Title Page

  • Conducted on

  • Prepared by

  • Campus

  • Classroom Number or Workplace

General

  • Entrance, doorways and floors are kept free from obstructions (e.g. boxes)

  • Floors are in good condition with no cracks, dips, holes, tears or rips

  • Floors are clean (e.g. free from rubbish) and not slippery

  • Computer and other electrical leads and cables are kept clear of pathways and walkways

  • Doors open and close/slide freely

  • Doors locks are able to be easily opened

  • Ceiling tiles are in place and not damaged

  • Are the blinds/shades clean and in good operating condition?

Lighting

  • Lighting is in good working order (e.g. not flickering or blown bulbs)

  • Light covers are in place and not damaged

  • Blinds and curtains can be drawn to reduce glare

Stairs and Landings

  • Stairs and steps are free from obstructions

  • Anti-slip resistant strips are in good condition

  • Handrails installed are in good condition (e.g. no peeling paint, rust or corrosion)

Kitchen and Lunch Rooms

  • Knives and sharp items are stored in a secure location

  • Sinks are clean and free from debris

  • Hot and cold taps are clearly labelled

  • Food containers are correctly labelled

  • Work benches are clean

  • Exhaust fans are functional and clean

  • Appliances are clean (e.g. fridge, microwave, oven, sandwich press), if applicable.

  • Clean tea towels/paper towel are available

  • Oven mitts or gloves are available and in good condition for handling hot items

Chemical Management

  • Hazardous substances are stored in a locked cupboard

  • Chemicals are not stored in food or beverage containers

  • Chemicals are correctly labelled with the label clearly legible and intact

  • Dangerous goods are segregated in storage per the Segregation of Dangerous Goods Chart

Storage

  • Items are stored so that they are not at risk of falling

  • Storage racks are in good condition (e.g. no bowed shelves)

  • Space below desks are free from obstructions (e.g. no boxes stored underneath)

  • Frequently used, heavy and bulky items are stored within easy reach (between waist and shoulder height)

  • Step ladder is available and in good condition

  • Trolleys are available and in good condition to transport items

Electrical Equipment

  • Extension leads are in good condition (e.g. no cracks, damage or loose plug)

  • Power boards are not connected in a “piggy back” manner

  • Electrical points are in good condition

  • Media outlets for data projectors are fixed and accessible

  • Data projector screen is secured with remote available

  • Speaker equipment is secured with the cabling in good condition

  • Light switches are in good working order and not damaged

  • Damaged or faulty items of equipment have been electrically isolated and tagged out

First Aid & Emergency Management

  • First aid kit/cabinet is available and accessible

  • A fire blanket is available, accessible and has been inspected in the last six months (check tag)

  • A fire extinguisher is available, accessible and has been tested in the last twelve months (check tag)

  • An Emergency Evacuation Plan is displayed and clearly Legible

  • Emergency exit door(s) are clearly signposted, illuminated and unobstructed

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.