Monthly Health and Safety Inspection - Checklist

• Document No.

• Audit Title

• Branch / Site

• Area

  Select Trampoline Area Tag Arena Party Room Billiard Area Kiddie Rides Area Cash Counter F&B Storage Room Server Room Electrical Room Management Office Bowling Area Bowling Machine Room Storage Area Corridor Active Climb Storage Room

  • Trampoline Area
  • Tag Arena
  • Party Room
  • Billiard Area
  • Kiddie Rides Area
  • Cash Counter
  • F&B Storage Room
  • Server Room
  • Electrical Room
  • Management Office
  • Bowling Area
  • Bowling Machine Room
  • Storage Area Corridor
  • Active Climb
  • Storage Room

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• An up-to-date health and safety policy statement is posted.

  Yes

  No

  N/A

• A harassment policy is posted.

  Yes

  No

  N/A

• Employee responsibilities are posted.

  Yes

  No

  N/A

• Management responsibilities are posted.

  Yes

  No

  N/A

• Health and safety meetings are held monthly and minutes are posted.

  Yes

  No

  N/A

• The Occupational Health and Safety Regulation (the Regulation) is available and accessible.

  Yes

  No

  N/A

• An up-to-date pipeline poster is posted.

  Yes

  No

  N/A

• Fire exits and signs are operable.

  Yes

  No

  N/A

• Fire exits are accessible.

  Yes

  No

  N/A

• Fire extinguishers are checked annually.

  Yes

  No

  N/A

• Last checked:

  Date

• Emergency lighting is operable.

  Yes

  No

  N/A

• A fire procedure is posted.

  Yes

  No

  N/A

• Trained fire marshals are identified.

  Yes

  No

  N/A

• The fire marshals are:

• A fire drill is conducted annually.

  Yes

  No

  N/A

• Last drill held:

  Date

• Branch fire retardant system is inspected semi-annually.

  Yes

  No

  N/A

• Date last inspected:

  Date

• The exhaust and grease ventilation system is cleaned semi-annually and marked with a sticker.

  Yes

  No

  N/A

• Date last cleaned

  Date

• Staff room are checked every month.

  Yes

  No

  N/A

• Date last checked:

  Date

• Plugs and cords on all electrical equipment are in good repair.

  Yes

  No

  N/A

• Circuit breaker panels are clearly marked and labelled.

  Yes

  No

  N/A

• Lockout capacity for all electrical panels and lockout procedures are posted.

  Yes

  No

  N/A

• Procedures for working alone are posted.

  Yes

  No

  N/A

• Emergency phone numbers are posted on all phones.

  Yes

  No

  N/A

• Loads are carried close to the body between waist and chest level.

  Yes

  No

  N/A

• High reach areas have been identified and appropriately equipped (for example, with footstools, steps at pass through, and ladders).

  Yes

  No

  N/A

• Heavy items are stored between waist and shoulder heights.

  Yes

  No

  N/A

• Employees use two hands to handle heavy items.

  Yes

  No

  N/A

• Dollies, carts, and trays are available and used to carry heavy loads.

  Yes

  No

  N/A

• "Preventing Strains and Sprains" posters are up.

  Yes

  No

  N/A

• "Clean as you go" is practiced.

  Yes

  No

  N/A

• Work areas are clear and well organized.

  Yes

  No

  N/A

• Spills are wiped up immediately.

  Yes

  No

  N/A

• Garbage cans are emptied frequently to prevent overflow.

  Yes

  No

  N/A

• "Wet Floor" signs are available and used.

  Yes

  No

  N/A

• Floors and carpets are in good condition.

  Yes

  No

  N/A

• Footwear is slip resistant, closed toe, and in good condition.

  Yes

  No

  N/A

• "Walk, don't run" is practiced, and employees say "behind."

  Yes

  No

  N/A

PPE (personal protective equipment)

• Correct type for hazard identified?

  Yes

  No

  N/A

• Good condition?

  Yes

  No

  N/A

• Correctly stored?

  Yes

  No

  N/A

Machinery

• All guards in place?

  Yes

  No

  N/A

• Kept clean of rubbish?

  Yes

  No

  N/A

• Emergency stop buttons fitted?

  Yes

  No

  N/A

• Safety warning notices in place?

  Yes

  No

  N/A

• Risk assessment in place?

  Yes

  No

  N/A

• Accidents are investigated using an Incident Investigation Form and followed up on to prevent recurrence.

  Yes

  No

  N/A

• The number of accidents is reviewed monthly.

  Yes

  No

  N/A

• Maintenance records are available.

  Yes

  No

  N/A

• First aid certificate holders are identified by posted hard copies of certificates

  Yes

  No

  N/A

• A first aid certificate holder is on duty at all times.

  Yes

  No

  N/A

• An appropriate first aid kit is accessible to all employees, and is kept clean, dry, and fully stocked according to Regulation standards.

  Yes

  No

  N/A

• A first aid log book is complete, up-to-date, and kept in the first aid kit.

  Yes

  No

  N/A

• First Aid room ready all the time.

  Yes

  No

  N/A

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