Title Page

  • Site conducted

Site Inspection

  • Location

GP ROOMS, TREATMENT ROOMS, COMMUNAL AREAS, OFFICES & HALLWAYS

  • All lights are working and lighting is adequate

  • Doors and windows open, close and lock

  • Power points and cords are in safe condition

  • Area is free of evidence of pests

  • Fire hoses, extinguishers are certified

  • Fire hose, extinguisher signage are clean and obvious

  • First aid kit are present, obvious and stocked

  • Areas are clean and tidy

  • Floors are in safe condition (slip, trip, fall)

  • First aid kit are present, obvious and stocked

  • Spill kit are accessible and stocked

  • Air conditioning is working (if installed)

  • Fire exits are clearly marked and unobstructed

  • Are there other hazards in this area?

  • List other Office & Corridor hazards

  • Hazard
  • undefined

KITCHEN / LUNCHROOM

  • Floors are in a safe condition (slip, trip, fall)

  • Areas, including benches, are clean and tidy

  • All lights are working and lighting is adequate

  • Worktops ergonomics are adequate

  • Doors and windows open, close and lock

  • Taps and sinks are clean and working

  • Power points and cords are in safe condition

  • Area is free of evidence of pests

  • Appliances (microwave, fridge, etc), are clean and working

  • Eating areas are hygienic

  • Adequate facilities per head of staff

  • Fire hoses, extinguishers are certified

  • Fire hose, extinguisher signage are clean and obvious

  • First aid kit are present, obvious and stocked

  • Are there other hazards in this area?

  • List other Kitchen/Lunchroom hazards

  • Hazard
  • undefined

TOILETS

  • Floors are in a safe condition (slip, trip, fall)

  • Areas are clean and tidy

  • All lights are working and lighting is adequate

  • Doors and windows open, close and lock

  • Power points and cords are in safe condition

  • Area is free of evidence of pests

  • Toilets are clean and working

  • Taps, basins, sinks, showers are clean and working

  • Soap and paper / air towels are available

  • Adequate facilities are per head of staff

  • Are there other hazards in this area?

  • List other Toilet/Washroom/Locker room hazards

  • Hazard
  • undefined

STORAGE ROOMS

  • Floor are in a safe condition (slip, trip, fall)

  • All lights are working and lighting is adequate

  • Doors open, close and lock<br>

  • Power points and cords are in safe condition

  • Area is free of evidence of pests

  • Taps are working, if applicable

  • Product are neatly stacked in racking, above 'pick face' is shrink wrapped

  • Are there other hazards in this area?

  • List other Warehouse/Coolstores hazards

  • Hazard
  • undefined

ADDITIONAL OBSERVATIONS AND COMMENTS

  • List additional observations and comments

  • Observation/Comment
  • undefined

Signature

  • Inspected by:

  • Select date

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.