Information

  • Location of Inspection

  • Conducted on

  • Prepared by

  • Personnel

Previous inspection

  • Has the last inspection been reviewed?

  • Are there outstanding actions?

Energy use and efficiency

  • Lights turned off when room not occupied?

  • Are automatic on / off controls installed or available?

  • Computer equipment and monitors turned off when not in use?

  • Programmable thermostat used, and programmed correctly?

  • Weather stripping around doorways and windows in good condition?

  • No leaking water fixtures?

  • Hot water tank setting appropriate?

  • Furnace in good condition (e.g. clean filter, on a preventative maintenance schedule)?

  • Building energy efficient features (e.g. LED Lighting, Triple pane windows)

  • Comments

Chemicals

  • Worker has up to date training?

  • Safety Data Sheets available for all chemicals?

  • Liquids and chemicals stored correctly?

  • All containers labelled correctly?

  • Secondary containment used to prevent spills?

  • Unused substances disposed of?

  • Bungs and caps on storage containers to prevent water collection?

  • Is adequate ventilation provided?

  • Are eye washes and showers easily accessed?

  • Comments

Recyclables

  • Appropriate containers available?<br>

  • Quantities do not pose a fire hazard?

  • Is compost program utilized if available?

  • Comments

Spill kit

  • Contents easily accessed?

  • Required contents available in spill kit

  • Contents in good condition?

  • Comments

Security

  • Fencing in good condition?

  • Fencing prevents climbing over or under?

  • Items not stored leaning against fence?

  • Items stored securely (e.g. valuable items stored inside, out of site)?

  • External lighting operational?

  • Yard site secure after hours?

  • Comments

Other

  • Travelled surface is level?

  • Proper storage of materials to maintain good housekeeping?

  • Vegetation controlled properly (e.g. weeds)?

  • Controls to prevent spread of clubroot in place?

  • Details of prior spills or releases at the site.

  • Details of current or former infrastructure, equipment or practices which may pose a risk to the environment (e.g. liquids storage tanks, use of soil sterilants, blowdown of liquids onto the ground, odourant storage).

  • Details of environmentally sensitive areas in proximity (e.g. waterbodies, wetlands, habitat).

  • Comments

Sign Off

  • On site representative

  • Auditor's signature

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.