12224 - Office Facility Monthly Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Facilities & Structures

• Floors maintained free from dirt, liquids, debris, electrical cabling, tools and equipment

  Yes

  No

  N/A

• Lighting sufficient for tasks undertaken?

  Yes

  No

  N/A

• Lights operational, steady and fittings in good repair?

  Yes

  No

  N/A

• Emergency lights and signs legible and operational?

  Yes

  No

  N/A

Office Machines

• Sufficient access to and room around office machines to allow safe and ergonomic operation and maintenance?

  Yes

  No

  N/A

• Equipment and materials not in use kept in place?

  Yes

  No

  N/A

Office Furniture

• Desks and chairs are suitable, purpose built and in good order?

  Yes

  No

  N/A

• Shelving and storage cabinets in offices are purpose built, stable and in good order?

  Yes

  No

  N/A

• Shelving space is sufficient and not cluttered or overloaded?

  Yes

  No

  N/A

• Work benches clear of rubbish, tidy and uncluttered?

  Yes

  No

  N/A

Hygiene

• Ablution facilities maintained in a clean hygienic condition?

  Yes

  No

  N/A

• Crib/lunch room facilities include adequate seating, fridge space and sink with hot and cold potable water?

  Yes

  No

  N/A

• Crib/lunch room facilities maintained in a clean hygienic condition?

  Yes

  No

  N/A

Signage

• Signs are ligible?

  Yes

  No

  N/A

Storage Areas

• Storage shelves purpose built with appropriate durable materials?

  Yes

  No

  N/A

• Flammable liquids stored in purpose built cupboards?

  Yes

  No

  N/A

• Acids, alkalis, and corrosives stored in accordance with MSDS and Dangerous Goods requirements?

  Yes

  No

  N/A

Labeling, Color Coding and Demarcation

• Distribution boards correctly labelled?

  Yes

  No

  N/A

• Electrical outlets labeled?

  Yes

  No

  N/A

Stairs and landings

• Clean and clear of obstructions?

  Yes

  No

  N/A

Ladders, Handrails & Scafolding

• Portable ladders in good condition with non-slip feet?

  Yes

  No

  N/A

• Stored in correct place?

  Yes

  No

  N/A

• No broken rungs or other defects?

  Yes

  No

  N/A

Hazardous Substances (Cleaning Agents and Chemicals)

• Stored correctly?

  Yes

  No

  N/A

• Correctly labeled?

  Yes

  No

  N/A

• MSDS Available?

  Yes

  No

  N/A

Electrical

• No broken or defective leads?

  Yes

  No

  N/A

• No broken plugs?

  Yes

  No

  N/A

• No uprooted leads o r traffic areas?

  Yes

  No

  N/A

Fire Extinguishing Equipment

• Available?

  Yes

  No

  N/A

• Good condition, current inspection/test tag?

  Yes

  No

  N/A

• Visible and accessible?

  Yes

  No

  N/A

• Clearly signposted?

  Yes

  No

  N/A

First Aid

• First aid box present?

  Yes

  No

  N/A

• First aid trained personnel recorded and displayed?

  Yes

  No

  N/A

• Record of inspection current?

  Yes

  No

  N/A

Emergency Plan

• Plan is predominantly displayed?

  Yes

  No

  N/A

• Plan and contact details are correct?

  Yes

  No

  N/A

Inspection Sign Off

• Total number of corrective actions identified

  1

  2

  3

  4

  5

• Number of outstanding actions (i.e. not able to be immediately rectified)

  1

  2

  3

  4

  5

• Signature

  Sign

• Select date

  Date