Date checklist completed:

Date checklist to be reviewed (annually or when there is a change or addition to manual handling tasks

in the

workplace):

Name(s) of person(s) who completed checklist.

Initial-

Position title. Company.

Floors

Are floor surfaces free of water, ice, oil or other fluids?

Yes

No

Are floor surfaces even? (e.g. no loose tiles or carpet that is torn or has ridges or holes)

Yes

No

Are ramps designed to prevent slips and fails?

Yes

No

Housekeeping

Are walkways and doorways clear of boxes, extension cords and litter?

Yes

No

Are spills cleaned up immediately?

Yes

No

Are the responsibilities for cleaning floors, clearing work areas and walkways clearly specified?

Yes

No

stairs

Are stairways kept clear of boxes, equipment and other obstructions?

Yes

No

Is the tread. on stairs adequate to minimise slipping?

Yes

No

Is the foot-space on each stair adequate?

Yes

No

Are handrails adequate?

Yes

No

Lighting

Are work areas, walkways and stairs well fit?

Yes

No

Does the lighting enable workers to move between indoor and outdoor tasks safely?

Yes

No

Footwear

Is the footwear worn by workers suitable for the workplace?

Yes!

No

Date checklist completed:

Date checklist to be reviewed (annually or when there is a change to the workplace):

Name(s) of person(s) who completed checklist.

Initial.

Position title: Company..

Have you identified emergencies that may require an evacuation of the working area?

Yes

No

For example fire, explosion, chemical spills, bomb threat, flooding

Responsibility

Have you nominated a person(s) to be responsible for managing the evacuation?

Yes

No

Signal to evacuate

Have you identified what signal(s) will be used to start evacuation?

Yes

No

Have you identified where these signals will be located?

Yes

No

Is someone authorised to be responsible for activating the signal?

Yes

No

Evacuation procedure

Have you identified how people will evacuate from the workplace? (e.g. the shortest and

most direct route to safety, the routes people should use, how people with disabilities

would evacuate?)

Yes

No

Do you have an assembly place after evacuation?

Yes

No

Have you identified the checks that should be followed to ensure everyone is accounted for?

Yes

No

Have you identified a signal that gives the all clear to return, and nominated who will give it?

Yes

No

Re-entry

Have you established re-entry management procedures?

Yes

No

Your emergency procedures

Are emergency procedures displayed in your workplace?

Yes

No

Are all employees aware of the emergency procedures?

Yes:

No

Date checklist completed.

Date checklist to be reviewed (annually or when there is a change in electrical equipment or an electrical incident)-.

Name(s) of person(s) who completed checklist.

Initial.

Position title. Company.

Electrical switchboards and equipment

Are switchboards, electrical equipment in a safe condition?

Yes

No

Is portable electrical equipment protected by safety switches?

(This safety measure is mandatory for construction work.)

Yes

No

Power points, light fittings and switches

Are all power points, light fittings and switches in a safe place and free of obvious defects?

Yes

No

Check if they are mounted securely, there are no loose covers or wires, broken or damaged

fittings, or signs of overheating.

Yes

No

Are main and isolating switches clearly labelled and accessible?

Yes

No

Power tools, flexible leads and power boards

Are power tools, extension leads and power boards maintained in a safe operating condition?

Yes.

No

Check for damaged insulation, water leaks, bum marks, bent or loose pins and fittings.

Yes

No

Are extension leads and power boards located in a safe position to prevent mechanical or

other damage?

Yes

No

Inspection and maintenance of all electrical