Title Page

  • Conducted on

  • Prepared by

  • Location
  • Date:

  • Signature:

  • Location:

  • Completed By:

OFFICE LAYOUT AND EQUIPMENT

  • Floors and aisles clear and accessible

  • All fall hazards have been controlled (height, handrails etc)?

  • Are all floors free from trip hazards and clutter?

  • Are all carpeted/tiled areas free from rips and worn patches?

  • Doors and doorways kept clear

  • All areas clean and tidy

  • Adequate storage available

  • Walkways provide safe access and egress at all times

  • Filing cabinets, tall storage and overhead items secured

  • Electrical equipment safe – Safety switch tested at required timeframes

  • Any leads, sockets, plugs worn or damaged?

  • Disabled access available where required

  • Workstations safely set-up? Including chairs and computers

  • Slip trip and fall hazards around workstations removed

  • Archive boxes and other heavy item stored correctly (waist height)

  • Are bins emptied regularly

HYGIENE – LIGHTING, NOISE & THERMAL COMFORT

  • Adequate lighting available

  • Are there excessive noise internal/external

  • Temperature/atmosphere is appropriate (not hot, cold, stuffy or draughty)

  • Is air quality controlled?

BATHROOMS

  • Are all toilets in working order?

  • Is there adequate soap dispensers, paper towels and toilet rolls?

  • Are floors free from slip/trip hazards?

  • Are wheelchair accessible toilet facilities available?

  • Are the bathrooms clear of pests and mould?

KITCHEN

  • Are kitchens clean and clear of waste build up, pests and mould?

  • Is drinking water / treated tap water available?

  • Are floors free from slip/trip hazards?

  • Are kettles and hot urns in a safe location?

  • Is there adequate access to benches, tables and cupboards?

  • Stove top fume/ventilation hood is in working order (if available)

  • Is the fridge/freezer clear of spoilt food

  • Is a fire blanket available (if required)

FIRE SAFETY

  • Is a fire alarm system/smoke detector in place?

  • Are there adequate number of fire extinguishers? Are these tested and in date?

  • Are the locations of fire extinguishers indicated by signage?

  • Are all emergency exits clear from obstruction?

  • Do all exits have a lit emergency exit sign?

  • Is there a designated emergency exit for wheelchairs?

  • Are building emergency procedures / evac maps displayed?

  • Is a list of Fire Wardens available? (Photos optional)

  • Are staff aware of the evacuation area and procedure

HAZARDOUS SUBSTANCES

  • Is there a current hazardous substances register and Safety Data Sheets

  • Is an asbestos register available, if applicable

  • If asbestos is present do labels identify the asbestos areas

  • If asbestos is present are the walls/areas damaged

FIRST AID

  • Are there suitable first aid kits available and accessible

  • Are all kits fully stocked, and items in date

  • Is a list of First Aiders available? (Photos optional)

OUTDOORS AREA’S

  • Good general condition of building

  • Walkways provide safe access and egress at all times?

  • Are pathways and stairs, level, non-slip and uncluttered?

Other Safety Concerns

  • HSE Noticeboard current with up to date policies, toolbox talks etc

  • Is the preventative maintenance schedule up to date.

  • Any other identified hazards adequately controlled?

Manager Review:

  • By signing below you agree that the actions indicated will be reviewed and implemented to mitigate the identified hazard

  • Name:

  • Position:

  • Signature:

  • 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.