Title Page
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Conducted on
Walking Surfaces
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The area is tidy and well kept?
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Walkways free of obstacles?
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Is floor free of obstructions?
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Cords anchored or covered?
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Floor coverings in good condition?
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Signage posted if floors are wet?
Furniture & Office Equipment
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In good mechanical condition?
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Properly assembled and adjusted?
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Items secured from tipping?
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Employees instructed on safe/proper use?
Bookcases, Shelves & Cabinets
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Secured from tipping?
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In good condition?
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Drawers closed when not in use?
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Material safely stacked and stored?
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Heavier items between knuckle and shoulder height?
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Step stools/ ladder available if needed?
Indoor Air Quality
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Ventilation systems regularly inspected, tested and maintained?
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Air inlets and exhaust free of accumulation of dust and mould?
Housekeeping
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Surface dust levels low?
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Material neatly and safely piled?
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The waste container is sufficient and there is no overflowing garbage?
Worker Awareness (ask nearest staff member)
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Workers know how to report an accident or a hazard?
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Workers know the evacuation procedure?
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Workers know whom to contact for first aid assistance?
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Workers know the location of fire extinguishers?
Fire Prevention
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Extinguishers available & accessible?
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Extinguishers tag dated monthly?
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Fire exits clear?
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Emergency numbers close to all phones?
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Fire doors closed?
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Fire exits lit?
Electrical Safety
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Electrical Outlets not overloaded?
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Electrical cords in good condition?
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Access to electrical panels is clear and unobstructed?
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Electrical cords secure?
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Test and tag in date
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Faulty equipment is tagged out?
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Electrical Faceplates secure?
First Aid and Emergencies
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Warden list posted in visible locations and current?
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First aid kits available?
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List of First Aiders posted in visible locations and current?
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Defibrillator accessible and function testing log completed weekly.
Ergonomics
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Chairs fully adjustable (seat and back)?
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Monitors adjusted to the right height (Top of the screen should be at eye level)?
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Footrest available if required?
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Chairs are set-up so that the thighs are parallel to the floor?
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Are frequently used items located within the person’s primary zone?
Completion
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Any other observations or recommendations
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Full Name and Signature of the Inspector
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Full Name of second Inspector