Title Page
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Date and Time of Inspection
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Inspected by
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Location
Building
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Does the building conform to standards with respect to use, occupancy, building services, and plumbing facilities?
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Are doors and entrances clear from hazards and unobstracted?
Stairways and Aisles
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Are stairways and aisles clear and unblocked?
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Are stairways well lighted?
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Are handrails, handholds in place?
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Are the aisles marked and visible?
Floors
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Are floors free from loose material, debris, worn carpeting?
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Are floors clean?
Lighting
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Are lamp reflectors clean?
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Are all light fittings working correctly?
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Are dark area's fully lighted?
Kitchen Equipment
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Is the gas boiler in good condition and serviced?
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Is the microwave in good clean condition and PAT tested?
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Is the kettle in good clean condition and PAT tested?
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Is the fridge is good clean condition and PAT tested?
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Is the kitchen area clean and hygienic?
Welfare
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Is the drinks machine in good clean condition and PAT tested?
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Is the water dispenser in good clean condition and PAT tested?
Chemicals
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Are COSHH assessments in place (My Compliance website)?
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Are all chemicals correctly stored?
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Products/Chemicals are correctly labeled and readable
Equipment
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Are chairs free from worn?
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Are desks and cabinets free from sharp edges?
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Did ergonomics (keyboard elevation, chair adjustment) pass standard regulation?
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Are extension cords used extensively?
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Are electrical or telephone cords hidden in areas where employees walk?
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Are electrical wirings properly concealed?
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Are equipment free frrom sharp metal projections?
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Are paper and waste properly disposed of?
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Are desk and file drawers kept closed when not in use?
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Are office accessories in secure places?
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Are materials stacked on desks or cabinets?
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Are file cabinets loaded with the heaviest items in the bottom drawers?
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Are wastebaskets placed in clear area?
Bulletin Boards and Signs
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Are bulletin boards and signs clean and readable?
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Is the material in date and current?
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Health and safety policies displayed and in date
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HSE Health and Safety Law Poster displayed
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Electric shock and emergency treatment poster displayed
Emergency Equipment
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Are all fire control equipment regularly tested and certified?
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Are fire control equipment appropriate for the type of fire it must control?
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Is emergency lighting in place and regularly tested?
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Are fire doors kept closed?
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All escape routes unobstructed
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Fire safety notices displayed
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Fire alarms tested and log book completed
First Aiders and First Aid Equipment
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Is there a First Aiders name board on display?
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Is the First Aid Kit fully stocked and in date?
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Accident book in use?
Sanitation
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Are washrooms and food preparation areas clean?
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Are the following provided adequately?
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• toilets
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• showers
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• clothing storage
Material Storage
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Are materials neatly and safely piled?
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Are there stepladders or stools to get to materials on higher shelves?
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Are large and heavy objects stored on lower shelves?
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Are passageways and work areas clear of obstructions?
Security
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Do entry and exit procedures provide workers personal security at night?
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Are emergency (evacuation, fire, bomb threat, hostile person) procedures in place?
Completion
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Write some recommendations here
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Full Name and Signature of the Inspector