Fire
Adequate direction notices for fire exits?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Extinguishers in place and clearly marked for type of fire?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Extinguishers in current (less then 6 month check stamp) service?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Emergency exit signage - exits have to be lit and clearly visable?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Exits clear from obstructions?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Exit doors easily opened from inside?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Fire Instructions available and displayed?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Regular Fire Drills carried out (bi-annually)?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Training sessions conducted?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Electrical
Is electrical equipment in good working order?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are extension cords and power boards in good working condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are electrical appliances approved for use?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are electrical leads not stretched?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are all general power outlets in good condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are double adapters not in use?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Circuit breakers/automatic cut outs installed?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are all doors on switchboards closed or locked where required?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Do electrical switchboards have signage indicating "Restricted Access" and access is obstruction free?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Light fittings clean and in good condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Walkways
Is the floor in good condition and hazard free?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are the aisles and walkways free from obstruction?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Walkways adequately and clearly marked?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Unobstructed vision at intersections?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
MHE
Is all MHE in good working order?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are daily pre-operational safety checks completed for forklifts or electric pallet movers?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Have keys been removed from forklifts or electric pallet movers when not in use?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Speed limits of 10 km/h are being enforced?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Fault reporting / rectification system is being used?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Has regular maintenance been carried out on all MHE?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Housekeeping
Is the housekeeping and cleanliness of the general area acceptable?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are the exits and emergency exits unobstructed, clearly marked and visible?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are there sufficient rubbish bins provided and are they regularly emptied?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Amenities
Are washrooms, toilets, lockers and shower rooms clean?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are there rubbish and sanitary bins available?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are soap and towels available and well supplied?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is there a housekeeping routine in place to keep amenities tidy and in good condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is there adequate signage to entrances and exits?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Storage / Racking
Weekly racking inspections were sighted and any problems notified were fixed?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
On review of all loads in the racking were stable and fit adequately into the designated racking bay?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Floors around racking are clear of rubbish?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is racking in good condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Chemicals on site
For dangerous goods and hazardous substance, containers, including gas cylinders, clearly labelled?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are approved chemicals used?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are Safety Date Sheets available for Dangerous goods used or hazardous materials used or opened on site complete and accessible?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is PPE (Personal Protective Equipment) available, accessible and in good condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is the Chemical Spill Kit available and stocked correctly?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are all gas cylinders full or empty stored upright?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are chemicals stored correctly and in the upright position to prevent spills or leaks?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
First Aid
Is the First Aid Room area and the First Aid kit maintained, clean and tidy?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are first aid cabinets clearly identified and easily accessible?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Employees aware of location of first aid cabinets?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
First aid cabinets clearly labelled?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Emergency numbers clearly displayed?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Battery Charging Area
Are the machines located in appropriate charge bays?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are the batteries in good condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is the charging area located in a well-ventilated area?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are the emergency shower and / eye wash in good working and in clean condition?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are all leads for battery chargers in good condition and hung appropriately when not in use?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is there appropriate fire fighting equipment available in the Battery Charging Area?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Provision for First Aid?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Traffic Safety
Traffic Management Plan in place?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are pedestrian walkways appropriately marked where motorised plant, for example forklifts and motorised pallet movers, is used?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is traffic flow clearly marked
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Is appropriate safety signage at entrances in place warning pedestrians of the use of mobile plant and equipment?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are mirrors or signage available for forklifts and motorised pallet runners at blind corners?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Speed limit displayed
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Dock Safety
Are the dock edges clearly marked?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Are dock levellers and lift tables in good working order?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Vehicles, forklift separate from dock where possible?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Dock ladders in place?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Reversing lines in place?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Adequate lighting at all times when in use?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment:
Sign off
Sign:
Sign
Name:
Select date
Date
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Environmental communication warehouse
Are enviromental issues raised in pre-start meetings? at least once a week.
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Are environmental issues discussed at least once a month in Toolbox talks?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Are environmental issues discussed at operational meetings?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Are environmental issues discussed at management meetings?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Energy Office
Are lights in office turned off when not occupied?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Are lights in meeting rooms turned off when not occupied?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Are all computers using stand-by mode?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Are all office equipment switched to stand-by mode when not in use?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Is aircon at 22 degrees?
Not Applicable
Unacceptable/requires urgent attention
Can improve
Achieves standard
Comment
;
Waste: Office and Lunchroom
link copied
Byron Quin
DBS Monthly Housekeeping Checklist
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The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
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You should independently determine whether the template is suitable for your circumstances.