Information

  • Site

  • Department

  • Conducted on

  • Prepared by

PPE

  • Correct PPE being worn?

  • Actions required

  • Failings to be actioned by

Fire 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

Exit routes

  • Designated escape routes are free from obstructions?

  • Doors along the escape route are easily opened?

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

  • Fire doors are in full working order?

  • Actions required

  • Failings to be actioned by

Final exit doors

  • Final exit doors are unlocked and easily opened?

  • Final exit doors are unobstructed?

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

  • Actions required

  • Failings to be actioned by

General 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

  • 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

Welfare areas

  • 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?

  • Actions required

  • Failings to be actioned by

Heating, lighting and ventilation

  • Is the heating in full working order?

  • Are ventilation systems in full working order?

  • Are all areas on site well lit?

  • Actions required

  • Failings to be actioned by

Additional notes

  • Miscellaneous notes.

Sign off

  • 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.