JHSC/Management Workplace Inspection - Edward Office, Fixture Storage, Service Area & Floors

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date Audit Conducted

  Date

Office

• Are Sales/Purchasing, Accounting and IT areas clean and organized?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Are Kitchen, Meeting Room and Photocopy areas clean and organized?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Is Engineering Area clean and organized?<br><br><br><br>

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Are HR and CMM areas cleaned and organized?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Is Traffic/Materials office area cleaned and organized?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

Fixture Storage

• Are Emergency doors accessible?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Is fire extinguisher in place and has been inspected in the past month?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Is sprinkler station accessible?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Is fixture area clean and organized?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Are walkways blocked?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

Maintenance Area

• Is General housekeeping in this area being maintained?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Floors are clean and dry with no signs of spill?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Is flammable cabinet accessible and not blocked?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Is flammable storage cabinet grounded?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Are correct materials in flammable storage cabinet? No combustibles in flammable cabinet.

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Chemicals are placed within secondary containment?

  Yes

  No

  N/A

Floors

• Are floors clean, orderly and in good sanitary condition?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Are floors free of skip, trip or fall hazards?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Are floor areas free of protrusions, nails etc?

  Safe

  Unsafe - Hazard Class A (Major)

  Unsafe - Hazard Class B (Serious)

  Unsafe - Hazard Class C (Minor)

  N/A

• Worker(s) Contacted

• HAZARD CLASS DEFINED Unsafe - Hazard Class A (Major) -A condition or practice likely to cause permanent disability, loss of life or body and or extensive loss of structure, equipment or material ( To be corrected immediately) Unsafe - Hazard Class B (Serious) -A condition or practice likely to cause injury or illness, resulting in temporary disability or property damage that is disruptive but not extensive. (To be corrected within 24-72 hours) Unsafe - Hazard Class C (Minor) - A condition or practice likely to cause minor, non-disabling injury or illness or non-disruptive property damage. (To be placed on action plan)

• Supervisor's Signature

  Sign

• Auditor's Signature

  Sign

• Corrective Action(s) to be taken