DoH Workplace Safety Inspection Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• To use this tool and complete this audit: complete the first page details of who has conducted the audit and when and click on "start audit".
  
  Progress through the fields by selecting the appropriate response of condition ok, condition not ok or N/A (if this field does not apply to your specific area). After selecting your response you can tap on the question and this allows you to enter free text of any issues you encounter.
  
  By clicking the small "+" sign in the free text area you can add a photo of the hazard you have identified.
  
  Continue working through the audit and click "export" on the bottom right.
  Select "PDF" then click "send". Enter the email address if whomever the audits are sent to in your office.
  
  Once the email window has closed click save audit on the top right and the audit is complete.
  
  To reopen previous audits click on the lines on the top left and select "audits"from the list. This will then show any of your previously saved audits.
  
  
  

Entire building

• Emergency procedures and evacuation plans are up to date, visible to staff and members of the public?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• First aid cabinets are visible, not obstructed and contents are all there and in date?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• All staff are trained in emergency procedures and are aware of the muster points?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• List of fire wardens and first aid officers are present and up to date?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Muster point Is in a suitable location and free from obstruction.

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

Main office area

Access

• Are all doorways, entrance areas, corridors, aisles clear of obstructions?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Are emergency exits clear?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Are stairs, stairwells/landings clear of of any rubbish or slipperiness?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

General housekeeping

• Floor condition eg. Carpets, loose edge, tiles etc

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Floors clear of obstructions

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Arrangement and design of furniture/fittings suitable?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Storage facilities for files and equipment are suitable and tidy?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Emergency and other signs are clearly visible?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Operation of automatic doors and lifts are correct?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Fire fighting equipment present, unobstructed and checked to be in date and serviceable?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

Lighting

• Suitable lighting at all workstations?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Suitable lighting in all hall ways?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Suitable lighting in all common areas (meeting rooms, lunch room and toilets?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Emergency lighting tested and working?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

Office Security

• Door and window locks tested and work?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Appropriate barrier level between staff and customers?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Distress alarms fitted and tested?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Surveillance cameras and recording devices operational?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

Electrical

• All electrical equipment appears to be in good condition (no obvious frayed wires or burn marks etc)

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• RCD's fitted and tested?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Electrical equipment has been tested and tagged annually?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Suitable fire extinguishers available for electrical fires?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

Air quality

• Temperature is within comfortable limits?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Adequate air flow throughout?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Air conditioning systems are clean (visually) including ducting.

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

Public Area

• Furniture is serviceable?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• General area is clean?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk

• Area is free from trip hazards?

  Condition OK

  Condition not OK

  N/A

• Risk Level

  Select low risk medium risk high risk

  • low risk
  • medium risk
  • high risk