HSE Site Inspection for slips trips and falls

• Conducted on

  Date

• Prepared by

• Birkenhead
  Address
• which section of the site?
  Address

Floors

• can water be walked onto smooth floors (e.g foyers) on rainy days?

  Yes

  No

  N/A

• are there any hard, smooth floors in wet or oily areas?

  Yes

  No

  N/A

• are there any leaks of fluids onto the floor from processes or machines?

  Yes

  No

  N/A

• is there any ice or water on cold room floors?

  Yes

  No

  N/A

• is the floor slippery when wet?

  Yes

  No

  N/A

• is there poor drainage causing pooling of fluids?

  Yes

  No

  N/A

• are any anti-slip paint, coating profiles or tapes worn smooth or damaged?

  Yes

  No

  N/A

• are there any isolated low steps (commonly at doorways)?

  Yes

  No

  N/A

• are there any trip hazards due to equipment and other objects left on the floor?

  Yes

  No

  N/A

• are there any raised carpet edges or holes worn in carpets

  Yes

  No

  N/A

• are there any tiles becoming unstuck or curling at the edges?

  Yes

  No

  N/A

• are there any holes or unevenness in the floor surface?

  Yes

  No

  N/A

• is there a build up of moss or other vegetation (weeds) on pathways?

  Yes

  No

  N/A

• is anything protruding into walkways e.g. tree branches?

  Yes

  No

  N/A

• are there any surface transitions not easily noticed ( any ridge that is as high as a sole of a shoe/footwear or higher)?

  Yes

  No

  N/A

• Yes

  No

  N/A

Stairs, Ladders and Ramps

• is the lighting insufficient for ramps, ladders or steps to be seen clearly?

  Yes

  No

  N/A

• is the lighting for ramps, ladders or steps creating glare?

  Yes

  No

  N/A

• do any steps have too small a rise or tread or an excessive step edge (nosing)?

  Yes

  No

  N/A

• are any step edges (nosing) slippery or hard to see?

  Yes

  No

  N/A

• is anti-slip edging in place?

  Yes

  No

  N/A

• are the steps uneven or are there excessive variations in step dimensions?

  Yes

  No

  N/A

• are handrails inadequate on stairs?

  Yes

  No

  N/A

• are ramps too steep or too slippery?

  Yes

  No

  N/A

• are ladders compliant hand have the appropriate back guard?

  Yes

  No

  N/A

• are any persons observed using stairs or ladders using 3 points of contact?

  Yes

  No

  N/A

• are ladders in good condition (i.e. not damaged, rusted or corroded )?

  Yes

  No

  N/A

• Yes

  No

  N/A

Lighting

• is there insufficient lighting in passageways, at flooring transitions, ramps or stairs?

  Yes

  No

  N/A

• does the lighting throw distracting shadows or produce excessive glare?

  Yes

  No

  N/A

• Yes

  No

  N/A

Housekeeping

• is there a build-up of polish on floors?

  Yes

  No

  N/A

• is there spills of product etc. on floors or walkways?

  Yes

  No

  N/A

• do workers have to walk on floors wet from washing?

  Yes

  No

  N/A

• are wet floor signs not available or not used correctly?

  Yes

  No

  N/A

• do you need to provide information/training/advice to contractors regarding cleaning procedures?

  Yes

  No

  N/A

• are paper, rubbish, dirt, or spills left on the floor?

  Yes

  No

  N/A

• are aisles poorly marked?

  Yes

  No

  N/A

• are aisles cluttered?

  Yes

  No

  N/A

• are there any trip hazards due to equipment and other movable objects left lying on the ground?

  Yes

  No

  N/A

• do spills ( wet or dry) occur regularly during work processes?

  Yes

  No

  N/A

• is the cleaning method appropriated for the floor surface?

  Yes

  No

  N/A

• is emergency equipment partially blocked?

  Yes

  No

  N/A

• Yes

  No

  N/A

Tasks

• do workers have to walk or work on greasy, oily or wet floors that are not adequately slip resistant?

  Yes

  No

  N/A

• do loads that are carried or pushed interfere with vision?

  Yes

  No

  N/A

• are the loads to be carried excessive or likely to upset a person's balance?

  Yes

  No

  N/A

• do heavy trolleys or other equipment have to be pushed up ramps?

  Yes

  No

  N/A

• are workers hurried due to time constraints?

  Yes

  No

  N/A

• do workers required training in the procedures for dealing with slips and trips hazards?

  Yes

  No

  N/A

• are workers following 3 points of contact when using ladders or stairs?

  Yes

  No

  N/A

• are workers using 3 points of contact when entering or exiting plant/equipment?

  Yes

  No

  N/A

• Yes

  No

  N/A

Footwear

• do the workers' safety shoes lack grip?

  Yes

  No

  N/A

• do workers require slip resistant footwear?

  Yes

  No

  N/A

• are the tread patters on footwear clogged with dirt?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A