Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Prepared by

  • Location
  • Was an additional party involved?

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

Inspection Instructions

  • 1) Compliance checks according to this inspection are to be completed on a instance-by-instance basis. For each instance of an element which is inspected, click the + icon in the top right corner of the inspection section to create a new set of fields. This should be done for each inspected instance.

    2) Where a process must be immediately corrected label it as unsafe. Where there is no immediate danger, apply the OFI Label.

    3) Any observed non-compliances should include both an action item and a description of the issue using the integrated functions.

    4) Where instances of non-conformance are observed which may pose an immediate threat to the well-being of workers or bystanders, pause the inspection and immediately stop work. Make a note of this in the inspection once the area has been made safe.

    5) While making records for this inspection, ensure that you are in a safe position to do so.

    6) For each area under review create a new inspection. For each sub-area or part of an area under review add a new section to the inspection.

Inspection Body

    Facility Inspection
  • Indicate the area under inspection.

  • Are emergency access/egress ways being kept clear of debris/clutter/combustibles/equipment?

  • Are floors and work surfaces being kept clean?

  • Are combustibles being removed in a timely manner?

  • Are work areas being left clean at the end of shift?

  • Is emergency response equipment in good operable condition?<br>(fire extinguishers, sprinkler systems, fire doors, emergency eyewash stations)

  • Are PPE cabinets stocked and clean?

  • Are monthly fire extinguisher inspection tags current?

  • Are spill kits available and sealed?

  • Are secondary containment systems for dangerous materials in place and intact?

  • Is access to work areas in good condition? (Scaffold, ladders, elevated work platforms)

  • Is equipment in good operable condition? (consider this in a general sense)

  • Is lighting appropriate for the tasks being completed?

  • General comments:

General Comments

  • Use this space to add any additional notes or findings which you feel need to be made in addition to the above criteria.

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.