Information

  • Host Employer

  • Document No.

  • Conducted on

  • Prepared by

  • Location

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed and understood by all employees?

  • 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Adequate direction notices for fire exits?

  • 2.7 - Exit doors easily opened from inside?

  • 2.8 - Exits clear of obstructions?

  • 2.9 - Fire alarm system functioning correctly?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Light fittings clean and in good condition?

  • 3.3 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.5 - Stairs kept clear?

  • 4.6 - Furniture in sound condition?

  • 4.7 - Loading area clean and tidy?

5.0 - Machines

  • 5.1 - Are they kept clean?

  • 5.2 - Are the floors around the machines kept clean?

  • 5.3 - Guards in good condition?

  • 5.4 - Starting and stopping devices within easy reach of operator?

  • 5.5 - Adequate work space?

  • 5.6 - Is lighting adequate?

6.0 - Electrical Safety

  • 6.1 - Safety switches installed?

  • 6.2 - Safety switches tested every 6 months and tests recorded?

  • 6.3 - No double adapters in use?

  • 6.4 - Portable equipment tested and tagged?

  • 6.5 - No power leads across walkways?

7.0 - Chemical Safety

  • 7.1 - Hazardous Substance Register complete and available?

  • 7.2 - Material Safety Data Sheets available for all chemicals?

  • 7.3 - Risk assessments completed for hazardous substances?

  • 7.4 - All containers labelled correctly?

  • 7.5 - Unused substances disposed of?

  • 7.6 - Workers trained in the use of hazardous substances?

  • 7.7 - If required is PPE available?

  • 7.8 - Is adequate ventilation provided?

8.0 - First Aid Facilities

  • 8.1 - Are cabinets and contents clean and orderly?

  • 8.2 - Are contents regularly checked?

  • 8.3 - No contents past their expiry date?

  • 8.4 - Cabinets clearly labelled?

  • 8.5 - Is there easy access to cabinets?

  • 8.6 - Employees aware of location of first aid cabinet?

  • 8.7 - Are first aid officers accessible?

  • 8.8 - Are emergency numbers displayed?

9.0 - Office Hazards

  • 9.1 - Condition of filing cabinets?

  • 9.2 - Condition of chairs? (Five star bases.)

  • 9.3 - Desks in good condition? (No damage.)

  • 9.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 9.5 - Photocopiers positioned to avoid fumes?

  • 9.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  • 9.7 - Air conditioning systems regularly maintained?

  • 9.8 - Stable non-slip floor coverings in good condition?

Sign Off

  • Overall Comments

  • On site representative

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