Title Page

  • Client / Site

  • Date of Inspection

  • Inspected by

  • Location

GENERAL

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

  • Is the building exterior properly lighted and are all parking and walking surfaces in good condition & free of debris and properly marked?

  • In winter is all ice and snow & cleared from all walking, parking & driving areas & de iced immediately?

  • Are doors and entrances clear from hazards and unobstracted?

  • Are doors and entrances kept unlocked or have suitable panic locks?

  • All ceiling tiles clean and in place [no water damage etc.]?

  • Is there an active safety & health program in place?

  • Is one person clearly in charge of safety & health issues [ competent person]?

  • Are emergency procedures and numbers as well as directions to nearest Doctor & Hospital posted?

  • Is there a procedure for handling complaints regarding safety and health?

  • All doors leading to restricted areas have proper signs?

  • Are bulletin boards and signs clean and readable?

  • Section notes

Floors

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

  • Are floors clean?

  • Is there a sign when floors are slippery, oily or wet?

  • Section notes

Lighting

  • Are lamp reflectors clean and fixtures in good condition?

  • Are bulbs missing or not working?

  • Are any areas dark?

  • Section notes

Office Equipment

  • Are chairs free from defects and in good operating order?

  • Are desks and cabinets free from sharp edges?

  • Are ergonomics (keyboard elevation, chair adjustment) correct?

  • Are electrical wiring properly concealed?

  • Are wall and ceiling fixtures fastened securely?

  • Are paper and waste properly disposed of?

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

  • Are materials improperly stacked on desks or cabinets?

  • Are file cabinet drawers loaded below their rated capacity and are cabinets secured to wall?

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

  • Section notes

ELECTRICAL / MECHANICAL SYSTEMS

  • ELECTRICAL / MECHANICAL SYSTEMS AUDITED?

  • Are HVAC filters changed & equipment serviced on a regular basis ?

  • Is the system free from sources of contamination (asbestos, microorganisms, dust, fumes)?

  • Only correct heavy duty electric cords used when temporary power is needed , no surge protector strips etc?

  • GFCI outlets [breakers] are used wherever needed??

  • All electric panels are marked & covered with 3' clear in front at all times?

  • All gas meters are marked properly with 3' clear and protected in front at all times?

  • All electric boxes are covered & marked & wiring is neat and correct ?

  • Is temperature, humidity & air quality correct and even throughout?

  • No portable heaters of fans permitted?

  • Section notes

Emergency Equipment & Procedures

  • Are all fire alarm systems and fire sprinkler systems regularly tested and certified?

  • Are all fire alarm systems pull stations kept clear and properly signed?

  • Are maps posted showing exit routes[u are here], pull station & fire extinguisher locations?

  • Is fire control equipment appropriate for the type of fire it must control and are employees trained to use it properly or are employees trained to leave the building immediately ?

  • Are emergency lights, exit signs and fire extinguishers tested & serviced on a regular basis with records kept?

  • Proper amount size, type and locations for fire extinguishers ?

  • are all fire exit doors and devices tested on a regular basis and recorded?

  • Are fire / emergency drills carried out on a regular basis and it the area of assembly clearly marked with competent person to check attendance?

  • Section notes

Dangerous Substances

  • Are there any controlled or dangerous substances?

  • • Are the products properly labelled with corresponding NFPA or SDS numbers?

  • • Are proper NFPA or SDS posters displayed?

  • • Is there a corresponding material safety data sheet (SDS) for each product &are they easily accessible to all workers?

  • • Are all hazardous chemicals stored separated and handled properly?

  • • Are proper cabinets used for storage and properly labeled as needed?

  • • Are gas cylinders stored and handled properly. is signage correct & visible?

  • • Are gas cylinders changed by a properly trained worker using proper PPE?

  • • Are workers trained in how to use, store & dispose of these products safely?

  • • Proper eye wash / emergency showers installed and tested on a regular basis and recorded?

  • • Proper PPE is easily available to all workers. all workers trained in proper PPE and its use?

  • • any gasoline or other fuel is stored in proper safety cans with NFPA labels and a fire extinguisher nearby?

  • Section notes

Sanitation

  • Lunch room, rest rooms audited?

  • Are washrooms and food preparation areas kept clean,with trash emptied regularly ?

  • • are toilets and wash areas kept clean and provide a rest [couch] section?

  • • showers provided if required?

  • • proper clothing storage provided if required

  • • change rooms if required

  • • clean cool drinking water provided

  • • lunchrooms with seating areas and refrigerator available, if a microwave is available fire extinguisher must be nearby

  • • field accommodations when needed

  • Are measures in place to prevent the spread of disease?

  • Section notes

Material Storage

  • Material storage audited [non hazardous]?

  • Are materials neatly and safely racked or shelved & marked?

  • Are there proper stepladders to get to materials on higher shelves if needed?

  • Are storage shelves loaded below their rated capacity?

  • Are storage shelves secure?

  • Are aisles and walk ways marked and kept clear at all times?

  • Are large and heavy objects stored on lower shelves?

  • Are passageways and work areas clear of obstructions?

  • Section notes

Security

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

  • are areas that need to be secure protected by selective entry systems [badges / codes, keys etc.]?

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

  • Section notes

Completion

  • Site Notes

  • Write any recommendations here

  • Full Name and Signature of the Inspector

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