AE Security Hazard Assessment

Date

Work location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Describe the nature of work

MANUAL TASKS

Rows	Yes	No	Notes
Are workers using minimal force/ effort to perform the task?
Are workers able to perform the task with their arms close to their bodies?
Are workers able to perform the task in an upright, forward-facing position?
Are worker's necks in a comfortable position when viewing things?
Are workers able to vary their posture throughout the task? have to stand, sit, kneel or squat for extended periods)?
Are workers able to perform the task with their wrists and forearm in a comfortable position?
Are workers protected against vibration when using hand-held power tools or driving trucks/ forklifts for long periods?

EQUIPMENT AND MACHINERY

Rows	Yes	No	Notes
Is your equipment regularly serviced and maintained according to the manufacturer’s instructions?
Are there lock out, tag out or isolation procedures in place when maintenance is performed?
Are all operators of equipment trained in how to use it safely?
Do operators of equipment have the appropriate ‘ticket’ where necessary?
Is the plant work area delineated away from other works?
Does all equipment have guarding to prevent operators and others accessing hazardous parts?
Is there adequate work space around equipment and is it on a stable foundation to prevent it moving during operation?
Is electrical equipment inspected and tested by a competent person (eg electrician) or connected through a safety switch?
Are damaged plugs, leads and sockets immediately removed from service?
Are outlets and other electrical equipment used in wet areas suitable for that type of work?

HAZARDOUS SUBSTANCES

Rows	Yes	No	Notes
Have you obtained a Material Safety Data Sheet (MSDS) for all the chemicals used in your workplace?
Is a copy of each hazardous substance’s MSDS available near where it is used?
Do ALL hazardous substance containers have a label showing what is in it?
Have you given workers using hazardous substances training in how to use those hazardous substances safely?
Have you identified ways to prevent people being exposed to hazardous substances and put those controls in place?

FIRST AID

Rows	Yes	No	Notes
Is a first aid kit available at the workplace?
Are the first aid kit/ s contents suitable for the types of injuries that may be sustained at your workplace?
Is the first aid kit regularly checked and items replaced if they are no longer usable?
Are there any trained first-aiders at the workplace?

FIRE

Rows	Yes	No	Notes
Is gas equipment in a well lit and draught free area?
Is the gas supply switch clearly labelled?
Are exhaust fans and hoods regularly cleaned?
Are fire systems regularly maintained by appropriately qualified personnel?
Are emergency procedures in place and are they tested?
Has a gas shut-off valve been installed?
Are flammable materials, clothes and paper stored away from sources of heat?
Are workers trained in the use of fire safety equipment like fire extinguishers, fire blankest etc?
Are electrical appliances regularly checked and maintained?
Are first aiders capable of treating burn and smoke inhalation injuries?

NOISE

Rows	Yes	No	Notes
Do you consider noise when buying kitchen appliances?
Where noise issues cannot be eliminated or reduced do workers wear hearing protection?
Are machines and ventilation equipment regularly maintained?
Can job rotation be used to reduce the length of time of exposure to noise?

SLIPS, TRIPS AND FALLS

Rows	Yes	No	Notes
Does drainage prevent pooling of water and grease?
Is there a spill procedure that requires immediate clean-up of all spills?
Is non-slip flooring installed?
Are there appropriate ‘wet floor’ signs?
Are appropriate floor-cleaning products used to clean floors?
Are passageways, entrances and exits kept clear and easily accessible?
Is lighting adequate?
Are floor surfaces, stairs and ramps well maintained (both indoors and outdoors)?
Is there a policy in place for closed, non-slip footwear?

YOUNG WORKERS

Rows	Yes	No	Notes
Are young workers given induction training when they start?
Are young workers trained in all safe work procedures?
Are young workers given clear instructions about tasks to be performed?
Are young workers given close and competent supervision?
Is there a zero tolerance policy for harassment, skylarking, intimidation, offensive language and behaviour, initiations and practical jokes?
Do young workers know how to report unsafe conditions?
Is there a ‘buddy’ system in place to support new and young workers?

GENERAL VEHICLE INSPECTION - (complete a walk around and check fluid levels)

LIST DAMAGES OR REPAIRS NEEDED TO COMPANY VEHICLE

Overall assessment

Observations

Responsible person

First NameLast Name

Email

example@example.com

Phone number

Please enter a valid phone number.Format: (000) 000-0000.

Signature