Workplace Site Visits

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

PRE-INSPECTION CHECKLIST

• Checklist completion rate for the previous 12 months is above 80%

  Yes

  No

  N/A

• All actions from the most recent checklist are documented as in progress or closed

  Yes

  No

  N/A

• Items of interest from previous inspection

• Number of completed actions from previous inspection

• Number of actions still outstanding from previous inspection

• Action or recommendations

• Date of previous inspection

  Date

OHS INFORMATION

• When you are injured at work poster is visible

  Yes

  No

  N/A

• OHS policy is signed by the CEO and visible

  Yes

  No

  N/A

• OHS Committee members list is current and visible

  Yes

  No

  N/A

• OHS Committee minutes are current (most recent) and visible

  Yes

  No

  N/A

• At least one focus on OHS feature document is visible

  Yes

  No

  N/A

• Action or recommendations

Outdoor inspection

• General impression of grounds

• Grounds maintenance follow up required?

  Yes

  No

• Relevant images

  Media

• General condition of outdoor furniture

• Outdoor furniture follow up required?

  Yes

  No

• Relevant images

  Media

• Actions or recommendations

MSDS

• Number of prohibited items found

• Relevant images

  Media

• MSDS follow up required?

  Yes

  No

• The contents of the MSDS folder are current

  Yes

  No

• Actions or recommendations

Test and Tag

• The random check identified out of date test and tag appliances

  Yes

  No

• Relevant images

  Media

• Test and Tag follow up required?

  Yes

  No

• Actions or recommendations

Housekeeping

• General level of housekeeping

• Relevant images

  Media

• Yellow caution tags on shower hoses?

  Yes

  No

• Blood spills kit clearly labelled and complete?

  Yes

  No

• Step ladder stored correctly?

  Yes

  No

• Lint filter in dryer clean and free from lint?

  Yes

  No

• Relevant images

  Media

• Housekeeping follow up required?

  Yes

  No

• Actions or recommendations

Storage

• General standard of storage

• Heavy items found stored above shoulder height

  Yes

  No

• Surfaces uncluttered and shelves well organised?

  Yes

  No

• Relevant images

  Media

• Storage follow up required?

  Yes

  No

• Actions or recommendations

Emergency Management

• Fire and emergency planning documentation is visible and current

  Yes

  No

• Relevant images

  Media

• Fire and emergency management equipment is accessible, complete and within service dates

  Yes

  No

• Relevant images

  Media

• Fire and emergency follow up required?

  Yes

  No

• Evacuation Pack contents complete?

  Yes

  No

• Actions or recommendations

• Person conducting site visit

  Sign

• Person assisting with site visit

  Sign