Title Page

  • Document No.

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Unit Representative

1: Previous Report

  • Has the previous report been reviewed?

  • Are there any outstanding actions?

2: Appearance and Environmental

  • Was the exterior appearance of the unit acceptable?

  • Were there suitable parking arrangements for the staff and visitors?

  • Are there adequate provisions for waste management?

  • Are appropriate smoking facilities available and being used accordingly?

  • Is the premises untidy?

  • Are drainage arrangements sufficient and functioning?

3: Security and Safety

  • Is the level of security suitable?

  • Are all entry / exit routes kept clear of hazards?

  • Are all Fire doors and General access doors suitable and being used correctly?

  • Can you clearly identify First Aiders and Fire Marshalls?

  • Can you clearly identify the Fire Meeting point?

  • Is it possible to identify staff from visitors / contractors?

4: Work Area Hazards

  • Dust

  • Noise

  • Vibration

  • Manual handling

  • Chemicals / Fuel storage and use

  • Slips, Trips and Falls

  • Workstation Ergonomics

  • Vehicle Movement

  • Pest Control

  • Lack of Safety equipment and Safety signage

5: Corrective Actions

  • Is there a nominated person responsible for addressing actions raised?

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