Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Facility Representative

Information

Introduction

What you need to do?

  • It's report provides comments, photos of identified hazards.
    Items that show with a Risk Level of high, medium, or low need to be actioned by the committee.

    Please advise when items indicated for attention ore corrected so that we can mark it against our risk register.

Conclusion

  • If you have any questions or would like to discuss this inspection please contact....................................................................

First Aid

  • Is the first aid kit (if present) sufficiently stocked?

  • Risk Level

  • Are incident reports available?

  • Risk Level

  • Are rules and safety requirements made aware to all user groups?

  • Risk Level

General Housekeeping

  • Are floors clean, dry, and free from slip/trip hazards?

  • Risk Level

  • Is the facility free of old equipment, rubbish etc?

  • Risk Level

  • Are there no smoking signs visible throughout the facility?

  • Risk Level

  • Do all lights work?

  • Risk Level

Fire Prevention and Safety

  • Evacuation plan and procedures displayed?

  • Risk Level

  • Are emergency telephone numbers listed near the phone (if present) ?

  • Risk Level

  • Are emergency exit doors marked with illuminated signage?

  • Risk Level

  • Are emergency exits paths and doors clear of obstructions?

  • Risk Level

  • Wheelie bins secured and don't pose a fire risk?

  • Risk Level

  • Is the building clear of any combustible materials (bark, vegetation, rubbish etc) ?

  • Risk Level

Chemical Safety

  • Are there Material Safety Data Sheets available for all chemicals?

  • Risk Level

  • Are chemical containers labeled clearly?

  • Risk Level

  • Are flammable liquids stored correctly?

  • Risk Level

  • Is the storage area correctly signed?

  • Risk Level

  • If required is PPE available?

  • Risk Level

Security

  • Do all doors lock effectively with locks maintained and in good working order?

  • Risk Level

  • Are window locks in working order?

  • Risk Level

  • No cash kept on property, portable equipment stored securely and out of public view?

  • Risk Level

Property Maintenance

  • No nearby overhanging trees that need to be removed?

  • Risk Level

  • Is the building clear of noticeable water damage?

  • Risk Level

  • Is the building clear of noticeable storm damage?

  • Risk Level

Electrical Safety

  • Portable equipment tested and tagged by trained person?

  • Risk Level

  • Are switchboards secured?

  • Risk Level

  • Is there a carbon dioxide fire extinguisher next to the electrical switchboard?

  • Risk Level

  • Leads not frayed or damaged

  • Risk Level

  • No broken plugs, sockets or switches?

  • Risk Level

Washrooms and Changerooms

  • Are all amenities in working order?

  • Risk Level

  • Are rubbish bins provided and are they regularly emptied?

  • Risk Level

  • Are all surfaces clean and non slip?

  • Risk Level

  • Are soap and toilet paper provided in all toilets?

  • Risk Level

Notes

Sign Off

  • On site representative

  • Select date

  • Auditor's signature

  • Select date

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.