Information
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Host Employer
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Document No.
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Conducted on
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Prepared by
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Location
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there no outstanding actions?
2.0 - Fire Prevention
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2.1 - Evacuation plan displayed and understood by all employees?
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2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
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2.6 - Adequate direction notices for fire exits?
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2.7 - Exit doors easily opened from inside?
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2.8 - Exits clear of obstructions?
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2.9 - Fire alarm system functioning correctly?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Light fittings clean and in good condition?
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3.3 - Emergency exit lighting operable?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.5 - Stairs kept clear?
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4.6 - Furniture in sound condition?
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4.7 - Loading area clean and tidy?
5.0 - Machines
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5.1 - Are they kept clean?
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5.2 - Are the floors around the machines kept clean?
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5.3 - Guards in good condition?
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5.4 - Starting and stopping devices within easy reach of operator?
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5.5 - Adequate work space?
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5.6 - Is lighting adequate?
6.0 - Electrical Safety
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6.1 - Safety switches installed?
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6.2 - Safety switches tested every 6 months and tests recorded?
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6.3 - No double adapters in use?
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6.4 - Portable equipment tested and tagged?
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6.5 - No power leads across walkways?
7.0 - Chemical Safety
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7.1 - Hazardous Substance Register complete and available?
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7.2 - Material Safety Data Sheets available for all chemicals?
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7.3 - Risk assessments completed for hazardous substances?
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7.4 - All containers labelled correctly?
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7.5 - Unused substances disposed of?
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7.6 - Workers trained in the use of hazardous substances?
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7.7 - If required is PPE available?
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7.8 - Is adequate ventilation provided?
8.0 - First Aid Facilities
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8.1 - Are cabinets and contents clean and orderly?
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8.2 - Are contents regularly checked?
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8.3 - No contents past their expiry date?
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8.4 - Cabinets clearly labelled?
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8.5 - Is there easy access to cabinets?
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8.6 - Employees aware of location of first aid cabinet?
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8.7 - Are first aid officers accessible?
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8.8 - Are emergency numbers displayed?
9.0 - Office Hazards
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9.1 - Condition of filing cabinets?
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9.2 - Condition of chairs? (Five star bases.)
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9.3 - Desks in good condition? (No damage.)
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9.4 - Screen Based Equipment positioned to reduce glare from windows etc?
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9.5 - Photocopiers positioned to avoid fumes?
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9.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)
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9.7 - Air conditioning systems regularly maintained?
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9.8 - Stable non-slip floor coverings in good condition?
Sign Off
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Overall Comments
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On site representative