Information

  • Inspection No.

  • Conducted on

  • Personnel present at time of Inspection

Inspection Information

  • Facility Inspected

  • Departments Inspected

1.0 Previous inspections

  • Has the previous workplace inspection sheet been reviewed?

  • Are there any outstanding/not completed items on previous inspection?

  • Are there any repeat items?

  • Tap to enter information
  • List item(s)

2.0 Electrical

  • Is the area around electrical panels clear of debris and obstructions?

  • Tap to enter information
  • There must be a 1 metre area clear around electrical panels

  • Is all electrical equipment in good condition? (no frayed or damaged cords, broken outlets?)

  • Are extension cords used only for temporary power needs?

3.0 General Lighting

  • Is the area well lit?

  • Are there any dark areas?

4.0 Housekeeping

  • Is the floor clear of loose material, pallets, debris, worn carpeting?

  • Are the floors clear of anything slippery, oily or wet?

5.0 Stairways, Hallways & Aisles

  • Are stairwells clear and unblocked?

  • Tap to enter information
  • Take photo

  • Are the stairs in good repair?

  • Are the stairways well lighted?

  • Are the handrails, handholds in place?

  • Are mirrors installed at blind corners?

6.0 Materials Handling & Storage

  • Are storage areas free from tripping hazards?

  • Tap to enter information
  • Take picture of area

  • Do materials interfere with walkways?

  • Are materials stored neatly and safety piled?

  • Are there stepladders or stools to get to materials on higher shelves

  • Are storage shelves overloaded?

  • Are heavy and large objects stored on lower shelves?

7.0 WHMIS

  • Are there WHMIS materials used in the area?

  • Tap to enter information
  • Is there a current MSDS (less than 3 years old) for the product(s) available?

  • Tap to enter information
  • Advise Department Supervisor to update MSDS inventory on Mr. MSDS database

  • Are there secondary containers used?

  • Tap to enter information
  • Picture of Secondary container

  • Are there Workplace Labels used?

  • Tap to enter information
  • Are the labels available and up to date?

  • Is there an eyewash station or eyewash bottle near by?

  • Tap to enter information
  • Is there a tap or sink near by?

  • Picture of eye wash bottle/station

8.0 Equipement

  • Are elevating / lifting devices used only within capacity?

  • Tap to enter information
  • Are capacities posted on the equipment?

  • Tap to enter information
  • Advise Department Supervisor

  • Are lifting devices inspected yearly and the inspection listed on the device?

  • Tap to enter information
  • Are the Inspection records shared on the P:drive?

  • Tap to enter information
  • Yearly inspection records must be keep showing; date of inspection, lifting capacity of the device

  • Take picture of the inspection sticker

  • Do operators have their current lift ticket on their person?

  • Tap to enter information
  • Operators must have proof of training in order to operate equipment

  • Are chain hoists, ropes and slings marked for load capacity?

9.0 Warehouse & Shipping

  • Are dock platforms, bumpers, stairs and steps in good condition?

  • Is there signage for drivers to chock their tires?

  • Is racking in good condition (no visable damage, missing braces?)

  • Does the racking have a load capacity sticker?

  • Take picture of load capacity sticker on racking

10.0 Training

  • Do associates have their Departmental Safety Training Passport on their person?

  • Tap to enter information
  • Associates Supervisor

  • Are training records current

  • Tap to enter information
  • Advise Department Supervisor that training must up to date

  • On a scale of 1 to 10 how well do you know your "Right to Refuse" unsafe work?

11.0 Safety Talks Audit Questions

  • Have you had any Safety Talks training in 2015?

  • Which Safety Talks have you had in 2015?

Observed Hazards

  • Hazards observed during inspection

  • Hazard observed
  • What is the hazard Observed?

  • Hazard Class

  • Any Class A hazard must be reported to Departmental VP and corrected within 24 hours
    Class B Hazards must be reported to Departmental Manager and corrected or addressed within 7 days
    Class C hazards must be reported to Departmental Manager and corrected or addressed within 21 days

  • Additional Comments

  • Signature of Inspecting Committee Member

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