NCSG Planned Workplace Office Inspection

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• 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

  Class A

  Class B

  Class C

  Class D

  Safe

• Stairwells well lit?

  Class A

  Class B

  Class C

  Class D

  Safe

• Handrails and handholds in place?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is emergency lighting availible?

  Class A

  Class B

  Class C

  Class D

  Safe

• Comments:

Reception Area

Floors

• Loose material or debris?

  Class A

  Class B

  Class C

  Class D

  Safe

• Floors slippery or wet?

  Class A

  Class B

  Class C

  Class D

  Safe

Lighting

• Are the areas well lit?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are bulbs missing?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are there areas that are dark?

  Class A

  Class B

  Class C

  Class D

  Safe

Equipment

• Furniture and equipment is safe?

  Class A

  Class B

  Class C

  Class D

  Safe

• Worn or badly designed chairs?

  Class A

  Class B

  Class C

  Class D

  Safe

• Sharp edges on cabinets or desks?

  Class A

  Class B

  Class C

  Class D

  Safe

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Crowding?

  Class A

  Class B

  Class C

  Class D

  Safe

• Extension cords overused?

  Class A

  Class B

  Class C

  Class D

  Safe

• Electrical cords etc creating tripping hazard?

  Class A

  Class B

  Class C

  Class D

  Safe

Material Storage

• Are materials neatly and safely piled?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are large and heavy objects stored on lower shelves?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are passageways and work areas clear of o obstructions?

  Class A

  Class B

  Class C

  Class D

  Safe

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Are there any tripping hazards?

  Safe

  At Risk

  N/A

• Are paper and waste properly disposed of?

  Safe

  At Risk

  N/A

• Are office accessories in a secure area?

  Yes

  No

  N/A

• Are materials stacked on desks or cabinets?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are file cabinet drawers overloaded?

  Yes

  No

  N/A

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the first aid kit clearly marked and accessible?

  Class A

  Class B

  Class C

  Class D

  Safe

• Comments

Offices/Workstations

• Is there loose material worn carpeting or debris?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are the floors slippery, oily or wet?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are Areas well lit?

  Yes

  No

  N/A

• extension cords use extensively?

  Safe

  At Risk

  N/A

• Electrical cords tripping hazard?

  Class A

  Class B

  Class C

  Class D

  Safe

• Materials safely and neatly piled?

  Yes

  No

  N/A

• Large and heavy objects stored on lower shelves?

  Yes

  No

  N/A

• Passageways clear of obstructions?

  Yes

  No

  N/A

• Drawers closed when not inn use?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Office accessories secure?

  Yes

  No

  N/A

• File cabinets overloaded?

  Safe

  At Risk

  N/A

Copier Stations

• Is there loos material, worn carpeting or debris?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are the floors slippery, oily or wet?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the area well lit?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the copier functioning correctly?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are extension cords used extensively?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are electrical cords creating tripping hazards?

  Safe

  At Risk

  N/A

• Are materials neatly and safely piled?

  Class A

  Class B

  Class C

  Class D

  Safe

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Are passageways clear of obstructions?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are drawer and cabinets closed when not in use?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are there any tripping hazards?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are materials stacked on desks or counters?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are counters clean and safe?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are there any controlled substances (WHMIS)?

  Class A

  Class B

  Class C

  Class D

  Safe

• If yes: are they properly labelled?

  Class A

  Class B

  Class C

  Class D

  Safe

Washrooms

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Are the floors slippery, oily or wet?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the area well lit?

  Class A

  Class B

  Class C

  Class D

  Safe

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Are there any controlled products (WHMIS)

  Class A

  Class B

  Class C

  Class D

  Safe

• If yes: are the products properly labelled?

  Class A

  Class B

  Class C

  Class D

  Safe

• Comments

Electrical Closet and Janitorial Closet

• Is there loose material worn flooring or debris?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are the floors slippery wet or oily?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are materials neatly and safely piled?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are large and heavy objects stored on lower shelves?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are passageways or work areas clear of obstructions?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the key available in case of emergency?

  Yes

  No

  N/A

• Are there any controlled substances (WHMIS etc.)

  Class A

  Class B

  Class C

  Class D

  Safe

• Are they properly labelled?

  Yes

  No

  N/A

• Are storage shelves overloaded?

  Class A

  Class B

  Class C

  Class D

  Safe

• Comments

Emergency Equipment

• Is all fire control equipment inspected and certified?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is emergency lighting in place and regularly tested?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are first aiders available in the area?

  Safe

  At Risk

  N/A

• Are first aid kits available and stocked?

  Class A

  Class B

  Class C

  Class D

  Safe

• Comments

Lunch Room

• Are food prep areas clean?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the safety board area neat and prominently marked?

  Yes

  No

  N/A

• Is the general notice board current?

  Yes

  No

  N/A

• Is noise protection availible?

  Yes

  No

  N/A

• Are there 'NO SMOKING' signs posted?

  Yes

  No

  N/A

• Is the lunch room well lit and adequately ventilated?

  Yes

  No

  N/A

• Is there a clear exit/access?

  Yes

  No

  N/A

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Are there any cords that employees could trip over?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is there loose material, worn flooring or debris?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the floor slippery, wet or oily?

  Class A

  Class B

  Class C

  Class D

  Safe

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

• If yes, are they properly labelled?

  Class A

  Class B

  Class C

  Class D

  Safe

Multi Purpose Rooms - Meeting Rooms

• Is there loose material worn flooring or debris?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are the floors slippery, wet or oily?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is the area well lit?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are bulbs missing?

  Class A

  Class B

  Class C

  Class D

  Safe

• Is necessary equipment in working order?

  Yes

  No

  N/A

• Are extension cords over used?

  Class A

  Class B

  Class C

  Class D

  Safe

• Do cords create a tripping hazard?

  Class A

  Class B

  Class C

  Class D

  Safe

• Are materials neatly and safely piled?

  Yes

  No

  N/A

• Are storage shelves overloaded or beyond their rated capacity?

  Class A

  Class B

  Class C

  Class D

  Safe

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

  Class A

  Class B

  Class C

  Class D

  Safe

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Are materials stacked on counters or desks?

  Safe

  At Risk

  N/A

• Are drawers and cupboards closed when not in use?

  Yes

  No

  N/A

• Are office accessories in a secure place?

  Yes

  No

  N/A

• Are file cabinet drawers overloaded?

  Safe

  At Risk

  N/A

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

  Class A

  Class B

  Class C

  Class D

  Safe

• If yes; are they properly labelled?

  Yes

  No

  N/A

• Comments

Air Handling System

• Is the temperature consistent?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Class A

  Class B

  Class C

  Class D

  Safe

• Comments

Other

• Comments