Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

FLOORS

  • Is there loose material, debris, worn carpeting

  • Are the floors slippery, oily or wet

STAIRWAYS AND AISLES

  • Are they clear and unblocked

  • Are stairways well lighted

ELEVATING DEVICES

  • Is lifitng equipment used only within capacity

  • Are capacities posted on equipment

  • Are they regularly inspected, tested and maintained

  • Are operators trained

FIRE PROTECTION

  • Is all fire control equipment regularly tested - Inspection dates displayed

  • Are extinguishers properly mounted and easily accessible

  • Accessibility & adequacy of fire escapes

  • Emergency drills - practice

  • Are any sources of ignition apparent? (E.g. light bulbs too close to air heaters, etc)

  • Are fire doors wedged open?

  • Is emergency lighting in place and regularly tested

MEANS OF EXIT

  • Are there enough exits to allow prompt escape

  • Are exits unlocked to allow egress

  • Are exits clearly marked

  • Are exits and exit routes equipped with emergency lighting

BUILDING

  • Doors, floors and walls in good condition ?

  • Are guardrails in good condition ?

  • Are stairwells in good condition ?

  • Are windows to exterior in good condition ?

DANGEROUS SUBSTANCES

  • Have all dangerous substances been identified and properly labelled

  • Are SDSs posted in all areas where chemicals are stored

SANITATION

  • Are washrooms and food preparation areas clean

  • Are measures in place to prevent the spread of disease

SECURITY

  • Do entry and exit procedures provide workers personal security at night

  • Are emergency (evacuation, fire, bomb threat) procedures in place

  • Any light bulbs missing or defective limiting visibility

MATERIAL STORAGE

  • Are materials neatly and safely piled

  • Is there safe clearance for all equipment through aisles and doors

  • Is stored material stable and secure

  • Are storage areas free from tipping hazards

  • Is racking secured to the ground with SWL applied

  • Are passageways / work areas clear of obstructions?

SOUND LEVEL/NOISE

  • Are regular noise surveys conducted

  • Is hearing protection available?

PERSONAL PROTECTIVE EQUIPMENT

  • Is required equipment provided, maintained and used

  • Does equipment meet requirements

  • Are warning signs prominently displayed in all hazard areas

ELECTRICAL

  • Are all machines properly grounded

  • Are portable hand tools grounded or double insulated

  • Are extension cords out of the aisles where they can be abused by heavy traffic

  • Is RCD testing being carried out at regular intervals

  • Are there any personal electrical appliances in use

  • Are extension cords being used as permanent wiring

  • Is electrical wiring properly concealed

Operations

  • Are light fixtures in good condition

  • Is ergonomic equipment available for use i.e ergonomic chair & desk

  • Is absorbent available for immediate clean-up of spills and leaks

  • Are all flammable and combustible products stored appropriately

Other Action Items

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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.