Title Page
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Work Location
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Conducted on
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Personnel
Office
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Health & Safety notice boards available with relevant information
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Emergency persons names / photos displayed i.e. Safety Reps, First Aid Attendants, emergency wardens
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Facility Emergency Management Plan available containing correct information, staff have signed acknowledgement section
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Emergency wardens have completed relevant training<br>
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Incident reporting forms (Staff and Public) available
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Fire extinguishers available, serviceable & correctly identified. Access to all fire extinguishers unobstructed
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Entry & exits clearly marked with illuminated signs and unobstructed
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Emergency equipment adequate and available; first aid facilities available with adequate amount of replenishments
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All walkways clear from unnecessary obstructions
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Materials stored correctly to ensure manual handling is minimized
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Bins provided & emptied regularly
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Electrical Equipment in good working order, tested and tagged
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Floor surfaces secure ie carpet, tiles in good order.
Amenities
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Kitchen area clean and tidy
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Toilets clean and tidy, hand wash, soap, paper towel is available
Sign Off
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Select date
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Name:
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Signature: