FAIR PRICE | OHS Self Assessment

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Introduction to the Self-Assessment
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Self Assessment Completed By* This field is required.
First Name
Surname
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Email* This field is required.
example@example.com
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Please select which branch type?
Branch
Distribution Centre
Factory
Support Office
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Select Province* This field is required.
Gauteng
Free-State
North-west
Limpopo
Mpumalanga
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Select Regional Manager* This field is required.
Ahmed Ismail
Asif Adat
Ebrahim Coovadia
Elliot Ndaba
Imran Mamud
Muhammed Hansa
Musa Irfan Patel
Nokuthula Thabetha
Paballo Sekoboane
Shabier Malek
Simon Kekae
Sithembiso Mendulo
Tshililo Tshikalanga
Keith Kruger
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Select Branch (Asif Adat)* This field is required.
Roodekop Main DC
SWH Carletonville
SWH Mafikeng
SWH Pretoria
SWH Rustenburg
SWH Vereeniging
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Select Branch (Ahmed Ismail)* This field is required.
Alberton
Benoni
Boksburg
Daveyton Shopping Centre
East Rand Value Mall
Germiston
Heidelberg
Kwathema Square
Lakeside Mall
Sam Ntuli Mall
Springs Fourth
Springs Third
Tsakane Mall
Vosloorus
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Select Branch (Ebrahim Coovadia)* This field is required.
Bloemfontein Saint Andrew
Bloemfontein Twin City
Botshabelo
De Deur
Evaton Golden Highway
Kroonstad
Odendaalsrus
Orange Farm
Phuthaditjhaba
Phuthaditjhaba Mota
Sebokeng
Vanderbijl Park
Vereeniging
Welkom Thabong Mall
Welkom
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Select Branch (Elliot Ndaba)* This field is required.
SWH Bloemfontein
SWH Newton
SWH Mohale Qwa Qwa
SWH Springs
SWH Welkom
SWH Witbank
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Select Branch (Imran Mamud)* This field is required.
Carletonville
Chamdor
Chuma Mall
Clayville
Cosmos City
Fochville
Kempton Park
Klerksdorp North
Krugersdorp
Potchefstroom Riverwalk
Randfontein Main Reef
Randfontein Umphakathi Square
Tembisa
Westonaria
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Select Branch (Nokuthula Thabetha)* This field is required.
Albertina
Bree
Bronkhorstspruit
Harrison
Hillbrow
Kwaggafontein
Middelburg
Mooi
Phola Park
Pritchard
Rosettenville
Witbank Delville
Witbank Kwaguqa
Yeoville
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Select Branch (Paballo Sekoboane)* This field is required.
Brits Lethlabile
Brits Spoorweg
Jubilee Mall
Lichtenburg
Mabopane
Mafikeng Newton
Mafikeng Station
Moruleng
Northam
Rustenburg Bethlehem
Rustenburg Kerk
Rustenburg Nelson Mandela
Soshanguve
Thorntree Shopping Centre
Tlhabane Square
Zeerust
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Select Branch (Shabier Malek)* This field is required.
Alex Mall
Bara Square
Dobsonville
Kiasha Park
Midway
Protea Glen Kganwe
Southgate
Soweto Jabulani
Wynberg
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Select Branch (Simon Kekae)* This field is required.
Atteridgeville
Mamelodi Plaza
Mamelodi Square
Nkomo
Pretoria Paul Kruger
Pretoria Vermeulen
Silverton-Fountain
Sunnyside Robert Sobukwe
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Select Branch (Sithembiso Mpendulo)* This field is required.
Bela Bela
Burgersfort Dirk
Burgersfort Twin City
Elim - Hubyeni Shopping Centre
Lebowakgomo
Louis Trichardt
Lydenburg
Mankweng
Mokopane
Polokwane Dahl
Polokwane Jorissen
Polokwane Rissik
Seshego Plaza
Thohoyandou Main Road
Thohoyandou Metropolitan
Tzaneen
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Select Branch (Musa Irfan Patel)* This field is required.
Bravo Factory DC
Import Repairs
SWH Soweto
SWH Brits
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Select Branch (Tshilili Tshikalanga)* This field is required.
SWH Burgersfort
SWH Lou Rissik
SWH Polokwane
SWH Tzaneen
SWH Thohoyandou
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Select Factory Site* This field is required.
FPM Brits
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1. Do you have the Company Health and Safety Policy Statement of Intent framed and prominently displayed?* This field is required.
YESNO
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Feedback

The Company OHS Policy Statement of Intent, signed by the CEO must be printed, framed and displayed in the office foyer, reception, or pause area. If you do not have an office or reception, you can access the policy statement of intent electronically, in the document library, if required.

Add value by printing, framing and displaying Department of Labour Accord.

These documents can be found in the Document Library - Policy Statement.
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2. Is the admittance of contractors at your workplace controlled with a register?* This field is required.Store customers DO NOT need to sign the register.
YESNO
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Feedback

All contractors working on the premises must complete and sign the admittance register. This will account for the prescence of these persons during an emergency and indemnify the company from liability risk if negligence is evident.

Indemnity signage must be posted at all entrances to ensure visitors enter at their own risk.

This document can be found in the Document Library - Visitor Entry Control.
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3. Do you have your company Compensation Fund registration number on hand?* This field is required.
YESNO
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Feedback

All companies employing one person or more must register with the compensation fund.

To demonstrate proof of this registration and confirm assessments are paid up, a letter of good standing is issued.

Your COID number must be filled in on the WCL2 Employers Report of an Accident when any employee is injured in the course of employment and requires medical attention. Part B will go with injured employee to hospital, Part A will be submitted to the Compensation fund with the First Medical Report from the hospital immediately by registered mail.

If an inspector requests a copy of the company letter of good standing, you can contact HR.
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4. Do you have your company Unemployment Insurance Fund number?* This field is required.
YESNO
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Feedback

All companies must register their employees for unemployment benefits with the UIF. When visited by the Department of Employment and Labour inspector, they may request proof of registration with UIF.

The company registration document is available from HR.
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5. Do you display the Basic Conditions of Employment Act and Employment Equity Act posters?* This field is required.
YESNO
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Only two posters are required to be displayed by law:

Basic conditions of employment act.

Employment equity act.

These can be obtained from the government printer, stationary suppliers or requested from HR.
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6. Do you have a copy of the Occupational Health and Safety Act?* This field is required.
YESNO
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Feedback

A copy of the OHS act must be readily available to all employees in the workplace.

This can be in hard copy or electronic.

The Act is available on the Intranet at www.labour.gov.za for reference.

Posters are not a legal requirement.
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7. Have you appointed a Health and Safety Representative?* This field is required.
YESNO
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Feedback

An OHS Representative must be elected from non management in their workplace where there are 20 or more employees.

In shops and offices an additional OHS representitive must be elected for every 100 non managers and in manufacturing for every 50 non managers.

The company has decided to appoint an OHS representitive at every site regardless of the number of non management on site to assist with the compliance process and workplace safety.

The health and safety representitive will be appointed by the site manager.

This appointment document can also be found in the Document Library - Health & Safety Representative.
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8. Has the Health and Safety Representative/s been trained?* This field is required.
YESNO
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Feedback

Occupational Health and Safety Representative to complete the e-learning online training course successfully.

Certificate will be emailed to be available electronically or a hard copy can be printed, framed and displayed.
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9. Do you record and report all incidents at work?* This field is required.
YESNO
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Feedback

Use the Incident Reporting Module to record and report incidents.

All injuries, regardless of how minor, must be reported and recorded using the Notifiable Incident Report and First Aid Report Form . Those requiring medical attention are compensatible – use the Employers Report of an Accident (WCL2) . All incidents must be investigated by the Incident Investigator who will be the site manager or health & safety representitive.
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10. Do you have access to toilets and washing facilities provided for males and females?* This field is required.
YESNO
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Feedback

Provide toilet facilities.

Where there are less than 11 employees, the use of private or public toilets is acceptable.
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11. Have all employees been informed of their duties, rights and responsibilities? (right to know brief)* This field is required.
YESNO
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Feedback

All employees must read and sign the Occupational Health and Safety Right to Know on engagement.

This is included in the Induction Module.

If you require a hard copy you can download this document in the Document Library - Right to Know.

Ensre all three support booklets (Inductor, What Every Worker Should Know, Compensation Claims) are available to employees.
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12. Has the branch manager been appointed in writing as the responsible person for the safe use and maintenance of machinery and equipment on the premises?* This field is required.
YESNO
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Feedback

Machinery can include: fire equipment, sprinkler systym, smoke detectors, roller shutter doors, goods hoist, conveyers, copiers, printers, airconditioners, vacuum cleaners, polishers etc.

Person responsible for the safe use and maintenance of machinery and/or equipment on the premises to be appointed in writing using the Supervisor of Machinery Appointment.

The responsible manager on site is appointed by default.

To download this document, please go to the Document Library - Supervisor Machinery
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13. Do all contractors signed the admittance register before starting work?* This field is required.
YESNO
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Feedback

If admittance register/agreements are not signed by contractors, the company becomes responsible for contractor employee safety on site.

Fix term contractors are signed at Head Office.

Contractor Agreements in terms of Section 37 (2) are signed with all Contractors at Head Office.

Contractors agreements are signed for the entire time they are working for the company and do not need to be resigned each time they arrive on the premises to work.

Contractors are defined as: independant service providers invoicing for their service, who are not under direct supervision.

If employees are hired through a labour broker, these are not contractors as they are under managements direct supervision and must be treated as employees except for accidents requiring medical treatment, the labour broker must be informed and complete the COID documentation.

To download the admittance register document, please go to the Document Library
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14. Are Basic Emergency Procedures in place?* This field is required.
YESNO
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Feedback

Basic emergency procedures to be documented and communicated to all employees to ensure safe evacuation of the building. The Evacuation Instruction and Emergency Telephone numbers template must be completed and displayed in reception as well as in common areas and training rooms.

To download these documents, please go to the Document Library - Emergency Procedures
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15. Have you carried out an evacuation drill with all staff?* This field is required.
YESNO
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Feedback

Evacuation drills are required to be carried out according to local municipal bylaws. This can vary from one municipality to the next.

They are to be done at least once every year unless otherwise required by the bylaw.

It is reccommended that a 'walk-out' exercise be conducted with all employees every 3 months to ensure that everyone knows their emergency exit route out of the building.

Companies that are tenants or working on a clients site will adhere to the building manager or clients evacuation drill frequency.
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16. Where there are more than 10 employees in the branch - Are First Aiders trained with valid certificates? If you have less than 10 employees answer Yes to this question and refer to the International Red Cross First Aid App on home page.* This field is required.
YESNO
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Feedback

One employee with a valid certificate of comeptency in First Aid to be available on the premises at all times where there are more than 10 employees. This will require at least two people to be trained in case one person is indisposed.

If you have less than 10 employees on the premises, legally this does not apply, however it would be unreasonable not to still have someone with a valid certificate of competency on the premises at all times, especially where there are visitors, public, customers, students and the like on your premises. Using the International Red Cross App will assist in becoming competent to handle a medical emergency.

Contact Scott-Safe for assistance.
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17. Do you have fully equipped first aid boxes on the premises?* This field is required.
YESNO
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Feedback

Where there are more than 5 people on the premises, first aid kits to be available with proper signage indicating location. First aid equipment may only be used by first aiders and all treatment must be recorded on the first aid report form.

Contents of these first aid kits are to be maintained and replenished when necessary. Body fluid response kits should be included in the first aid kit for safe disposal of medical waste after a patient has been treated. The medical waste can be disposed in the on-site sanitary bins or at any local pharmacy.

Additional emergency equipment should be available where necessary.

First aid kits and refills can be purchased from Scott-Safe
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18. Are Safety Inspections carried out in the workplace, including prescribed and critical equipment?* This field is required.
YESNO
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Feedback

Hazard Identification Inspections of the workplace must be performed and properly documented every month. Action to rectify unsafe situations must be done according to risk priority.

The Inspection Checklist Module allows you to complete this inspection online and can submit with any photo's for rectificaion purposes.

The prescribed and critical equipment checklist must be completed to identify what is applicable to your workplace and to ensure that the equipment is inspected and maintained by an external service provider.

To download the inspection checklist as a hard copy, please go to the Document Library - Inspection Checklist
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19. Have you appointed a person to ensure the safe use and storage of Chemicals on the premises? (Cleaning Agents, paints, thinners, diesel and the like)?* This field is required.
YESNO
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Feedback

All workplaces have chemicals on the premises, most of which are 'off the shelf' chemicals like Handy Andy, Jik, drain cleaner, dish wash, paints, thinners and the like. These may not be stored in any other bottle or container other than the one they were purchased in with all the correct labels.

These chemical's must be kept in their respective containers and stored safely.

An employee must be identified and appointed as the HCS assistant, responsible to ensure the safe use and storage of chemicals.

To download this document, please go to the Document Library - Hazardous Chemical Substances.
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20. Do you have a list of all chemicals kept and stored on the premises?* This field is required.
YESNO
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Feedback

A list must be kept of chemicals on-site for emergency response purposes.
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21. Is all company clothing, wearables, Personal Protective Equipment (PPE) issued and recorded?* This field is required.
YESNO
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Feedback

Company clothing, wearables and PPE is essential and must be worn properly if issued for a specific task.

In the case of personal protective equipment, employees must be properly educated and trained in the safe use and maintenance of the PPE.

Acknowledgement of this must be recorded in writing by each employee.
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22. Are you complying with the following local municipality requirements that apply to your site - food preparation - flammable liquids - tobacco use - evacuation drills?* This field is required.
YESNO
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Feedback

There are a number of local by laws which need to be complied with.

Ensure that the following critical requirements are in order if applicable:

Certificate of acceptability (where food is prepared on site. A COA must be issued by the council Department of Health).

Tobacco legislation.

Evacuation drills.

Flammable liquids (no more than 200 litres to be kept on the premises without a certificate issued by council Fire Department).
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23. Are all employees properly trained and competent to carry out their tasks safely?* This field is required.
YESNO
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Feedback

All training required must be planned and recorded on the training matrix available in the Document Library.

This is required for budget and skills developement purposes. The company will be able to claim back a certain percentage of the costs for formal developement training.
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24. Do you have a legal compliance document folder containing all the necessary legal documents required during a visit by the inspector from Department of Employment and Labour?* This field is required.
YESNO
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Feedback

Hard copies of the below completed and signed documents must be kept in a folder and readily available for presentation to an inspector from the Department of Employment and Labour so as to demonstrate compliance with the requirements of the Occupational Health & Safety Act and Compensation Fund.

Signed Policy Statement of Intent

DEL Accord

Details for submission to inspector

COID Letter of Goodstanding

16.2 supra assignment B of responsible manager

Line supervisor of appointment

Employee Right To Know attendance register

Supervisor of machinery

Health & Safety Representitive designation

Staff meeting/OHS committee meeting minutes

Contractor agreements (local)

Health & Safety Representitive educational training certificate

First Aider certificate of competency
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Score
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Percentage
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Pass/Fail
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Date Current
Date
Year
Month
Day
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Date 2
Date
Year
Month
Day
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Please verify that you are human* This field is required.
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