Title Page
-
Site conducted
-
Client / Site
-
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?
-
Is there a sign when floors are slippery, oily or wet?
Lighting
-
Are lamp reflectors clean?
-
Are bulbs missing?
-
Are any areas dark?
Equipment
-
Are guards, screens and sound-dampening devices in place and effective?
-
Are chairs free from worn?
-
Are desks and cabinets free from sharp edges?
-
Did ergonomics (keyboard elevation, chair adjustment) pass standard regulation?
-
Are ladders safe, and well maintained?
-
Are extension cords used extensively?
-
Are electrical or telephone cords hidden in areas where employees walk?
-
Are machines properly guarded?
-
Are electrical wirings properly concealed?
-
Are equipment free frrom sharp metal projections?
-
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 office accessories in secure places?
-
Are materials stacked on desks or cabinets?
-
Are file cabinet drawers loaded with their rated capacity?
-
Are file cabinets loaded with the heaviest items in the bottom drawers?
-
Are filing stools or wastebaskets placed in clear area?
Bulletin Boards and Signs
-
Are bulletin boards and signs clean and readable?
-
Is the material changed frequently?
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?
Dangerous Substances
-
Are there any controlled substances (e.g. WHMIS controlled products)?
-
• Are the products properly labelled?
-
• Is there a corresponding material safety data sheet (MSDS) for each product?
-
• Are workers trained in how to use these products safely?
Sanitation
-
Are washrooms and food preparation areas clean?
-
Are the following provided adequately?
-
• toilets
-
• showers
-
• clothing storage
-
• change rooms
-
• potable water
-
• field accommodations
-
• lunchrooms
-
Are measures in place to prevent the spread of disease?
Material Storage
-
Are materials neatly and safely piled?
-
Are there stepladders or stools to get to materials on higher shelves?
-
Are storage shelves loaded with their rated capacity?
-
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