OHS WORKPLACE INSPECTION (1) SCHEDULE AND RATINGS

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OHS WORKPLACE INSPECTION (1) SCHEDULE AND RATINGS Area Year Refer to Rating Guidelines over page. Enter a rating (3 = Good, 2 = average, 1 = poor) for each item each month ITEM JAN FEB MAR APR MAY JNE JUL AUG SEP OCT NOV DEC Access and egress Gravitational hazards (underfoot) - traffic w ays Gravitational hazards (underfoot) - floors Gravitational hazards(falling objects/people) Noise Chemical hazards Electrical hazards Mechanical hazards Thermal environment and air quality Pressure hazards Radiation (lighting) Microbiological hazards Biomechanical hazards (storage and handling) Biomechanical hazards (w ork area) Personal protective equipment Safety signs Employee amenities Emergency equipment PAGE 1 SAFETYLINE INSTITUTE JULY 2005

Total score (if required) PAGE 2 SAFETYLINE INSTITUTE JULY 2005

OHS WORKPLACE INSPECTION (2) CHECKLIST RATING GUIDELINES Access and Egress! no underfoot hazards at entrance to buildings or in car park! lighting adequate in car park and entrance! no traffic hazards in accessing or leaving car park! car parking does not create traffic hazards! controlled access for visitors and contractors Gravitational hazards (underfoot) Corridors / Aisle Ways / Traffic areas! clean, clear, no obstructions protruding into pathway! no items left on the floor! no electrical leads or hoses crossing pathway! unobstructed view at intersections Floors! not slippery! no gaps, cracks, tears or any damage that could cause a tripping accident! no spills left uncleaned or slipping hazard! area around work stations clear and not cluttered! ramps, steps and changes from one level to another do not create a hazard! wet floor sign used as appropriate! steps firm with non slip treads Falling objects/people! w here workers are working more that 2 M above ground level and there is a risk of falling, there are fall prevention and fall restraint devices in place! where there are unsecured objects located more than 2M above floor level and where people may be present the objects are restrained or there are devices to prevent falls Noise! people do not have to raise their voice to be understood! Minimal background nuisance noise Chemical hazards! chemical storage area appropriately signed (HAZCHEM only if assessment indicates need)! access to chemical store restricted! all chemicals in original containers with manufacturers/suppliers label, label legible! containers in their allocated storage space! containers sealed! bulk chemicals stored so that any leaks are contained! storage surfaces resistant to chemical attack! chemicals stored away from light and heat! chemical storage appropriately ventilated! where appropriate, flammable liquids stored in approved flammable liquid cupboards! gas cylinders chained! MSDSs and register readily available to employees! no chemicals stored near food! spill kit available Electrical hazards! no cables left lying on floor! no double adaptors or power boards (without safety cutout)! no damaged appliances, points, plugs! all electrical equipment has a current inspection tag! no cables or powerboards placed near water outlet, sinks etc! areas around switchboards kept clear, no storage in switchboard cupboards Mechanical hazards Equipment! in good working order, no tears, broken parts or excessive noise! any guards in place and effective PAGE 3 SAFETYLINE INSTITUTE JULY 2005

! dials and indicators easily readable! wheels on movable equipment in good working order! any out-of-service equipment tagged! lockout/tag out procedures followed! actual maintenance meets or excess scheduled maintenance program Thermal environment and air quality! temperature between 18 and 24 degrees! ventilation or air conditioning functioning adequately (hold piece of paper above vent to check suction)! air vents, filters and extraction fan motors are clean! wall vents and fly wire screens clean OHS WORKPLACE INSPECTION (2) CHECKLIST RATING GUIDELINES cont Pressure hazards! gas bottles restrained! pressurised equipment checked regularly according to procedures Radiation (Lighting)! lighting adequate for the task! windows clean! light fittings clean and intact! no blown globes or flickering tubes! sunlight does not give uncomfortable glare! no water leaks through ceilings Microbiological and infection hazards! waste placed in proper disposal facilities for recycling or disposal! bins identified and properly used! bins kept covered! hands-free operation of bins! bins regularly emptied so that they do not become overloaded! trolley, wheels or other safe way of moving bins! food and food scraps placed in verminproof containers! bins and bin lids kept clean! flammable materials waste and oily rags disposed of in metal containers with hinged/ self-closing lids Biomechanical hazards Storage and handling! designated storage area for all items! items not being used stored in designated area! storage areas properly labelled! floor around storage areas clear allowing easy access! heavy, frequently used items stored at hip/waist height! only infrequently used items stored above head height! heavy items stored on the floor are in wheeled bins or on trolleys! storage areas tidy and items easily located, identified and retrieved Work Area! clean and tidy with items not being used put away! suffi ci ent space to carry out tasks! suitable seated area PAGE 4 SAFETYLINE INSTITUTE JULY 2005

! any screen-based workstations meet ergonomic assessment requirements Personal Protective Equipment (PPE)! adequate supplies of PPE as per procedures and risk assessments! PPE personal issue where appropriate! PPE stored away from chemicals! PPE worn as required by procedures! PPE clean and functioning Safety Signs! signs for safe use of equipment etc are as required and in good condition! other signs, such as those indicating first aid kits and restricted areas are posted as appropriate Employee Amenities! staff possessions in a secure area! staff washrooms, toilets and lunch area clean and tidy. Emergency Equipment! fire exits clearly marked! fire exits not obstructed! fire and smoke doors shut tightly! emergency exit lights work! residual current devices (if present) tested! emergency lighting works! action cards & emergency numbers clearly displayed! emergency manuals can be located! smoke detectors tested! evacuation alarms functional! fire extinguishers & hose reels not obstructed! fire equipment signs are present & correct! fire equipment serviced within date period! fire blanket present and accessible! first aid kits available, fully stocked and clean PAGE 5 SAFETYLINE INSTITUTE JULY 2005

Work area: OHS WORKPLACE INSPECTION (3) ACTION PLAN Date of inspection: Name of inspector(s) : ITEM NO ACTIONS REQUIRED BY WHOM BY WHEN ACTION COMPL TD 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. PAGE 6 SAFETYLINE INSTITUTE JULY 2005

16. PAGE 7 SAFETYLINE INSTITUTE JULY 2005