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Questionnaire Collation Matrix

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					                                                                                                                                                                         Manager /                                                   Manager /
      Criteria                                                                                                                                          Senior           Supervisor /       Employees /                 Senior      Supervisor /   Employees /
No.     No.    Question                                                                                                                                 Management       Team Leader        Students          TOTAL   Management   Team Leader      Students     TOTAL
                                                                                                                                 Number interviewed                  0                  0                 0      0                                                  %
 1     1.1.1    Do you know where to locate a copy of the Health and Safety Policy Statement?                                                                        0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 2     1.1.1    Can you briefly explain the intent of the Health and Safety Policy Statement?                                                                        0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 3     1.1.2    How are contractors advised about the Health and Safety Policy?                                                                                      0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 4     1.1.3    Can you explain when the Health and Safety Policy Statement was last reviewed, and what triggered that review?                                       0                                           0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                Who has been delegated the responsibility to identify and monitor the content of all relevant health and safety legislation and other
5      2.1.1    requirements?                                                                                                                                        0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
6      2.1.2    Can you explain how the organisation ensures that procedures meet relevant requirements?                                                             0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
7      2.1.3    How do you receive health and safety information?                                                                                                    0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
8      2.1.4    How do you know if all licences and certificates of competency are current (i.e. what systems are in place)?                                                            0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
9      2.2.1    Who was involved in the setting of health and safety objectives and targets?                                                                         0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
10     2.2.1    Can you briefly explain any health and safety objectives and targets for the organisation?                                                           0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
11     2.2.2    How are objectives and targets measured?                                                                                                             0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
12     2.2.2    Are objectives and targets discussed at management meetings?                                                                                         0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
13     2.2.3    Have health and safety performance indicators been set?                                                                                              0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
14     2.2.3    Are suitable performance indicators included in performance appraisals?                                                                              0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
15     2.3.1    Are you aware of a annual Health and Safety Plan?                                                                                                    0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
16     2.3.3    How does the organisation monitor the progress of the Health and Safety Plan?                                                                        0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
17     2.3.4    How frequently is the Health and Safety Plan reviewed?                                                                                               0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
18     3.1.1    Have financial and physical resources been identified and allocated for health and safety?                                                           0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
19     3.1.1    Has a Workplace Health and Safety Officer (WHSO) been appointed?                                                                                                        0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
20     3.1.2    How did the organisation determine that they have access to sufficient qualified and competent people?                                               0                                           0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                Does the Workplace Health and Safety Representative (WHSR) have the time to adequately handle individual employee health and
21     3.1.3    safety concerns raised with them?                                                                                                                    0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
22     3.2.1    Can you explain you health and safety legislative obligations?                                                                                       0                                           0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
23     3.2.2    Is there a senior manager designated with the overall responsibility for health and safety?                                                          0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
24     3.2.2    How does this designated person report to the management team?                                                                                       0                                           0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
25     3.2.3    Can you explain your health and safety legislative obligations?                                                                                                         0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
26     3.2.3    Would all of your staff be able to demonstrate their knowledge of their health and safety obligations?                                               0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
27     3.2.4    Can contractor and/or contractor employees explain their health and safety responsibilities to you?                                                                     0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
28     3.2.5    How are personnel accountable for their allocated health and safety responsibilities?                                                                0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
29     3.2.5    Has there been any assessment of health and safety performance of individuals in line with their allocated responsibilities?                         0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
30     3.3.1    What tasks have been identified as having specific requirements impacting on health and safety (e.g. colour blindness)?                              0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!

31     3.3.2    Has a Training Needs Analysis (TNA) been undertaken to identify mandatory and risk-based training required by your staff?                            0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
32     3.3.3    Have executive management (e.g. Dean, Line Manager) been inducted into the organisation?                                                             0                                           0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
33     3.3.3    Do all of your employees (including casuals and volunteers) undertake health and safety induction training?                                          0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
34     3.3.3    Have you undertaken health and safety induction training?                                                                                            0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
35     3.3.4    Do you talk with your employees about extra health and safety training requirements?                                                                                    0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
36     3.3.5    Are participants assessed or quizzed to ascertain their knowledge from health and safety training?                                                   0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
37     3.3.5    Are you assessed or quizzed to ascertain your health and safety training?                                                                                                                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
38     3.3.8    Have you received health and safety training, when was this and what was covered by that training?                                                   0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
39     3.3.9    As a WHSO/WHSR have you undertaken the relevant training?                                                                                                                                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
40    3.3.10    Is adequate refresher training provided?                                                                                                                                0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
41    3.3.11    When there are changes to plant or processes, do employees receive appropriate training?                                                                                0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
42     3.4.1    Are you aware of the Health and Safety Issue Resolution Flowchart or Process?                                                                        0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
43     3.4.2    Did management coordinate or facilitate the WHSR election process?                                                                                   0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
44     3.4.3    Did you participate in the election of Workplace Health and Safety Representatives (WHSRs)?                                                                                               0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
45    3.4.4.    Can you name your WHSR?                                                                                                                                                                   0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
46     3.4.5    Were the health and safety procedures / instructions developed in consultation with yourself?                                                                                             0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
47     3.4.6    Has a Health and Safety Committee been established and is there adequate management representation?                                                  0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
48     3.4.6    Are you consulted on any changes to the workplaces that may affect your health and safety?                                                                                                0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
49     3.4.7    How frequently doe the Health and Safety Committee meet (legislative requirement is 3 monthly)?                                                      0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
50     3.4.7    Is there a process to ask your employees for their input to a Health and Safety Committee meeting?                                                                      0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
51     3.4.7    Do you read any Health and Safety Committee minutes or are they discussed with you?                                                                                     0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
52     3.5.1    Do you hold or conduct team or toolbox talks with your employees?                                                                                                       0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
53     3.5.1    Do you attend team or toolbox talks?                                                                                                                                                      0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                Has a procedure been established for the engagement of sub-contractors used by the organisation (e.g. tenders, evaluation of
54     3.5.3    contractor's performance, induction training, etc.)?                                                                                                 0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                Is there a system (checklist) in place to ensure contractor's tender documents comply with the organisation's health and safety
55     3.5.3    requirements?                                                                                                                                                           0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
56     3.6.1    Are you aware of the Safety Problem Reporting Investigation (SPRI) form?                                                                             0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
57     3.6.1    Are you promptly informed of any workplace incidents?                                                                                                0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
58     3.6.1    Do you promptly inform your supervisor of any workplace incidents?                                                                                                                        0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
59     3.6.2    Are you aware of the reporting requirements to Workplace Health and Safety Queensland?                                                               0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
60     3.6.4    Is health and safety performance (trends) regularly discussed with you?                                                                              0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
61     3.6.5    Are reports from health and safety audits ever discussed with you and your employees?                                                                0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
62     3.6.5    Are reports from health and safety audits ever discussed with you?                                                                                                                        0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
63     3.8.2    Where would you locate relevant health and safety documents?                                                                                                            0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
64     3.9.2    Have you received training on how to conduct a risk assessment?                                                                                      0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
65     3.9.2    Do you actively encourage and assist with the assessment of risks?                                                                                   0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
66     3.9.2    Do you or have you participated in the risk assessment process?                                                                                                                           0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
67     3.9.3    Are you aware of hazard inspections being regularly conducted in the workplace?                                                                      0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
68    3.10.2    How are purchasing specifications determined?                                                                                                                           0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
69    3.10.3    How do you select contractors?                                                                                                                                          0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                Can you recall any situations where equipment, goods or chemicals were introduced, and if the necessary changes were made at the
70     3.10.5   same time (e.g. new instructions, training, changes to maintenance/cleaning routines)?                                                                                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
71     3.10.9   Are you aware of how to dispose of waste including contaminated waste?                                                                                                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
74    3.10.12   Are Material Safety Data Sheets (MSDS) available to you, or where applicable on your vehicles?                                                                          0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
75    3.10.12   Have you received training on MSDS?                                                                                                                                     0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
76    3.10.13   Are you aware of what chemicals can be stored together?                                                                                                                                   0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
78    3.10.15   Is there a record of supply and replacement of Personal Protective Equipment (PPE)?                                                                                     0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
79    3.10.15   Do you sign for your Personal Protective Equipment (PPE) when it is issued to you or replaced?                                                                                            0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
80    3.10.15   Do you know how to use, store, maintain and replace the PPE issued to you?                                                                                              0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
81    3.10.17   Are you aware of the system of placing 'Out of Service' tags on faulty tools, equipment, plant and machinery?                                                           0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
82    3.10.20   Do you know the meaning of the different safety signs (e.g. blue is mandatory)?                                                                                         0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
83    3.10.21   Have you received training on manual tasks?                                                                                                                             0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
84    3.10.23   Do you check that your employees are following safe work procedures or instructions?                                                                                    0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!

 85 3.10.26 If you were going to decant a substance into a smaller container or spray container, what requirements would you consider?                                                                    0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 86  3.11.2 Do you know who your fire wardens and first aid officers are?                                                                                            0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 87  3.11.3 Have you attended emergency procedure training in the last 12 months?                                                                                    0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 88  3.11.3 Have you participated in an emergency evacuation drill in the last 12 months?                                                                            0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 89  3.11.3 What would you do in the event of a bomb threat?                                                                                                         0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 90  3.11.7 Do you have access to first aid kits and first aid supplies?                                                                                                                0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 91  3.11.7 Are sharps kits available to you or on your vehicle?                                                                                                                        0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 92  3.11.7 Have you received training on how to handle sharps/needles?                                                                                                                 0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 93   4.1.1 Is there an inspection program in place                                                                                                                                     0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 94   4.1.2 Are you, or have you been, involved in the inspection program?                                                                                                              0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 95   4.1.3 If you use electrical equipment, is it always plugged into a safety switch (fixed or portable)?                                                                             0                 0            #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 96   4.1.3 If using a portable safety switch, do you test it before use?                                                                                                               0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
 99   4.3.1 Do you ensure that incidents, accidents or injuries at your work areas are investigated?                                                                 0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
100   4.3.2 Have you received training for the investigation of incidents?                                                                                           0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
101   4.3.3 Are WHSRs asked for their opinion on proposed changes after incident have occurred in their work area?                                                                      0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
102   4.5.1 Are you involved in a regular health and safety audit program?                                                                                           0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
103   5.1.1 When is the health and safety management system scheduled for review?                                                                                    0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
            What actions have been planned or implemented, by the organisation, as a result of the last management review of the health and
104   5.1.2 safety management system?                                                                                                                                0                  0                        0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
105 SAFETY How would you rate your workplace in terms of a safe workplace?
                                                                                                                                       Excellent                     0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                                                                                                                                      Very Good                      0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                                                                                                                                           Good                      0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                                                                                                                                            Fair                     0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!
                                                                                                                                           Poor                      0                  0                 0      0     #DIV/0!       #DIV/0!        #DIV/0!       #DIV/0!




                                                                                           Lead Auditor Questionnaire Collation Matrix - Low Risk Environment (V1 11/2010)
Lead Auditor Questionnaire Collation Matrix - Low Risk (V1 11/2010)
                                                                                                                                                        No. in Group   Total
No. Criteria No.                                                  Question
                                                                                                                                                                               0
 1      1.1.1      Do you know where to locate a copy of the Health and Safety Policy Statement?                                                                               0
 2      1.1.1      Can you briefly explain the intent of the Health and Safety Policy Statement?                                                                               0
 3      1.1.2      How are contractors advised about the Health and Safety Policy?                                                                                             0
                   Can you explain when the Health and Safety Policy Statement was last reviewed, and what triggered
 4      1.1.3      that review?                                                                                                                                                0
                   Who has been delegated the responsibility to identify and monitor the content of all relevant health and
5       2.1.1      safety legislation and other requirements?                                                                                                                  0
6       2.1.2      Can you explain how the organisation ensures that procedures meet relevant requirements?                                                                    0
7       2.1.3      How do you receive health and safety information?                                                                                                           0
9       2.2.1      Who was involved in the setting of health and safety objectives and targets?                                                                                0
10      2.2.1      Can you briefly explain any health and safety objectives and targets for the organisation?                                                                  0
11      2.2.2      How are objectives and targets measured?                                                                                                                    0
12      2.2.2      Are objectives and targets discussed at management meetings?                                                                                                0
13      2.2.3      Have health and safety performance indicators been set?                                                                                                     0
14      2.2.3      Are suitable performance indicators included in performance appraisals?                                                                                     0
15      2.3.1      Are you aware of a annual Health and Safety Plan?                                                                                                           0
16      2.3.3      How does the organisation monitor the progress of the Health and Safety Plan?                                                                               0
17      2.3.4      How frequently is the Health and Safety Plan reviewed?                                                                                                      0
18      3.1.1      Have financial and physical resources been identified and allocated for health and safety?                                                                  0

20      3.1.2      How did the organisation determine that they have access to sufficient qualified and competent people?                                                      0
                   Does the Workplace Health and Safety Representative (WHSR) have the time to adequately handle
21      3.1.3      individual employee health and safety concerns raised with them?                                                                                            0
22      3.2.1      Can you explain you health and safety legislative obligations?                                                                                              0
23      3.2.2      Is there a senior manager designated with the overall responsibility for health and safety?                                                                 0
24      3.2.2      How does this designated person report to the management team?                                                                                              0

26      3.2.3      Would all of your staff be able to demonstrate their knowledge of their health and safety obligations?                                                      0
28      3.2.5      How are personnel accountable for their allocated health and safety responsibilities?                                                                       0
                   Has there been any assessment of health and safety performance of individuals in line with their
29      3.2.5      allocated responsibilities?                                                                                                                                 0
                   What tasks have been identified as having specific requirements impacting on health and safety (e.g.
30      3.3.1      colour blindness)?                                                                                                                                          0
                   Has a Training Needs Analysis (TNA) been undertaken to identify mandatory and risk-based training
31      3.3.2      required by your staff?                                                                                                                                     0
32      3.3.3      Have executive management (e.g. Dean, Line Manager) been inducted into the organisation?                                                                    0
                   Do all of your employees (including casuals and volunteers) undertake health and safety induction
33      3.3.3      training?                                                                                                                                                   0
34      3.3.3      Have you undertaken health and safety induction training?                                                                                                   0

36      3.3.5      Are participants assessed or quizzed to ascertain their knowledge from health and safety training?                                                          0

38      3.3.8      Have you received health and safety training, when was this and what was covered by that training?                                                          0
42      3.4.1      Are you aware of the Health and Safety Issue Resolution Flowchart or Process?                                                                               0
43      3.4.2      Did management coordinate or facilitate the WHSR election process?                                                                                          0
                   Has a Health and Safety Committee been established and is there adequate management
47      3.4.6      representation?                                                                                                                                             0

49      3.4.7      How frequently doe the Health and Safety Committee meet (legislative requirement is 3 monthly)?                                                             0
                   Has a procedure been established for the engagement of sub-contractors used by the organisation
 54    3.5.3       (e.g. tenders, evaluation of contractor's performance, induction training, etc.)?                                                                           0
 56    3.6.1       Are you aware of the Safety Problem Reporting Investigation (SPRI) form?                                                                                    0
 57    3.6.1       Are you promptly informed of any workplace incidents?                                                                                                       0
 59    3.6.2       Are you aware of the reporting requirements to Workplace Health and Safety Queensland?                                                                      0
 60    3.6.4       Is health and safety performance (trends) regularly discussed with you?                                                                                     0
 61    3.6.5       Are reports from health and safety audits ever discussed with you and your employees?                                                                       0
 64    3.9.2       Have you received training on how to conduct a risk assessment?                                                                                             0
 65    3.9.2       Do you actively encourage and assist with the assessment of risks?                                                                                          0
 67    3.9.3       Are you aware of hazard inspections being regularly conducted in the workplace?                                                                             0
 86    3.11.2      Do you know who your fire wardens and first aid officers are?                                                                                               0
 87    3.11.3      Have you attended emergency procedure training in the last 12 months?                                                                                       0
 88    3.11.3      Have you participated in an emergency evacuation drill in the last 12 months?                                                                               0
 89    3.11.3      What would you do in the event of a bomb threat?                                                                                                            0
 99    4.3.1       Do you ensure that incidents, accidents or injuries at your work areas are investigated?                                                                    0
100    4.3.2       Have you received training for the investigation of incidents?                                                                                              0
102    4.5.1       Are you involved in a regular health and safety audit program?                                                                                              0
103    5.1.1       When is the health and safety management system scheduled for review?                                                                                       0
                   What actions have been planned or implemented, by the organisation, as a result of the last
104    5.1.2       management review of the health and safety management system?                                                                                               0
105 SAFETY         How would you rate your workplace in terms of a safe workplace                                                                                              0
                                                                                                                Excellent                                                      0
                                                                                                               Very Good                                                       0
                                                                                                                    Good                                                       0
                                                                                                                     Fair                                                      0
                                                                                                                    Poor                                                       0




                                                                                  Lead Auditor Questionnaire Collation Matrix - Low Risk (V1 11/2010)
                                                                                                                                                             No. in Group   Total
No. Criteria No.                                                      Question
                                                                                                                                                                                 0
 1      1.1.1      Do you know where to locate a copy of the Health and Safety Policy Statement?                                                                                 0
 2      1.1.1      Can you briefly explain the intent of the Health and Safety Policy Statement?                                                                                 0
 3      1.1.2      How are contractors advised about the Health and Safety Policy?                                                                                               0
                   Who has been delegated the responsibility to identify and monitor the content of all relevant health and safety
 5      2.1.1      legislation and other requirements?                                                                                                                          0
 6      2.1.2      Can you explain how the organisation ensures that procedures meet relevant requirements?                                                                     0
 7      2.1.3      How do you receive health and safety information?                                                                                                            0

 8      2.1.4      How do you know if all licences and certificates of competency are current (i.e. what systems are in place)?                                                 0
 9      2.2.1      Who was involved in the setting of health and safety objectives and targets?                                                                                 0
10      2.2.1      Can you briefly explain any health and safety objectives and targets for the organisation?                                                                   0
11      2.2.2      How are objectives and targets measured?                                                                                                                     0
12      2.2.2      Are objectives and targets discussed at management meetings?                                                                                                 0
13      2.2.3      Have health and safety performance indicators been set?                                                                                                      0
14      2.2.3      Are suitable performance indicators included in performance appraisals?                                                                                      0
15      2.3.1      Are you aware of a annual Health and Safety Plan?                                                                                                            0
16      2.3.3      How does the organisation monitor the progress of the Health and Safety Plan?                                                                                0
17      2.3.4      How frequently is the Health and Safety Plan reviewed?                                                                                                       0
18      3.1.1      Have financial and physical resources been identified and allocated for health and safety?                                                                   0
19      3.1.1      Has a Workplace Health and Safety Officer (WHSO) been appointed?                                                                                             0
                   Does the Workplace Health and Safety Representative (WHSR) have the time to adequately handle individual
21      3.1.3      employee health and safety concerns raised with them?                                                                                                        0
23      3.2.2      Is there a senior manager designated with the overall responsibility for health and safety?                                                                  0
25      3.2.3      Can you explain your health and safety legislative obligations?                                                                                              0
26      3.2.3      Would all of your staff be able to demonstrate their knowledge of their health and safety obligations?                                                       0
27      3.2.4      Can contractor and/or contractor employees explain their health and safety responsibilities to you?                                                          0
28      3.2.5      How are personnel accountable for their allocated health and safety responsibilities?                                                                        0
                   Has there been any assessment of health and safety performance of individuals in line with their allocated
29      3.2.5      responsibilities?                                                                                                                                            0
                   What tasks have been identified as having specific requirements impacting on health and safety (e.g. colour
30      3.3.1      blindness)?                                                                                                                                                  0
                   Has a Training Needs Analysis (TNA) been undertaken to identify mandatory and risk-based training required
31      3.3.2      by your staff?                                                                                                                                               0

33      3.3.3      Do all of your employees (including casuals and volunteers) undertake health and safety induction training?                                                  0
34      3.3.3      Have you undertaken health and safety induction training?                                                                                                    0
35      3.3.4      Do you talk with your employees about extra health and safety training requirements?                                                                         0
36      3.3.5      Are participants assessed or quizzed to ascertain their knowledge from health and safety training?                                                           0
38      3.3.8      Have you received health and safety training, when was this and what was covered by that training?                                                           0
40     3.3.10      Is adequate refresher training provided?                                                                                                                     0
41     3.3.11      When there are changes to plant or processes, do employees receive appropriate training?                                                                     0
42      3.4.1      Are you aware of the Health and Safety Issue Resolution Flowchart or Process?                                                                                0
43      3.4.2      Did management coordinate or facilitate the WHSR election process?                                                                                           0

47      3.4.6      Has a Health and Safety Committee been established and is there adequate management representation?                                                          0
49      3.4.7      How frequently doe the Health and Safety Committee meet (legislative requirement is 3 monthly)?                                                              0
50      3.4.7      Is there a process to ask your employees for their input to a Health and Safety Committee meeting?                                                           0
51      3.4.7      Do you read any Health and Safety Committee minutes or are they discussed with you?                                                                          0
52      3.5.1      Do you hold or conduct team or toolbox talks with your employees?                                                                                            0
                   Has a procedure been established for the engagement of sub-contractors used by the organisation (e.g.
54      3.5.3      tenders, evaluation of contractor's performance, induction training, etc.)?                                                                                  0
                   Is there a system (checklist) in place to ensure contractor's tender documents comply with the organisation's
55      3.5.3      health and safety requirements?                                                                                                                              0
56      3.6.1      Are you aware of the Safety Problem Reporting Investigation (SPRI) form?                                                                                     0
57      3.6.1      Are you promptly informed of any workplace incidents?                                                                                                        0
59      3.6.2      Are you aware of the reporting requirements to Workplace Health and Safety Queensland?                                                                       0
60      3.6.4      Is health and safety performance (trends) regularly discussed with you?                                                                                      0
61      3.6.5      Are reports from health and safety audits ever discussed with you and your employees?                                                                        0
63      3.8.2      Where would you locate relevant health and safety documents?                                                                                                 0
64      3.9.2      Have you received training on how to conduct a risk assessment?                                                                                              0
65      3.9.2      Do you actively encourage and assist with the assessment of risks?                                                                                           0
67      3.9.3      Are you aware of hazard inspections being regularly conducted in the workplace?                                                                              0
68     3.10.2      How are purchasing specifications determined?                                                                                                                0
69     3.10.3      How do you select contractors?                                                                                                                               0
                   Can you recall any situations where equipment, goods or chemicals were introduced, and if the necessary
                   changes were made at the same time (e.g. new instructions, training, changes to maintenance/cleaning                                                         0
70      3.10.5     routines)?
71      3.10.9     Are you aware of how to dispose of waste including contaminated waste?                                                                                       0
74     3.10.12     Are Material Safety Data Sheets (MSDS) available to you, or where applicable on your vehicles?                                                               0
75     3.10.12     Have you received training on MSDS?                                                                                                                          0
78     3.10.15     Is there a record of supply and replacement of Personal Protective Equipment (PPE)?                                                                          0
80     3.10.15     Do you know how to use, store, maintain and replace the PPE issued to you?                                                                                   0

 81    3.10.17     Are you aware of the system of placing 'Out of Service' tags on faulty tools, equipment, plant and machinery?                                                0
 82    3.10.20     Do you know the meaning of the different safety signs (e.g. blue is mandatory)?                                                                              0
 83    3.10.21     Have you received training on manual tasks?                                                                                                                  0
 84    3.10.23     Do you check that your employees are following safe work procedures or instructions?                                                                         0
 86     3.11.2     Do you know who your fire wardens and first aid officers are?                                                                                                0
 87     3.11.3     Have you attended emergency procedure training in the last 12 months?                                                                                        0
 88     3.11.3     Have you participated in an emergency evacuation drill in the last 12 months?                                                                                0
 89     3.11.3     What would you do in the event of a bomb threat?                                                                                                             0
 90     3.11.7     Do you have access to first aid kits and first aid supplies?                                                                                                 0
 91     3.11.7     Are sharps kits available to you or on your vehicle?                                                                                                         0
 92     3.11.7     Have you received training on how to handle sharps/needles?                                                                                                  0
 93      4.1.1     Is there an inspection program in place                                                                                                                      0
 94      4.1.2     Are you, or have you been, involved in the inspection program?                                                                                               0
 95      4.1.3     If you use electrical equipment, is it always plugged into a safety switch (fixed or portable)?                                                              0
 96      4.1.3     If using a portable safety switch, do you test it before use?                                                                                                0
 99      4.3.1     Do you ensure that incidents, accidents or injuries at your work areas are investigated?                                                                     0
100      4.3.2     Have you received training for the investigation of incidents?                                                                                               0

101     4.3.3      Are WHSRs asked for their opinion on proposed changes after incident have occurred in their work area?                                                       0
102     4.5.1      Are you involved in a regular health and safety audit program?                                                                                               0
103     5.1.1      When is the health and safety management system scheduled for review?                                                                                        0
                   What actions have been planned or implemented, by the organisation, as a result of the last management
104    5.1.2       review of the health and safety management system?                                                                                                           0
105 SAFETY         How would you rate your workplace in terms of a safe workplace
                                                                                                                      Excellent                                                 0
                                                                                                                     Very Good                                                  0
                                                                                                                          Good                                                  0
                                                                                                                           Fair                                                 0




                                                                                       Lead Auditor Questionnaire Collation Matrix - Low Risk (V1 11/2010)
                                     Poor                             0




Lead Auditor Questionnaire Collation Matrix - Low Risk (V1 11/2010)
No. Criteria No.

 1      1.1.1
 2      1.1.1
 7      2.1.3
15      2.3.1
19      3.1.1

21       3.1.3
25       3.2.3
34       3.3.3
37       3.3.5
39       3.3.9
40      3.3.10
42       3.4.1
44       3.4.3
45      3.4.4.
46       3.4.5
48       3.4.6
51       3.4.7
53       3.5.1
56       3.6.1
58       3.6.1
60       3.6.4
62       3.6.5
63       3.8.2
64       3.9.2
66       3.9.2
67       3.9.3
71      3.10.9
74     3.10.12
75     3.10.12
76     3.10.13
79     3.10.15
80     3.10.15

81     3.10.17
82     3.10.20
83     3.10.21
84     3.10.23

85     3.10.26
86      3.11.2
87      3.11.3
88      3.11.3
89      3.11.3
90      3.11.7
91    3.11.7
92    3.11.7
93     4.1.1
94     4.1.2
95     4.1.3
96     4.1.3
105 SAFETY
                                                   Question

Do you know where to locate a copy of the Health and Safety Policy Statement?
Can you briefly explain the intent of the Health and Safety Policy Statement?
How do you receive health and safety information?
Are you aware of a annual Health and Safety Plan?
Has a Workplace Health and Safety Officer (WHSO) been appointed?
Does the Workplace Health and Safety Representative (WHSR) have the time to adequately handle individual
employee health and safety concerns raised with them?
Can you explain your health and safety legislative obligations?
Have you undertaken health and safety induction training?
Are you assessed or quizzed to ascertain your health and safety training?
As a WHSO/WHSR have you undertaken the relevant training?
Is adequate refresher training provided?
Are you aware of the Health and Safety Issue Resolution Flowchart or Process?
Did you participate in the election of Workplace Health and Safety Representatives (WHSRs)?
Can you name your WHSR?
Were the health and safety procedures / instructions developed in consultation with yourself?
Are you consulted on any changes to the workplaces that may affect your health and safety?
Do you read any Health and Safety Committee minutes or are they discussed with you?
Do you attend team or toolbox talks?
Are you aware of the Safety Problem Reporting Investigation (SPRI) form?
Do you promptly inform your supervisor of any workplace incidents?
Is health and safety performance (trends) regularly discussed with you?
Are reports from health and safety audits ever discussed with you?
Where would you locate relevant health and safety documents?
Have you received training on how to conduct a risk assessment?
Do you or have you participated in the risk assessment process?
Are you aware of hazard inspections being regularly conducted in the workplace?
Are you aware of how to dispose of waste including contaminated waste?
Are Material Safety Data Sheets (MSDS) available to you, or where applicable on your vehicles?
Have you received training on MSDS?
Are you aware of what chemicals can be stored together?
Do you sign for your Personal Protective Equipment (PPE) when it is issued to you or replaced?
Do you know how to use, store, maintain and replace the PPE issued to you?

Are you aware of the system of placing 'Out of Service' tags on faulty tools, equipment, plant and machinery?
Do you know the meaning of the different safety signs (e.g. blue is mandatory)?
Have you received training on manual tasks?
Do you check that your employees are following safe work procedures or instructions?
If you were going to decant a substance into a smaller container or spray container, what requirements would
you consider?
Do you know who your fire wardens and first aid officers are?
Have you attended emergency procedure training in the last 12 months?
Have you participated in an emergency evacuation drill in the last 12 months?
What would you do in the event of a bomb threat?
Do you have access to first aid kits and first aid supplies?
Are sharps kits available to you or on your vehicle?
Have you received training on how to handle sharps/needles?
Is there an inspection program in place
Are you, or have you been, involved in the inspection program?
If you use electrical equipment, is it always plugged into a safety switch (fixed or portable)?
If using a portable safety switch, do you test it before use?
How would you rate your workplace in terms of a safe workplace
                                                                                                   Excellent
                                                                                                  Very Good
                                                                                                       Good
                                                                                                        Fair
                                                                                                       Poor
No. in Group   Total
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
                       0
0
0
0
0
0
0
0
0
0
0
0
0

				
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