Date this checklist completed:
Description of items to be purchased:
Recommended supplier:
Person requesting purchase:
Manager/Supervisor authorising purchase:
Signature:
Signature:
All relevant areas are to be completed by the person requesting the purchase and checked by the person authorising the purchase.
Items/checks are to be marked N/A if Not Applicable.
CONSULTATION :
You may need to consult with some or all of the following regarding health and safety prior to the purchase.
(If “YES” provide the person’s name, signature and the date on which consultation took place.)
Name Signature Date
Manager/Supervisor of the intended user area
Infrastructure Planning and
Compliance/ Built Environment and
Design/
End users of the item, maintainers or cleaners
Government Departments or external licensing agencies
WHS Unit
Review Committee e.g. Safety, management, work group, IBC,
Radiation Safety Officers
Others (Name)
GENERAL REQUIREMENTS
The purchased item may need to comply with other University WHS policies & procedures or specific requirements of legislation or Australian Standards. (If “YES”, indicate the policy, procedure, Australian
Standard.)
PRE-PURCHASE HEALTH & SAFETY
CONSIDERATIONS
Dangerous goods storage and handling
Guarding/emergency stops/safety devices
Hazardous chemicals policy & procedures
Is this
Required
?
(YES -
NO - N/A)
Verification following receipt of
Order

PRE-PURCHASE HEALTH & SAFETY
CONSIDERATIONS
Hearing conservation management policy and procedures
Instruction manuals, information about safe use and maintenance
Licence, permit, certificate of competency
Manual handling minimum standard
Prevention of occupational overuse syndrome minimum standard
Public safety
Registration of plant, equipment, substance
Working Safely in Laboratories and Workshops
Safety signage
Relevant Australian Standards (state AS number)
SPECIAL SAFETY REQUIREMENTS
The following issues may need to be considered regarding the purchase of chemical substances / dangerous goods /plant / equipment.
(If “YES”, indicate who will obtain the information needed and verify that it has been received or carry out the required task).
Plant / Equipment Purchase
Conformance to AS/NZS Standards
Plant guarding assessment/ job risk assessment
Conformance to relevant University Policy, Procedures Minimum
Standards e.g. Driving Minimum Standard for vehicles
Ergonomics / manual handling
Noise, vibration
Is this
Required
?
(YES -
NO - N/A)
Verification following receipt of
Order
Operating manuals, registration, licenses, competency
Installation, ventilation, calibration
Inspection, testing, maintenance
Hazardous Chemicals/ Dangerous goods Purchase
Revision of Dangerous Goods manifest
Packaging (size, weight, type etc.)
Labelling
Storage compatibility with or near other materials
Revision of area Safety Data Sheet (SDS) Registers
Conduct project/task risk assessment
Workplace monitoring
Revision of hazard warning signs
Employee health assessments / examinations
Specialised extraction ventilation
Specialised containment

PRE-PURCHASE HEALTH & SAFETY
CONSIDERATIONS
Specialised first aid equipment or training
Specialised maintenance, testing, inspection, calibration
Special spill / disposal / clean up equipment or procedures
Special fire protection / emergency requirements
Personal Protection Equipment Purchase
Conformance to AS/NZS Standards
Appropriate for task
Comfort
Storage
Maintenance
Training
Inspection/testing
OTHER REQUIREMENTS RELEVANT TO HEALTH & SAFETY List any other requirements that need to be specified on the purchase order and nominate who will verify that they have been fulfilled.
Is this
Required
?
(YES -
NO - N/A)
Verification following receipt of
Order