Title Page

  • Conducted on

  • Prepared by

  • Location

Question

Hand - Power tools

  • Correct use of tools

  • Tools in good serviceable condition and have a daily inspection carried out please provide evidence (photo)

Housekeeping

  • Are green walkways clear of obstructions if no please add a photo

  • General cleanliness of all work areas

  • Lighting and ventilation satisfactory for the area and working correctly

  • Safety equipment stored correctly

  • General workspace around machines clear of hazards and adequate in size

  • Storage facilities neat, tidy, accessible and have correct signage

Electrical hazards

  • Portable appliances have a current PAT test that can be evidenced

  • There are no trailing cables or extension leads coiled up and in use

  • There is clear access to all electrical distribution boards

Fire and Emergency

  • Evacuation routes clear of obstruction

  • Fire doors are kept clear and in good working order

  • Fire extinguisher in date and gauge is in the green

  • Fire alarm test carried out weekly, are staff aware of this

  • All staff have appropriate training and are aware of the evacuation plan

Working at height

  • Blue podiums / steps daily checks carried out

  • Ladders are used correctly

  • Is the chain across the Despatch roller door when not in use

Lifting Equipment / Forklift

  • Safe working loads displayed

  • Daily checks carried out on the forklifts

  • Are SSOW being adhered too

  • Periodic inspections up to date

Machinery - Guarding - Safety

  • Are machine guards in a serviceable condition

  • Emergency stops controls are accessible

  • Are emergency stops tested daily and functioning correctly

  • LOTO procedure in place and operators trained

  • Only trained and competent individuals operating machinery, training records available to view

  • Are daily check sheets completed for each machine

Environment and Welfare

  • Is there excess waste / dust outside the building

  • Lighting, heating, ventilation, humidity, dust satisfactory

  • toilets, canteen in good useable order

  • Drinking water available

COSHH

  • Are COSHH cupboards available and in good order

  • Are there any non related COSHH items in the COSHH cupboard

  • Are there any unidentified containers that could be COSHH related

  • Are COSHH Sheets present and available to view

  • Have staff received training on COSHH related items that they use

  • Where specific PPE / Control measures have been identified relating to COSHH being required, is this in use

First aid

  • Defibrillator in good working order and charged

  • First aid list displayed and up to date

  • Accident book available the First Aid room

  • First aid kits in all vehicles and in date

  • Eyewash available in vehicles , in date and seal in place

  • Near miss / Incident forms available and in use

PPE

  • Access to Ear protection (ear plugs or defenders)

  • Safety glasses available and in use

  • Hi-Vis available and in use where required

  • Safety footwear

  • RPE in use and of correct standard - face fit tested operatives

Safety signs

  • Are signs in good condition, visible, and displayed where required

Manual handling

  • Staff training and aware of safe handling methods

  • Suitable manual handling aids available and in use

  • Weight charts available to view and up to date

  • Weights displayed on all items where reasonably practicable

Training and Supervision

  • Observed to be working correctly and supervisors present if required

Office

  • Clear of trip hazards

  • No trailing leads in or around desk

  • Combustible materials kept to a minimum

  • DSE Assessments completed and in date

  • Lighting sufficient for the tasks performed

  • Housekeeping is of a good standard

Visitors

  • Are visitors accompanied where required and wearing the correct PPE

Contractors

  • Are contractors signed in and working in-line with the company requirements

Exterior of the building

  • Grounds at the front of the building are in good order and clear of litter

  • Exterior signage in good order

  • Rear car park and grounds in good order and clear of litter and debris

  • Pathways and walkways clean and clear of trip hazards / cars not blocking walkways

  • Safe access and egress on to the premises

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.