Information

  • Month/Year

  • Prepared by

  • Conducted on

  • Hazard Classification:
    Class (A) - Major - To be corrected Immediately
    A condition or practice likely to cause permanent disability, loss of life or body and/or extensive loss of structure, equipment or material

  • Class (B) - Serious - To be corrected within 24 hours
    A condition or practice likely to cause injury or illness, resulting in temporary disability or property damage that is disruptive but not excessive

  • Class (C) - Minor - To be placed on action plan
    A condition or practice likely to cause minor, non-disabling injury or illness or non-disruptive property damage

  • Fire Extinguisher Map

    no label

Office

  • Floor

  • Hazard Class

  • Rugs (trip hazard)

  • Hazard Class

  • Furniture

  • Hazard Class

  • Kitchen

  • Hazard Class

  • AED System (green light)

  • Hazard Class

  • AED Battery Expiration Date (list date)

  • Hazard Class

  • AED Supply Contents (list inside)

  • Hazard Class

  • Conference Rooms (2)

  • Hazard Class

  • Training Room

  • Hazard Class

  • Washrooms

  • Hazard Class

  • Housekeeping (5S)

  • Hazard Class

  • Lighting

  • Hazard Class

  • 20

  • 21

  • 22

  • 24

  • 25

  • 30

  • 27 (Training Room)

  • 28 (Training Room Stairs)

Office First Aid Kit

  • Latex Gloves - 1

  • Triangular Bandage - 1

  • Antihistamine Tablets - 10

  • Splinter Out/Tweezers - 1

  • Scissors - 1

  • Resuscitation Barrier - 1

  • Gauze Roll 3in - 2

  • Ice Pack - 2

  • Flex Wrap Roll - 2

  • Hydrocortisone Cream - 10

  • Antacid - 25

  • Adhesive Bandages - 50

  • Antiseptic Wipes - 20

  • Burn Treatment - 1

  • Adhesive Tape - 1

  • Eye Covering - 1

  • Eye Wash - 1

  • Triple Antibiotic Ointment - 10

  • Gauze Pads 4x4 - 10 More pads (all sizes) in production first aid office

  • Gauze Pads 3x3 - 10

  • Tylenol - 50

  • Advil/Ibuprofen - 50

  • AED (check contents, exp date, working)

Office Janitor's Closet

  • Housekeeping (5S)

  • Hazard Class

  • Lights

  • Hazard Class

  • MSDS Sheets

  • Hazard Class

Quality Cage

  • Housekeeping (5S)

  • Hazard Class

  • Lights

  • Hazard Class

Warehouse/Materials

  • Housekeeping (5S)

  • Hazard Class

  • Lights

  • Hazard Class

  • Aisles

  • Hazard Class

  • Racking

  • Hazard Class

  • Stacking

  • Hazard Class

  • 7

  • 23

  • 6 (Inside Squash Court)

Production Lunchroom

  • Housekeeping (5S)

  • Hazard Class

  • Lights

  • Hazard Class

Maintenance PM Logs

  • Emergency Lighting (verify completion by maintenance)

  • Hazard Class

Comments

  • Addition Comments

  • Name & Initials

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.