WPA Monthly Workplace Inspection Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HOUSEKEEPING

Floors

• Clean (oil spills cleaned,rubbish)

  Yes

  No

  N/A

• Pot Holes

  Yes

  No

  N/A

• Line markings lips / trips / falls

  Yes

  No

  N/A

• Height signage (present / good repair)

  Yes

  No

  N/A

• Vehicle Stops (good repair , highlighted )

  Yes

  No

  N/A

• Head Clearance (low equipment marked signage hazard tape etc)

  Yes

  No

  N/A

• Speed Humps (Good repair, visible)

  Yes

  No

  N/A

• Foyer (clean clear of obstructions and rubbish)

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Traffic Islands

• Clearly Marked

  Yes

  No

  N/A

• Clear Observation

  Yes

  No

  N/A

• Good Repair

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

Stairs

• Access / Egress (clean and good repair)

  Yes

  No

  N/A

• Fire Stairs (clean, clear of debris in good repair)

  Yes

  No

  N/A

• Handrails (sturdy clean suitable correct height)

  Yes

  No

  N/A

• Doors Operational

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

Platforms

• Loading docks ( clearly marked clear of rubbish)

  Yes

  No

  N/A

• Handrails in place

  Yes

  No

  N/A

• Edges clearly marked

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

Storage Areas

• Tidy

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• MSDS Sheets (available clearly displayed )

  Yes

  No

  N/A

• Additional Details of Action Taken

Electrical

• Lighting (globes/tubes)

  Yes

  No

  N/A

• Lighting (timers correct)

  Yes

  No

  N/A

• Elec Equipment Tagged

  Yes

  No

  N/A

• Power Boards / Double Adapters (not overloaded / not used)

  Yes

  No

  N/A

• Power points (check visually serviceable no scorch marks overloading etc.)

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

Exits

• Exit Lighting (visible in place testing current)

  Yes

  No

  N/A

• Door handles operational

  Yes

  No

  N/A

• Clear of debris (not obstructed)

  Yes

  No

  N/A

• Doors operational

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

First Aid

• First Aid kit present

  Yes

  No

  N/A

• First Aid kit up to date ( complete)

  Yes

  No

  N/A

• First Aid kit providers listed

  Yes

  No

  N/A

• Signage visible

  Yes

  No

  N/A

• Forms Completed

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Amenities

• Clean and tidy

  Yes

  No

  N/A

• Functional equipment (fridge / kettle / oven)

  Yes

  No

  N/A

• Accessible

  Yes

  No

  N/A

• Lighting adequate for task

  Yes

  No

  N/A

• Drinking water available

  Yes

  No

  N/A

• Furniture (good repair)

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Access Control

• Operational

  Yes

  No

  N/A

• Maintained

  Yes

  No

  N/A

• Signage (height barriers, instructions)

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Ventilation

• Vents clean and clear of obstruction

  Yes

  No

  N/A

• Air con units clean and serviced

  Yes

  No

  N/A

• CO2 vents clear of obstructions

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Landscaped Areas

• Trees / shrubs tidy and well kept overhanging branches trimmed

  Yes

  No

  N/A

• Garden beds clear of leaf litter and rubbish

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Plant and Equipment

• Trailers ( clean and maintained, roadworthy)

  Yes

  No

  N/A

• Sweepers (clean and maintained roadworthy)

  Yes

  No

  N/A

• Generators (clean and maintained, tested)

  Yes

  No

  N/A

• Whipper snipper (clean maintained)

  Yes

  No

  N/A

• Chain saws (clean maintained sharp protective equipment available)

  Yes

  No

  N/A

• Water pump ( clean and maintained hoses complete no holes)

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

PERSONAL PROTECTIVE EQUIPMENT

Safety Vests / High Visibility Clothing

• Staff PPE is serviceable

  Yes

  No

  N/A

• Staff wearing appropriate PPE

  Yes

  No

  N/A

• Outdoor staff ( hats, sunglasses, sun screen)

  Yes

  No

  N/A

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

Safety Footwear

• Serviceable / clean

  Yes

  No

  N/A

• Staff wearing

  Yes

  No

  N/A

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

FIRE PROTECTION

Hose Reels

• Service tags current

  Yes

  No

  N/A

• Operational

  Yes

  No

  N/A

• No leaks

  Yes

  No

  N/A

• Doors accessible

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

Fire Extinguishers

• Service tags current

  Yes

  No

  N/A

• Pressure gauge correct

  Yes

  No

  N/A

• Present (not missing)

  Yes

  No

  N/A

• Signage clear and present

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

Emergency Evacuation

• WIP phones present and servicable

  Yes

  No

  N/A

• Testing is current

  Yes

  No

  N/A

• Signage is present and clear

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Work Order Required and / or completed

  Required

  Completed

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Additional Details of Action Taken

PRESSURE EQUIPMENT

Air Hoses

• Hoses free from damage connections working

  Yes

  No

  N/A

• Pressure vessels free from damage tested

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Gas Cylinders

• Free from damage in test

  Yes

  No

  N/A

• Secured

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

JOB OBSERVATION

Manual Handling

• Cash handling procedures correct

  Yes

  No

  N/A

• Machine opening

  Yes

  No

  N/A

• Cleaning

  Yes

  No

  N/A

• Booth security

  Yes

  No

  N/A

• Correct lifting techniques used

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Correct Vehicle Speed

• Staff vehicles observing correct speed road rules

  Yes

  No

  N/A

• Customer vehicles observing correct speed road rules

  Yes

  No

  N/A

• Speed signage clear and visible

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

Dangerous Goods

• MSDS Sheet Available

  Yes

  No

  N/A

• Correctly stored

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

LIFTS

• Lift car clean / levels correctly

  Yes

  No

  N/A

• Doors close correctly

  Yes

  No

  N/A

• Emergency phone working

  Yes

  No

  N/A

• Add media

  Media

• Immediate Action Taken

  Yes

  No

• Hazard Report Completed / Filed

  Yes

  Filed

  No

• Work Order Required and / or completed

  Required

  Completed

• Additional Details of Action Taken

• COMPLETED BY:

  Sign