Title Page

  • Conducted on

  • Prepared by

  • Location

  • POST

  • First Aid Kit present?

  • Is the First Aid Kit easy to access?

  • Does the First Aid Kit have a Logbook?

  • Is the kit First Aid Kit filled appropriately?

  • Trained First Aid Attendant available at the time of inspection?

  • Potable Water and disposable cups:

  • Heating adequate (Winter):

  • Air Conditioner in working condition (Summer):

  • Access to washroom:

  • Any complaints about washroom condition:

  • Sanitizing Wipes/ Spray/ Paper Towels/ Gloves in sufficient quantity?

  • Access to garbage container:

  • Any clutter that poses a health and /or safety hazard:

  • Condition of floor:

  • Condition of the ceiling:

  • Rodent issues if any:

  • Condition of electrical outlets & electrical equipment (Microwave, fridge etc):

  • (loose / bare/ frayed/ corroded wiring):

  • Any trip/ slip hazard:

  • "Caution-Wet Floor" sign present:

  • Mop and broom present:

  • Chair/ table in good, usable, condition:

  • Enough light to read/ do paperwork without straining the eyes:

  • Any other hazards that could result in a worker hurting himself/herself inside or outside the post:

  • Safe access to the post and Outdoor Privy if toilet facilities not available inside the post?

  • Do ASP employees know about the location of the nearest Fire Extinguisher?

  • Inspection Date on the Fire Extinguisher:

  • WHMIS Data Sheets present?

  • (Workplace Hazardous Materials Information System)

  • Proper/ safe access to drawers/cabinets/ lockers etc?

  • Proper clearance in front of electrical equipment?

  • Proper clearance in front of heaters and portable space heaters (where applicable)

  • Flammable materials?

  • Exit/ exits not restricted/ obstructed in case of an emergency?

  • Equipment labelled and in good shape?

  • The temperature inside post at a comfortable level?

  • Floor mats are flat and in good condition?

  • Air quality:

  • Other:

  • Remarks/ comments:

  • Health and safety hazards/ issues addressed at the time of inspection:

  • Number of pages in this report:

  • Inspection conducted by Union Health and Safety Representative

  • Full Name (Please Print)

  • Signature: Dated:

  • Management Representative, Full Name (Please Print) and Designation:

  • Signature: Dated:

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