Monthly Workplace Safety Inspections-COMPASS HOMECARE

• MONTHLY WORKPLACE SAFETY INSPECTION

• MONTH/YEAR

  Date

• Prepared by

• Location
  Address

GENERAL AREAS

• Has inspection been completed for General work areas?

  Yes

  No

  N/A

• Use this audit to assess the following aspects of this site as Safe, At Risk or Not Applicable. Unsafe response indicate that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, particularly to At Risk items.

• Is area Safe?

  Safe

  At Risk

  N/A

Hazardous Substances

• Have hazardous substances been inspected?

  Yes

  No

  N/A

• Are there any risks?

  Yes

  No

  N/A

Electrical/Lighting Safety

• Has electrical safety been inspected?

  Yes

  No

  N/A

• Are there any risks?

  Yes

  No

  N/A

UPLOAD COMPLETED CHECKLIST

• Please upload the completed checklist for this month.

  Media

Sign Off

• Name & Signature of Inspector

  Sign