Workplace Inspection Template- Vic Farms/Balpool

• Conducted on

  Date

• Prepared by

• Location
  Address

WHS SYSTEMS

• Is an Emergency Evacuation Map visible?

  Yes

  No

  N/A

• WHS Charter / JBS Values Displayed?

  Yes

  No

  N/A

• Bullying & Harassment Policy Displayed?

  Yes

  No

  N/A

• WHS Incident Resolution Procedure Flowchart Displayed?

  Yes

  No

  N/A

• Safety Feed items on Notice Board?

  Yes

  No

  N/A

• WHS Committee Meeting Minutes Displayed?

  Yes

  No

  N/A

FIRST AID

• Is there a first kit/cabinet available and accessible?

  Yes

  No

  N/A

• Are adequate stocks available?

  Yes

  No

  N/A

• Is there a Defibrillator on site?

  Yes

  No

  N/A

• Defibrillator monthly check conducted?

  Yes

  No

  N/A

• Poster of first aiders?

  Yes

  No

  N/A

WORKPLACE

• Employee's provided with PPE?

  Yes

  No

  N/A

• PPE signage displayed?

  Yes

  No

  N/A

• Mechanical aids provided and used?

  Yes

  No

  N/A

• Are floors, paths & walkways free from materials or waste and do not create a slip, trip or fall hazard?

  Yes

  No

  N/A

• Did you notice employees complying with safe work practices ie Not climbing on or over walls, gates, structures?

  Yes

  No

  N/A

• Are emergency exits clear?

  Yes

  No

  N/A

• Is lighting adequate for work tasks?

  Yes

  No

  N/A

• Sufficient external lighting for security/safety?

  Yes

  No

  N/A

• Are stairs in good condition?

  Yes

  No

  N/A

• Are handrails in place, where required?

  Yes

  No

  N/A

• Are portable ladders in good condition?

  Yes

  No

  N/A

• SWL label visible and in date?

  Yes

  No

  N/A

• Are Firearms kept on site and locked to prevent unauthorized use?

  Yes

  No

  N/A

• Gun Log Completed?

  Yes

  No

  N/A

• Captive Bolt Gun, in good condition?

  Yes

  No

  N/A

• Cleaned and Maintained?

  Yes

  No

  N/A

• Rubbish bins available?

  Yes

  No

  N/A

• Mobile plant pre-operational checklist completed?

  Yes

  No

  N/A

• Are loading ramps (fixed & portable) in good condition and monitored for signs of deterioration (ie: treads, hydraulic oil leaks, wheels, winch cable etc)?

  Yes

  No

  N/A

• Stock handling boards used / in good condition?

  Yes

  No

  N/A

• Sharps containers available?

  Yes

  No

  N/A

• Are road conditions including carparking area around the site safe and adequate?

  Yes

  No

  N/A

• Other Observations?

  Yes

  No

  N/A

ELECTRICAL SAFETY

• Are electrical leads off the ground and free from exposure to water / damage?

  Yes

  No

  N/A

• Are cable trip hazards clear of aisles and walkways?

  Yes

  No

  N/A

• Lock Out Tag Out procedures / tags available?

  Yes

  No

  N/A

• If you notice a maintenance person working on machinery or equipment – is the plant / equipment isolated using Lock Out Tag Out procedures?

  Yes

  No

  N/A

• Are items correctly tagged and dated?

  Yes

  No

  N/A

• Check at least two leads / electrical items - are they tagged with a date tested and next due test date?

  Yes

  No

  N/A

• Switchboards secured?

  Yes

  No

  N/A

MAINTENANCE WORKSHOP

• Clean and tidy?

  Yes

  No

  N/A

• Free from excess oil and grease?

  Yes

  No

  N/A

• Gas bottles securely fixed to trolley?

  Yes

  No

  N/A

• Only flint guns used to light torch?

  Yes

  No

  N/A

• Flash back arresters fitted?

  Yes

  No

  N/A

• Gas bottle within 10 year stamp?

  Yes

  No

  N/A

• PPE provided being worn?

  Yes

  No

  N/A

• Is all plant and equipment adequately guarded?

  Yes

  No

  N/A

• Are the start & emergency stops within easy reach of operators?

  Yes

  No

  N/A

FIRE CONTROL

• Does fire equipment appear to be in good condition?

  Yes

  No

  N/A

• Are fire extinguishers within service dates?

  Yes

  No

  N/A

• Are fire extinguishers in place & signed?

  Yes

  No

  N/A

• Trial Evacuations conducted?

  Yes

  No

  N/A

CHEMICALS (HAZARDOUS / DANGEROUS SUBSTANCES)

• Are chemicals stored and containers labelled correctly? (i.e: segregated, not stored in unlabeled containers ie: soft drink bottles, adequate bunding etc)?

  Yes

  No

  N/A

• Is a Chemical Register available on site for hazardous substances/dangerous goods?

  Yes

  No

  N/A

• Protective clothing / equipment available including PPE Ie; rubber gloves, safety goggles/face shield etc)?

  Yes

  No

  N/A

• Eye/Face wash facilities available?

  Yes

  No

  N/A

• Appropriate emergency / first aid equipment in place?

  Yes

  No

  N/A

• Are fuel storage facilities in place and clearly labelled?

  Yes

  No

  N/A

AMENITIES

• Are toilets / Showers clean?

  Yes

  No

  N/A

• Are kitchen facilities/lunchrooms clean?

  Yes

  No

  N/A

• Is drinking water available?

  Yes

  No

  N/A

• Are there washing facilities?

  Yes

  No

  N/A

• Extinguishers in place?

  Yes

  No

  N/A

• Storage - are materials stored so they will not fall?

  Yes

  No

  N/A

• Are materials stored so that good manual handling practices can be applied, therefore safe retrieval?

  Yes

  No

  N/A

• Are storage racks/cupboards in sound conditions, not overloaded?

  Yes

  No

  N/A

• Other Observations?

  Yes

  No

  N/A

VERIFICATION

• Have identified hazards been put into solvsafety?

  Yes

  No

  N/A

• Signature of inspector

  Sign

• Signature of Manager

  Sign