MSC Department -

• Document No.

• Department -

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Consultation

• Has a previous workplace inspection been reviewed?

  Yes

  No

  N/A

• Have all outstanding actions from the previous inspection been completed and closed?

  Yes

  No

  N/A

General Lighting

• Is there sufficient lighting to allow work to be undertaken effectively? (L)

  Yes

  No

  N/A

• Does the working environment minimise the amount of glare, contrast or reflections? (L)

  Yes

  No

  N/A

• Are all light fittings clean and in good condition?

  Yes

  No

  N/A

Electrical Safety

• Are all electrical plugs, sockets or switches clean and in good working order?

  Yes

  No

  N/A

• Are all leads, cables or cords in good condition? (No fraying, damaged or strained leads)

  Yes

  No

  N/A

• Are all electrical items using a single power point or a power board with overload switch?

  Yes

  No

  N/A

• Is all portable equipment or power tools tested, tagged and in good condition? (L)

  Yes

  No

  N/A

Building Safety

• Are all floor surfaces in good condition, even and free from obstruction and spillage?

  Yes

  No

  N/A

• Is there adequate floor covering provided for tasks that require standing for long periods? (e.g. Anti-fatigue matting)

  Yes

  No

  N/A

• Are all entry and walkways kept clear?

  Yes

  No

  N/A

• Are footpaths and stairways in good condition?

  Yes

  No

  N/A

• Are railings in good condition?

  Yes

  No

  N/A

• Is equipment and furniture maintained in good condition? (Seating, desks etc)

  Yes

  No

  N/A

• Where required are emergency shutdown procedures in place? (Isolating electricity or gas)

  Yes

  No

  N/A

Building Facilities

• Are there adequate supplies of soap, hand towels, rubbish bins and sanitary disposal units?

  Yes

  No

  N/A

• Are plumbing, air conditioning and water supplies (hot & cold) in good working condition? (No broken or damaged infrastructure)

  Yes

  No

  N/A

• Are facilities maintained and in a clean condition? (Includes kitchens, toilets, showers, change rooms and general areas) (L)

  Yes

  No

  N/A

• Are toilets clearly marked with lockable doors, adequate lighting and ventilation?

  Yes

  No

  N/A

• Are there adequate toilet facilities for workers with disabilities?

  Yes

  No

  N/A

Workstations and Benches

• Are chairs ergonomically sound and in good condition? (Five star bases for workstations)

  Yes

  No

  N/A

• Are desks/workstations in good condition? (No damage or sharp edges)

  Yes

  No

  N/A

• Is screen based equipment positioned to reduce glare from Windows etc?

  Yes

  No

  N/A

• Is the area clear of rubbish and in necessary clutter? (Clear access and egress)

  Yes

  No

  N/A

• Is the workstation height correct for the type of work and the employee?

  Yes

  No

  N/A

Plant/Equipment

• Are photocopies positioned to avoid fumes with sufficient ventilation where required?

  Yes

  No

  N/A

• Is the area and floors around the equipment kept clean and free from obstruction or spillage?

  Yes

  No

  N/A

Ladders

• Are all ladders maintained and in good condition? (Non household rated, check label)

  Yes

  No

  N/A

• Are ladders maintained and in good condition?

  Yes

  No

  N/A

Manual Handling

• Frequently used items are within easy access between knee and shoulder?

  Yes

  No

  N/A

• Heavy items stored at waist height?

  Yes

  No

  N/A

• Stepladders or safe steps available to access items on high shelves?

  Yes

  No

  N/A

• Trolleys are available for heavy items and loads?

  Yes

  No

  N/A

Fire Prevention

• Is the evacuation plan displayed and/or accessible in key locations throughout the workplace? (L)

  Yes

  No

  N/A

• Does the emergency evacuation plan illustrate the location of fire protection equipment, emergency exits and assembly points? (L)

  Yes

  No

  N/A

• Is the designated Emergency Warden signage displayed in appropriate areas and the wardens identifiable? (L)

  Yes

  No

  N/A

• Are extinguishers in place, and clearly marked for type of fire? (L)

  Yes

  No

  N/A

• Are extinguishers serviced every six months? (Check 6 monthly punch mark on tabs) (L)

  Yes

  No

  N/A

• Are extinguishers clear of obstructions?

  Yes

  No

  N/A

• Is extinguisher no more than 1200 mm max height and base not lower than 100mm?

  Yes

  No

  N/A

• Are Fire Extinguisher Indicators signs placed 2.1 m above floor level, above the fire extinguisher?

  Yes

  No

  N/A

• Is emergency exit lighting operable and adequate signage to indicate fire exits?

  Yes

  No

  N/A

• Are exit doors easily opened from inside and exits are free from obstruction?

  Yes

  No

  N/A

• Are emergency evacuation drills regularly undertaken to access the effectiveness of the emergency evacuation plan? (L)

  Yes

  No

  N/A

First Aid and Facilities

• Does the workplace have sufficient first aid facilities and emergency equipment to deal with the different types of emergencies that may arise?

  Yes

  No

  N/A

• Are cabinets/kits contents clean, orderly and clearly labelled?

  Yes

  No

  N/A

• Is all kit content compliant? (No contents are past their expiry date) (L)

  Yes

  No

  N/A

• Is there easy access to cabinets/kits? (L)

  Yes

  No

  N/A

• Are employees aware of location of first aid cabinets/kits?

  Yes

  No

  N/A

• Where applicable are defibrillator battery and pads are in date? (Check label on unit)

  Yes

  No

  N/A

• Is the designated First Aider signage displayed in appropriate areas and First Aider are identifiable? (L)

  Yes

  No

  N/A