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Franchisee Workplace Inspection Form

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This form is used for assessing the general safety of the workplace.

Tick the "yes" column if everything is in order.

Any "no" answer should be accompanied by a completed Hazard Report Form detailing the Hazard (attach to this form).

Please keep the completed form in your WHS Folder.

NOTE: If completing this form ONLINE - After completion, the TASK form will open for you to list your actions for follow-up.

Required fields *

Inspection #1382603

Report Date: Wednesday, 8 August 2012

Entered By: support@enotia.com.au


1.Are stair handrails in place and in good condition? Are stair treads/carpet in good condition? Safety gates/locks working properly?Yes
2.Are corridors and exits free and clear of all obstructions, with furniture arranged to provide easy access to the exit?Yes
3.Exit doors swing in the direction of exit travel? Closed/locked?Yes
4.EXIT signs in correct place and all lit up? Emergency lighting working in exit corridors?Yes
5.Fire Extinguishers (1) in place under correct signage (2) mounted on wall bracket (3) Tagged within last 6 months (4) Visible and accessible? (5) Out of reach of children?Yes
6.Hose reels tagged in last 6 months? Hose reel cupboards are not being used as storage cupboards?Yes
7.Smoke detectors displaying correct LED colour (check with maintenance), fire panel not displaying error. Is fire sprinkler head clearance of 45 cm maintained (nothing stacked near the sprinkler)?Yes
8.Are fire evacuation plans posted throughout the workplace – known to workers?Yes
9.Are extension cords used ONLY temporarily? No overloaded electrical sockets? Correct adapters in use where needed? All electrical cords free of fraying, patches or splicing?Yes
10.All appliances tagged in the last 12 months?Yes
11.Electrical equipment register is completed?Yes
12.Electrical leads do not pose trip hazard?Yes
13.WHS Manual, site specific JSA's and workflows all on site (or completed and stored in 'Member Area' in Online Jani King Safety Manager?Yes
14.Shelving, Storage Areas and Cleaner's Cupboard - items arranged properly and not stacked too high? Kept tidy and access not obstructed?Yes
15.Chemicals: Stored tidily in dry, secure areas with no extreme temperatures? MSDS for all are on site and current (last five years) and Hazardous Substances Register up to date? Yes
16.Chemicals: Labels for all chemicals are easy to read and no substance containers is leaking, with spill containment in place?Yes
17.Waste Storage: Stored so it does not obstruct access in both common areas and storage areas? Placed in appropriate bins? Yes
18.Waste is placed only in appropriate bins and removed from site prior to the end of shift?Yes
19.Injuries: First Aid Kit on site, labelled and fully stocked? Yes
20.Environment: No excessive noise? Adequate lighting? Air free from irritating or nuisance odours? Walls and other areas free from mildew, mould and excessive dusts?Yes
21.Floors: All carpets and tiles in good repair. Floor surfaces made of non-slip material or have non-slip mats?Yes
22.Furniture: All chairs and tables in good condition and well arranged? All furniture in good repair (check screws and brackets underneath)?Yes
23.Manual Handling procedures on display where necessary? Adequate lifting/climbing equipment available where necessary?Yes
24.Toilets clean with dry floors and free from litter? Toilet seats/hand dryers in good repair?Yes
25.Vehicles: Operated only by licensed persons, vehicle manual kept in vehicle and all safety devices are fully functional?Yes
26.Fridges/freezers (bar, kitchen and cool room): at correct temperatures and seals intact? Fans operating correctly with covers intact? Yes
27.No work undertaken over 1.8 metres? And ladder is only used with a second person there to hold it in place?Yes
28.Workers only undertaking lifting in teams where appropriate and correct posture and manual handling techniques observed at all times?Yes
29.All plant and equipment inspected and checked for safety prior to use?Yes
30.Plant and equipment only stored neatly and in designated areas? Yes
31.PPE: Appropriate PPE (such as gloves, masks etc.) being worn at all times and checked regularly to ensure all are in good condition?Yes
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