Information
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Document Title
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Document No.
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Inspected by
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Inspection Date
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Location
Inspection Criteria
FIRE
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Extinguishers in place, clearly marked for type of<br>fire and serviced?
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Adequate Direction signs to fire Exits?
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Exit Pathways Clear of obstructions?
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Exit Doors easily opened from inside?
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External Exit Pathways Clear of obstructions and<br>well lit?
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Fire Wardens appointed?
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Fire Warden PPE in place?
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Fire Alarm system functioning?
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Fire Instructions displayed?
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Assembly points clearly identified?
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Emergency Lighting functional?
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Regular Fire Drills Conducted?
ELECTRICAL
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No broken plugs, sockets or switches?
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No frayed or damaged leads?
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Portable power tools in good condition?
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No temporary leads on the floor?
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All electrical equipment tagged?
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Staircase handrails in good condition?
FIRST AID ROOM
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First Aid box clearly labeled?
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Box and Contents clean and orderly?
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Box easy to access?
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Employees aware of location of first aid Box?
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Eye Wash facilities provided and operable?
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Emergency telephone number displayed?
CHEMICAL
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MSDS for all chemicals?
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Containers clearly labelled?
WASTE BIN
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Bins located in suitable points in plant?
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Bins emptied regularly?
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Area clear of risks?
FLOORS AND SURFACES
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Surfaces even, no cracks or holes?
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All surfaces including drainage grills or vents are<br>cleaned regularly?
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Floors and walkways dry of water and clear of<br>Oil and Grease?
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Walkways kept clear?
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No electrical leads across walkways?
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Walkways adequately lit and clearly marked?
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Unobstructed vision at intersections?
MACHINE
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Clean?
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Machine Guarding is good and adequate?
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Machine Guarding working?
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Emergency stop and Isolation points easily<br>accessible?
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Noise and Vibration levels are identified and controlled?
PERSONAL PROTECTIVE EQUIPMENT (PPE)
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Uniforms being worn correctly and clean?
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Required PPE worn?
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PPE in good condition?
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Footwear appropriate for task?
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No rubbish on floors or equipment?
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Personal hygiene acceptable?
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Cleaning equipment stored and dry?
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No oily or cleaning rags scattered?
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Good forklift driving behaviour?
ERGONOMICS
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Work perform without twisting or overly bending the lower back?
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Are all pieces of furniture or equipment adjusted, positioned, and arranged to minimize strain on all parts of the body?
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Are workstations set up properly?
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Are the seats available, well-designed, easy to adjust, and comfortable?
Sign Off
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Environment, Health and safety Officer/Manager