • Cabinets & contents clean and orderly

  • All required supplies sighted and within use by period

  • Current first aiders list displayed

  • Further Comments


  • Suitable desk & chair for required task

  • Chair easily adjusted from seated position

  • Operator able to use workstation without impediment

  • Further Comments

Storage Areas and Rooms

  • Adequate storage facilities

  • Pathways/walkways clear

  • Exit clear

  • Racking/shelving

  • Current manufacturer/supplier MSDS available for dangerous/hazardous substances

  • Further Comments

Workplace Improvement Action Plan

  • Are there any Workplace Improvement Actions ?

  • For each Workplace Improvement Action - press the "Add Workplace Improvement Action" Button

  • Workplace Improvement Action
  • Items to be addressed (include new control measures implemented in the last 12 months)

  • Action (For hazards that require further investigations, conduct a risk assessment – refer to Risk Assessment Procedure)

  • Responsibility

  • Completion Date


  • Date


  • Please attach further documentation if required.
    Note: For hazards that require further investigation, conduct a risk assessment as per Risk Assessment Procedure.

Approval of planned Actions

  • Select date


  • HSRs Signature

  • Distribution: DEAN, AD, HOAD, HOD, HSR, OHS Advisor : After approval of planned actions and after verification of actions

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