Title Page
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Company
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Inspector
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Conducted on
Floors
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Is there loose material, debris, worn carpeting?
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Are the floors slippery, oily or wet?
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What is the condition of the general flooring?
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Are there any uneven levels of flooring?
Lighting
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Are all the lights in good working order?
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Are bulbs missing?
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Are any areas dark?
Stairways and Aisles
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Are they clear and unblocked?
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Are stairways well lighted?
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Do the stair ways have the capping on the edges?
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Are they in good condition?
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Inspector's reference: This is an example of unblocked stairways. You can also attach/take photos and annotate them using iAuditor.
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Are handrails, handholds in place?
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Are the aisles marked and visible?
Emergency Equipment
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Is all fire control equipment regularly tested and certified?
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Is fire control equipment appropriate for the type of fire it must control?
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Is emergency lighting in place and regularly tested?
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Are doors holding with fire mag holders?
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Are fire blankets in the correct places?
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Are first aid boxes in the correct locations, tested and in good working order?
Sanitation
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Are washrooms and food preparation areas clean?
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Are the following provided adequately?
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- bed room toilets and communal
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Describe the locations that are not clean and sanitised and require attention.
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- showers
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- clothing storage / wardrobes
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- kitchen
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- dining room
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- gym
Maintenance (outside and inside)
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Are doors and locks in good working order?
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Are ceiling tiles intact, undamaged and in place?
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Are there no signs of weather damage or mold growth in the facility?
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Are all windows unbroken and free from any type of damage?
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Do air conditioning vents and ducts appear to be clean upon visual inspection?
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Are outside lights in good working order?
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Does the exterior of the building present no safety concern?
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Is the parking lot area free of any safety concern? (i.e. overgrown landscaping, uneven pavement, traffic hazards)
General
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Are aisles, doorways and corners free of obstructions to permit visibility and movement?
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Are chairs in safe condition and are caster, rungs and legs sturdy?
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Are all equipment and supplies in their proper places?
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Is there adequate walking and egress clearance?
Security
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TSS is the organisation that controls, certifies and manages High View Care Centre.
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Is the access control in good working order?
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Do entry and exit procedures provide workers personal security at night?
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Has the access control been certified and checked? (TSS)
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Are emergency (evacuation, fire, hostile person) procedures in place?
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If any of the above is not completed, you must arrange to contact TSS and organise for this to be completed.
Completion
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Additional recommendation
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Full Name & Signature of Inspector
Action Plan
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Please detail below any actions that you have put in place as part of your risk assessment. If action is not required, put NOT REQUIRED in the submission field.
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Floors
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Lighting
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Stairways and Aisles
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Emergency Equipment
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Sanitisation
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Maintenance
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General
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Security