Title Page

  • Building
  • Room number (s)

  • Conducted on

  • Prepared by

  • Persons involved

  • Circulation List

General inspection

  • Safety Management Are sufficient procedures available? Are inductions, safety training and suitable provision provided? Are documents such as risk assessments, COSHH assessments available?

  • Issue
  • Room / Location

  • As shown

  • The issue identified is

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

General Arrangements

  • High Profile Signage Upon entering the area are signs clearly visible, such as - fire exits - direction to nearest exits - hazardous substances - warning notices - safety warnings - eye wash locations - fire extinguishers

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Lighting and Ventilation Does the area have suitable lighting, ventilation and appropriate temperature?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • General condition and Housekeeping Are all pathways clearly marked and free from obstructions, trip and slip hazards? Are work surfaces free from unwanted materials? Is the area suitable for the task and the work to be undertaken? Can others receive an injury from the ongoing work within the area?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Waste Management Are General waste receptacles emptied regularly? Are all hazardous waste materials disposed of appropriately?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Storage Are storage arrangements suitable for the materials that are being stored? i.e. Are acids stored away separately from solvents?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • First Aid Are there suitable trained 1st aides or appointed persons for the area? Are there first aid boxes within the vicinity?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Fire Prevention Controls Are there relevant fire fighting equipment available and within inspection date? Are there trained personnel trained to use fire extinguishers within the area? Are fire exit routes clearly identifiable? Are fire evacuation wardens based within the area? Are fire exit doors accessible? Do fire doors seem in good condition, working effectively? Do fire exits have clear exit?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Hygiene Control Are there adequate washing facilities available?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

Hazard Control

  • Material Management Are there properly designed carriers available to transport materials? is the equipment in good operating order? if a Fork Lift trucks are used, are the following actions implemented? - trained operators (3 year refresher training)? - is there a written checklist used before use? - can only trained operators gain access to the equipment? - is health surveillance carried out on trained users?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Noise Is there an excessive or uncomfortable noise level? General rule - if you have to raise your voice substantially to speak to someone 2 metres away? If there are existing noise assessments required for the area, are the corrective control measures being implemented? Are the hearing protection zones clearly defined or highlighted? Where hearing protection is provided, is it being managed correctly, i.e stored away appropriately and being used effectively?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

Equipment Control

  • Portable Appliance Testing Has all equipment within the area within the test date and labelled accordingly?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • COSHH Are substances being stored appropriately and are covered by a risk assessment? Are there clear visible warning signs, identifying the hazard? Are there materials available for dealing with spillages?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Pressure Testing Have all pressure vessels been identified / recorded with the university insurance company and inspected within instructions of the written scheme of examination? Is all relevant equipment marked with the safe working pressure?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Pressure Gas Cylinders Are all cylinders secured properly? Are any O2 monitoring equipment being used and is tested and maintained? Are any gas monitoring equipment being used and is tested and maintained? Are gas managements systems, i.e gas panels being used and maintained, are there operating and emergency instructions available?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Machinery / Equipment Are all interlocks, guards and other safety devices fully functional, adequately maintained, tested and records available? Has a equipment risk assessment been completed for the apparatus? Does the equipment have operating and emergency instructions?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Lifting Equipment Is all equipment registered with the insurance company? is the equipment being stored away appropriately? is the equipment within the test period? Are there trained operators for the overhead cranes?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Access at Height Equipment Are ladders, step ladders and scaffold towers registered on an inspection scheme? Is such equipment inspected on an annual basis? Are persons trained to use scaffold towers?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Local Exhaust Ventilation Systems Is the LEV registered with the insurance company? Has the equipment been throughly tested within the last 14 months? Are fume cabinets in an effective condition for use?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Personal Protective Equipment Where PPE is stated as a control measure, is it being used effectively and in good condition? Where generic PPE is being used, is being stored away appropriately and in suitable condition for use? Are there mandatory signs visible? RPE - where RPE is being used has it been designated within the risk assessment for comfort use only? Is it being used as a primary control measure and the operator has been face fit tested for that item?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

  • Monitor & Review Have actions from previous inspections been completed ? Have corrective actions from any accidents / incidents been implemented? Are there any daily or regular other inspections ongoing and being recorded?

  • Issue
  • Room / Location

  • The issue identified is

  • As shown

  • Recommended course of corrective action

  • Action assigned to

  • Level of compliance

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.