Site visit checklist (DOCX, 87.3 KB, pages)

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Mentor Program Site Visit Inspection Checklist
Workplace Site Visit
Business Name:
Date:
Mentor conducting inspection:
This checklist has both a workplace & systems focus. It should be used as a guide for Mentors and Mentees
to identify issues for discussion & to assist in the development of the mentee action plan.
Consultation
Yes / No / Not Applicable
Comments
Consultation arrangements
HSRs elected to represent workgroup/s
 Yes
 No
 N/A
WHS Committee formed
 Yes
 No
 N/A
Other WHS Consultation arrangements in
place
 Yes
 No
 N/A
Consultation records kept
 Yes
 No
 N/A
What are they?
Managing Risk
Yes / No / Not Applicable
Comments
Managing Risk
Safety risks are identified
 Yes
 No
 N/A
How?
Safety risks are assessed & controlled
 Yes
 No
 N/A
How?
Safe work procedures are developed &
implemented
 Yes
 No
 N/A
Workers involved in developing safe work
procedures
 Yes
 No
 N/A
Hierarchy of control is used to eliminate, or
minimise risk
 Yes
 No
 N/A
Schedule in place to review effectiveness of
controls
 Yes
 No
 N/A
Working Environment
Yes / No / Not Applicable
Air Quality
Plant & equipment maintained to minimise
emissions
 Yes
 No
 N/A
Airborne contaminants released during a work
process
 Yes
 No
 N/A
If yes, local exhaust ventilation is used to
control these contaminants
 Yes
 No
 N/A
Ventilation & air conditioning systems
serviced & maintained in a safe condition
 Yes
 No
 N/A
Electrical equipment tested & tagged in
hostile working environments
 Yes
 No
 N/A
If yes, register of tagging current
 Yes
 No
 N/A
Electrical
Comments
Electrical equipment maintained in safe
operating condition
 Yes
 No
 N/A
Electrical equipment regularly inspected &
maintained
 Yes
 No
 N/A
First aid kit provided
 Yes
 No
 N/A
Kit stocks refreshed
 Yes
 No
 N/A
All workers have access to first aid equipment
 Yes
 No
 N/A
First Aid Officer available
 Yes
 No
 N/A
Facilities available to administer first aid
 Yes
 No
 N/A
Emergency procedures in place
 Yes
 No
 N/A
Emergency contacts displayed
 Yes
 No
 N/A
Fire extinguisher / equipment available &
suitable for the types of risk at the workplace
 Yes
 No
 N/A
Fire extinguisher / equipment regularly
inspected
 Yes
 No
 N/A
Used when required
 Yes
 No
 N/A
Correctly used by workers
 Yes
 No
 N/A
Preventative maintenance in place
 Yes
 No
 N/A
Maintenance records provided
 Yes
 No
 N/A
Operator ticketed / competency verified
 Yes
 No
 N/A
Procedures developed & followed
 Yes
 No
 N/A
First Aid / Emergency / Injury
Personal Protective Equipment
Plant & Equipment
Training
All workers have:
General industry (safety awareness) training
 Yes
 No
 N/A
Site specific induction training
 Yes
 No
 N/A
Task specific training
 Yes
 No
 N/A
High Risk Areas
Yes / No / Not Applicable
Hazardous Chemicals / Dangerous Goods
All hazardous chemicals / dangerous goods
identified
 Yes
 No
 N/A
Register current
 Yes
 No
 N/A
Safety Data Sheets available
 Yes
 No
 N/A
All hazardous chemicals / dangerous goods
correctly labelled
 Yes
 No
 N/A
Ignition sources are controlled
 Yes
 No
 N/A
Workers are provided with adequate
information, training, instruction and
supervision
 Yes
 No
 N/A
All hazardous manual tasks are identified
 Yes
 No
 N/A
All HMT are eliminated or controlled
effectively
 Yes
 No
 N/A
Procedures are implemented & followed
 Yes
 No
 N/A
Hierarchy of control is used to eliminate, or
minimise risk
 Yes
 No
 N/A
Hazardous Manual Tasks
(Manual Handling)
Comments
Noise
Noisy works are identified
 Yes
 No
 N/A
At risk workers are identified
 Yes
 No
 N/A
Noise control measures are identified for
implementation &/or existing control
measures checked
 Yes
 No
 N/A
Hearing protection frequently used as a
control measure
 Yes
 No
 N/A
If yes to hearing PPE, audiometric testing is
conducted
 Yes
 No
 N/A
Hierarchy of control is used to eliminate, or
minimise risk
 Yes
 No
 N/A
Work area, walkways & stairs well lit
 Yes
 No
 N/A
Walkway / stairs / work area clear
 Yes
 No
 N/A
Floor surfaces are free of water, ice or other fluids
 Yes
 No
 N/A
Floor surfaces are even
 Yes
 No
 N/A
Handrails on stairs are adequate
 Yes
 No
 N/A
Access paths defined (signage tape, other)
 Yes
 No
 N/A
Prohibited areas display warning signs and
barricaded
 Yes
 No
 N/A
Workers are at risk of falling from one level to
another
 Yes
 No
 N/A
Fall hazards are identified
 Yes
 No
 N/A
Fall hazards are eliminated or controlled
effectively
 Yes
 No
 N/A
Hierarchy of control is used to eliminate or
minimise risk
 Yes
 No
 N/A
Slips Trips & Falls
Workers Compensation
& Return to Work
Yes / No / Not Applicable
Comments
Workers Compensation & Return to
Work
Procedures in place to report safety issues &
incidents
 Yes
 No
 N/A
Injuries are reported to Insurer within 48 hours
 Yes
 No
 N/A
Workers Compensation policy current &
accurate
 Yes
 No
 N/A
Suitable duties are provided to injured
workers if they have capacity to work
 Yes
 No
 N/A
Useful reference:
The following is a link to Codes of Practice on Safe Work Australia’s website. Codes of practice are practical guides to achieving the standards
of health, safety and welfare required under the Work Health and Safety (WHS) Act and the WHS Regulation.
http://www.safeworkaustralia.gov.au/sites/swa/legislation/model-cop/pages/model-cop.aspx
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