Information
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Conducted on
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Location
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Building Owner
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Contact person
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Prepared by
1. Environment
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1.1 Is the temperature and airflow in the room adequate?
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1.2 Is the lighting adequate for the tasks being performed?
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1.3 Are there any sources of excessive noise?
2. Fire safety and emergency response.
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2.1 Are emergency procedures developed and displayed?
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2.2 Emergency Warden(s)/Evacuation procedures in place?
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2.3 Are all access and egress points readily accessible?
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2.4 Are exit signs in place and illuminated?
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2.5 Are fire extinguishers located in easy to see locations and accessible?
3. Equipment
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3.1 Are all electrical items and leads tested and tagged and in date?
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3.2 Are leads kept clear of walkways and safely arranged under desks?
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3.3 Does equipment appear to be in good condition?
4. Housekeeping
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4.1 Are areas generally kept tidy and well kept?
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4.2 Are areas free of clutter and walkways clear of obstructions and trip hazards?
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4.3 Are items safely stored so they are not at risk of falling or causing injury?
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4.4 Are filing cabinets/desk drawers closed when not in use?
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4.5 Are waste paper bins free of general rubbish and general rubbish bins not overfilled?
5. Manual Handling
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5.1 Are frequently used items within easy access/stored between knee and shoulder?
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5.2 Are heavy items stored at waist height?
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5.3 Are step ladders used to access items stored on higher shelves?
6. Toilet and kitchen facilities
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6.1 Toilet facilities clean and in good condition?
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6.2 Items available to maintain appropriate levels of hygiene?
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6.3 Kitchen facilities/food preparation areas clean and appropriate for use?
7. First Aid
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7.1 First Aid kit available with appropriate contents?
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7.2 Dates within use-by?
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7.3 Certified First Aider on site?
8. Other
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8.1 "If you are injured poster on display?"
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8.2 Health and safety board in use and relevant information displayed?
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8.3 Current (within 5 years) Material Safety Data Sheets available?
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8.4 Incident/injury report book template available for recording of incidents?