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Health and Safety Checklist Template

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Health and Safety Checklist Template

1. H&S Systems

1 Health and Safety Systems

1.1 OHS policy displayed

1.2 Induction Records Available

1.3 Return to work policy displayed

1.4 General Weekly Hazard Identification Checklists filed and available for HSR's inspection

1.5 Emergency procedures displayed

1.6 SWP training records retained and available for HSR's to review

1.7 Documented SWP's procedures are completed and available for DWG review

1.8 Protective clothing and equipment records maintained

1.9 Chemical register maintained with relevant MSDS available

1.10 HSR appointed

1.11 Provide date of last OHS Meeting

1.12 Are OHS Meeting Minutes displayed on Safety Boards?

1.13 If you are injured poster is displayed on Safety Board?

1.14 General Weekly Hazard Identification Checklist displayed on Safety Board

2. Housekeeping

2 Housekeeping

2.1 Work areas free from rubbish and obstructions

2.2 Surfaces safe and suitable

2.3 Free from slip/trip hazards

2.4 Floor openings covered

2.5 Stock/Material stored safely


2.6 Unobstructed and clearly defined

2.7 Adequate lighting

2.8 Adequate vision at corners

2.9 Wide enough


2.10 Are there any other concerns?

3. Electrical

3 Electrical

3.1 Plugs, sockets, switches and leads in good order

3.2 Electrical items in good condition

3.3 No cable trip hazards

3.4 No strained leads

3.5 Switches and circuits are identified

3.6 Start / Stop switches clearly identified

3.7 Tag and Test Completed

Enter date next due

3.8 Switchboards are secure

3.9 Switchboards are kept clear and free of obstruction i.e. a minimum 1.5mtr clearance

4. Mobile Plant & Equipment

4 Mobile Plant and Equipment

4.1 Plant and equipment in good condition

4.2 Daily safety inspection procedures/checklists

4.3 Faulty reporting/rectification procedures in place and adhered to

4.4 Operators trained and licensed

4.5 Warnings and instructions displayed

4.6 Warning lights operational

4.7 Reversing beepers operational

4.8 Tyres on forklifts satisfactory

4.9 Machinery serviced as required

4.10 Service records maintained

4.11 Satisfactory operating practices

4.12 Is this inspection being conducted in Bay 4

How many seconds did it take for staff to stop the conveyor belt in a simulated emergency test?

4.13 Green tippler bins are in good repair

4.14 Pallet Jacks are operational and in good repair

4.15 Trolleys are in good order and repair

4.16 Pallet wrapper is in good working order and repair

Information:Conveyors are to be serviced every 3 monthsRoller doors are to serviced every 6 monthsLoading docks are to be serviced every 4 monthsForklifts and other mobile plant are to be serviced when the service light appears and/or as necessary when issues arisePallet Wrappers are serviced every 12 months

5. Workbenches

5 Workbenches

5.1 Adequate work space

5.2 Clean and tidy

5.3 Emergency stops appropriately placed and clearly identifiable

5.4 Duckboards and/or ergonomic matting provided

6. Hazardous Substances

6 Hazardous Substances

6.1 Containers labelled correctly

6.2 Stored appropriately

6.3 Adequate ventilation / exhaust systems

6.4 Protective clothing available for each item per the MSDS instructions

6.5 Chemical Register maintained

6.6 MSDS's available

6.7 Appropriate emergency/first aid equipment - shower, eye bath, extinguishers

7. Prevention of Falls

7 Prevention of Falls

7.1 All work platforms have secure handrails / guarding

7.2 Harness and lanyard or belts provided

7.3 Safe work procedure in place

7.4 Safety cage has harness and harness and cage in good condition

8. Stairs, steps and landings

8 Stairs, steps and landings

8.1 No worn or broken steps

8.2 Handrails in good repair

8.3 Clear of obstruction

8.4 Adequate lighting

8.5 Emergency lighting

8.6 Non-slip treatments / treads in good condition

8.7 Kick plates where required

8.8 Clear of debris and spills

8.9 Used correctly

9. Ladders and Platforms

9 Ladders and Platforms

9.1 Are in good condition

9.2 Staff trained in appropriate use

9.3 Risk assessed

9.4 Suitable for task

9.5 SWP developed and operators trained

10. Personal Protection

10 Personal Protection

10.1 Employees provided with PPE

10.2 PPE supplied for task is suitable

10.3 PPE being worn by employees

10.4 Sunscreen and sunglasses provided

10.5 Correct signage at access points

11. Manual Handling

11 Manual Handling

11.1 Mechanical aids provided and used

11.2 SWP's in place

11.3 Manual handling risk assessment performed

11.4 Manual handling controls implemented

12. Workplace Ergonomics

12 Workplace Ergonomics

12.1 Workstation and seating design acceptable

12.2 Ergonomic factors considered in work layout and task design

12.3 Use of excessive force and repetitive movements minimised

12.4 Appropriate training provided

13. Material Storage

13 Material Storage

13.1 Stacks stable

13.2 Heights correct

13.3 Sufficient space for moving stock

13.4 Material stored in racks / bins

13.5 Shelves free of rubbish

13.6 Floors around stacks and racks clear

13.7 Pallets in good repair

13.8 Heavier items stored low

13.9 No danger of falling items

13.10 No sharp edges

13.11 Safe means of accessing high shelves

13.12 Racks and stock clear of lights and sprinklers by 1.5mtrs

14. Public Protection

14 Public Protection / Driveway / Rear Yard

14.1 Appropriate barricades, fencing is secure and in place

14.2 Signage in place

14.3 Suitable lighting and free from debris

14.4 Site access controlled

14.5 Traffic Management procedures in place

15. Amenities

15 Amenities

15.1 Washrooms clean

15.2 Toilets clean

15.3 Lockers clean

15.4 Rubbish bins available

16. First Aid

16 First Aid

16.1 Cabinets and contents clean and orderly

16.2 Regularly audited and contents meet requirements

16.3 First aides names, location and phone numbers are displayed on Safety Board and in First Aid Room

16.4 Qualified First Aiders

16.5 Record of treatment and of supplies dispensed - is it being used correctly

17. Lighting

17 Lighting

17.1 Adequate lighting and free from glare

17.2 Lighting clean and efficient

17.3 Windows clean

17.4 No flickering or inoperable lights

17.5 Emergency lighting available

18. Fire Control

18 Fire Control

18.1 Fire extinguishers in place and position correctly (min 100mm from ground, no higher than 1200mm)

18.2 Fire fighting equipment serviced/tagged

18.3 Appropriate signing in place for extinguishers and fire hose reels

18.4 Extinguishers are appropriate for the hazard

18.5 Emergency exit signage

18.6 Exit doors easily opened from inside (advise security to de-arm before opening)

18.7 Exit pathways clear of obstruction

18.8 Alarm/communications systems are adequate

18.9 Emergency personnel identified and trained

18.10 Emergency procedures documented and issued

18.11 Emergency Response Team, location and numbers are displayed on Safety Boards

18.12 Alarms tested weekly

18.13 Trial evacuations conducted

18.14 Personnel trained in use of fire fighting equipment

19. Other Concerns

19 Other Concerns

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