Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Hazards are rated as:
    Class A (a condition or practice likely to cause permanent disability, loss of life, extensive damage or negative environment impact) must be corrected immediately
    Class B (a condition or practice likely to cause temporary disability or disruption to property or environmental damage) must be corrected within 14 days
    Class C (a condition likely to cause minor injury or damage) must be corrected within 14 days
    Class D (housekeeping issues) must be corrected within 30 days

Hallways Entrances and Stairways

  • Clear and unblocked

  • Stairwells well lit?

  • Handrails and handholds in place?

  • Is emergency lighting availible?

  • Comments:

Reception Area

Floors

  • Loose material or debris?

  • Floors slippery or wet?

Lighting

  • Are the areas well lit?

  • Are bulbs missing?

  • Are there areas that are dark?

Equipment

  • Furniture and equipment is safe?

  • Worn or badly designed chairs?

  • Sharp edges on cabinets or desks?

  • Poor ergonomics? (height if chair, keyboard elevation, etc.)

  • Crowding?

  • Extension cords overused?

  • Electrical cords etc creating tripping hazard?

Material Storage

  • Are materials neatly and safely piled?

  • Are large and heavy objects stored on lower shelves?

  • Are passageways and work areas clear of o obstructions?

  • Are desk and file drawers kept closed when not in use?

  • Are there any tripping hazards?

  • Are paper and waste properly disposed of?

  • Are office accessories in a secure area?

  • Are materials stacked on desks or cabinets?

  • Are file cabinet drawers overloaded?

  • Are file cabinets loaded with the heaviest items in the bottom drawers? l

  • Is the first aid kit clearly marked and accessible?

  • Comments

Offices/Workstations

  • Is there loose material worn carpeting or debris?

  • Are the floors slippery, oily or wet?

  • Are Areas well lit?

  • extension cords use extensively?

  • Electrical cords tripping hazard?

  • Materials safely and neatly piled?

  • Large and heavy objects stored on lower shelves?

  • Passageways clear of obstructions?

  • Drawers closed when not inn use?

  • Is the furniture safe? (no sharp edges, chairs in good condition, ergonomics, etc.)

  • Office accessories secure?

  • File cabinets overloaded?

Copier Stations

  • Is there loos material, worn carpeting or debris?

  • Are the floors slippery, oily or wet?

  • Is the area well lit?

  • Is the copier functioning correctly?

  • Are extension cords used extensively?

  • Are electrical cords creating tripping hazards?

  • Are materials neatly and safely piled?

  • Are large and heavy items stored on the lower shelves?

  • Are passageways clear of obstructions?

  • Are drawer and cabinets closed when not in use?

  • Are there any tripping hazards?

  • Are materials stacked on desks or counters?

  • Are counters clean and safe?

  • Are there any controlled substances (WHMIS)?

  • If yes: are they properly labelled?

Washrooms

  • Is there loose material, debris or worn flooring?<br>

  • Are the floors slippery, oily or wet?

  • Is the area well lit?

  • Are supplies adequate? (toilet paper, soap, etc)

  • Are there any controlled products (WHMIS)

  • If yes: are the products properly labelled?

  • Comments

Electrical Closet and Janitorial Closet

  • Is there loose material worn flooring or debris?

  • Are the floors slippery wet or oily?

  • Are materials neatly and safely piled?

  • Are large and heavy objects stored on lower shelves?

  • Are passageways or work areas clear of obstructions?

  • Is the key available in case of emergency?

  • Are there any controlled substances (WHMIS etc.)

  • Are they properly labelled?

  • Are storage shelves overloaded?

  • Comments

Emergency Equipment

  • Is all fire control equipment inspected and certified?

  • Is emergency lighting in place and regularly tested?

  • Are first aiders available in the area?

  • Are first aid kits available and stocked?

  • Comments

Lunch Room

  • Are food prep areas clean?

  • Is the safety board area neat and prominently marked?

  • Is the general notice board current?

  • Is noise protection availible?

  • Are there 'NO SMOKING' signs posted?

  • Is the lunch room well lit and adequately ventilated?

  • Is there a clear exit/access?

  • Is the lunchroom free of hazards? (worn frayed cables, poorly maintained appliances or overloaded plug ins or power packs)

  • Are there any cords that employees could trip over?

  • Is there loose material, worn flooring or debris?

  • Is the floor slippery, wet or oily?

  • Are the waste disposal facilities emptied and contents removed for disposal?

  • Are there any controlled substances (WHMIS), etc)

  • If yes, are they properly labelled?

Multi Purpose Rooms - Meeting Rooms

  • Is there loose material worn flooring or debris?

  • Are the floors slippery, wet or oily?

  • Is the area well lit?

  • Are bulbs missing?

  • Is necessary equipment in working order?

  • Are extension cords over used?

  • Do cords create a tripping hazard?

  • Are materials neatly and safely piled?

  • Are storage shelves overloaded or beyond their rated capacity?

  • Are large or heavy objects stored on the bottom shelves?

  • Are passageways and work areas free of obstructions?<br>

  • Are materials stacked on counters or desks?

  • Are drawers and cupboards closed when not in use?

  • Are office accessories in a secure place?

  • Are file cabinet drawers overloaded?

  • Are there any controlled substances? (WHMIS etc.)

  • If yes; are they properly labelled?

  • Comments

Air Handling System

  • Is the temperature consistent?

  • Is the temperature at a comfortable level? (between 19 and 22 degrees Celsius)

  • Is the system free of contamination? (dust, fumes, etc)

  • Comments

Other

  • Comments

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.