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

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.