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WHS F031 Off Campus Workplace Inspection Checklist
This Checklist is a self-assessment tool to be utilised by staff who:
a. Have been approved to work from home or another location on a regular/scheduled basis;
b. Are applying or reviewing a variation to their primary place of work to an off campus location (remote or isolated work).
This form does not apply to field work or excursions.
Inspection DetailsInspection date Person/s
completing this inspection form
Inspection area/s and address
Work Environment – Inside and Outside/Offices and Workshops Yes No n/aThere is adequate working space and the work areas cleanFloors & floor coverings (including mats at doorways) are clean, dry, free of refuse and do not pose any trip or health hazardsStairs clean, dry and free of refuse and have handrailsBins available and emptied regularly Smoking is not permitted and does not occur inside designated work environmentsWalkways and stairs clear of obstructionsFloors/footpaths/work areas of an even surfaceUV protection is provided for outdoor tasks routinely performed by staffAirborne contaminants/odours are controlledAdequate safety signage is in placeExposure to moving machinery/plant/equipment is eliminated or controlledExposure to falling objects (from shelves or elevated work platforms) is eliminated or controlledNoise levels are controlled There are no moisture/rain water leaksVentilation is adequate/comfortable for Workers in all seasonsRestricted areas are secureHazardous areas clearly defined
Computer Workstation Ergonomics Yes No n/aWHS F019 Computer Workstation Ergonomic Checklist has been completed (attached)
Manual Handling Yes No n/aRepetitive movement tasks, over reaching/strained positions and heavy lifting is eliminated or other controls are in placeHeavy objects are stored at approximately waist height if possibleTrollies are available for transporting heavy items (and the trolley is in good working order with surfaces suitable for trolley use)
Document Reference
Procedure Reference
Version Effective Date
Review Date Page Number
DatePrinted
WHS F031 WHS OP018 2.0 23/10/2018 23/10/2021 1 14/05/2023
WHS F031 Off Campus Workplace Inspection Checklist
First Aid Facilities Yes No n/aFirst Aid kit easily accessible and suitable for work tasks First Aid supplies within their use by dateAre there adequate trained first aid personnel in the work area?
Emergency Preparedness (fill in the appropriate section ‘a’ or ‘b’) Yes No n/aa) Working from home or other domestic premisesEmergency phone numbers located near phone Fire protection equipment / Smoke alarm installedb) Working from another workplace Are evacuation plans:
- Prominently displayed where staff and visitors will see?- Accurately positioned so the map corresponds to position?- Up to date and includes evacuation procedures?
Is there a Warden for each building (with Deputy) and is there at least one Floor Warden on each floor?Warden details are displayed on the WHS notice board?Is there a designated Assembly Point and is it known by staff?Are the Wardens appropriately trained?Has an evacuation drill been conducted in the last 12 months?Fire Extinguisher Training has been provided for the current Wardens (and other interested staff) in the last two yearsExit signs and directions to exits are in placeExit doors easily opened from the insideEmergency exits, fire extinguishers and hoses unobstructedExtinguishers in place, clearly marked for the type of fire, and serviced 6 monthlyEmergency exits and stairs are free from obstructions
Electrical Safety Yes No n/aPlugs, cables, sockets, switches, extension leads & power boards in safe operating condition and free of damagePower boards are suitable for situation and each socket is individually switched to prevent arcing (double adaptors not recommended)Electrical leads positioned to avoid tripping and damage risksMobile electrical devices such as battery chargers are checked and free of damage including all laptops, tablets and phone chargersIs there adequate lighting for the work task? Safety switches/Residual current device (RCD) installed and tested
Staff Amenities Yes NoToilets/washrooms accessible and cleanWashroom consumables available for good hygiene practicesMeal areas accessible, comfortable, clean and hygienic
Remote/Isolated work Yes NoAre you working alone or in an area where you will not be able to communicate with someone for long periods?Will you be regularly communicating with a Supervisor?Do you have an emergency action plan, if you need help? E.g. medical
Document Reference
Procedure Reference
Version Effective Date
Review Date Page Number
DatePrinted
WHS F031 WHS OP018 2.0 23/10/2018 23/10/2021 2 14/05/2023
WHS F031 Off Campus Workplace Inspection Checklist
emergencyWill you be performing any hazardous tasks whilst alone?
General Yes No n/aAre UNE organising your accommodation and travel for work?Do you travel more than 50km (one way) to get to work?Have you been Inducted into your Workplace? Have you read the workplaces’ Company Policies & Procedures for safety?
Staff participating in off campus work activities under these arrangements, that include work with chemicals, mechanical equipment/tools, trades related activities such as welding, cutting, lifting, must notify their supervisor. A separate risk assessment must be completed to ensure risk controls are identified and implemented, and the supervisor must take this in to consideration when approving a change to the primary place of work or work from home arrangements.
Sign OffSign off is required by the staff member that has completed this form as well as those responsible for the control measures and subsequent review of control measures (to ensure they are adequate and effective in their intent).Name Signature Date
Management ReviewThe relevant manager must review this risk assessment and ensure control measures are reasonably practicable and implemented, specific to the work environment under their control.Review ResponseAre planned control measures reasonably practicable?Are planned control measures sufficient to mitigate risk (based on your knowledge, experience and review of this workplace inspection)?Are there any changes to planned control measures?Are further controls required in the future?Is a formal risk assessment required?Name Signature Date
Records Storage InstructionsThis completed form must be recorded in TRIM Container A16/4159 utilising a TRIM license in your School/Business Unit. Only the HR Team is able to view records in this container.
Document Reference
Procedure Reference
Version Effective Date
Review Date Page Number
DatePrinted
WHS F031 WHS OP018 2.0 23/10/2018 23/10/2021 3 14/05/2023