(PCBU Name)
Sample Work Environment and Facilities Checklist
Workers must be provided with a safe work environment and with adequate facilities.
When completing this checklist, consider:
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¼ the nature of the work carried out at your workplace
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¼ the nature of the hazards at your workplace
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¼ the size, location and nature of your workplace
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¼ the number and composition of workers at your workplace.
Involve your workers in filling out this checklist.
Date checklist completed: . . . .
Name of person who completed checklist: . . . .
Position title: . . . .
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3 7Action to be taken workers and their health and safety esentatives been consulted on any about the adequacy of the 3 7Action to be taken the workplace near appropriate the means of access to those facilities all workers on all shifts have access the facilities? 3 7Action to be taken e items such as soap and toilet paper regularly? broken or damaged infrastructure as plumbing, air conditioning or repaired promptly? equipment and furniture (such as lockers and seating) maintained good condition? e facilities cleaned regularly (at least 3 7Action to be taken there safe entry to and exit from the there enough clear space, taking into the physical actions needed to form the task, and any equipment personal protective equipment that needed? there enough space in walkways and ound cupboards, storage or doors? 3 7Action to be taken adequate floor protection provided for who need to stand still for long the floor insulation appropriate to the e factors such as the work materials the likelihood of spills and the for washing considered when floor coverings?
Seating 3 7Action to be taken Can the work be done from a seated position? Does the seating provide suitable body support and is it appropriate to the type of work being carried out? Is there additional seating for workers who work standing and need to sit from time to time? Lighting 3 7Action to be taken Does the lighting allow workers to move about easily and carry out their work effectively, without adopting awkward postures or straining their eyes to see? Is the working environment free of any glare, contrast or reflection? Air quality3 7Action to be taken Is the temperature between 20°C and 26°C (or less if the work is physically active)? Are ventilation and air conditioning systems serviced regularly and maintained in a safe condition? Are rates of air movement in enclosed workplaces between 0.1 and 0.2 m per second? Is local exhaust ventilation used to control airborne contaminants released during a work process? Exposure to heat or cold 3 7Action to be taken Have all reasonably practicable control measures been implemented to minimise the risks of working in extreme hot or cold conditions? Have workers been trained to recognise unsafe conditions arising from exposure to hot or cold conditions, to follow safe work procedures and to report problems immediately? Drinking water 3 7Action to be taken Are the drinking water outlets accessible to workers? Are the drinking water outlets separate from toilet and washing facilities?
the water clean, cool and hygienically ovided – no shared cups or glasses? 3 7Action to be taken the workplace has 10 or fewer workers two or fewer of one gender), has at 1 unisex toilet been provided? the workplace has more than 10 is there at least 1 male toilet every 20 men and 1 female toilet for y 15 women? e there adequate toilet facilities for with disabilities? e toilets connected to the sewer or an opriate alternative? e toilets clearly marked, and do they lockable doors, adequate lighting ventilation? e the worker toilets separate from for visitors, clients and the public? there adequate toilet paper, hand facilities and soap, rubbish bins sanitary disposal bins? 3 7Action to be taken e there enough hand washing basins men and women? the nature of the work require hand washing facilities (taking account exposure to dirty conditions, agents, contaminants and regulations)? e the hand washing facilities separate om work-related troughs or sinks, otected from weather and accessible om work areas, dining facilities and hot and cold water, soap or other product provided? hygienic hand drying provided that not involve workers sharing towels? 3 7Action to be taken the nature of the work cause health and safety risk to workers om preparing food or eating in the Is a dining room or dining area required (according to the Managing the Work Environment and Facilities Code of Practice)? Is there adequate protection from the elements, the work area, contaminants and hazards? For workplaces needing a dining room, is there 1m2 of clear floor space for each person likely to use the dining room at one time? If a shared dining facility is used, can it accommodate all workers likely to be eating at one time? Change rooms3 7Action to be taken Are change rooms provided for workers who are required to change in and out of clothing? Are there arrangements in place for the privacy of male and female workers? Do change rooms allow a clear space of at least 0.5m2 for each worker? Is the change room temperature comfortable for changing clothing? Is there enough seating, accessible mirrors, an adequate number of hooks for the numbers of workers changing at one time? Are there well-ventilated, accessible and secure lockers for each worker for storing clothing and personal belongings? Is it separate from any storage facilities provided for personal protective clothing and equipment? Is there clear space of at least 1.8m between rows of lockers facing each other and at least 0.9m between lockers and a seat or a wall? Showers 3 7Action to be taken Are showers provided for a worker whose work requires strenuous effort or leaves them dirty or smelly? Is there one shower cubicle for every 10 workers who may need to shower? Are there separate facilities for male and female workers, or other appropriate forms of security to ensure privacy?
there a slip-resistant floor area of not than 1.8m2, which is capable of sanitised? e partitions between each shower least 1.65m high and no more than above the floor? there an adjacent dressing area for shower, containing a seat and with a curtain or lockable door the shower and dressing there clean hot and cold water and ritating soap or other cleaning oduct? workers need to shower before they leave the workplace, are towels ovided? 3 7Action to be taken e there appropriate procedures to e outdoor workers have access clean drinking water, toilets, dining hygienic storage of food and , and emergency and first aid there access to shelter for eating and taking breaks and for otection when weather conditions unsafe? 3 7Action to be taken e there appropriate procedures to e that mobile or remote workers access to clean drinking water, dining facilities, hygienic storage food and water, and emergency and aid assistance? mobile or remote workers access gency communications that are in their location, such as a or mobile phone? 3 7Action to be taken there accommodation separate from workplace hazards that are likely to esent a risk to the health or safety of a using the accommodation?
Is it appropriately equipped, including: • safe access and exits • security of personal possessions • fire safety arrangements • electrical safety standards • drinking water • toilets, washing, bathing and laundry facilities • procedures to ensure cleanliness • suitable, quiet sleeping accommodation • crockery, utensils and dining facilities • rubbish collection • heating, cooling and ventilation? Does the accommodation meet all relevant structural and stability requirements? Are the fittings, appliances and any other equipment maintained in good condition? Emergency plans 3 7Action to be taken Is there a written emergency plan covering relevant emergency situations, with clear emergency procedures? Is the plan accessible to all workers? Are workers, managers and supervisors instructed and trained in the procedures? Has someone with appropriate skills been made responsible for specific actions in an emergency (for example, has an area warden been appointed)? Is there someone responsible for ensuring workers and others are accounted for in an evacuation? Are emergency contact details (relevant to the types of possible threats, for example fire, police, poison information centre) displayed in an easily accessible location? Are contact details of emergency services updated regularly? Is there a mechanism (such as a siren or bell alarm) for alerting everyone of an emergency?
there a documented site plan that the location of fire protection emergency exits and points? the site plan displayed in key locations oughout the workplace? e procedures in place for assisting ed people? the workplace have first aid and emergency equipment to with the types of emergencies that arise? the fire protection equipment suitable the types of risks at the workplace example, foam or dry powder type for fires that involve liquids)? equipment easily accessible in an gency? e workers trained to use emergency (for example, fire chemical spill kits, eathing apparatus, lifelines)? you considered neighbouring and how you will let them about an emergency situation one arise? you considered the risks from businesses and their e emergency practice runs done assess the effectiveness of the gency plan? someone responsible for reviewing the gency plan and informing staff of revisions? 3 7Action to be taken asbestos/ACM clearly labelled at the it is located? you have an asbestos/ACM register? the asbestos/ACM register readily to workers? there an asbestos/ACM management in place?
First aid3 7Action to be taken Is there adequate first aid equipment? Does each worker have access to the first aid equipment? Are there adequate number(s) of workers trained to administer first aid? Or do workers have access to an adequate number of other persons who have been trained to administer first aid? Personal protective equipment (PPE)3 7Action to be taken Is PPE selected to minimise risk to health and safety in accordance with any relevant technical standard published by Safe Work Australia? Is PPE maintained, repaired or replaced as required? Is PPE in good working order, clean and hygienic? Do you provide information, training and instruction for using the PPE (including information about any limit to the effectiveness of the equipment)? Do workers use PPE in accordance with the information, training and instruction provided? Are areas where people must use PPE clearly identified by signs or other means? Other3 7Action to be taken For further information, refer to the Managing the Work Environment and Facilities Code of Practice. Go to the WorkSafe website at www.worksafe.tas.gov.au and search for ‘CP124’.
. . . (PCBU Name)