Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Untitled Page

  • Area Inspected:

  • Site:

  • Date:

  • Persons Inspecting:

  • Manager Responsible:

  • ITEM

  • Please tick

  • ISSUE & ACTION REQUIRED

  • WHO

  • BY WHEN

  • Date Completed

ITEM

  • ISSUE & ACTION REQUIRED

  • WHO

  • BY WHEN

  • Date Completed

1. GENERAL WH&S/HOUSEKEEPING

  • Good housekeeping practised, work areas clean & tidy, uncluttered, rubbish cleared regularly?

  • Storage/racking in good & stable condition, if racking is used then inspected by a competent person within last 12 months?

  • Items stored correctly & neatly to minimise falling/collapsing hazards

  • Spill Kit available for glass breakage - bin, broom & pan, cut resistant gloves & safety glasses

  • Tools that are not in use kept in storage

  • Work areas well ventilated

  • No smoking signs observed

  • Appropriate safety signs in place & in suitable condition

2. WALKWAYS, STAIRS & LADDERS

  • Are walkways clear of trip & slip hazards?

  • Stairs/catwalks in good condition, have anti-slip treads & adequate handrails where required?

  • Only industrial ladders used (check label – must be industrial, not household/domestic) & in good condition i.e. working order, rubber feet

  • Where applicable, are ladders secured to the relevant structure at the top?

  • Are safety steps available where required?

  • Note – crates etc must not be used as a step

3. PLANT & EQUIPMENT

  • Appropriate equipment & tools used for the task/s at hand, & in good & safe condition?

  • Start/stop devices (including emergency stops) appropriately positioned, clearly marked & working

  • Is there adequate machine guarding in place where there is risk of injury from moving/hot/electrical parts that could result in injury?

  • Adequate workspace around machine/s?

  • Is hearing protection available & being used

  • Correct PPE available & used for tasks at hand? E.g. safety glasses, safety gloves, safety boots

  • Forklifts in good working order, pre-start checklists completed daily

  • Forklift Drivers adhering to speed limits inside & outside

  • All forklift operators hold current HR licence, licence copies maintained

4. ELECTRICAL

  • All power outlets, plugs & switches in good condition (not broken), tagged out if faulty?

  • Safe use of extension leads / power boards? e.g. no double adaptors, piggyback plugs, overloading

  • Portable electrical equipment tested, tagged & in date (check tag on power cord-should be within 6 months)

  • All leads used neatly set out to prevent trip hazards &/or be protected from water/liquid exposure?

  • Lighting in the work area adequate for the work being carried out and is it in suitable condition?

  • If there is faulty equipment, has it been tagged out? e.g. Yellow & Black ‘Do Not Use’ tag

5. MANUAL HANDLING

  • Is excessive heavy manual lifting eliminated? Are loads safely within employee capabilities?

  • Are lifting aids available & are they used?

  • Repetitive movements minimised &/or controls such as task rotation & breaks taken?

  • Do working positions pose a hazard that could cause injury, such as:

  • Staff using incorrect lifting techniques?

  • Lifting heavy, large &/or awkward materials?

  • Bad postures over stock or tables?

  • Repetitive twisting or turning? (task rotation & breaks taken?)

  • Frequently used items difficult to access/ stored below knee or above shoulder height?

6. TRAFFIC MANAGEMENT (BOTTLING/CELLAR/MAINTENANCE)

  • Safety Signage displayed to direct visitors, drivers, customers

  • Are the production areas set out to segregate vehicles & people:

  • Are there pedestrian exclusion zones, forklift exclusion zones & designated walkways?

  • If a high risk of collision is present, are barriers in place to segregate people from traffic where?

  • All personnel in traffic areas wearing high visibility clothing /vests?

  • Forklifts sound horn when entering/exiting doors &/or approaching corners?

  • All people & forklifts maintaining a distance of 3m where possible?

7. HAZARDOUS SUBSTANCES

  • Gas cylinders secured/chained?

  • Appropriate PPE available for chemical handling, used as required & PPE storage facilities provided?

  • Safety Data Sheets (SDS) easily accessible & in date i.e. <5 years - check for a chemical in use

  • Is a safety shower &/or eye wash station present, & are they working? (test the unit to check)

  • Appropriate storage for chemicals?

  • Clean, tidy & segregated as required

  • Stored in closed, labelled containers i.e. Name, Dangerous Goods Class, Food safe, Hazard

  • Bunding/spill trays in place for bulk chemicals to prevent spillage

  • Adequate chemical warning signs in place

  • Flammable substances used & stored away from naked flames/hot work

  • Chemicals &/or empty containers disposed of appropriately

8. EMERGENCY MANAGEMENT, FIRE SAFETY & FIRST AID

  • Has an evacuation drill been conducted within the last 12 months?

  • Is fire-fighting equipment (e.g. extinguishers, hoses, fire blankets) in the work area:

  • easily accessible & free of obstructions?

  • Been tested within last 6 months (check tag)

  • If hot work is conducted (e.g. welding, ankle grinder), is this conducted in a designated area &/or away from flammable& combustible materials?

  • Are emergency evacuation instructions, map, names of emergency response/fire wardens etc clearly displayed?

  • Are all emergency exits clear, easily accessible & exit lights in working order?

  • Are first-aiders trained up to date, names displayed on notice boards &/or on first aid kits?

  • Is an appropriately stocked first aid kit & register easily accessible & kit serviced within 12 months

9. OFFICE & COMPUTER WORKSTATION AREAS (if applicable)

  • Workstation adequate, correct set up e.g. size, layout, computer screen height, office/lab chairs in good working order & adjustable

  • Workstations clear of trip hazards e.g. electrical cords

  • Air-con system maintained - date of last service within 12 months?

10. AMENITIES – STAFF ROOM / TOILETS (if additional to main site staff facilities)

  • Hygiene - Staff room table, benches, sink area, fridge clean & tidy, bins not overflowing?

  • Toilet areas clean & tidy – general housekeeping?

  • 11.OTHER HAZARDS / SAFETY ISSUES IDENTIFIED

  • ISSUE

  • ACTION REQUIRED

  • Once inspection is conducted, pass to Department &/or Site Manager to review & establish actions required, in consultation with relevant staff

  • Manager Responsible

  • Name:

  • Signature:

  • Date:

Site Manager has reviewed?

  • Name:

  • Signature:

  • Date:

  • Notify relevant management immediately regarding items raised that may:

  • Impose a significant risk to the health & safety of personnel &/or business

  • Be relevant to other sites

  • Be complicated to eliminate or reduce the risk & further advice is required

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.