Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Prepared by (signature)

  • Location

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 an element 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.

Inspection Body

    New Lunchroom
  • Indicate the area under inspection.

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

  • Are sufficient and suitable fire extinguishers available?

  • Is the area clean and free of debris?

  • Are potable water sources functioning properly?

  • Is the area free of rodents or other pests?

  • Are waste receptacles available and usable?

  • Are waste receptacles covered?

  • Is the structure of the lunchroom in good condition?

  • Additional comments or notes

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.