General Workplace Inspection

• Name of Business being inspected

• Date of Inspection

  Date
• Location of Business being inspected
  Address

• Inspection carried out by

• A. What type of Workers does this organisation engage?

  Select Employees Labour Only subcontractors No workers are engaged

  • Employees
  • Labour Only subcontractors
  • No workers are engaged

• Is the "Employers' Liability Insurance displayed for all staff and visitors to see?

  Yes

  No

  N/A

• B. Does the organisation have a written Health and Safety Policy Statement of Intent?

  Yes

  No

  N/A

• Is the Policy Statement of Intent displayed for all workers and/or labour only subcontractors to see?

  Yes

  No

  N/A

• The Health and Safety Information for Employees Regulations 1989, requires employers to either display the HSE-approved law poster or to provide each of their workers with the equivalent leaflet

  

• C.1 Is this Health and Safety Executive approved law poster displayed for all workers and/or labour only subcontractors to see?

  Yes

  No

  N/A

• C.2 Is the Poster populated with contact details of the "Health and Safety Representative?

  Yes

  No

  N/A

• C.3 If there is NO Poster - has the organisation provided each of the workers and/or subcontractors with the equivalent leaflet?

  Yes

  No

  N/A

1.0 - Previous Inspection(s)

• Has there been any previous inspections?

  Yes

  No

  N/A

• 1.1 What was the date of the last inspection?

  Date

• 1.2 Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.3 - Are there any outstanding actions?

  Yes

  No

  N/A

• What still needs to be actioned?

2.0 - Fire Prevention

• 2.0 How are people's presence on site recorded for use in a Fire Evacuation?

• 2.1 Is there a Written Fire Plan in place? (I.E. what to do in the case of a Fire)

  Yes

  No

  N/A

• 2.2 Have all staff been informed about this plan?

  Yes

  No

  N/A

• 2.3 Does the plan include Bi-annual Fire Drills?

  Yes

  No

  N/A

• 2.4 When did the last Fire Drill take place?

  Date

• 2.5 Have Fire Marshalls been appointed?

  Yes

  No

  N/A

• 2.6 Have they been suitably trained?

  Yes

  No

  N/A

• 2.7 Is there a Fire detection system in place within the premises?

  Yes

  No

  N/A

• 2.8 Are smoke detectors in every room that will be occupied?

  Yes

  No

  N/A

• 2.9 If not are they within at least 10m of each other?

  Yes

  No

  N/A

• 2.10 Is the Fire detection and Alarm system functioning correctly (I.E Not showing any system errors or activation faults)

  Yes

  No

  N/A

• 2.11 Does the fire detection system trigger alarm sounders and/or beacons?

  Yes

  No

  N/A

• 2.12 Can the alarm sounders and/or beacons be seen and/or heard from ever room that could be occupied?

  Yes

  No

  N/A

• 2.13 Are Evacuation plans (drawings) displayed in every room that could be occupied?

  Yes

  No

  N/A

• 2.14 Do the Evacuation plans clearly show the safest routes to the Fire Exits?

  Yes

  No

  N/A

• 2.15 Are Photoluminescent "Direction" Signs in place to show how to get to the Fire Escapes?

  Yes

  No

  N/A

• 2.16 Are these Signs 2.1m from the floor?

  Yes

  No

  N/A

• 2.17 Are these Signs visible when following the evacuation route(s)?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 2.18 Are the Fire Evacuation routes clear of obstruction?

  Yes

  No

  N/A

• 2.19 Are the Fire Exit Doors clear of obstruction?

  Yes

  No

  N/A

• 2.20 Are ALL Fire exit doors functioning correctly?

  Yes

  No

  N/A

• 2.21 Are "FIRE DOOR - DO NOT BLOCK" Signs displayed on both sides of each Fire Exit Doors?

  Yes

  No

  N/A

• 2.22 Are Fire Extinguishers deployed throughout the premises?

  Yes

  No

  N/A

• 2.23 Are these Fire Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 2.24 Are these Fire Extinguishers mounted no higher than 1200mm from the floor and their base(s) no lower than 100mm from the floor?

  Yes

  No

  N/A

• 2.25 Have these Fire Extinguishers been serviced within the last 12 months?

  Yes

  No

  N/A

• 2.26 Is there a Sprinkler system deployed in the premises?

  Yes

  No

  N/A

• 2.27 What is the date of the last service and inspection?

  Date

• 2.28 Is there a "Dry Riser" system deployed in the premises?

  Yes

  No

  N/A

• 2.29 What is the date of the last service and inspection?

  Date

• 2.30 Is there a Fire Log Book in use?

  Yes

  No

  N/A

• 2.31 What is the date of the last entry of record?

  Date

• 2.32 Are Fire Call Points working?

  Yes

  No

  N/A

• 2.33 Are the call points checked regularly?

  Weekly

  Monthly

  Quarterly

  They have NOT been checked

• 2.34 Are the checks recorded in the Fire Log Book?

  Yes

  No

  N/A

• 2.35 Where is the Emergency Evacuation Muster Point?

• 2.36 Is the route to the Emergency Evacuation Muster Point a safe route and clear of obstructions?

  Yes

  No

  N/A

3.0 First Aid

• 3.1 Have Emergency First Aiders been appointed?

  Yes

  No

  N/A

• 3.2 How many Emergency First Aiders have been appointed?

• 3.3 Have they been suitably trained?

  Yes

  No

  N/A

• 3.4 Are there any Emergency First Aiders without Refresher training within the last 3 years?

  Yes

  No

  N/A

• 3.5 Have First Aiders been appointed?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 3.6 How many First Aiders have been appointed?

• 3.7 Have they been suitably trained

  Yes

  No

  N/A

• 3.8 Are there any First Aiders without Refresher training within the last 3 years?

  Yes

  No

  N/A

• 3.9 Are the list of First Aiders displayed throughout the premises?

  Yes

  There are No First Aiders

• 3.10 Are First Aid Boxes deployed throughout the premises?

  Yes

  No

  N/A

• 3.11 Are their locations flagged throughout the premises?

  Yes

  No

  N/A

• 3.12 How often are the contents checked?

  Weekly

  Monthly

  Quarterly

  They have NOT been checked

• 3.13 Are all contents within their expiry dates?

  Yes

  No

  N/A

• 3.14 Are Boxes and their contents clean and orderly?

  Yes

  No

  N/A

• 3.15 Are Emergency Contact Numbers displayed next to the First Aid Box?

  Yes

  No

  N/A

• 3.16 Is there an Eye Wash Station(s) deployed in the places where Hazardous Substances are used?

  Yes

  No

  N/A

• 3.17 Are the Eye Wash Solutions within Expiry Date?

  Yes

  No

  N/A

• 3.18 Is there an accident reporting procedure in place?

  Yes

  No

  N/A

• 3.19 Is the Accident Report Book available to record accidents?

  Yes

  No

  N/A

4.0 Welfare Facilities

• Section 2.2 of The HASAWA 1974 "Health and Welfare": Employers must provide and maintain adequate welfare facilities including a supply of drinking water, washing facilities, sanitary conveniences, accommodation for clothing, rest and eating facilities, seating, ventilation, heating and lighting

• 4.1 Is there an adequate supply of uncontaminated drinking water on the premises?

  Yes

  No

  N/A

• 4.2 Are there suitable and sufficient facilities for washing on the premises?

  Yes

  No

  N/A

• 4.3 Are there a suitable number of sanitary conveniences?

  Yes

  No

  N/A

• 4.4 Are these in a clean and hygienic condition?

  Yes

  No

  N/A

• 4.5 What are the provisions for accommodating clothing? (E.G., Clothes Rack/Lockers etc. etc.)

• 4.6 Is the Lighting within the premises suitable and sufficient?

  Yes

  No

  N/A

• 4.7 Is the Ventilation within the premises suitable and sufficient?

  Yes

  No

  N/A

• 4.8 Is the Heating within the premises suitable and sufficient?

  Yes

  No

  N/A

• 4.9 Is there suitable and sufficient quantities of seating in the premises?

  Yes

  No

  N/A

• 4.10 What are the rest facilities in the premises?

• 4.11 What are the provisions for eating within the premises?

• 4.12 Has a Legionella Risk Assessment been carried out?

  Yes

  No

  N/A

• 4.13 What were the assessment's findings?

• 4.14 When are Legionella tests carried out?

  Weekly

  Monthly

  Quarterly

  They have NOT been checked

5.0 General Lighting

• 5.1 Is there enough natural lighting in the premises?

  Yes

  No

  N/A

• 5.2 Is the reflected light from walls and ceilings causing glare to employees?

  Yes

  No

  N/A

• 5.3 Are ALL Light fittings clean and in good condition?

  Yes

  No

  N/A

• 5.4 Is there suitable and sufficient Emergency Lighting in the premises?

  Yes

  No

  N/A

• 5.5 How often is the Emergency Lighting Tested?

  Weekly

  Monthly

  Quarterly

  They have NOT been checked

• 5.6 When was the Emergency Lighting last "Drop Tested"?

  Date

• 5.7 Do Fire Exit Doors have Emergency Lighting directly above them?

  Yes

  No

  N/A

6.0 Building Safety

• 6.1 Are Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 6.2 Are liquid spills removed quickly?

  Yes

  No

  N/A

• 6.3 Is the Building's Entry and it's walkways kept clear?

  Yes

  No

  N/A

• 6.4 Are Walkways clearly identified and marked if applicable?

  Yes

  No

  N/A

• 6.5 Are walkway "Intersections" kept clear of obstructions?

  Yes

  No

  N/A

• 6.6 Are there multiple floors in the premises?

  Yes

  No

  N/A

• 6.7 How is access to other floors achieved?

  Select Stairs Lift

  • Stairs
  • Lift

• 6.8 Do stairs have sufficient fall protection?

  Yes

  No

  N/A

• 6.9 Are banister rails in good condition?

  Yes

  No

  N/A

• 6.10 Are stair wells kept clear from obstruction?

  Yes

  No

  N/A

• 6.11 Are there any landings?

  Yes

  No

  N/A

• 6.12 Do landings have open railings?

  Yes

  No

  N/A

• 6.13 Do these open railings have any toe boards to prevent falling items?

  Yes

  No

  N/A

• 6.14 Is ALL Furniture in sound condition?

  Yes

  No

  N/A

• If not - what items of furniture need repairing or disposing of?

• 6.15 Are footpaths to the premises in good condition?

  Yes

  No

  N/A

• 6.16 Is there a Car Park for staff and visitors?

  Yes

  No

  N/A

• 6.17 Are vehicles reversed into car parking spaces?

  Yes

  No

  N/A

• 6.18 How are pedestrians segregated from vehicles?

7.0 Electrical Safety

• 7.1 When was the last Electrical installation condition report (EICR) completed?

  Date

• 7.2 When was the last Portable Appliance (In service inspection) and Testing completed?

  Date

• 7.3 Are Portable Appliances "tagged" as "PASSED SAFETY TEST"?

  Yes

  No

  N/A

• 7.4 Are Cut Off Safety switches installed?

  Yes

  No

  N/A

• 7.5 Do All Cut Off Safety switches work?

  Yes

  No

  N/A

• 7.6 Are Locks deployed on Machine Cut Off Safety switches?

  Yes

  No

  N/A

• 7.7 When was the last safety switches test completed?

  Date

• 7.8 Are there any broken plugs, sockets or switches?

  Yes

  No

  N/A

• 7.9 Why have these NOT been isolated, removed or repaired?

• Confirm the following are NOT an issue

• 7.10 Double plug-in adapters are NOT in use?

• 7.11 Power extension-leads are NOT strewn across walkways?

• 7.12 Electrical power leads are neither frayed or damaged?

• 7.13 Electrical power leads are NOT strained?

• 7.14 Portable power tools are in GOOD condition?

8.0 Equipment Inspection History

• 8.1 Which of these items are present in the premises?

  Select Gas Boiler Destratification fans Electric On Demand Water Heater(s) Air Conditioning Door Access System Security Gates/Bars over Fire Exit Doors There are None of these present in the premises

  • Gas Boiler
  • Destratification fans
  • Electric On Demand Water Heater(s)
  • Air Conditioning
  • Door Access System
  • Security Gates/Bars over Fire Exit Doors
  • There are None of these present in the premises

• 8.2 Which of these pieces of equipment are present in the premises?

  Select Storage Racking and/or Shelving Baler Compactor Passenger Lift Goods Lift Lifting Equipment Hand Operated Pallet Trucks Electrically Operated Pallet Trucks Forklift Truck Mobile Elevated Work Platform Portable Access Tower Harnesses There are NONE of these present on the premises

  • Storage Racking and/or Shelving
  • Baler
  • Compactor
  • Passenger Lift
  • Goods Lift
  • Lifting Equipment
  • Hand Operated Pallet Trucks
  • Electrically Operated Pallet Trucks
  • Forklift Truck
  • Mobile Elevated Work Platform
  • Portable Access Tower
  • Harnesses
  • There are NONE of these present on the premises

• 8.3 Are there any Ladders in use on the premises?

  Yes

  No

  N/A

• 8.4 Are ALL Ladders rated to Commercial Classification EN131?

  Yes

  No

  N/A

• 8.5 Is there a Ladder Log and Inspection Regime?

  Yes

  No

  N/A

• 8.6 If used for Electrical Work are they non-conductive? (Wood or GRP)

  Yes

  No

  N/A

• 8.7 Are ALL Ladders in good condition?

  Yes

  No

  N/A

• 8.8 Are ALL Ladders used according to manufacturers instructions?

  Yes

  No

  N/A

• 8.9 Do all Ladders carry a "SAFE TO USE" Tag on them?

  Yes

  No

  N/A

• Yes

  No

  N/A

• 8.10 Is there an Equipment Inspection regime in place?

  Yes

  No

  N/A

• 8.11 Have ALL these identified items been inspected in line with LOLER and PUWER Regulations within the last 12 months?

  Yes

  No

  N/A

9.0 Waste Accumulation and Disposal

• 9.1 Are General Waste Bins deployed throughout the premises?

  Yes

  No

  N/A

• 9.2 Are General Waste Bin Signs displayed above each General Waste Bin?

  Yes

  No

  N/A

• 9.3 Are these General Waste Bins emptied regularly?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 9.4 Are Recycling Bins deployed throughout the premises?

  Yes

  No

  N/A

• 9.5 Which of these materials are recycled?

  Select Wood Plastics Cardboard Metal WEEE OTHER

  • Wood
  • Plastics
  • Cardboard
  • Metal
  • WEEE
  • OTHER

• Please specify what other materials are recycled.

• 9.6 Are Recycling Waste Bin Signs displayed above each Recycling Waste Bin?

  Yes

  No

  N/A

• 9.7 Are these Recycling Bins emptied regularly?

  Yes

  No

  N/A

• When managing waste, businesses need to know what types of waste they are producing and how this waste should be safely treated, managed and disposed of. It is essential to know that some waste has to be treated and disposed of differently from other waste, particularly waste considered hazardous. I.E.,

  

• 9.8 Are Hazardous Waste materials accumulated on the premises?

  Yes

  No

  N/A

• 9.9 Which of these Hazardous Materials are accumulated on site?

  Select Compressed Gas Corrosive Materials Environmentally Damaging Materials Explosive Materials Flammable Materials Health Hazard Materials Irritant Materials Oxidizing Materials Toxic Materials

  • Compressed Gas
  • Corrosive Materials
  • Environmentally Damaging Materials
  • Explosive Materials
  • Flammable Materials
  • Health Hazard Materials
  • Irritant Materials
  • Oxidizing Materials
  • Toxic Materials

• 9.10 How are they stored? E.G. Are oily rags and other flammable materials stored in covered metal containers?

• 9.11 Is a COSHH Symbols and Information Sign displayed within the premises?

  Yes

  No

  N/A

• 9.12 How are they recycled?

• 9.13 Are Waste Bins including Recycling and Hazardous Waste stored in Vessels outside the premises?

  Yes

  No

  N/A

• 9.14 Are the "Vessels" at least 5m from the perimeter of the building?

  Yes

  No

  N/A

• 9.15 Are the "Vessels" lockable?

  Yes

  No

  N/A

10.0 Personal Protective Equipment

• PPE is defined in the PPER 2022 as ‘all equipment (including clothing affording protection against the weather) which is intended to be worn or held by a person at work and which protects the person against one or more risks to that person’s health or safety, and any addition or accessory designed to meet that objective’.
  
  Where an employer finds PPE to be necessary after a risk assessment, using the hierarchy of controls, they have a duty to provide it free of charge.

• Is there a Forklift Truck being used in the premises?

  Yes

  No

  N/A

• You should also complete Section 14 all about Fork Lift Truck Controls

• Please select which items of PPE are in use and check they are in good condition with photographic evidence as proof.

• Safety Footwear

• Safety Clothing - such as overalls

• Task Specific Hand Protection

• Describe specific tasks requiring Hand Protection and the types of Hand Protection being used

• Safety Helmet

• Hi-Visibility Clothing

• Task Specific Eye Protection

• Describe specific tasks requiring Eye Protection and the types of Eye Protection being used - excluding a Full Face Shield

• Full Face Shield

• Ear Protection for noise levels at or above 85db(A)

• Dust Mask

• Respiratory Protective Equipment

• Fall Protection Harness

• Other

• List here other items of PPE not included in the list above

11.0 Control Of Substances Hazardous to Health

• 11.0 Are there any manufacturing processes likely to produce "Substances hazardous to health"?

  Yes

  No

  N/A

• 11.1 Describe these processes producing "Substances hazardous to health"

• 11.2 Is there adequate ventilation provided to reduce the impact of inhaling any of these hazardous substances that are produced?

  Yes

  No

  N/A

• 11.3 Are there any other Hazardous materials in the workplace?

  Yes

  No

  N/A

• 11.4 Is there a Hazardous Substances Inventory Register available?

  Yes

  No

  N/A

• 11.5 Does it contain a list of ALL Hazardous Substances?

  Yes

  No

  N/A

• 11.6 Are Material "Safety Data Sheets" available for ALL the listed Inventory?

  Yes

  No

  N/A

• 11.7 Have COSHH Assessments been completed for all listed Inventory?

  Yes

  No

  N/A

• 11.8 Do any "special storage" conditions apply?

  Yes

  No

  N/A

• 11.9 Describe the "Special Storage" Conditions

• 11.10 Are "Special Storage" Conditions followed?

  Yes

  No

  N/A

• 11.11 Do ALL Hazardous Substance containers display the correct hazard label?

  Yes

  No

  N/A

• 11.12 Are ALL suitable items of PPE available when using or producing these hazardous substances?

  Yes

  No

  N/A

• 11.13 Are suitable First Aid items available to deal with any COSHH incident?

  Yes

  No

  N/A

12.0 Warehouse/Storage (Design and Use)

• 12.0 Is there a Warehouse/storage facility within or attached to the premises?

  Yes

  No

  N/A

• 12.1 How are Pedestrians separated from the Warehouse/Storage area?

• 12.2 Is there a Loading Bay to enable goods to get into the warehouse/storage facility?

  Yes

  No

  N/A

• 12.3 How is the Loading Bay Door operated?

  Manually by Pull Chain

  Electronically by Door Riser

• 12.4 Is Pallet Racking deployed throughout the warehouse/storage area?

  Yes

  No

  N/A

• 12.5 Is the Pallet Racking inspected refgularly?

  Yes

  No

  N/A

• 12.6 When was the last inspection conducted?

  Date

• 12.7 Is the Pallet Racking in "Good Condition"?

  Yes

  No

  N/A

• 12.8 Are "goods" being stored on Pallets?

  Yes

  No

  N/A

• 12.9 Are the Pallets being used in "Good Condition"?

  Yes

  No

  N/A

• 12.10 Are the Floors around the racking clear of obstructions?

  Yes

  No

  N/A

• 12.11 Is shelving deployed throughout the warehouse/storage area?

  Yes

  No

  N/A

• 12.12 Are the goods stored on shelves laid out in a way to minimise manual handling and lifting?

  Yes

  No

  N/A

• 12.13 Are the Floors around the shelving clear of obstructions?

  Yes

  No

  N/A

• 12.14 Are Hazardous Substances stored within the warehouse/storage area?

  Yes

  No

  N/A

• 12.15 How are the Hazardous Substances stored?

• 12.16 Are Work Benches Deployed in the warehouse/storage area?

  Yes

  No

  N/A

• 12.17 Are the work benches set at the correct height for the type of work and worker?

  Yes

  No

  N/A

• 12.18 Are the work benches free "sharp edges"?

  Yes

  No

  N/A

• 12.19 Are the work benches clear of waste materials?

  Yes

  No

  N/A

• 12.20 Are tools kept around the work benches?

  Yes

  No

  N/A

• 12.21 Are there any damaged tools in use?

  Yes

  No

  N/A

• 12.22 Are Tools NOT being used stored safely and out of harms way?

  Yes

  No

  N/A

13.0 Manufacturing Space

• 13.0 Is there a Manufacturing facility within or attached to the premises?

  Yes

  No

  N/A

• 13.1 How are unauthorised persons prevented from entering the manufacturing facility?

• 13.2 What is the manufacturing process being carried out?

• 13.3 Are Work Benches Deployed in the manufacturing area?

  Yes

  No

  N/A

• 13.4 Are the work benches set at the correct height for the type of work and worker?

  Yes

  No

  N/A

• 13.5 Are the work benches free "sharp edges"?

  Yes

  No

  N/A

• 13.6 Are the work benches clear of waste materials?

  Yes

  No

  N/A

• 13.7 Are tools kept around the work benches?

  Yes

  No

  N/A

• 13.8 Are there any damaged tools in use?

  Yes

  No

  N/A

• 13.9 Are Tools NOT being used, stored safely and out of harms way?

  Yes

  No

  N/A

• 13.10 Are Machines deployed in this space?

  Yes

  No

  N/A

• 13.11 What type of machines are deployed in this space?

• Is there an Inspection and Maintenance regime in place for these machines?

  Yes

  No

  N/A

• 13.12 Are ALL Machine Operators trained in the "Safe Use" of ALL Machines?

  Yes

  No

  N/A

• 13.13 Is the training recorded?

  Yes

  No

  N/A

• 13.14 Do Machine Operators comply with the operating procedures?

  Yes

  No

  N/A

• 13.15 Are the machines kept clean?

  Yes

  No

  N/A

• 13.16 Are the floors around the machines kept clean and free of obstructions?

  Yes

  No

  N/A

• 13.17 Are Machine Guards in place on ALL Machines?

  Yes

  No

  N/A

• 13.18 Are the Machine Guards in good condition?

  Yes

  No

  N/A

• 13.19 Do the Machine Guards function properly?

  Yes

  No

  N/A

• 13.20 Are Machine starting and stopping devices within easy reach of the operator?

  Yes

  No

  N/A

• 13.21 Are Drip pans on floor to prevent slips from spillages?

  Yes

  No

  N/A

• 13.22 Are "Duckboards" deployed in front of machines?

  Yes

  No

  N/A

• 13.23 Are these "Duckboards" in good repair?

  Yes

  No

  N/A

• 13.24 Are Machine Lockouts deployed on ALL Machines?

  Yes

  No

  N/A

• 13.25 Are "Lockout" procedures implemented and followed?

  Yes

  No

  N/A

• 13.26 Is the work task planned ergonomically and safely?

  Yes

  No

  N/A

• 13.27 Is there any bending or stooping required?

  Yes

  No

  N/A

• 13.28 Is there sufficient space around the machine to work safely?

  Yes

  No

  N/A

• 13.29 Is the lighting around the machine suitable and sufficient?

  Yes

  No

  N/A

• 13.30 Are ALL Noise levels controlled? (Engineering Controls and PPE)

  Yes

  No

  N/A

• 13.31 Are "Local Exhaust Ventilation (LEV) systems in place?

  Yes

  No

  N/A

• 13.32 Do ALL "Local Exhaust Ventilation (LEV) systems" work properly

  Yes

  No

  N/A

• 13.33 Are "Waste" and/or "Off Cuts" removed and stored safely?

  Yes

  No

  N/A

14.0 Forklift Truck

• 14.1 Are Forklift Trucks operating in the warehouse/storage area and manufacturing facility?

  Yes

  No

  N/A

• 14.2 How are pedestrians segregated from their operating paths?

• 14.3 Have ALL Operators undertaken An Approved Training Course?

  Yes

  No

  N/A

• 14.4 Have ALL Operators been trained within the last 12 months?

  Yes

  No

  N/A

• 14.5 How are the Forklift Trucks powered?

  Select Liquid Petroleum Gas Diesel Electric

  • Liquid Petroleum Gas
  • Diesel
  • Electric

• 14.6 Is there a dedicated charging station?

  Yes

  No

  N/A

• Please confirm the "Charging station is equipped with:

• A CO2 Fire Extinguisher

• A Full Face Shield

• De-ionised Water

• A Thick Rubber Waterproof and Chemical Resistant Apron

• Latex Chemical Resistant Gauntlets

• A Rubber Torch

• Hydrometer

• 14.6 Are "spare" Gas bottles kept on site?

  Yes

  No

  N/A

• 14.7 Where are the Gas Bottles Stored?

  Select In a Locked Cage outside of the premises In a Locked Cage inside the premises Inside the premises in a Locked Cage Inside the premises but not secured

  • In a Locked Cage outside of the premises
  • In a Locked Cage inside the premises
  • Inside the premises in a Locked Cage
  • Inside the premises but not secured

• 14.6 Is Diesel stored in the premises

  Yes

  No

  N/A

• 14.7a Is it stored away from direct sunlight?

  Yes

  No

  N/A

• 14.7b Is it stored at a temperature below 20°C?

  Yes

  No

  N/A

• 14.7c Is it stored in Secure "Jerry Cans"?

  Yes

  No

  N/A

• 14.8 Which type of Forklift trucks are in operation?

  Select Counterbalance Forklift Truck Reach Forklift Truck Side Loader Forklift Truck Telescopic/telehandler Forklift Truck Articulated (Aka Bendy) Forklift Truck Order Pickers

  • Counterbalance Forklift Truck
  • Reach Forklift Truck
  • Side Loader Forklift Truck
  • Telescopic/telehandler Forklift Truck
  • Articulated (Aka Bendy) Forklift Truck
  • Order Pickers

• 14.9 Is there an inspection regime in place?

  Yes

  No

  N/A

• 14.10 How often are inspections carried out?

  Daily

  Weekly

  Before each different user

• 14.11 How are operators authorised to operate a forklift truck?

• 14.12 Are Seat belts fitted to forklift trucks?

  Yes

  No

  N/A

• 14.13 Is wearing seat belts mandated?

  Yes

  No

  N/A

• 14.14 Do all operators wear seat belts?

  Yes

  No

  N/A

• 14.15 How are Forklift Trucks "started"?

  Shared key

  Operator's personal Key/Card

  Starter Button

• 14.16 Where is the Shared key stored?

• 14.16 Where are Operators' Personal Keys or Cards kept?

• 14.17 Where are Forklift trucks kept when not in use?

  Select In a designated cordoned off "Safe Space" Within the cordoned off "Electric Charging Point" area Between Rack Aisles No Specific place

  • In a designated cordoned off "Safe Space"
  • Within the cordoned off "Electric Charging Point" area
  • Between Rack Aisles
  • No Specific place

• 14.18 Are Forklift Trucks serviced and inspected?

  Yes

  No

  N/A

• 14.19 When was the last service and inspection carried out?

  Date

15.0 Offices

• 15.1 Are there areas within these premises that constitute Offices?

  Yes

  No

  N/A

• 15.2 Which items of furniture are being used?

  Select Desks Chairs Filing Cabinets Photocopier(s) Occasional Tables Security Lockers

  • Desks
  • Chairs
  • Filing Cabinets
  • Photocopier(s)
  • Occasional Tables
  • Security Lockers

• 15.3 Are Desks in Good Condition?

  Yes

  No

  N/A

• 15.3 Do Chairs have Five Star Bases?

  Yes

  No

  N/A

• 15.4 Are chairs in Good Condition?

  Yes

  No

  N/A

• 15.3 Are Filing Cabinets in Good Condition?

  Yes

  No

  N/A

• 15.3 Are Photocopiers working and in Good Condition?

  Yes

  No

  N/A

• 15.3 Are Occasional Tables in Good Condition?

  Yes

  No

  N/A

• 15.3 Are Security Lockers in Good Condition?

  Yes

  No

  N/A

• 15.4 Are Screen Based equipment positioned to reduce "Glare" from windows?

  Yes

  No

  N/A

• 15.5 Can "Glare" from windows be BLOCKED out with Blinds/Screens/Curtains?

  Yes

  No

  N/A

• 15.6 How is the office area "Heated"

  Select Heated Water Radiators Electric Radiators Air Conditioning Infra Red Heaters There is NO Heating

  • Heated Water Radiators
  • Electric Radiators
  • Air Conditioning
  • Infra Red Heaters
  • There is NO Heating

• 15.7 How is the Office area "Ventilated"

  Select Air Conditioning Local Exhaust Ventilators By opening the windows There is NO means of ventilation

  • Air Conditioning
  • Local Exhaust Ventilators
  • By opening the windows
  • There is NO means of ventilation

• 15.2 How are Office type tasks performed?

• 15.3 Where are Office type tasks performed?

  Heated Water Radiators

  Electric Radiators

  Air Conditioning

  Infra Red Heaters

  There is NO Heating

• 15.5 Are Screen Based equipment positioned to reduce "Glare" from windows?

  Yes

  No

  N/A

• 15.6 Can "Glare" from windows be BLOCKED out with Blinds/Screens/Curtains?

  Yes

  No

  N/A

• 15.7 How is the office area "Heated"

  Heated Water Radiators

  Electric Radiators

  Air Conditioning

  Infra Red Heaters

  There is NO Heating

• 15.8 How is the Office area "Ventilated"

  Select Air Conditioning Local Exhaust Ventilators By opening the windows There is NO means of ventilation

  • Air Conditioning
  • Local Exhaust Ventilators
  • By opening the windows
  • There is NO means of ventilation

Sign Off

• Name of Inspector

• Inspector's signature

  Sign