Title Page

  • Company

  • Inspector

  • Conducted on

  • Location

General

  • Floors: clean, dry, free from debris, clutter and trip hazards

  • Signs are posted when floors are wet (e.g., when floors are washed, spills)

  • Stairs and hallways kept clear and unobstructed

  • Stairwells adequately lit; steps, treads, etc., in good condition

  • Furniture and office equipment secure from tipping; appropriate for work being done

  • Chairs in safe condition and are caster, rungs and legs sturdy <br> <br>

  • All equipment and supplies in their proper places

  • Carts, dollies, etc. available for use in transporting heavy objects and boxes

Exits, Entrances and Exterior Parking Lot

  • Doors are not blocked

  • Routes, signs and doors clearly marked; exit signs easy to see; outside entrances and parking lots are clearly lit

  • Walkways and parking lots are free from snow, ice, water, grease, etc.

Workplace Environment

  • Lighting levels adequate; work areas free from glare

  • Air quality adequate

  • Temperature and humidity adequate

Ergonomics

  • Heights of chairs and desks appropriate

  • Employee posture is being monitored

  • Seat depth, width, and height respect ergonomic requirements

  • The seating backrest offers the required support for the back

  • The seating surfaces free of sharp edges which could snag clothing or cause discomfort or injury

  • Seating comply with fire standards

  • Furniture easily accessible

  • Seat stable and has enough support points

  • The design and construction is robust and safe for use

  • Controls or moving parts can be operated without risk of trapping fingers

  • Seating upholstery is a breathable fabric

Fire Protection and Warning System

  • Emergency lighting; adequate lighting, tested and record of annual inspection

  • Portable fire extinguishers: appropriate type, readily available and inspected

  • Fire exit doors: in good repair, unlocked and free from obstruction (both sides)

  • Fire/emergency alarm systems operational; fire exit signs lit

  • Fire and evacuation plan is posted Workers know the plan (ask an employee)

Hygiene and First Aid

  • Washrooms are clean

  • Washing facility available (soap, warm water)

  • First aid kits: supply inventory; treatment log; first aid training manual

  • Employees know how to get first aid when needed (ask an employee)

Electrical

  • Extension cords are secured and in good condition (no exposed wires or bent prongs)

Security

  • Safe procedures and emergency procedures are in place

  • Emergency numbers for internal and external contacts are easily available

  • Training on workplace violence and harassment (ask an employee)

Completion

  • Additional recommendation

  • Full name & Signature of 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.