Title Page

  • Date and Time of Inspection

  • Inspected by

  • Location

Building

  • Does the building conform to standards with respect to use, occupancy, building services, and plumbing facilities?

  • Are doors and entrances clear from hazards and unobstracted?

Stairways and Aisles

  • Are stairways and aisles clear and unblocked?

  • Are stairways well lighted?

  • Are handrails, handholds in place?

  • Are the aisles marked and visible?

Floors

  • Are floors free from loose material, debris, worn carpeting?

  • Are floors clean?

Lighting

  • Are lamp reflectors clean?

  • Are all light fittings working correctly?

  • Are dark area's fully lighted?

Kitchen Equipment

  • Is the gas boiler in good condition and serviced?

  • Is the microwave in good clean condition and PAT tested?

  • Is the kettle in good clean condition and PAT tested?

  • Is the fridge is good clean condition and PAT tested?

  • Is the kitchen area clean and hygienic?

Welfare

  • Is the drinks machine in good clean condition and PAT tested?

  • Is the water dispenser in good clean condition and PAT tested?

Chemicals

  • Are COSHH assessments in place (My Compliance website)?

  • Are all chemicals correctly stored?

  • Products/Chemicals are correctly labeled and readable

Equipment

  • Are chairs free from worn?

  • Are desks and cabinets free from sharp edges?

  • Did ergonomics (keyboard elevation, chair adjustment) pass standard regulation?

  • Are extension cords used extensively?

  • Are electrical or telephone cords hidden in areas where employees walk?

  • Are electrical wirings properly concealed?

  • Are equipment free frrom sharp metal projections?

  • Are paper and waste properly disposed of?

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

  • Are office accessories in secure places?

  • Are materials stacked on desks or cabinets?

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

  • Are wastebaskets placed in clear area?

Bulletin Boards and Signs

  • Are bulletin boards and signs clean and readable?

  • Is the material in date and current?

  • Health and safety policies displayed and in date

  • HSE Health and Safety Law Poster displayed

  • Electric shock and emergency treatment poster displayed

Emergency Equipment

  • Are all fire control equipment regularly tested and certified?

  • Are fire control equipment appropriate for the type of fire it must control?

  • Is emergency lighting in place and regularly tested?

  • Are fire doors kept closed?

  • All escape routes unobstructed

  • Fire safety notices displayed

  • Fire alarms tested and log book completed

First Aiders and First Aid Equipment

  • Is there a First Aiders name board on display?

  • Is the First Aid Kit fully stocked and in date?

  • Accident book in use?

Sanitation

  • Are washrooms and food preparation areas clean?

  • Are the following provided adequately?

  • • toilets

  • • showers

  • • clothing storage

Material Storage

  • Are materials neatly and safely piled?

  • Are there stepladders or stools to get to materials on higher shelves?

  • Are large and heavy objects stored on lower shelves?

  • Are passageways and work areas clear of obstructions?

Security

  • Do entry and exit procedures provide workers personal security at night?

  • Are emergency (evacuation, fire, bomb threat, hostile person) procedures in place?

Completion

  • Write some recommendations here

  • Full Name and Signature of the Inspector

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.