Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • At the start of the day walk through the office to determine the unnecessary energy being consumed overnight and create an action to initiate an investigation to determine how to be more efficient

Office area

  • Are the lights on?

  • Are the lights on sensors?

  • Is there signage to remind people to turn off the lights?

  • Are TV screens on?

  • Is the TV wall switch accessible?

  • Is there signage to remind people to turn off the TV screens?

  • Are the TV screens on standby?

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the screens properly?

  • Are computer monitors left on?

  • Is the monitor wall switch accessible?

  • Is there signage to remind people to turn off the monitors properly?

  • Are the screens left on standby?

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the monitors properly?

  • Are battery chargers left on?

  • Is the charger wall switch accessible?

  • Is there signage to remind people to turn off the battery chargers overnight properly?

  • There is an increased risk of fire when leaving batteries on charge for long periods of time

Heating/ Cooling

  • What is the heating/ cooling source?

  • Please specify heating type

  • Is there a valid reason for this heating/ cooling source to remain on? e.g. server rooms, critical temperature control

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the heating/ cooling source properly?

  • Please specifiy why this heating/ cooling course must remain on

  • Has the air conditioning unit been left on?

  • Is there a valid reason for the air conditioning to remain on? e.g. server rooms, critical temperature control

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the air conditioning properly?

  • What is the reason that the air conditioning must remain on?

  • Has the heating been left on?

  • Is there a valid reason for the heating to remain on? e.g. server rooms, critical temperature control

  • Is the central heating on a timer?

  • Is the central heating timer set correctly?

  • Is there signage to remind people to control the central heating properly?

  • What is the reason that the air conditioning must remain on?

  • Have the portable heaters been left on?

  • Portable heaters are more likely to overheat and become a fire risk. If temperature control is critical, a different heating source should be used

  • Is there a valid reason for the portable heaters to remain on? e.g. server rooms, critical temperature control

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the portable heaters properly?

  • What is the reason that the air conditioning must remain on?

Waste Management

  • Is the waste in the office segregated into streams?

  • Are the waste streams being adequately followed?

  • Are there adequate waste receptacles?

  • Is there signage to demonstrate suitable waste disposal?

Kitchen Area

Food storage

  • Chose your region

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  • Is the refrigerator energy efficient?

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  • Is the refrigerator energy efficient?

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  • Is the refrigerator energy efficient?

  • Is the refrigerator door adequately closed?

  • Is the temperature set inside the refrigerator at a suitable temperature? i.e. not too cold and over running?

  • Is the food in the refrigerator within use by/ best by date?

  • Is there a policy of food disposal?

  • Is there a reduction of food waste policy?

  • Are dry goods stored adequately to reduce food waste?

Appliances

  • Is the coffee machine on?

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the coffee machine overnight properly?

  • Is the dishwasher machine on?

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the dishwasher overnight properly?

  • Is the microwave on?

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the Microwave overnight properly?

  • Is the oven/ grill on?

  • Is the wall switch accessible?

  • Is there signage to remind people to turn off the oven/grill overnight properly?

  • These appliances generate heat and could cause potential fire risk and should be turned off overnight

Crockery/ Cutltery

  • Is re-useable cutlery used?

  • What type of cutlery is used?

  • Consider replacing plastic cutlery with a sustainable material or re-useable cutlery

  • Consider replacing wooden cutlery re-useable cutlery

  • Please specify your response to what other cutlery is used

  • What type of re-useable cutlery is used?

  • Are paper cups used?

  • Are paper cups recycled/ disposed of adequately?

  • Are paper cups manufactured from recycled materials?

  • Are paper cups compostable?

  • Are disposable plastic cups used?

  • Are plastic cups recycled/ disposed of adequately?

  • Are plastic cups manufactured from recycled materials?

  • Are plastic cups compostable?

  • Are reusable ceramic/ glass cups used?

  • Please explain what drinking receptacles are used, including their environmental impact (positive or negative)

Sign off

  • Name and signature of inspector

  • All of the responses have been completed to the best of my knowledge and opportunities to improve energy efficiencies have been actioned

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.