Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Floors
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Are floors free of water, ice, oil or other fluids?
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Are floor surfaces even (eg no loose tiles or carpet that is torn or has ridges or holes)?
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Are ramps designed to prevent slips and falls?
Housekeeping
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Are walkways and doorways clear of boxes, extension cords and litter?
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Are spills cleaned up immediately?
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Are the responsibilities for cleaning floors, clearing work areas and walkways clearly specified?
Stairs
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Are there any stairs on your premises?
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Are stairways kept clear of boxes, extension cords and litter?
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Is the tread on stairs adequate to minimise slipping?
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Is the tread on each stair adequate?
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Are hand-rails adequate?
Lighting
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Are work areas, walkways and stairs well lit?
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Does the lighting enable workers to move between indoor and outdoor tasks safely?
Footwear
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Is the footwear worn by workers suitable for the workplace?
Final comments
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Additional Comments - Is there anything else you would like us to know?
