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Workplace Inspection Checklist and Action PlanThis form is to be used when undertaking the quarterly workplace inspections.Instructions on completing form:1.Answer each checklist question with ‘yes’ or ‘no’. Each ‘no’ requires a risk rating, derived using the matrix on the page below. Further explanation should be input in the‘comment’ section.2.When the inspection is complete, enter the ‘yes/no’ answers onto this form and also complete the scoring and the action list.3.Score each section, with all ‘yes’ responses allocated a score of ‘1’ and all ‘no’ responses allocated a score of ‘0’. The sections are totaled at the end of the checklistand are to be shown as a percentage.4.Add all ‘no’ responses to the ‘Action List’ (page 7 of this form) and indicate an appropriate action.5.After completing the action, note if the hazard / issue has now been resolved in the ‘hazard resolved?’ column.Instructions for saving your completed form:6.Select ‘File’ and then ‘Print’7.Using the drop-down menu next to the printer name, select ‘Adobe PDF’ as your ‘Printer’8.Change the orientation to ‘Landscape’9.Select ‘Print’10.Save the form as a PDF File in your chosen location.Final Step:11.Email the completed PDF file to JLT (mops.safety@jlta.com.au), who will enter the data into a central risk register. Copy your employing Senator or Memberinto this email to ensure that they are aware of any identified issues or hazardsWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 20191
Workplace Inspection ChecklistRisk MatrixLikelihood Almost certain - Event expected to occur most timesduring normal operations (e.g. once a year or morefrequent)Likely - Will probably occur at some stage based onevidence of previous incidents (e.g. once every threeyears)Possible - Not generally expected to occur but mayoccur under specific circumstances (e.g. once everyten years)Unlikely - Conceivable but not likely to occur undernormal operations; no evidence of previous events(e.g. once every 30 years)Very unlikely - Only ever occurs under exceptionalcircumstances (e.g. once every 100 years)WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019Consequences Negligible - No injuryMinor - First aid or minor medical treatment only; No loss of timeModerate - Significant injury involving medical treatment or hospitalization andloss of timeMajor - Extreme injury; serious long term illnessCatastrophic - Fatality; permanent disability or disease2
Name of WHS Site Officer:Name of Emergency Officer:Name of Deputy Emergency Officer:Name of First Aid Officer:*If any of the above roles are vacant, please arrange for form 144 ‘WHS Roles Nomination’ to be completed for that role and sent to MOPSWHS@finance.gov.auEmployer:Date:Location address of work area inspected:Date of next inspection (please tick): Q1 (Due by 31st March); Q2 (Due by 30 June); Q3 (Due by 30 September); Q4 (Due by 31st December)WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 20193
No.Checklist QuestionFire and EmergencyAre all access and exit points readilyaccessible (clear paths of egress and nolocks restricting them)?1.2 Are emergency exit points clearly markedand in the location shown on theevacuation diagram for the workplace?1.3 Are emergency proceduresavailable for all employees toaccess?1.4 Where installed, is fire safety equipmente.g.: fire extinguisher/blanket accessibleand in their designated location?1.5 Are illuminated directional exit lightsoperational, and positioned to leadoccupants to their nearest exit fromany area of the office?1.6 Where installed, have fireextinguishers been inspectedwithin the last six months?1.7 Is there a designated EmergencyOfficer and Deputy EmergencyOfficer for the workplace (excludingoffices in Parliament House)?1.8 Has the Emergency Officer andDeputy Emergency Officerreceived training in the past 6months (face-to-face or online)?1.9 Has the emergency evacuation planbeen tested within the last 12months?1.10 Where installed, can the alarm be heard inall areas?1.11 Has a Personal Emergency Evacuation Planbeen completed for all staff with specialneeds (e.g. pregnancy, mobility, visual orhearing impairments) and is it up to date?Section Score (Count the ‘Yes’ answers):Risk Rating(L, M, H, E)Yes/NoIf ‘no’ selected Hazard Resolved?Comment1.01.1/ 11WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019Other Comments4
No.Checklist QuestionSection 3.8If ‘no’ selected Hazard Resolved?Comment%First AidAre the names and locations of the FirstAid officer clearly displayed and in date,excluding offices in Parliament House?Are employees aware of how to reportan incident through JLT?Is the First Aid kit accessible in anuncluttered location and a sign installed todisplay its location?Is the First Aid kit stocked as per theitems listed in the ‘First Aid and SupplyList’ and are all items in date?Section Score (Count the ‘Yes’ answers):Section Percentage:Risk Rating(L, M, H, E)Yes/No/4Other Comments%Housekeeping and LayoutIs the work area tidy, organised andfree of trip hazards?Are all points of entry, exit and walkwaysfree of obstructions?Are floor surfaces, including stairs, cleanand in good condition?Are all handrails secure?Are drawers and filing cabinets closedwhen not in use?Is the work area free of unsecuredsharp edges or surfaces that couldcause injury in the course of routineworkplace activity?Is there an adequate system in placefor regular waste disposal?Are cleaning agents labelled and storedsafely?WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 20195
No.Checklist Question3.6Are items stored safely and securely, toensure they are not at risk of falling,creating a trip hazard or manual handlinginjury?Section Score (Count the ‘Yes’ answers):Section Percentage:General EnvironmentAre the lights installed in the work area alloperating?Can natural light be controlled withblinds or other means?Are all ventilation systems installed in thework area operational?Is the area around photocopiersand printers ventilated?Where installed, are the office airconditioning and/or heating systemsoperational?Is the working environment free ofdistracting or loud noise4.04.14.24.34.44.54.64.75.2AmenitiesAre toilet areas clean and stockedappropriately?Are water, soap and hand drying facilitiesavailable?5.3Are kitchen areas kept clean?6.0Section Score (Count the ‘Yes’ answers):Section Percentage:ElectricalRisk Rating(L, M, H, E)/6%Yes/NoIs the workplace free of any leaks, wetspots, dampness, or odours fromplumbing or weather events?Section Score (Count the ‘Yes’ answers):Section Percentage:5.05.1Yes/NoIf ‘no’ selected Hazard Resolved?CommentOther CommentsRisk RatingOther Comments/7%Yes/NoRisk Rating/3%Yes/NoOther CommentsRisk RatingWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 20196
No.Checklist Question6.1Are all plugs, sockets, power boards andcords in working order (i.e. cords notfrayed etc.) and secured to avoid triphazards?Have all double adaptors and ‘piggy back’plugs been removed?6.26.36.47.3If ‘no’ selected Hazard Resolved?CommentIf power boards are in use, do they haveoverloading protection?Section Percentage:7.2Risk Rating(L, M, H, E)All double adaptors will be removed byTesting & Tagging contractors duringinspections.Is the use of extension cords limited totemporary use only?Section Score (Count the ‘Yes’ answers):7.07.1Yes/NoManual HandlingAre items stored safely and securely, toensure they are not at risk of falling,creating a trip hazard or manual handlinginjury?items stored security and not at riskof fallingheavy or bulky items stored at waistheight or below- frequently used items storedbetween knee and shoulder- where possible, reduce the weight ofheavy items (e.g. splitting a box ofpaper into separate reams)Does the office have adequate storagefacilities?Have all employees required toundertake tasks involving manualhandling completed the online manualhandling training on Skytrust?Section Score (Count the ‘Yes’ answers):Other Comments/4%Yes/NoRisk Rating/3WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019Other Comments7
No.Checklist QuestionSection gonomicsIs the work space both on and underthe desk free from clutter?Have employees been made aware ofhow to set up their work station via theYes/No%Yes/NoRisk Rating(L, M, H, E)If ‘no’ selected Hazard Resolved?CommentRisk RatingWorkstation Setup and ErgonomicAssessment module Skytrust?Has everyone in the office been advisedthey can complete an online ergonomicassessment via Skytrust, or how toarrange one in the office?Have employees been advised to takeshort, regular postural breaks fromrepetitive activities?Section Score (Count the ‘Yes’ answers):/4%Section Percentage:SecurityYes/NoAre employees aware of the process whenlocking up the office?Have any concerns raised by employeesabout office security been reported to theappropriate contact?Where installed, have operating andtesting procedures been provided forduress alarms?Where installed, have all duress alarmsbeen tested (in accordance with theprocedures) to ensure they are operationaland have staff been trained on their use?Are all visitors or contractors asked to signin/out when entering the office?Section Score (Count the ‘Yes’ answers):/5%Section Percentage:PsychosocialOther CommentsRisk RatingWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019Other Comments8
No.Checklist QuestionYes/No10.1 Have all employees and volunteersbeen inducted into the workplace usingthe Induction Checklist?10.2 Do all employees have a clearunderstanding of the duties andexpectations of their role?10.3 Have all employees completed thebullying and harassment trainingavailable on Skytrust?10.4 Do all employees know how to reportworkplace bullying, harassment orother inappropriate behaviour - eitherwithin the workplace or byconstituents?10.5 Have all staff been advised of theavailability of Employee AssistanceProgram (EAP) Services?Section Score (Count the ‘Yes’ answers):Risk Rating(L, M, H, E)/5Section Percentage:If ‘no’ selected Hazard Resolved?CommentOther Comments%Total score:/ 57Percentage:Final Comments%WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 20199
Workplace Inspection Action PlanPlease note that an action is required for each ‘no’ answer on the workplace inspection checklist.WHS Site officers must either attempt to resolve the matter locally or advise the relevant contact – either JLT, JLL or their M&PS State Office, for the specific action required –please see the column First Contact for Action below to determine the relevant contact.Following each inspection, WHS site officers are asked to collate all action items for each contact before referring action items arising out of this inspection.Please ensure a copy of the completed checklist is provided to your employing ta.com.au1300 418 288JLLMapspropertyhelpdesk@fived.com.au1300 652 114M&PS Australian Capital TerritoryM&PS-ACT@finance.gov.au02 6277 6087M&PS New South WalesM&PS-NSW@finance.gov.au02 8289 9900M&PS Northern TerritoryM&PS-NT@finance.gov.au08 8941 4133M&PS QueenslandM&PSQld@finance.gov.au07 3001 8900M&PS South AustraliaM&PSSA@finance.gov.au08 8205 1000M&PS TasmaniaM&PS-Tas@finance.gov.au03 6231 0734M&PS VictoriaM&PS-Vic@finance.gov.au03 9660 6600M&PS Western AustraliaM&PS-WA@finance.gov.au08 9260 5000Department of Parliamentary Services 2020 Service Desk (IT)WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 201902 6277 202011
Hazard/Issue IdentifiedAction RequiredFirst Contact for Action Date Completed Anticipated Final ControlWHS Site Officer to clear any obstructionsthat can be undertaken easily. Contact JLTfor further information if required:Mops.safety@jlta.com.auReport any issues that cannot be resolvedlocally to the M&PS State OfficeJLTDate Completed1.0 Fire and Emergency1.1 Are all access and exit pointsreadily accessible (clear and nolocks restricting them)?Ensure that access and exitpoints remain clear andaccessible through spot checksand further inspections.1.2 Are emergency exit pointsEmergency Officer to arrange for temporary JLLclearly marked and in the location signage and notify JLL.shown on the evacuation diagramfor the workplace?Emergency signage thatmatches the evacuationdiagram for the workplace ispresent and in working order.1.3 Are emergency proceduresdisplayed for all employees toaccess?Emergency Officer to ensure that:JLL the emergency management plan for theoffice (prepared by JLT) is accessiblewithin the office. the emergency evacuation diagram forthe office is: affixed to a wall within the office matches the layout of the office is legible.Emergency Management Planand Emergency EvacuationDiagram are accessible to allpersons within the office.1.4 Are fire extinguishers (whereinstalled) accessible and in theirdesignated location?Emergency Officer to address any localJLLissues (i.e. relocating a fire extinguisher thathas been moved from its designatedlocation). Where the issue cannot beaddressed locally, Emergency Officer toadvise JLL.Fire extinguishers must only bemoved from their designatedlocation to control a fire.1.5 Are illuminated directional exit WHS Site Officer to advise JLL.lights operational, and positionedto lead occupants to their nearestexit from any area of the office?JLLJLL to assess whether lighting isadequate to ensure safe exit incase of emergency.1.6 Where installed, have fireextinguishers been inspectedwithin the last six months?JLLAll fire extinguisher inspectionsup to date.Emergency Officer to advise JLL.WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 201912
Hazard/Issue IdentifiedAction Required1.7 Is there a designatedEmergency Officer and DeputyEmergency Officer for theworkplace (excluding offices inParliament House)?Where there is not a nominated Emergency WHS Site OfficerOfficer for the site, the WHS Site Officershould ask the Senator or Member, OfficeManager or Chief of Staff to arrange thenomination of an Emergency Officer.If there is no Emergency Officer, any actionsassigned to the Emergency Officer by thisAction Plan should be performed by the WHSSite Officer.Each office must have anEmergency Officer and DeputyEmergency Officer nominatedby the Senator or Member(excluding offices in ParliamentHouse).Emergency Officers are trainedby JLT.1.8 Has the Emergency Officer andDeputy Emergency Officerreceived training in the past 6months (face-to-face or online)?Emergency Officer to advise employeeswhere the Emergency Management Plan andEmergency Evacuation Diagram for the officeare displayed and discuss the emergencyprocedures with them.Emergency Officer (orWHS Site Officer wherethere is not anominated EmergencyOfficer for the site).All occupants of a workplacemust be made aware of theemergency procedures for theworkplace.JLLCompletion of a trialevacuation.1.9 Has the emergency evacuation Testing of the emergency evacuation plan isplan been tested within the last 12 conducted by JLT. The Emergency Officermonths?should advise JLL if a trial evacuation hasnot been conducted during the last 12months.First Contact for Action Date Completed Anticipated Final ControlDate Completed1.10 Where installed, can thealarm be heard in all areas?Emergency Officer to advise JLL.JLLIn some buildings, an audible alarm is notrequired by the Building Code of Australia. Ifan audible alarm is not installed in yourbuilding, there needs to be a system in placeto alert all occupants of the building in theevent of an emergency.If the Emergency Officer is not aware of anemergency notification system for youroffice, he or she should discuss the matterwith JLL.JLL and/or Finance will liaisewith the building owner toconfirm that a system is inplace to ensure that your officeis notified promptly in case ofan emergency. The EmergencyOfficer and WHS Officer will beadvised of the outcome.1.11Has a Personal Emergency Evacuation Planbeen completed for all staff with specialneeds (e.g. pregnancy, mobility, visual orhearing impairments) and is it up to date?Emergency officer to work withindividuals to create PersonalEmergency Evacuation whererequiredWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019Emergency Officer13
Hazard/Issue IdentifiedAction RequiredFirst Contact for Action Date Completed Anticipated Final ControlDate Completed2.0 First Aid2.1 Are the names and locations ofthe First Aid officer clearlydisplayed and in date, excludingoffices in Parliament House?First Aid officer to clearly display the names First Aid officerand contact details of all employees holdinga current first aid certificate. A template isavailable from JLT.Where there is not a nominated First AidOfficer for the site, the WHS Site Officershould ask the Senator or Member, OfficeManager or Chief of Staff to arrange thenomination of a First Aid Officer.If there is no First Aid Officer, any actionsassigned to the First Aid Officer by thisAction Plan should be performed by the WHSSite Officer.Names of all employees holdinga current first aid certificatewithin the office clearlydisplayed.2.2 Are employees aware of howto report an incident or hazardthrough JLT?WHS Site Officer to advise employees of theprocedures set out in Reporting an Incidentor Hazard on the WHS pages of the M&PSwebsite and discuss those procedures withthem.WHS Site OfficerAll staff aware of how toreport an incident or hazardthrough JLT.2.3 Is the First Aid kit accessible inan uncluttered location and a signinstalled to display its location?First Aid officer to ensure First Aid kitremains accessible and visible to all workerswithin the office.First Aid officerFirst Aid kit is accessible andvisible to all workers within theoffice.2.4 Are the contents of the FirstAid kit in date and stocked as perthe ‘First Aid and Supply List’,located online in the documentssection of Skytrust.First Aid officerReview the ‘First Aid and Supply List’,located online in the documents section ofSkytrust, and replace missing or out ofdate items.All items on the list of contentsprovided with the first aid kitare present and within theiruse-by-date.3.0 Housekeeping and Layout3.1 Is the work area tidy, organised WHS Site Officer to remove trip hazardsWHS Site Officerand free of trip hazards?immediately and request that employeestidy their work area. The WHS Site Officershould remind staff routinely via regular staffmeetings or email to keep the work area tidyand organised.WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019Work area is tidy, organisedand free of trip hazards.14
Hazard/Issue IdentifiedAction RequiredFirst Contact for Action Date Completed Anticipated Final Control3.2 Are walkways uncluttered andfree of obstruction?WHS Site Officer to removeclutter/obstruction from walkway areaimmediately.WHS Site Officer to advise staff via regularstaff meeting or email to keep walkwaysclear.WHS Site OfficerWalkways are free ofobstruction.3.3 Are floor surfaces, includingIf floor or stairs are slippery or dirty, WHSstairs, clean and in good condition? Site Officer to sign the area and clean up spilland/or arrange for the floor or stairs to becleaned.Contact JLT for more information:mops.safety@jlta.com.au to discuss asituation if required.If floor or stairs are not in good conditionrefer matter to JLL.WHS Site OfficerCleaner throughcommunicationsbook.JLTFloor or stairs are cleaned.Particular situation is resolved.Floor or stairs are repaired orreplaced.3.4 Are handrails secure?JLLHandrails are secured and safe.3.5 Are drawers and filing cabinets WHS Site Officer to:closed when not in use? close drawers and filing cabinets at timeof inspection advise staff via regular staff meeting oremail to always close drawers/filingcabinets when not in use.WHS Site OfficerHazard eliminated as staffroutinely close drawers andfiling cabinets.3.6 Is the work area free ofunsecured sharp edges or surfacesthat could cause injury in thecourse of routine workplaceactivity?WHS Site OfficerJLL to arrange repair orelimination of sharp surfaces.WHS Site Officer to advise JLL.Contact JLT if more information is requiredon which matters should be reported:WHS Site Officer to attempt to resolve issuelocally by safeguarding sharp areas orsurfaces.If unable to resolve locally, contact JLL.Contact JLT if more information is requiredon which matters should be reported:mops.safety@jlta.com.au3.7 Is there an adequate system in If unable to resolve locally, WHS Site Officerplace for regular waste disposal?to report matter to JLL.WHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019Date CompletedJLLJLLJLTJLLJLL to co-ordinate withcleaning/waste disposalcompany.15
Hazard/Issue IdentifiedAction RequiredFirst Contact for Action Date Completed Anticipated Final Control3.8 Are cleaning agents labelledand stored safely?WHS Site Officer to label cleaning agents and JLTstore them as required. If unsure of labellingor storage requirements, contactmops.safety@jlta.com.auJLT to provide advice onappropriate storage andlabelling as required.3.9 Are items stored safely andsecurely, to ensure they are not atrisk of falling, creating a trip hazardor manual handling injury?WHS Site Officer to identify alternativemeans of storage locally; andarchive/dispose of redundant material.If unable to resolve, contact JLT.This is a local matter for theoffice to manage, within thephysical constraints of theoffice.WHS Site OfficerDate Completed4 .0 General Environment4.1 Are the lights installed in thework area all operating?WHS Site Officer to advise JLL of any lighting JLLfaults.Contact JLT for further information on whichmatters need to be reported:mops.safety@jlta.com.auJLL to arrange repair orreplacement of faulty lighting.4.2 Can natural light be controlledwith blinds or other means?WHS Site Officer to advise Advice andAdvice and SupportSupport Director.DirectorContact JLT for further information on which JLTmatters need to be reported:mops.safety@jlta.com.auThis is a matter for the office tomanage, in consultation withthe Advice and SupportDirector, within the physicalconstraints of the office.4.3 Are all ventilation systemsinstalled in the work areaoperational?WHS Site Officer to advise JLL.JLLContact JLT for further information on whichmatters need to be reported:mops.safety@jlta.com.auJLL will investigateventilation/airflow situationand if required, will consultwith the building owner and/orFinance regarding solutions.4.4 Is the area aroundphotocopiers and printersventilated?WHS Site Officer to assess situation locallyWHS Site Officerand determine whether photocopier and/orprinter can be relocated to a betterventilated area.Refer to mops.safety@jlta.com.auto discussa situation if required.4.5 Where installed, are the officeair- conditioning and/or heatingsystem operational?WHS Site Officer to advise JLLWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019JLLJLL to arrange repair orreplacement16
Hazard/Issue IdentifiedAction RequiredFirst Contact for Action Date Completed Anticipated Final ControlDate Completed4.6 Is the working environmentWHS Site Officer to investigate source offree from distracting or loud noise? noise and see if it can be eliminated orreduced locally.If not, refer to Advice and Support Director.Contact JLT for more information on whichmatters should be reported:mops.safety@jlta.com.auAdvice and SupportDirectorAdvice and Support Director toinvestigate noise situation andif deemed necessary followingassessment, explore solutions.4.7 Is the workplace free of anyleaks, wet spots, dampness, orodours from plumbing or weatherevents?WHS Site Officer to advise JLLJLLJLL to repair or arrangereplacement5.1 Are toilet areas clean andstocked appropriately?WHS Site Officer to attempt to resolvelocally using the process for communicatingwith their local cleaner.If unable to resolve locally, contact JLL.JLLJLL to review cleaningarrangements to ensure thattoilet areas are clean andappropriately stocked. This mayrequire the co-operation of thebuilding owner where toiletsare located in common areas.5.2 Are water, soap and handdrying facilities available?WHS Site Officer to review situation andattempt to resolve locally.If unable to resolve due to condition offacilities contact JLL.WHS Site OfficerJLL to review cleaningarrangements to ensure thatthere is water, soap and handdrying facilities available.5.3 Are kitchen areas kept clean?WHS Site Officer to review situation andWHS SiteOfficer / JLLattempt to resolve locally by advising staffvia regular staff meeting or email to maintainclean kitchen.If issue relates to cleaning contractors, WHSSite Officer to attempt to resolve locallyusing the process for communicating withtheir local cleaner.If unable to resolve due to condition offacilities contact JLL.5.0 AmenitiesWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019JLL to review condition ofkitchen facilities, where thehazard relates to matters otherthan usage.17
Hazard/Issue IdentifiedAction RequiredFirst Contact for Action Date Completed Anticipated Final ControlDate Completed6.0 Electrical6.1 Are all electrical items,WHS Site Officer to:JLLincluding plugs, sockets, power attempt to resolve trip hazards locally i.e.boards and cords in working orderremove electrical cords from walkways or(i.e. cords not frayed etc.) andsecure them (if possible)secured to avoid trip hazards? arrange replacement of powerboards andextension cords that are not in safeworking order.Faulty equipment that has been provided byFinance (e.g. televisions, photocopiers,whitegoods) should be reported to theAdvice and Support Director.Faulty IT equipment should be reported toDPS through the 2020 Service Desk on 026277 2020Other faulty electrical fixtures andequipment should be reported to JLL.If in doubt about where to report anelectrical problem within the office, refer toElectorate Office on the M&PS website.Refer to mops.safety@jlta.com.au todiscuss a situation if required.JLL to arrange for review ofelectrical items with qualifiedcontractor.6.2 Have all double adaptors and‘piggy back’ plugs been removed?Please note: All double adaptorswill be removed by Testing &Tagging contractors duringinspections.All double adapters will be removed byTesting & Tagging contractors during annualinspections. If there are insufficient poweroutlets, please contact your M&PS StateManager to discuss.WHS Site OfficerN/A6.3 Is the use of extension cordslimited to temporary use only?WHS Site Officer to monitor use of extension WHS Site Officercords, and try to limit their use. WHS SiteOfficer should attempt to resolve locally i.e.review whether an extension cord use isrequired and if so, ensure that it is not a triphazard.N/AWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 201918
Hazard/Issue IdentifiedAction Required6.4 If power boards are in use, do WHS Site Officer to ensure that any powerthey have overloading protection? boards in use have overloading protection.First Contact for Action Date Completed Anticipated Final ControlDate CompletedWHS Site OfficerRelocation of power points toreduce need for extensioncords.WHS SiteOfficer / JLTMatter to be resolved locally,within existing space available.JLT can provide furtherinformation on efficient storageor training on manual handling.7.0 Manual Handling7.1 Are items stored safely andWHS Site Officer to move or re-arrangesecurely, to ensure they are not at items accordingly. Please contact M&PS torisk of falling, creating a trip hazard discuss any issues with storage facilities.or manual handling injury?items stored securely and not atrisk of fallingHeavy or bulky items stored atwaist height or belowFrequently used items storedbetween knee and shoulderWhere possible, reduce the weightof heavy items (e.g. splitting a boxof paper into separate reams)7.2 Does the office have adequate WHS Site Officer to attempt to resolve locally WHS Site Officerstorage facilities?in conjunction with those people working inthe area.Contact JLT for further information onmanual handling and storage:mops.safety@jlta.com.auMatter to be resolved locally,within existing space available.JLT can provide furtherinformation on efficient storageor training on manual handling.7.3 Has manual handling trainingbeen provided to employees thatare required to undertake tasksinvolving manual handling?N/AWHS Site Officer to refer employees to the‘Ergonomics and Manual Handling’ on-linetraining module.WHS Site Officer8.0 Ergonomics8.1 Is the work space both on andunder the desk free from clutter?WHS Site Officer to advise employee to clear JLTwork space to facilitate correct ergonomicpositioning.If unable to rectify issue, refer to Senator orMember or authorised personWHS Site Officer Quarterly Workplace Inspection Checklist & Action Plan V2.0 March 2019N/A19
Hazard/Issue IdentifiedAction RequiredFirst Contact for Action Date Completed Anticipated Final ControlDate Completed8.2 Have employees been madeWHS Site Officer to attempt to resolveaware of how to set up their work locally.station via the Workstation Setup If unable to rectify issue, refer toand Ergonomic AssessmentJLT for an ergonomic assessment.module Skytrust?WHS Site OfficerN/A8.3 Has everyone in the officeWHS Site officer to remind employees thatbeen advised they can completethey can request an ergonomic assessmentan online ergonomic assessmentthrough JLT.via Skytrust, or how
Workplace Inspection Checklist and Action Plan. This form is to be used when undertaking the quarterly workplaceinspections. Instructions on completing form: 1. Answer each checklist question with 'yes' or 'no'. Each 'no' requires a risk rating, derived using the matrix on the page below. Further explanation should be input in the
