WHS ACTIVITIES CALENDAR2015/16

Activity
 / Frequency
 / November / December / January / February / March / April / May / June
First Aid Kit Checklist / Quarterly /  /  / 
Initial Implementation Plan / Annually
Update or review Noticeboard and Forms / 6 Monthly / 
Workplace Inspections / Quarterly /  /  / 
Consultation: Safety / Team Meetings / Quarterly /  /  /  / 
Review WorkplaceRisk Register / Quarterly /  /  / 
Review Emergency Management Procedure / 6 Monthly / 
Emergency Evac Drill / Annually / 
Chemical/Hazardous Substance Register / Annually
Contractor Induction / Annually or as required / 
Safety Training / Annually or as required
Workstation Ergonomic Risk Assessment / Annually or as required
Workplace Traffic Hazard Management / Annually or as required / 
Manual Handling Observations / Annually or as required /  / 
Managing Plant and Equipment / Annually or as required / 
Maintenance Check of Plant and Equipment / 6 monthly / 
Document Management / Annually or as advised
Assembled Product Review / Biannually / 
Internal Self Evaluation / Annually / 

November 2015

WORKPLACE INSPECTION CHECKLIST

Alter this form to suit your environment and save to your own computer.

General Details
Name of Person(s) Conducting Inspection: / Date Conducted: / /
Reference: / Location:

Identify hazards below. Any item marked with a [N], is a hazard and must be risk assessed and controlled. This is to be documented in the later sections of this form.

Prevention of Slips, Trips, Falls / Y/N / Comments
Cables and cords not in walk areas.
Reception area free of water, stored boxes, waste bins.
Kitchen floors free of water, spills, stored boxes, waste bins.
Entrance free of water, stored boxes, waste bins.
Hallways free of water, stored boxes, waste bins.
Corridors and walkways free of clutter, boxes and water.
Toilets free of spills and stored boxes.
Are wet floors sign posted where required?
Are emergency exits free from clutter or boxes?
Are tiles, carpet, etc. secure and not loose?
Stairways: Obstruction free, railings and toe boards fitted, non-slip surface, well maintained, no projecting fittings, nails etc.
Are walkways and areas well lit?
Emergency Procedures / Y/N / Comments
Are extinguishers attached to the wall?
Are hoses wound on the reel?
Have extinguishers and reels been serviced in the last 6 months?
Are evacuation plans clearly visible?
Are staff trained in the use of the emergency equipment?
Are emergency contact details displayed?
Are all exits clearly marked?
Electricity / Y/N / Comments
Are power points free of overloading (piggy backing)?
Are all cords, cables and extension cords free from visible wear and tear and damage?
Are cables and sockets free of wet areas and heat sources?
Are sockets free of splash areas?
Are all appliances currently tagged?
Are all plugs secured to the wall?
Is portable electrical equipment such as microphones and speakers and point of sale equipment protected by safety switches (Residual Current Devices)?
Are all power leads and plugs in good condition?
Is electrical equipment isolated from elements such as water, sharp edges and cutting devices that can cause shock?
Ergonomics / Y/N / Comments
Are work surfaces designed to suit the height and reach of all staff?
Are work chairs well designed and adjustable?
Is office based equipment selected and adjusted to take into account individual requirements (such as computers)?
Are staff encouraged to take regular rest breaks?
Machinery and Equipment / Y/N / Comments
Are machine guards in place on all operating equipment and moving parts?
Are emergency stop buttons and cut off switches visible and operational?
Is ventilation appropriate and adequate for the work area?
Are workers trained to operate machinery safely?
Is equipment damaged including wear and tear?
Ladders / Y/N / Comments
Are feet made of rubber or PVC anti-slip feet and are thick enough to show moulded tread pattern?
Are feet securely fastened to the ladder?
Are fastening mechanisms tight so the ladder resists movement when under load?
Are the rungs and tread free from foreign material and damage?
Are the locking mechanisms used to lock the ladder in an open position free from damage and the fasteners/ pivot points tensioned so the ladder opens easily but not loose enough to cause damage to the ladder stiles?
Does the ladder carry the appropriate stickers for commercial use?
Does the labelling of the ladder include the manufacturer’s name and address, industrial rating and load capacity and compliance to Australian Standards?
Is the ladder used in a stable position?
Is the ladder free from damage?
Hazardous Substances / Y/N / Comments
Have all hazardous substances been identified, are they labelled and listed in a register?
Are Material Safety Data Sheets (MSDS's) available for each hazardous substance?
Have staff been trained in reading a MSDS, safe handling, storage and disposal procedures for chemicals?
Are records kept of this training?
Is appropriate Personal Protective Equipment (PPE) available, maintained and used?
Are there spillage control procedures in place?
Are these procedures documented and have staff been trained in them?
Are training records kept of this training?
Other hazards / Y/N / Comments
Are shelves and storage racks secured?
Are boxes and heavy objects stacked on lower shelves?
Are filing cabinets stable when the top drawer is open?
Do all work stations have good lighting?
Are all lights working throughout the office?
Is there good ventilation in all areas?
Caution, information, danger signs appropriate, unobstructed, legible.
Is the photocopier placed in a well ventilated area away from work stations?
Are guillotines appropriately guarded?
Procedure available for tagging faulty equipment?
Clothes lockers, washroom, showers, toilets, drinking fountains clean, tidy and hygienic?
Cooling water system currently tested.
Is there a sign in booklet and induction card for all visitors to the store?
Any other hazards?
Any new hazards?
Anything new?

For each hazard identified above marked with a [N], document the risk assessment and control details below.

Risk Assessment and Control
Hazard / Risk / Controls / Date Implemented / Date Reviewed
High Risk / H / Notify Senior Management immediately. Corrective actions should be taken immediately
Moderate Risk / M / Notify Location Manager - is to follow up that corrective action is taken within 7 days.
Low Risk / L / Notify Location Manager – is to follow up that corrective action is taken within a reasonable time.
Review Controls
Location manager verifies controls are effective…….
 Effective Not effective
Date: / / / Name:
Signature:
Employee representative verifies controls are effective…….
 Effective Not effective
Date: / / / Name:
Signature:

If not effective, a hazard report form is to be completed and the same reference number allocated for both forms for ease of cross referencing.

Location manager to maintain completed forms and update the Workplace Risk Register.

Self Evaluation Audit

Dear Store/Site Manager,

It is important you and your managers become familiar with the MySafety WHS Management System and our compliance requirements.

An audit to assess your implementation of MySafety will take place twice per year; by a Company representative (external audit)). The attached is a copy of the Self Evaluation Record Form, which doubles as your internal audit. The evaluation is important as it;

  • Ensures we comply as Group with the WHS Strategic Plan
  • Provides you with an opportunity to show your department managers how to access MySafety as a source of reference
  • Familiarises your managers with their responsibilities and our Company requirements regarding MySafety
  • Provides guidance to your managers so that they know how to respond to incidents and avoid fines and claims against you and your location
  • Serves the purpose of your internal audit for the year
  • Prepares you for a formal audit which will take place each year.

What you need to do now…

  1. Review the attached Self Evaluation Record Form.
  2. Ensure you know how to access MySafety on Freedopedia by clicking on the ‘MySafety’ option on the side bar menu.
  3. Arrange to meet with your department managers and show them how to access MySafety, including the How to Guides. Actively ask for their feedback regarding the Self Evaluation criteria. At the end ensure all of your department managers sign the form to acknowledge the evaluation process and how to access MySafety.
  4. Work through the Self Evaluation Record Form and keep the completed form in your MySafety Records Folder. Action your summary of findings and items which require corrective action.

SELF EVALUATION RECORD FORM

If any of the questions in the checklist result in a [No] answer then develop controls and enter details on the corrective action sheet at the end.

POLICY AND PLANNING / Yes / No / NA / Comment
WHS Policy is displayed on the WHS notice board. / Yes  No  N/A
Consultation Statement is displayed on the WHS notice board. / Yes  No  N/A 
WHS Activities Calendar is drafted and is displayed on the WHS noticeboard. / Yes  No  N/A 
ACC Process is displayed on the WHS notice board. / Yes  No  N/A 
Emergency Summary Sheet is filled in and displayed on the WHS notice board. / Yes  No  N/A 
Applicable WorkCover/WorkSafe poster (NSW / VIC / ACT) is displayed on the WHS notice board. / Yes  No  N/A 
Initial Implementation Plan has been completed. / Yes  No N/A 
WHS and RTW responsibilities are communicated to employees and signed off by employees. / Yes  No  N/A 
Formal recognition is awarded to, and disciplinary procedures are administered to, employees on WHS grounds as required. / Yes  No  N/A 
CONSULTATION AND COMMUNICATION / Yes / No / NA / Comment
Safety Ambassador is identified and available at the site. / Yes  No  N/A 
Safety Ambassador has received instruction or guidance on MySafety responsibilities. / Yes  No  N/A 
Team meetings / WHS communication has occurred on a regular basis. / Yes  No  N/A 
Team meetings / WHS communication record of discussions are maintained. / Yes  No  N/A 
Team meetings / WHS communication record of discussions are displayed in an area accessible to employees after each meeting. / Yes  No  N/A 
Use of the Hazard Report Form and Incident Report and Investigation Form is re-iterated regularly at team meetings (verified by inclusion as an agenda item), and submitted forms discussed if appropriate. / Yes  No  N/A 
WHS RISK MANAGEMENT / Yes / No / NA / Comment
Incident & hazard management and reporting
All incidents are reported and recorded on the Incident Report and Investigation Form. The form is to be completed fully. / Yes  No  N/A 
All identified hazards (through incident investigation) are subject to immediate control and documented on the form. / Yes  No  N/A 
Hazard Report Form completed for all hazards unable to be immediately controlled. / Yes  No  N/A 
Workplace Risk Register is completed and regularly reviewed (at least quarterly), and discussed with staff at team meetings. / Yes  No  N/A 
All hazards identified are to be transferred to the Workplace Risk Register. / Yes  No  N/A 
Working at height
Hazard Report Form completed for all working at height tasks. / Yes  No  N/A 
Employees who work at height have been trained to do so and this has been documented. / Yes  No  N/A 
Manual handling
Manual Handling Hazard Management Form completed for all manual handling tasks. / Yes  No  N/A 
All employees conducting manual handling have been trained to do so and this has been documented. / Yes  No  N/A 
Contractors
All contractors used are evaluated and listed on a preferred supplier list at Support Centre AU. / Yes  No  N/A 
For all contractors listed, the Contractor Induction Checklist has been completed. / Yes  No  N/A 
Contractors maintain a safe work method statement for all works. / Yes  No  N/A 
For all contractors working for more than two days or for high risk work, the Contractor Review and Supervision Checklist has been completed. / Yes  No  N/A 
Permit to Work Form/s have been completed, e.g. hot works / welding. / Yes  No  N/A 
For all non conformances identified, the Non Conformance Report has been completed. / Yes  No  N/A 
Workplace Inspection
Workplace inspections are conducted at least quarterly by the Safety Ambassador and manager, or members of the WHS Committee and manager. / Yes  No  N/A 
Workplace inspections are documented on the Workplace Inspection Checklist. / Yes  No  N/A 
Non-conformances are noted on the inspection checklist and corrective action applied and signed off by the location manager. / Yes  No  N/A 
Hazards are transferred to the Workplace Risk Register and are reviewed. / Yes  No  N/A 
Plant & equipment
The Plant Hazard Management Form has been completed for all old and new plant (machinery) & equipment hazards. / Yes  No  N/A 
Where appropriate, Safe Operating Procedures (SOPs) are developed for plant and equipment. / Yes  No  N/A 
Authorised users lists have been implemented and are up to date for all plant & equipment. / Yes  No  N/A 
Safe Work Practices
Where appropriate, Safe Work Practices (SWPs) are developed for high risk tasks based on the results of the risk assessment. / Yes  No  N/A 
Employees have received training in relevant SWPs. This is to be documented. / Yes  No  N/A 
Confined spaces
All work associated with confined spaces is managed using the permit to work. / Yes  No  N/A 
For all confined spaces tasks, associated risk assessments and controls are documented in the workplace risk register. / Yes  No  N/A 
Ergonomics
Workstation Ergonomic Risk Assessment Form has been completed for all Administration workers and all reported ergonomic hazards / issues. / Yes  No  N/A 
Purchasing
Specifications and requirements are defined and documented for all purchases and controls verified prior to acceptance into the workplace. / Yes  No  N/A 
Hazardous substances
A Hazardous Substances Register is available and current. / Yes  No  N/A 
All Material Safety Data Sheets (MSDS) are available for hazardous substances. / Yes  No  N/A 
All MSDS’s are less than 5 years old. / Yes  No  N/A 
All hazardous substances have been subject to risk assessment as indicated on the hazardous substances register. / Yes  No  N/A 
Relevant employees have been trained in the safety requirements of the MSDS. / Yes  No  N/A 
All hazardous substances are stored appropriately as per the requirements of the MSDS. / Yes  No  N/A 
Traffic management
The Workplace Traffic Hazard Management Form has been completed for all traffic hazards. / Yes  No  N/A 
People working with and in the area of forklifts wear safety footwear. / Yes  No  N/A 
Drivers’ licenses are checked regularly for all company vehicle drivers. (NB for P plate and <25yr drivers excess is double). / Yes  No  N/A 
Electrical
Electrical Equipment Control Form is maintained, or service report / test register from electrical provider. / Yes  No  N/A 
All portable electrical appliances are tested and tagged within the scheduled date. / Yes  No  N/A 
Emergency Management
A site specific emergency plan has been developed in line with emergency management procedure in MySafety. / Yes  No  N/A 
All employees have received training and information in the site specific emergency procedures. This is to be documented. / Yes  No  N/A 
Site emergency drills have been conducted at least annually. / Yes  No  N/A 
Debrief / results of the emergency drill are discussed at the next team meeting. / Yes  No  N/A 
Emergency team members have received formal training, i.e. wardens and first aiders. / Yes  No  N/A 
INDUCTION, ON-GOING TRAINING AND COMPETENCY / Comment
A training plan is in place for all employees. / Yes  No  N/A 
All employees have received WHS induction training. This is to be documented using the WHS Induction Checklist. / Yes  No  N/A 
All formal WHS Committee / elected WHS Representatives have received their statutory training. / Yes  No  N/A 
All training records are available (i.e.: training plan, record forms and completion certificates). / Yes  No  N/A 
DOCUMENT MANAGEMENT / Comment
A Records Folder is established. / Yes  No  N/A 
Documents are controlled and current. / Yes  No  N/A 
SELF EVALUATION / Comment
Self evaluations conducted as scheduled, records maintained, and actions assigned. / Yes  No  N/A 
  • This is an important section as it relates to how we manage an incident. As well as wanting to prevent injury to people; workers compensation claims generate hefty financial costs.
  • All managers responsible for injured employees need to know how to complete the Incident Report and Investigation Form thoroughly and report the incident within 24 hours of the incident occurring. If the incident is serious it may be necessary to report the incident to the relevant State WorkCover Authority. Talk to you ROM or Support Centre first.
  • Incident report forms are an essential part of the WHS and Workers Compensation processes. We must fully complete the investigation and controls section to show how we will prevent a re-occurrence. The form must be fully signed off.

RETURN TO WORK (RTW) AND INJURY MANAGEMENT / Comment
A Register of Injuries book is maintained. / Yes  No  N/A 
First aid facilities consistent with legislative requirements. / Yes  No  N/A 
First aid kit contents checked monthly using the First Aid Kit Content Checklist. / Yes  No  N/A 
All Incident Report and Investigation Forms are completed and forwarded within 24 hours. / Yes  No  N/A 
Return to Work (RTW) Program is available in the workplace (via the Intranet). / Yes  No  N/A 
Management involvement in the identification of suitable duties and RTW Plans. / Yes  No  N/A 
Managers comply with the requirement of the RTW Plan. / Yes  No  N/A 