Workplace Safety Inspection Checklist

This assignment focuses on a workplace safety inspection. It involves evaluating various aspects of a workspace, including machines/equipment for cleanliness, accessibility, and noise levels; rubbish disposal practices; work bench conditions (cleanliness, sharp edges, secure tools); material storage (security, lifting requirements); and finally ventilation and temperature control. The report requires detailed answers to specific questions about each area and the submission of a completed workplace inspection checklist.

What you have to do
Read through the scenarios, and then answer the questions according to the details of the
scenarios.
This assignment is based on the required knowledge for this unit. This is an assessable
assignment and counts towards completion of this unit.
You must complete this assignment by answering all questions.
Scenario 1
Mary, a dental assistant, has arrived at work. As she is opening up her surgery to get
ready for the day she notices some spots of mercury around the amalgamator mixer.
The mercury must have been released from faulty amalgam capsules.
Use the Safety data sheet to help you answer the following questions. You can open the
document by double clicking on the pdf icon.
1. Use the below table to assess the hazard.
a) How severely could it hurt someone or how ill could it make someone? It would
kill or cause permanent disability or ill health.
b) How likely is it to occur? Very likely under normal conditions.
c) Your single digit rating is? 1
d) What will you do to address the hazard? (Refer to SDS for clean-up/disposal and
first aid.). Disposing the content to an approved waste plant or container

2. Report and record the hazard in the following Workplace Hazard Incident/Accident
record.
Name of injured
person, or incident Injury or incident Response taken Further actions
Mercury release Inhalation Going to fresh air Seeking medical
attention by
calling POISON
CENTRE
Scenario 2
Dr Barnett has left the anaesthetic syringe on the bracket table. Debbie the dental
assistant collects the dirty instruments and makes contact with the exposed needle
causing a needlestick injury. Complete the following information.
1. What should Debbie do immediately? Perform first aid on the Injury
2. Who should Debbie contact? Dr. Barnett
3. Complete the Injury record.
Name of injured
person, or incident Injury or incident Response taken Further actions
Debbie Needlestick injury Performing first
aid
Seeking medical
attention
4. Attachment 1: Meeting minutes are from a ‘simulated workplace’.
Make a note of two (2) issues discussed at the meeting. Work place report and
review of incidences
5. In which section of the meeting would you raise the hazard/incidents that you have
recorded?
Review of Incidences

6. Identify the following signs and state where you might find them located within the
workplace.
Use this as an example:
This is an exit sign which is located above doorways or corridor exit points to clearly
indicate where to safely exit a work area/building.
a)
This is a first aid kit sign that is always
located in an easily accessible location that is
well known to everyone within the building.
b)
This is a sign for fire extinguisher and it is
usually located at various accessible location
based on the fire risk of the building. The
locations include around reception area,

around the office, in the laboratory and near
exit points
c)
This is an X-ray warning sign that is located
in the areas that have dangerous X-ray
radiations.
d)
This is a hazardous chemical sign located on the package of chemical that are highly toxic.
7. Check Attachment 2: Telephone bomb threat checklist.
a) List five (5) important points you should record if you are the one who has taken
the call.
Voice characteristics
Language
Accent
Background noise

Speech
b) List three (3) questions that you could ask.
What is the location of the Bomb?
Where is the location of the Bomb?
How much information do I know about the Bomb?
8. Check Attachment 3: Workplace inspection checklist
Use this checklist to carry out an inspection of your workplace.
Attach the completed inspection checklist and also include a short report (no more than one
page) on what you found and any action that is required.
ATTACHMENT 1
Work Health & Safety Committee Meeting
MINUTES
Thursday 19 May 2016
10:00 – 11:00 AM
Present: John Smith, Mary Bennett, Joyce Jones, Karen Smyth, Don Johnson, Carly
Simon.
Apologies: Susie Bond, Daniel Boon.
Minutes: Carly Simon
MINUTES ACTION
Welcome
John opened the meeting at 10:10am
1. Apologies
As listed.
Mary
2. Confirmation of the Minutes of the Last Ordinary Meeting
The minutes of the last meeting, held on 18 February 2016, were
accepted by the Committee.
3. Correspondence
Mary

None.
4. Report on Action Items
There were no action items.
5. Review of Incidents for 17 February 2016 – 18 May 2016
The Incident Report was discussed. The total number of notifications for
this period was five. There were two minor movement related injuries
and two incidents of illness and one burns incident.
6. Workplace Inspection Reports
Office – Cary Simon
Boxes of supplies left unpacked near reception desk.
New receptionist needs a new headset as she is complaining of a sore
shoulder.
Surgery area.
Daniel Boon.
Surgery blinds broken. Dentist is struggling with bright sun in the
afternoon.
Fire blanket missing from surgery 2.
John
John
Carly/John
Carly/John
7. Additional items reported.
Staff have complained about cleanliness of bathrooms.
Staff room toaster is not positioned safely, someone may burn themselves.
8. General Business
Discussion of ideas for team building days, everyone asked to think of
something and team will discuss at next meeting.
Sterilisation staff asked if it might be possible to get pressure matting in
sterilising area to help relieve leg pain.
9. Close
The meeting was closed at 11:00am. The next WHS Committee
Meeting will be held on Thursday, 18 August 2016 at 10am.
Carly
Carly
All staff
Carly/John

ATTACHMENT 2
TELEPHONE BOMB THREAT CHECKLIST
INSTRUCTIONS: BE CALM, BE COURTEOUS. LISTEN. DO NOT INTERRUPT THE
CALLER.
YOUR NAME: __________________________ TIME: _____________ DATE:
________________
CALLER'S IDENTITY SEX: Male _____ Female ____ Adult ____ Juvenile ____
APPROXIMATE AGE: _____
ORIGIN OF CALL: Local __________ Long Distance ___________ Telephone Booth
__________
VOICE CHARACTERISTICS SPEECH LANGUAGE
___ Loud
___ High
Pitch
___ Raspy
___
Intoxicated
___ Soft
___ Deep
___ Pleasant
___________
_
Other
___ Fast
___ Distinct
___ Stutter
___ Slurred
___ Slow
___ Distorted
___ Nasal
___________
_
Other
___
Excellent
___ Fair
___ Foul
___ Good
___ Poor
__________
Other
ACCENT MANNER BACKGROUND NOISES
___ Local
___ Foreign
___ Race
___ Not Local
___ Region
___ Calm
___ Rational
___ Coherent
___ Deliberate
___ Righteous
___ Angry
___ Irrational
___
Incoherent
___ Emotional
___ Laughing
___ Factory
___
Machines
___ Music
___ Office
___
Machines
___ Street
___ Traffic
___ Trains
___ Animals
___ Quiet
___ Voices
___ Airplanes
___ Party
___
Atmosphere
BOMB FACTS
PRETEND DIFFICULTY HEARING - KEEP CALLER TALKING - IF CALLER SEEMS
AGREEABLE TO FURTHER CONVERSATION, ASK QUESTIONS LIKE:
When will it go off? Certain Hour ____ Time Remaining
Where is it located? Building Area
What kind of bomb? ___________________
What kind of package?______________

How do you know so much about the bomb?___
What is your name and address?
If building is occupied, inform caller that detonation could cause injury or death.
Call Security at __________ and relay information about call.
Did the caller appear familiar with plant or building (by his/her description of the bomb
location)? Write out the message in its entirety and any other comments on a separate sheet of
paper and attach to this checklist.
Notify your supervisor immediately.

ATTACHMENT 3
OTEN Training Facility Workplace Inspection Checklist
Item to be inspected N/A Good Not
satisfactory
Action
required
Completed
Fire:
Extinguishers in place, clearly
marked for type of fire and
serviced
Good
Adequate directions for fire
exits
Good
Exit doors easily opened Good
Exits clear of obstruction Good
Electrical:
No broken plugs, sockets or
switches
Good
No frayed or damaged leads Good
General lighting:
Adequate illumination Good
Good natural lighting Good
Light fittings clean and in good
condition
Good
Emergency exit lights operable Good
Walkways:
Clear of any obstructions Good
No electrical leads across
walkways
Good
Chemicals on site:
MSDS available Good

Containers clearly labelled Good
First Aid:
Cabinets and contents clean and
orderly
Good
Easy access to cabinets Good
First aid cabinet clearly labelled Good
First aid officers clearly
identified
Good
Emergency numbers on display Good
Floors:
Even surfaces, no cracks or
holes
Good
Entry ways kept clear Good
Unobstructed vision at
intersections
Good
Office Hazards:
Filing cabinets secure Good
Photocopiers, printers,
computers secure and
unobstructed
Good
Machines/Equipment:
Kept clean and adequately
guarded
Good
Starting and stopping devices
within easy reach of the operator
Good
Adequate work space around
equipment
Good
Noise levels controlled Good
No bending stooping required Good
Rubbish:
Bins located at suitable points Good
Bins emptied regularly Good

Contaminated waste (sharps
bins) not overfilled and
regularly changed
Good
Work benches:
Clear of rubbish Good
No sharp edges Good
Tools not loose, secure in place Good
Storage:
Materials stored securely in
cabinets
Good
Storage designed to eliminate
lifting
Good
Ventilation and temperature:
Is the work areas adequately
ventilated?
Yes
Is the work area air conditioned
adequately?
Yes
Checklist
I have:
 answered all questions in the space provided
 have attached the completed workplace inspection checklist and report
If you are unable to complete this task for a specific reason, please contact your teacher to
discuss alternative arrangements for demonstrating your skills and knowledge.