Title Page
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Site conducted
Site Inspection
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Location
GP ROOMS, TREATMENT ROOMS, COMMUNAL AREAS, OFFICES & HALLWAYS
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All lights are working and lighting is adequate
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Doors and windows open, close and lock
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Power points and cords are in safe condition
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Area is free of evidence of pests
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Fire hoses, extinguishers are certified
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Fire hose, extinguisher signage are clean and obvious
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First aid kit are present, obvious and stocked
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Areas are clean and tidy
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Floors are in safe condition (slip, trip, fall)
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First aid kit are present, obvious and stocked
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Spill kit are accessible and stocked
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Air conditioning is working (if installed)
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Fire exits are clearly marked and unobstructed
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Are there other hazards in this area?
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List other Office & Corridor hazards
Hazard
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KITCHEN / LUNCHROOM
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Floors are in a safe condition (slip, trip, fall)
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Areas, including benches, are clean and tidy
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All lights are working and lighting is adequate
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Worktops ergonomics are adequate
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Doors and windows open, close and lock
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Taps and sinks are clean and working
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Power points and cords are in safe condition
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Area is free of evidence of pests
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Appliances (microwave, fridge, etc), are clean and working
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Eating areas are hygienic
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Adequate facilities per head of staff
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Fire hoses, extinguishers are certified
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Fire hose, extinguisher signage are clean and obvious
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First aid kit are present, obvious and stocked
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Are there other hazards in this area?
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List other Kitchen/Lunchroom hazards
Hazard
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TOILETS
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Floors are in a safe condition (slip, trip, fall)
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Areas are clean and tidy
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All lights are working and lighting is adequate
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Doors and windows open, close and lock
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Power points and cords are in safe condition
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Area is free of evidence of pests
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Toilets are clean and working
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Taps, basins, sinks, showers are clean and working
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Soap and paper / air towels are available
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Adequate facilities are per head of staff
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Are there other hazards in this area?
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List other Toilet/Washroom/Locker room hazards
Hazard
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STORAGE ROOMS
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Floor are in a safe condition (slip, trip, fall)
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All lights are working and lighting is adequate
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Doors open, close and lock<br>
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Power points and cords are in safe condition
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Area is free of evidence of pests
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Taps are working, if applicable
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Product are neatly stacked in racking, above 'pick face' is shrink wrapped
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Are there other hazards in this area?
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List other Warehouse/Coolstores hazards
Hazard
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ADDITIONAL OBSERVATIONS AND COMMENTS
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List additional observations and comments
Observation/Comment
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Signature
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Inspected by:
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Select date