Title Page

  • Site conducted

  • Conducted on

  • Location
  • BUILDING

  • Inspection Conducted By:

1. External Foyer/Main Entry

  • Windows Clean, No Cracks

  • Doors are in good working order, Clean, no cracks

  • Entry / Exit signs and indicators in place, emergency exit sign illuminated / intact

  • Walkways/Gardens clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no actively wet stains, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings no damages e.g. table, chairs, shelves

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Fire Indicator Panel / Hose Reel Cupboard tidy, nothing inappropriate stored in cupboard

  • Public Toilet hygenic, clean, fixtures and fittings undamaged and working

  • Other

2. Internal Foyer / Corridor

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Entry / Exit signs and indicators in place, emergency exit sign illuminated / in tact

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no actively wet stains, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings no damages e.g. table, chairs, shelves

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Fire Extinguisher serviced / tagged, sign in place

  • Emergency Procedure and Evacuation Diagram current dated, up to date

  • Electrical TV, water cooler, auto door

  • Other

3. Stationery Cupboard

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no actively wet stains, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings no damages e.g. table, chairs, shelves

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Chemical Storage safe, appropriate, items in date

  • Other

4. Meeting Room A, B and WorkimBarra Room

  • Windows clean, no cracks

  • Doors good working order

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings no damages e.g. table, chairs, shelves

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Electrical TV Display, Power Points / Light Switches

  • Kitchenette Fridge, Sink, Bench clean, tidy

  • Accordian Door

  • Other

5. Male & Female Bathroom & Showers

  • Doors good working order, clean, no cracks

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings no damages e.g. basin / cabinet, mirror

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Electrical Power Points / Light Switches, hand dryers

  • Cubicles doors / locks in working order, toilets clean and working

  • Other

6. Locker Room

  • Doors good working order

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings no damages e.g. lockers

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish on top of lockers or floor

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Electrical Power Points / Light Switches, Electrical Switchboard Cupboards, HVAC Cupboard

  • Other

7. Store Room / Gym

  • Windows clean, no cracks

  • Doors good working order

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings No sharp edges, no damages e.g. table, chairs, shelves

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish on shelves or floor

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Paint stored in shelves, should this be stored elsewhere, disposed of

  • Electrical Fan, Stereo, Electrical Fitness Equipment, Power Points / Light Switches

  • Gym Equipment Layout, storage of smaller items

  • Appropriate Storage No danger of falling objects, heavy items stored low, safe means of accessing high shelves

  • Other

8. Main Kitchen

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings No sharp edges, no damages e.g. table, chairs, shelves

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish, hygene (food preparation areas, fridges, bins)

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Electrical Fridges, Microwaves, Sandwich Press, Toaster, Coffee Machine, Power Points / Light Switches

  • Fire Hose Reel Cupboard tidy, nothing inappropriate stored in cupboard

  • Fire Extinguisher serviced / tagged, sign in place

  • Fire Blanket serviced / tagged, sign in place

  • First Aid Kit in place and maintained

  • Other

9. General Office Planning/Regional Management/DoT/PTV /T4V /Small Collaboration Space/SW Alliance/Regional Operations

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings No sharp edges, no damages e.g. desks, chairs, tambours, layout tables

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Electrical Power Points / Light Switches, work stations, printers, layout table projector

  • Fire Extinguisher serviced / tagged, sign in place

  • First Aid Kit in place and maintained

  • Other

10. Communications Room

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings No sharp edges, no damages e.g. desks, chairs, tambours, layout table

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Electrical Power Points / Light Switches

  • Fire Extinguisher serviced / tagged, sign in place

  • Other

11. Small Kitchen / Exit to Staff Car Park / Female and Male Bathrooms / Showers

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Lighting working, no flickering, not dull / bright

  • Furniture / Fixtures / Fittings No sharp edges, no damages e.g. desks, chairs, tambours, layout table

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Fire Hose Reel Cupboard tidy, nothing inappropriate stored in cupboard

  • Fire Extinguisher serviced / tagged, sign in place

  • Emergency Procedure and Evacuation Diagram current dated, up to date

  • First Aid Kit in place and maintained

  • Electrical Power Points / Light Switches

  • Other

12. Car park Corridor / Focus Room / Print Room

  • Fire Hose Reel Cupboard tidy, nothing inappropriate stored in cupboard

  • Fire Extinguisher serviced / tagged, sign in place

  • Emergency Procedure and Evacuation Diagram current dated, up to date

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Walkways clear, no obstructions

  • Floors no tripping hazards e.g. lifted carpet tiles, broken hard tiles, flat surface, no slipping risk

  • Ceilings no current water leaks, no sagging

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Items stored above head height in the print room

  • Other

13. Bus Bay

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Lighting working, no flickering, not dull / brigh

  • Housekeeping clean and tidy, nothing obstructing walkways, no rubbish

  • Environmental Conditions / Monitoring Dusts, gases, vapours, fumes, temperature, air quality, ventilation

  • Other

14. Exterior/ Main Kitchen Courtyard

  • Windows clean, no cracks

  • Doors good working order, clean, no cracks

  • Outdoor courtyard clean and tidy

  • Smoking Areas

  • Walkways

  • Fences

  • Car parking

  • Roof Access Ladder

  • Other

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.