Information

  • Document Title

  • Document No.

  • Inspected by

  • Inspection Date

  • Location

Inspection Criteria

FIRE

  • Extinguishers in place, clearly marked for type of<br>fire and serviced?

  • Adequate Direction signs to fire Exits?

  • Exit Pathways Clear of obstructions?

  • Exit Doors easily opened from inside?

  • External Exit Pathways Clear of obstructions and<br>well lit?

  • Fire Wardens appointed?

  • Fire Warden PPE in place?

  • Fire Alarm system functioning?

  • Fire Instructions displayed?

  • Assembly points clearly identified?

  • Emergency Lighting functional?

  • Regular Fire Drills Conducted?

ELECTRICAL

  • No broken plugs, sockets or switches?

  • No frayed or damaged leads?

  • Portable power tools in good condition?

  • No temporary leads on the floor?

  • All electrical equipment tagged?

  • Staircase handrails in good condition?

FIRST AID ROOM

  • First Aid box clearly labeled?

  • Box and Contents clean and orderly?

  • Box easy to access?

  • Employees aware of location of first aid Box?

  • Eye Wash facilities provided and operable?

  • Emergency telephone number displayed?

CHEMICAL

  • MSDS for all chemicals?

  • Containers clearly labelled?

WASTE BIN

  • Bins located in suitable points in plant?

  • Bins emptied regularly?

  • Area clear of risks?

FLOORS AND SURFACES

  • Surfaces even, no cracks or holes?

  • All surfaces including drainage grills or vents are<br>cleaned regularly?

  • Floors and walkways dry of water and clear of<br>Oil and Grease?

  • Walkways kept clear?

  • No electrical leads across walkways?

  • Walkways adequately lit and clearly marked?

  • Unobstructed vision at intersections?

MACHINE

  • Clean?

  • Machine Guarding is good and adequate?

  • Machine Guarding working?

  • Emergency stop and Isolation points easily<br>accessible?

  • Noise and Vibration levels are identified and controlled?

PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • Uniforms being worn correctly and clean?

  • Required PPE worn?

  • PPE in good condition?

  • Footwear appropriate for task?

  • No rubbish on floors or equipment?

  • Personal hygiene acceptable?

  • Cleaning equipment stored and dry?

  • No oily or cleaning rags scattered?

  • Good forklift driving behaviour?

ERGONOMICS

  • Work perform without twisting or overly bending the lower back?

  • Are all pieces of furniture or equipment adjusted, positioned, and arranged to minimize strain on all parts of the body?

  • Are workstations set up properly?

  • Are the seats available, well-designed, easy to adjust, and comfortable?

Sign Off

  • Environment, Health and safety Officer/Manager

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.