Health and Safety Overview Assessment

Business Name: *

Industry: *

Location: *

The city, town or district the businesses office is held.

Number of Employees: *

Business E-mail Address *

Confirm Email

Your Name: *

Position: *

Phone Number:

1. Do you have a TRAINED health and safety person? *

Must be employed by the business

1a. If yes, what level are they trained to?

NZQA, Rep, co-ordinator etc

2. Are all workers inducted and copies of the induction held on file? *

2a. Have all workers signed a document (that is held on file) confirming their health and safety responsibilities? *

3. Are all workers trained in their respective fields, and certification copies held on file? *

4. How many trained first aiders do you have at your workplace? *

*Certifications must be current

4a. Are first aid kits available and readily accessible? *

5. Are contractors pre-qualified and copies of relevant certifications held on file? *

Pre-qualified = checking the contractor is suitable and trained to carry out any works required PRIOR to any works agreed.

6. Do you keep a hazard register? *

6a. Is the hazard register updated at regular intervals? *

6b. Is a copy of an up to date hazard register visible to all workers and provided to contractors? *

7. Do you have a process set up in which workers can report hazards? *

8. Do you complete risk assessments for any business activities that take place outside of 'normal' business operations? *

9. Do you have documented emergency evacuation procedures? *

9a. Do you have an assembly point and do all workers know its location? *

9b. Has the fire evacuation plan been approved by the fire department? *

If required, check https://onlineservices.fire.org.nz/Home/EvacuationSchemes for further details

10. Are all vehicles, equipment, tools and machinery regularly checked for defects and serviced? *

10a. Are all copies of service records held on file? *

*Proof the items have been serviced

10b. Is all PPE regularly checked and maintained? *

PPE = Personal Protection Equipment. (Such as; high visibility vests, hard hats, boots, safety glasses, hearing protection etc)

11. Have all electrical items been tested and tagged by a qualified electrician? *

12. Have processes been set up around product storage, chemicals, tools, sharps? (Where applicable) *

SDS = (Safety Data Sheet) for chemicals.

13. Have all workers completed SOPs where required, and are copies held on file? *

SOP = Safe Operating Procedure

13a. Is regular refresher training for workers carried out and documented? *

14. Do you have a documented incident reporting process? *

14a. Are all workers aware of the incident reporting process? *

14b. Are you aware of what needs to be reported to the regulatory body, and how to notify them? *

Regulatory body = WorkSafe

15. Do you carry out regular health and safety communications with employees? *

15a. If you have over 20 employees, do you have a health and safety committee and are you aware of it's operational requirements?

*Only answer if you have over 20 employees

16. Is ALL health and safety documentation reviewed on a predetermined schedule? *

Have you downloaded and completed a COVID-19 Safety Plan? *

Yes
No
I need help with one

*Available on the SaferKiwis homepage (you will be redirected there on submission of this questionnaire).

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Health and Safety Overview Assessment

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Details of our health and safety pack

External Link to WorkSafe