Title Page

  • Prepared by

  • Conducted on

Floors/ Doors/ Ceiling/ Walls

  • Is the Floor in good condition?

  • Walkways clear and easily accessible?

  • Trip Hazards?

  • Slip hazards?

  • Entries/Exits free from obstructions?

  • Doors and locks in working order and secure?

  • Roller door in good condition and secure?

  • Any damage or leaks from ceiling?

  • Any damage to walls?

  • Suspended or protruding hazards?

Lighting/ Electrical

  • All areas have sufficent lighting?

  • Any lights not working?

  • All electrical equipment tested,tagged and within date?

  • Any damage to plugs, sockets, switches and power points?

  • Any water pooling near power points, electrical cables or equipment?

  • Is the electrical distribution board clearly labelled?

Ventilation

  • Air conditioning system working properly?

  • Any leaks from air conditioning system?

  • Dust/dirt accumulated in air vents?

  • Damage to ducting and vents?

  • Is the area adequately ventilated?

  • Is the exhaust fan working?

Utensils/ Appliances/ Equipment

  • Kitchen utensils appropriately stored?

  • All kitchen utensils in good condition?

  • All applicances in good condition and working properly?

  • Fridges and cool room working properly and no abnormal sounds?

  • Is there a current risk assessment for each appliance?

  • Is there a current safe work procedure for each appliance?

  • Any gas leaks?

  • Taps and sink in good condition?

  • Any leaks from taps, drains and sinks?

Chemicals

  • Are all chemicals appropriately labelled?

  • All chemical sotrage containers in good condition and no leaks?

  • SDS's available and accessible for all chemicals?

Storage

  • Commonly used items stored appropriately to reduce repetitive reaching to low levels, above the shoulders or out from the body?

  • Storage of items at ground level or above shoulder level is avoided?

  • Storage areas are neat and tudy and items are easily accessible?

  • Shelving is of sound and sturdy condition?

  • Items in storage areas are secure and no risk of falling?

Emergency procedures / First Aid

  • Is the telephone system working correctly?

  • Is the 2-way radio working correctly?

  • Fire extinguishers / blankets are available, kept in allocated location and unobstructred.

  • Correct and clear signage is displayed identifying where fire extinguishers are located?

  • Fire extinguishers/ blankets have been checked wihin the last 6 months?

  • Staff have had training in centre evacuation prodecures within the last 12 months?

  • First aid kit available and clearly labelled?

  • First aid kit appropriately stocked, including blue band-aids?

Food safety

  • Aprons are available and clean?

  • Gloves and tongs available?

  • Hand washing station wokring, has soap/disinfectant and is clean?

  • Are there nuts, or items containing nuts, present?

  • Is a suitable disinfectant available for use?

  • Are food preparation areas clean?

  • Is there any mould present?

  • Staff have a current food handlers certificate?

  • Temperature of cool room wihtin regulations?

  • Temperature of cold display fridges within regulations?

  • All stock within date?

  • All food prepared in-house is labelled?

Indoor dining area

Floors/ Doors/ Ceiling/ Walls

  • Is the floor in good condition?

  • Walkways clear and easily accessible?

  • Trip hazards?

  • Slip hazards?

  • Entries/Exits free from obstructions?

  • Doors and locks in working order and secure?

  • Automatic doors working properly?

  • Any damage or leaks from ceiling?

  • Any damage to walls?

  • Suspended or protruding hazards?

Lighting/ Electrical

  • All areas have sufficent lighting?

  • Any lights not working?

  • All electrical equipment tested and tagged within date?

  • Any damage to plugs, sockets and switches/power points?

  • Any water pooling near power points, electrical cables or equipment?

  • Any damage to electrical leads?

Ventilation

  • Ceiling fans in good condition and working?

  • Is the area adequately

Equipment/ Appliances

  • All tables and chairs in good condition, safe and secure?

  • All TVs in good condition and working properly?

Storage

  • Service counters neat and tidy?

  • Heavy items on service counters kept away from the edge?

Emergency procedures

  • Public address system audible and clear?

  • Site evacuation map on display and is accurate?

Outdoor dining area

Floors

  • Is the floor in good condition?

  • Walkways clear and easily accessible?

  • Trip hazards?

  • Slip hazards?

  • Entries/Exits free from obstructions?

  • Suspended or protruding hazards?

Equipment

  • All tables and chairs in good condition, safe and secure?

Emergency procedures

  • Public address system audible and clear?

HSO sign off

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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.