Workplace Inspection Report

Location

  • Location

  • Select date

STANDARD

  • 1.1 Structure, furniture, and equipment, in good condition and safe condition

  • 1.1 Floors- clean and free of dirt or other dangers

  • 1.2 Good lighting, natural or artificial?

  • 1.4 Rest room facilities-toilet,wash basins, clean and hygienic

  • 1.4 Kitchen lunchroom clean. No food in unauthorized areas.

  • 1.5 Pollution of air, water and ground

  • 1.5 Hazardous waste disposal in responsible manner.

  • 1.6 Areas demarcated.

  • 1.7 Stacking-stable, neat and safe.

  • 1.8 Areas inside and outside of building are neat and tidy. General housekeeping.

  • 1.9 Scrap and refuse bins enough and correctly placed.

  • 1.10 Color coding of pipes and plant in order.

  • 2.1 Machine guards in place

  • 2.2 All equipment/ hazards areas can be isolated / locked out and procedure displayed where applicable.

  • 2.3 Switches, isolator and valves labeled, outlets marked.

  • 2.4 Ladders, scaffolds and hand rails in good condition.

  • 2.5 Lifting gear in good condition.

  • 2.6 Gas cylinders and pressure vessels in order.

  • 2.7 Hazardous substances handled / stored using correct procedures.

  • 2.10 Portable electric equipment in good condition. No cords over floor.

  • 2.12 General electrical installations / flameproof Equipment is safe.

  • 2.13 Hand tools in good condition and properly stored.

  • 2.14 Ergonomics: conditions safe and confortable.

  • 2.18 Appropriate protective clothing / equipment available, properly utilized and in good condition.

  • 2.24 Safety signs and notices in place.

  • 3.1 Fire extinguishing equipment maintained and inspected.

  • 3.2 Location of fire extinguishers clearly visible, demarcated and unobstructed.

  • 3.3 Fire extinguishers in position.

  • 3.4 Flammable materials stored correctly.

  • 3.5 Alarm system working, employees aware of system.

  • 3.8 Emergency plan available and understood by staff.

  • 4.2 Injuries/accidents which occurred since previous inspection.

  • 5.6 Name of First Aiders displayed.

  • 5.19 Safe Work Procedures available and used.

  • 2.1 Machine guards in place

General

Other Items not mentioned above:

  • Other items

  • Other items

    no label

Report by Inspector:

  • Does the report contain any major threat to the safety of any Employee?

  • If yes, complete the following:

  • Report by Inspector
  • The matter was reported as soon as practical?

  • Signature of Inspector:

  • To

  • Date Reported:

  • This Safety Information Report must be discussed with Manager/Supervisor as soon as possible.
    I have reviewed the inspection report and have been taken action on correcting the deviations noted.

  • Signature of Supervisor/Manager:

  • Select date

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