Bancroft Monthly Workplace Inspection

• Inspection conducted on

  Date

• Inspected by Health & Safety Reps

  Select

• Accompanied by Manager/Guest

General Workplace Offices

• Indicate Room #

• Are floors and ceilings in good repair

  Safe

  At Risk

  N/A

• Is general housekeeping of an acceptable standard

  Yes

  No

  N/A

• Is the furniture safe? no sharp edges, shelves are not overloaded

  Safe

  At Risk

  N/A

• Electrical safety. No appliances plugged into power bars, extension cords.

  Safe

  At Risk

  N/A

• Other items; general observations of safety.

• Any staff concerns to note

Classrooms

• Indicate Classroom #

• Are floors and ceilings in good repair?

  Safe

  At Risk

  N/A

• Is the furniture safe? (no sharp edges, shelves are not overloaded)

  Safe

  At Risk

  N/A

• Is the equipment set up appropriately? uncluttered and in working order

  Safe

  At Risk

  N/A

• Are there slip/trip/fall hazards? (cords, damaged flooring, wet floors)

  Safe

  At Risk

  N/A

• Other items; general observations of safety

Washroom inspections

• Indicate Washroom

  Select

• Is there adequate flow and pressure from all fixtures?

  Yes

  No

  N/A

• Does the sink drain properly?

  Yes

  No

  N/A

• Is the toilet operating properly?

  Yes

  No

  N/A

• Is lighting adequate?

  Good

  Fair

  Needs Improvement

• Are washrooms clean and properly sanitized?

  Good

  Fair

  Needs Improvement

• Are additional washroom supplies needed?

  Yes

  No

  N/A
Janitorial Room inspections

• Indicate area

  Select

• Are all items neatly organized and all unnecessary items disposed of

  Good

  Fair

  Needs Improvement

• Tools and equipment are clean and readily available

  Good

  Fair

  Needs Improvement

• Broken and damaged items are removed or fixed

  Yes

  No

  N/A

• Hazardous substances are properly stored and labelled and disposed of

  Yes

  No

  N/A

• Are flammable products stored properly

  Safe

  At Risk

  N/A
Kitchen inspection

• Indicate Kitchen

  Select

• Are kitchen floors clean and sanitized?

  Safe

  At Risk

  N/A

• Are kitchen sinks disinfrected, sanitized, clog-free?

  Safe

  At Risk

  N/A

• Are countertops clean and tidy?

  Safe

  At Risk

  N/A

• Are all tools/equipment cleaned, locked and inventoried?

  Safe

  At Risk

  N/A

• Are the appliances in good condition and working order?

  Safe

  At Risk

  N/A

• Are refrigerator temperatures checked and recorded?

  Safe

  At Risk

  N/A

• Are there working exhaust fans vented to the exterior of the building

  Safe

  At Risk

  N/A

• Are exhaust hood systems routinely deep cleaned and documented?

  Safe

  At Risk

  N/A
Common Areas

• Indicate area

  Select

• Are all workplaces sanitary, orderly, and free of clutter?

  Good

  Fair

  Needs Improvement

• Is waste removed properly?

  Good

  Fair

  Needs Improvement

• Other items; general observations of safety

Storage Areas

• Indicate Room #

• Are all items neatly organized and unnecessary items disposed of?

  Good

  Fair

  Needs Improvement

• Are heavy items placed unsafely overhead of reach

  Yes

  No

  N/A

• Are step/ladders in good conditions and secured when stored.

  Yes

  No

  N/A

Please sign and email to OHW Specialist

• Enter date and time

  Date

• Signature

  Sign