General Workplace Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Walking Surfaces

• Are walkways free of obstacles

  Yes

  No

  N/A

• Are floor coverings in good condition

  Yes

  No

  N/A

• No slip/trip hazards present

  Yes

  No

  N/A

• Cords anchored or covered

  Yes

  No

  N/A

Furniture

• Free from sharp edges or corners

  Yes

  No

  N/A

• Secured from tipping

  Yes

  No

  N/A

• Set up properly ergonomically

  Yes

  No

  N/A

• Drawers closed when not in use

  Yes

  No

  N/A

• Step stools available if required

  Yes

  No

  N/A

Environment

• Lighting levels adequate

  Good

  Fair

  Poor

  N/A

• Air quality adequate

  Good

  Fair

  Poor

  N/A

• Temperature and humidity adequate

  Good

  Fair

  Poor

  N/A

• Noise levels adequate

  Good

  Fair

  Poor

  N/A

Fire Prevention

• Fire extinguishers available and accessible

  Yes

  No

  N/A

• Extinguishers checked monthly

  Yes

  No

  N/A

• Electrical cords/outlets/power bars in good condition

  Yes

  No

  N/A

• Power bars connected directly to main receptacle and not used in place of permanent wiring

  Yes

  No

  N/A

• Electric heater used only if approved by Facilities

  Yes

  No

  N/A

• Electric kettles have auto shut off and plugged directly into wall outlet (no power bar)

  Yes

  No

  N/A

• Food preparation equipment only in designated food service area.

  Yes

  No

  N/A

• Clear access to electrical panels, no combustible material stored on or within 3'

  Yes

  No

  N/A

• Fire doors closed

  Yes

  No

  N/A

• Fire exits clear of obstructions

  Yes

  No

  N/A

• Fire and evacuation plan is posted

  Compliant

  Non-Compliant

  N/A

First Aid

• First Aid kits checked quarterly

  Yes

  No

  N/A

• Certificates of First Aiders posted and current

  Yes

  No

  N/A

• Are additional supplies needed?

  Yes

  No

  N/A

Material Handling and Storage

• Materials are neatly and safely stored

  Yes

  No

  N/A

• Storage shelves are loaded only to capacity and heavy, awkward items are lower

  Yes

  No

  N/A

• Step/ladders are in good condition and secured when stored

  Yes

  No

  N/A

Hazardous Substances

• Hazardous substances are properly stored, labelled and disposed of

  Yes

  No

  N/A

• Safety Data Sheets are available for each product on site

  Yes

  No

  N/A

• Flammable products are stored properly.

  Yes

  No

  N/A

Exits, Entrances and Exterior Parking Lot

• Doors are not blocked

  Yes

  No

  N/A

• Signs and doors are clearly marked and exit signs easy to see

  Yes

  No

  N/A

• Walkways and parking lots are maintained from snow, ice, water, grease, etc

  Yes

  No

  N/A

Hygiene

• Is the washrooms clean?

  Yes

  No

  N/A

• Is there adequate flow and pressure from all fixtures?

  Yes

  No

  N/A

• Is there supplies needed?

  Yes

  No

  N/A

Personal Protective Equipment - PPE

• PPE is available and worn

  Yes

  No

  N/A

• PPE is maintained

  Yes

  No

  N/A

• Training in PPE use and care

  Yes

  No

  N/A

Tools and Machinery

• Guarding and safety devices are in place

  Yes

  No

  N/A

• Safe operating procedures are taught and available

  Yes

  No

  N/A

• Defective tools are tagged and removed from service

  Yes

  No

  N/A

• Proper training is given in the safe use of tools and machinery

  Yes

  No

  N/A

• Manufacturers' manuals are available for all tools and machinery

  Yes

  No

  N/A

Security

• Emergency numbers for internal and external contacts are easily available

  Yes

  No

  N/A

• Safety measures are in place for anyone working alone

  Yes

  No

  N/A

• Safe procedures are in place for working with money

  Yes

  No

  N/A

Other

• General observations about safety

Please sign and email the report to OHW Specialist

• Enter date and time

  Date

• Signature

  Sign