Information
-
CMS FLHA
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
2.0 - Fire Prevention
-
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?
5.0 - Work Benches
-
5.2 - Tools not in use kept in place?
-
5.3 - No damaged hand tools in use?
-
5.4 - No damaged power tools in use?
-
5.5 - Work height correct for the type of work and the employee?
6.0 - Rubbish Removal
-
6.1 - Bins located at suitable points around site?
-
6.2 - Bins emptied regularly?
8.0 - Machines
-
8.1 - Are they kept clean?
-
8.3 - Guards in good condition?
9.0 - Electrical Safety
-
9.3 - No double adapters in use?
-
9.4 - Portable equipment tested and tagged?
-
9.5 - No broken plugs, sockets or switches?
-
9.6 - No power leads across walkways?
-
9.7 - No frayed or damaged leads?
-
9.8 - No strained leads?
-
9.9 - Portable power tools in good condition?
-
9.10 - Where required are emergency shut-down procedures in place?
11.0 Ladders
-
11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
-
11.2 - Are ladders in good condition?
-
11.4 - Used according to instructions?
12.0 - First Aid Facilities
-
12.4 - Cabinets clearly labelled?
-
12.5 - Is there easy access to cabinets?
-
12.6 - Employees aware of location of first aid cabinet?
-
12.7 - Are first aid officers accessible?
-
12.8 - Are emergency numbers displayed?
Sign Off
-
On site representative
