Information

  • Site

  • Department

  • Conducted on

  • Prepared by

General

PPE

  • Correct PPE being worn?

Health surveillance

  • Last health surveillance carried out?

Ramp safety

  • Daily ramp checks carried out and logged?

  • Last ramp inspection completed?

  • Additional notes

  • Failings to be actioned by

Fire

Final exit doors

  • 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 and escape routes

  • 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?

  • Additional notes

  • Failings to be actioned by

Housekeeping

Signage

  • Fire exit and route signs are being displayed?

  • PPE signs are being displayed in appropriate areas?

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

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

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

Housekeeping

  • 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?

  • Additional notes

  • Failings to be actioned by

Staff welfare

  • Are all areas on site well lit?

  • Are ventilation systems in full working order?

  • Is the heating in full working order?

  • Are the toilets clean and well maintained?

  • Are the washing facilities clean and well maintained?

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

  • Additional notes

  • Failings to be actioned by

Sign off

  • Miscellaneous notes

  • Department manager

  • H&S department

  • Add media

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.