Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location


  • Have corrective actions from the previous Monthly Inspection been completed?


  • Is the work area clean and tidy?

  • Are the floors clean and dry and in good condition?

  • Are pedestrian and vehicular traffic routes free from obstruction ?

  • Is the area free from obvious trip hazards in and around the working area ?

  • Are waste materials correctly stored (10m away from building perimeter) and correctly segregated?

Dust & Noise

  • Are there noticeable / visible dust, vapour, fume emissions in the workplace?

  • Are noise levels satisfactory?


  • Area asbestos containing materials in an undamaged condition?


  • Is the building structure sound and in good condition?

  • Security arrangements are adequate - boundary / perimeter fencing is secure?

Workplace Transport

  • Pre-use inspections of vehicles are being completed and recorded?

  • Seat-belt use is monitored and enforced?

  • Vehicles and Keys are left in a secure location when not in use?

  • Are floors and roadways in a suitable condition?

  • Vehicle and pedestrian segregation is effective?


  • RAMS are suitable and sufficient, communicated and signed for?

  • Permit to Work system utilised for all contractor activities?


  • Are electrical tools, sockets, plugs and cables in good condition?

  • Portable Appliance Testing in date and Items tagged?

  • Distribution Boards and Control Panels are secure?

Gas / LPG

  • Gas cylinders appropriately stored and secured?

  • Gas appliances are being checked on a yearly basis


  • Fire detection systems are being tested / maintained as required?

  • Emergency lighting is checked monthly (short duration test) and annually (full<br>test)?

  • Are all exits, call points and extinguishers free from obstruction and in good<br>condition?

First Aid

  • Are First Aiders identified and able to be quickly contacted?

  • Are First Aid kits / boxes adequately stocked?

Welfare Facilities

  • Clean welfare facilities available?


  • Is the correct PPE being used and worn correctly?

Storage Racking

  • Is the racking in an undamaged condition and materials safely stored?

Hazardous Substances (COSHH)

  • Are hazardous materials correctly stored?

Safety Signs and Information

  • Are all safety signs clear, unambiguous, and in good condition?

  • Are all notice boards up to date with relevant safety information?

Energy Consumption

  • Are there any unused areas or areas that are not always occupied lit?

  • Can lights be switched off to make use of natural daylight?

  • If there are spaces that are intermittently occupied, is there scope for automatic lighting controls?

  • Are there any external lights on during daylight hours?

  • Are all employee facilities being used appropriately and those not in use turned off? (i.e. air conditioning, heaters, fans, computers and computer screens)

Additional Hazards & Unsafe Acts

  • Can you confirm there were no additional hazards or unsafe acts observed<br>during the inspection?

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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.