Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Layout

  • Area is tidy & well kept

  • Adequate storage area provided

  • Floor free from obstructions

  • Floor coverings in good condition

Environment

  • Temperature is comfortable

  • Lighting is adequate

  • Lighting covers, fittings secure

  • Area free from odors

  • Noise level acceptable

  • Ventilation is adequate

Emergency procedures

  • Written procedures posted

  • Fire extinguisher easily accessible

  • Tag on extinguisher in date and extinguisher pressurised

  • Clear signs for visitors to report in. Visitor emergency guide available

  • Alarm can be heard in all areas

  • Escape routes clear

  • Emergency and hazard signage is clearly visible

First Aid Facilities

  • Kits accessible within 5 minutes

  • Kits are stocked and contents are in date

  • Names and contacts of First Aiders displayed

General Facilities

  • Washing facilities are clean and functional

  • Area is clean

  • Chemicals are labeled

  • EHS posters and information are displayed

  • Environmental Issues

Environmental Issues

  • Recycling posters and information displayed

  • Recycling bins provided

Manual Handling

  • Frequently used items within easy access

  • Heavy items stored at waist height

  • Safe steps available to access items stored on high shelves

  • Trolleys are available for heavy items and loads

Electrical safety

  • Portable equipment has current test tags

  • Power leads in good condition

  • Power leads are off the floor or away from walkways

  • Power boards used (not double adapters)

  • Faulty equipment is tagged out

Signed

  • Add signature

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.