Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Slips, Trips and Falls Hazards-Are there any obstructions on the floor that could cause a slip, trip or fall from:

  • Office supplies, such as books, stationery, toner cartridges, etc?

  • Electrical equipment, such as printers, kettles, fan heaters, etc?

  • Trailing leads supplying computers, printers fax machines, etc?

  • Loose carpets or mats?

  • Open access panels in the floor?

  • Unguarded stairwells?

  • Uneven floors?

  • Cleaner's equipment such as vacuum cleaners, floor polishers?

  • Access routes blocked by debris, waste bins, etc?

Falling Object Hazards-Are there any objects that could fall on people, as follows

  • Goods or stores on shelves and racking?

  • Unstable freestanding stacks of goods or materials?

  • Loose ceiling tiles?

Electrical Hazards- Is there any risk of persons receiving an electrical shock from:

  • Loose or broken: sockets, switches, light fittings, conduits and trunking, etc?

  • Worn, frayed or split cables?

  • Trailing leads?

  • Overloaded extension leads or multi socket adaptors?

  • Exposed cables into plugs, computer equipment, kettles, fan heaters, microwaves, food and drinks dispensers, etc?

  • Exposed live parts of electrical switchgear: controls, motors, pumps, etc?

  • Is any item of portable electrical equipment overdue for a Portable Appliance Test (PAT)?

  • Is any item of electrical equipment poorly or dangerously positioned?

Substance-related Hazards-Are there any substances used that could cause harm from contact or inhalation, as follows

  • Cleaning Chemicals

  • Solvents in inks, dyes, adhesives, etc?

  • Dusts from powdered goods or supplies?

  • Smoke or exhaust fumes?

  • Asbestos in fire retardant panelling, ceiling tiles or pipe lagging?

  • Has any staff member complained of any persistent or increasing allergic reactions: running nose or eyes, coughing, sneezing, itching skin, etc?

Fire Hazards and Fire Extinguishers-Are flammable materials stored or used in a manner that could cause a fire, as follows

  • Any flammable substances on or near sources of heat or direct sunlight?

  • Any flammable substances that are not correctly stored in flameproof cupboards (solvents, adhesives, etc)?

  • Any potential for a flammable substance to be spilled onto sources of heat or electrical equipment?

  • Waste paper in waste bins left overnight?

  • Covered convector heaters?

  • Are all fire extinguishers free from corrosion?

  • Are all fire extinguishers within their annual inspection date?

  • Are escape routes clearly marked with visible signs?

  • Do all break glass call points have covers / glass / plastic panel fitted?

Ventilation Hazards-Are there any hazards associated with ventilation, as follows

  • Insufficient ventilation?

  • Fumes getting into the area through open windows or vents?

  • Contamination of air conditioning filters by dust or bacteria?

Display Screen Equipment-Does display screen equipment require assessment for:

  • Poorly positioned monitors?

  • Lighting creating glare on screens?

  • Poor seating position?

Manual Handling and Workstation Hazards-Do working positions pose a hazard that could cause muscular strains, as follows

  • Poor lifting positions?

  • Bad posture over desks or benches?

  • Repetitive twisting or turning?

  • Are all desks and chairs in good working order?

  • Does any office furniture show signs of damage or imminent collapse (desks, chairs, benches, shelving, etc)?

  • Are work surfaces at a comfortable or adjustable height to suit the user and to reduce lifting from one to another.

  • Has any faulty equipment been taken out of use?

  • Have any trailing leads and cables been secured, and are the protective sleeves in good condition?

Hygiene Hazards - Do sanitary provisions require improving to reduce the risk of infection or contamination, as follows

  • Hot water temperature requires raising to remove legionella risk (60°C)?

  • Toilet and hand basin cleaning requires improving?

  • Improved hand washing and drying facilities?

  • The use of rubber gloves for personal protection?

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.