Title Page

  • Document Number

  • Conducted on

  • Prepared by

  • Location

Physical Safety Checks

Fire & Emergency Provisions

Main Entrance [exD-01]

  • Is the escape route to the Exit clearly passable?

  • Is the escape route adequately signed - with signage visible?

  • Are any doors en-route to final exit closed, 'Fire Exit' signed, and do they open cleanly?

  • Does the Fire Exit door open cleanly?

  • Is there a Fire Exit sign in place?

  • Is there a maintained Emergency Light above the door?

  • Are the Fire Extinguishers in place<br>[Water + CO2; On stand or hook]

  • Is the route immediately outside the door clear of trip hazards?

HVAC Area Fire Exit [D-20]

  • Is the escape route to the Exit clearly passable?

  • Is the escape route adequately signed - with signage visible?

  • Are any doors en-route to final exit closed, 'Fire Exit' signed, and do they open cleanly?

  • Does the Fire Exit door open cleanly?

  • Is there a Fire Exit sign in place?

  • Is there a maintained Emergency Light above the door?

  • Are the Fire Extinguishers in place<br>[Water + CO2; On stand or hook]

  • Is the route immediately outside the door clear of trip hazards?

Roller Door Fire Exit [D-21]

  • Is the escape route to the Exit clearly passable?

  • Is the escape route adequately signed - with signage visible?

  • Are any doors en-route to final exit closed, 'Fire Exit' signed, and do they open cleanly?

  • Does the Fire Exit door open cleanly?

  • Is there a Fire Exit sign in place?

  • Is there a maintained Emergency Light above the door?

  • Are the Fire Extinguishers in place<br>[Water + CO2; On stand or hook]

  • Is the route immediately outside the door clear of trip hazards?

Rear Corner Fire Exit [exD-05]

  • Is the escape route to the Exit clearly passable?

  • Is the escape route adequately signed - with signage visible?

  • Are any doors en-route to final exit closed, 'Fire Exit' signed, and do they open cleanly?

  • Does the Fire Exit door open cleanly?

  • Is there a Fire Exit sign in place?

  • Is there a maintained Emergency Light above the door?

  • Are the Fire Extinguishers in place<br>[Water + CO2; On stand or hook]

  • Is the route immediately outside the door clear of trip hazards?

Plant Room Area Fire Exit [exD-06]

  • Is the escape route to the Exit clearly passable?

  • Is the escape route adequately signed - with signage visible?

  • Are any doors en-route to final exit closed, 'Fire Exit' signed, and do they open cleanly?

  • Does the Fire Exit door open cleanly?

  • Is there a Fire Exit sign in place?

  • Is there a maintained Emergency Light above the door?

  • Are the Fire Extinguishers in place<br>[Water + CO2; On stand or hook]

  • Is the route immediately outside the door clear of trip hazards?

Call Point & Sounder Test

  • Confirm that a Call Point (and building Fire Alarm) has been test-activated within the past 7 days

Emergency Equipment

  • Safety Shower 1 - Function Test

  • Safety Shower 2 - Function Test

  • First Aid Kit - Available; Suitable materials

  • Burns Aid Kit - Available; Suitable materials

  • Diphoterine - In place; Un-tampered with

  • [Lab] Eye-Wash - Available

Housekeeping

  • Any responses other than 'Good' must have Notes and/or Photographs attached.

  • Housekeeping Standards - Offices

  • Housekeeping Standards - Changing Area

  • Housekeeping Standards - Laboratory

  • Housekeeping Standards - Working Floor Area

  • Housekeeping Standards - Other (Specify)

Equipment & Materials

Process Equipment

  • Fermentation Area Equipment - <br>Does the equipment appear in good order?

  • Downstream Fermentation Equipment - <br>Does the equipment appear in good order?

  • Chemistry Area Equipment - <br>Does the equipment appear in good order?

  • Are the Ventilated Enclosure doors in good order?

Access Equipment

  • Is the access scaffold in good order?<br>[Inspection Tagged; Undamaged; No Materials creating a trip hazard; No material in an unsecured position at height]

  • Are the access steps in good order?<br>[Undamaged; Sited on a flat floor surface; No visible issues; Used for appropriate access purposes]

Mobile Plant

  • Is the Forklift Truck in use?

  • Is it being driven by an approved (licenced) operator?

  • Is it being used appropriately?<br>[Safe Speed; Loads secure on forks; Parked correctly]

  • Is the forklift parked in a suitable position and left in a safe condition?

  • Is the Powered Pallet Truck in use?

  • Is it being used by an approved (trained) operator?

  • Is it being used appropriately?<br>[Safe Speed; Loads secure on forks; Parked correctly]

  • Is the PPT parked in a suitable position and left in a safe condition?

Security

  • Confirm all external opening doors are adequately secured

  • Confirm secure internal doors are correctly closed - <br>Not propped open or otherwise prevented from closure

  • SPOT CHECK: Confirm personnel do not have mobile devices in the secure area [Check at least 1 individual]

  • Confirm all personnel are approved to be on site

Task Inspection(s)

  • Inspect at least one Task which is being undertaken during inspection.

  • Task Inspection

Area Information

  • What Area of the site / process is the task being undertaken?

  • What are the local / area hazards?

  • Detail the Hazards marked above:

  • Are there suitable controls in place to suitably control the above noted Hazards?

Task Information

  • Describe the Task / Work being carried out in the Area

  • Images of the Task / Work underway

  • What are the Work Specific Hazards?

  • Add detail of the above noted Hazards

Safety of the Task / Work

  • Is there a Standard Operating Procedure which covers this Task?

  • Should there be an SOP for this Task?<br><br>[If the task recurs regularly; has specific risks; requires multiple steps - it may require an SOP. If answering 'Yes', add an Adverse Event to raise the issue]

  • Does this task require a Permit to Work?

  • Is there a Permit in place?

  • Is the Permit - Suitable to the task; Signed by the Authorising Person; Signed by the Responsible Person; Signed by all persons involved in the Task?

  • Are the requirements of the Permit being followed?

  • Has a Point of Work / Dynamic Risk Assessment (POWRA / DRA) been completed?

  • Does the assessment cover the relevant hazards / risks and is it suitably detailed?

  • Are the identified controls being followed?

  • Is the Local Housekeeping in good order?

  • Are all personnel in the area supposed to be there?

  • Are all personnel wearing full & correct PPE?

  • Do the personnel have any Safety Concerns?

  • If there are any significant Safety Issues - STOP Work and resolve before continuing.

  • Overall, is the Task being completed safely, in a suitably managed work area?

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.