Title Page

  • Select date

  • Inspected by

  • Inspected by

  • H&S Representative Signature

  • Manager/Coordinator Signature


  • Are the Chairs, floor and table in good condition?

  • Are the relevant OHS&W Policy/Procedure SOP/JSA & SWP's available & accessible?

  • Is there access to a portable first aid kit?

  • Is there a clean water supply?

  • Is there adequate space?


  • Is the location & height adequate?

  • Is the type of sign appropriate?

  • Is the testing up to date?


  • Are safe work procedures being followed?

  • Are there adequate tools and equipment for the task?

  • Is the layout and general housekeeping/condition adequate?

Ablutions (Portable Toilet)

  • Is there a cleaning program in place?

  • Is there hand drying facilities avaliable?

  • Is the lighting and ventilation adequate?

Depot Yard

  • Is the area tidy and is there clear access to buildings?

  • Is the ground surface in good condition?

  • Is traffic control in place (signage and speed limits)?

  • Are bunkers & surrounding areas neat and tidy?


  • Are gates secure and lockable?

  • Is the height and width suitable?

  • Are padlocks in good condition?

Chemical Drum Compound

  • Is this area lockable?

  • Is the area tidy and drums within compound?

Extra Comments

  • Comments?

  • To be signed by WH&S Officer once Inspection completed and returned

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.