Information

  • Site

  • Department

  • Conducted on

  • Prepared by

Fire and evacuation.

Escape routes

  • There is adequate dispersal space outside each final exit door?

  • Final exit doors are unobstructed?

  • Final exit doors are unlocked and easily opened?

  • Fire doors are in full working order?

  • Identified fire doors are fitted with self closing devices, free from holes and air grills etc?

  • Doors along the escape route are easily opened?

  • Designated escape routes are free from obstructions?

Extinguishers

  • Fire extinguishers are in place, visible and in good condition.

  • Access to extinguishers is unobstructed?

  • Tamper tags are in place?

  • Discharged extinguishers have been replaced?

  • Actions required

  • Failings to be actioned by

General site.

Lighting, heating and ventilation.

  • Are all areas on site well lit?

  • Are ventilation systems in full working order?

  • Is the heating in full working order?

Signage

  • First aid kit/personnel signs are being displayed with details filled in?

  • Fire action notices are being displayed next to each call point?

  • No smoking signs are being displayed on all external entry's to departments?

  • PPE signs are being displayed in appropriate areas?

  • Fire exit and route signs are being displayed?

  • Actions required

  • Failings to be actioned by

House keeping

Welfare areas

  • Are the washing facilities clean and well maintained?

  • Are the facilities for workers to eat meals clean and well maintained?

  • Are the toilets clean and well maintained?

General house keeping

  • Floors in good condition?

  • Stairs including handrails are in good condition?

  • Floors are free from trip hazards?

  • Floors are free from slipping hazards?

  • Carpets and mats are in good condition and secured in place?

  • Bins are not overflowing, rubbish is not being allowed to accumulate?

  • Floors are free from spillages?

  • Are all areas tidy, workbenches clear of unwanted or unused items?

  • Tools and equipment are cleared away when not in use?

  • Actions required

  • Failings to be actioned by

Sign off

  • Notes

  • Department manager

  • H&S department

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.