Title Page
-
Conducted on
-
Prepared by
-
Participants
- Employee
- Safety
- Supervisor
- Manager
- Other
-
Select date
-
Add signature
Load Shifting Equipment
-
Audible Alarm Working
-
Flashing light Working
-
All MHE fitted with seatbelts and in use
-
Signage is installed on entrances to area warning of forklift activity?
-
Gas bottles secured and PPE available?
-
Pre-start checklist completed and verified? (Includes vehicles, forklifts etc.)
Docks
-
Dock levellers working correctly?
-
Red/Green lighting system working correctly?
-
Appropriate signage on all doors indicating when safe to enter truck?
-
No Key No Load procedure in place and followed?
-
Dock Doors Working ok, easy to side without excess force?
-
Condition of ramps/plates preventing safe access to trucks or docks?
Battery Charging Area
-
Battery charging units secure and in good order?
-
No Damaged leads or sockets on leads or batteries?
-
Electrical leads stowed adequately off the ground?
-
Battery charging & changing procedure displayed?
-
Dry powder extinguisher available and accessible?
-
Safety shower working properly?
-
Safety shower and eyewash accessible?
-
Safety shower signage is displayed?
-
Hoist and chain blocks undamaged and in good order?
-
Lifting chains and slings undamaged and in good order?
-
Battery charging logbook up to date?
Racking
-
No damaged post or beams?
-
No missing bolts in feet of racks?
-
Area around racking allow easy access?
-
Signage displayed showing load bearing capacity?
-
Collision protection devices present?
-
Appropriate loads stored on racking?
-
Pallets are stored correctly?
-
Shelving in good condition and stable?
Housekeeping
-
Work area clean and orderly?
-
Floors clean (no pooling of any substances)?
-
Walkways and doorways clear of obstruction?
-
No equipment on floor, ie, hoses, pipes or cleaning tools?
-
Drains are labeled where flowing to (inside & outside)?
-
Drains are free from foreign objects? (Must have strainers)
-
Bins are not over flowing?
-
Shelving in good condition and stable?
-
Items stored safely/minimal storage above shoulder height/ no heavy items stored high?
Emergency Evacuation
-
Assembly points clearly marked with appropriate signage?
-
Evacuation plans displayed?
-
Emergency response team displayed?
-
Emergency contact and numbers displayed?
-
Emergency exits are unobstructed?
-
Warden Hats available?
-
Emergency lights installed?
-
Emergency exit signs working?
P.P.E. (Personal Protective Equipment)
-
Protective clothing is provides & in good condition?
-
All PPE worn appropriately?
-
Is hearing protection available?
-
Is other PPE available? (Eg. face masks, shields etc)
-
Are signs installed where PPE should be worn?
-
Is PPE appropriate for task being performed?
-
Adequate PPE storage facilities?
Amenities
-
Kitchen facilities are clean and sanitary?
-
Toilets are clean and working?
-
Drinking fountains working? (Including in work areas)
-
Appropriate dining tables & seats?
-
All entrances to process areas have sanitiser & hand wash facilities?
-
Lockers are in good condition & lockable?
-
All access doors have viewing windows in them?
-
Waste bins are located at suitable points and emptied?
-
Washing facilities in good condition and working?
Plant & Equipment
-
Is plant guarding adequate?
-
Is all guarding in place?
-
Are exposed moving parts guarded
-
Is interlocked guarding operating correctly?
-
Start & Stop devices are within reach?
-
Clear access around plant?
-
Safe operating instructions available?
-
Controls clearly marked?
-
Is there an emergency stop in close vicinity of operator?
-
Emergency stops tested and working?
Electrical Equipment
-
Gates to electrical substation locked?
-
Electrical cabinets locked?
-
Electrical equipment tested and tagged?
-
No damaged plugs, sockets, switches or other equipment?
-
No frayed or defective leads?
-
Any temporary leads need to be made permanent fixtures?
-
No temporary leads on the floor?
Hazardous Substances
-
Doors locked to small hazardous chemical storage? eg. cleaning materials
-
SDS located in location close to where they are used?
-
Substances labeled correctly? (Product name & Safety phrase)
-
Substances stored in appropriate containers? (eg. not in milk bottles)
-
Incompatible substances stored separately? (eg. Proxitane & Suresan)
-
PPE suitable for use with Hazardous Substances?
-
Is a spill kit in close proximity?
-
Is the spill kit adequately stocked & in good condition?
-
Does the spill kit contain a list of contents?
-
Is safety shower & eyewash station located close by?
-
Is safety shower & eyewash station working?
-
Is signage appropriate for shower & eyewash station?
OHS Information
-
Safety Policy Displayed and current?
-
Safety Alerts displayed and current? (1 month from date of issue)
-
OHS committee meeting minutes displayed and current?
-
OHS committee members displayed and current?
-
Safety Representative displayed and current?
-
Rehabilitation Coordinator displayed and current? (Qld only)
-
Workplace Health & Safety Office displayed & current? (Qld only)
Lightning
-
Adequate illumination?
-
Light fittings clean and in good order?
-
All lights working correctly?
-
Light switches undamaged?
First Aid
-
Trained first aid era list displayed in prominent locations?
-
First Aid kits are adequately stocked against contents?
-
Contents of kits appropriate for locations?
-
First aid kits are regularly checked?
-
Emergency contact list displayed?
-
First Aid kits have a list of contents attached?
-
Appropriate signage to identify location of First Aid kit?
Fire Protection
-
Fire extinguishers are suitable for most likely type of fire?
-
Extinguishers are properly mounted?
-
Correct signs above fire extinguishers & hoses?
-
Extinguishers serviced within last 6 months & tagged appropriately?
-
Extinguishers are unobstructed?
-
Hoses serviced within last 6 months & tagged appropriately?
-
Fire hoses are unobstructed?
Floor/Ailseways
-
Floor surfaces/pathways are in good condition? (ie, not slippery, no trip hazards)
-
Floor is smooth and free from damage? (ie, holes, cracks, etc.)
-
Areas are clearly marked if required to be unobstructed?
Landings/Stairs/Ladders
-
No worn or broken treads?
-
All landings have appropriate kick boards?
-
Handrails exist and are adequate?
-
Stair and landings are unobstructed?
Security
-
Access to restricted areas locked & appropriate signs installed?
-
Boundary fences & gates in good order & operational?
-
No gates/doors propped open?