Title Page
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Client / Site
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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?
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Is there a sign when floors are slippery, oily or wet?
Lighting
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Are lamp reflectors clean?
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Are bulbs missing?
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Are any areas dark?
Equipment
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Are guards, screens and sound-dampening devices in place and effective?
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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 ladders safe, and well maintained?
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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 machines properly guarded?
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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 wall and ceiling fixtures fastened securely?
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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 cabinet drawers loaded with their rated capacity?
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Are file cabinets loaded with the heaviest items in the bottom drawers?
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Are filing stools or wastebaskets placed in clear area?
Air Handling System
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Does air exchange rate meet standard requirements?
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Is the system free from sources of contamination (asbestos, microorganisms, dust, fumes)?
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Is humidity within standard range?
Bulletin Boards and Signs
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Are bulletin boards and signs clean and readable?
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Is the material changed frequently?
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?
Dangerous Substances
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Are there any controlled substances (e.g. WHMIS controlled products)?
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• Are the products properly labelled?
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• Is there a corresponding material safety data sheet (MSDS) for each product?
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• Are workers trained in how to use these products safely?
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
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• change rooms
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• potable water
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• field accommodations
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• lunchrooms
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Are measures in place to prevent the spread of disease?
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 storage shelves loaded with their rated capacity?
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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