Title Page
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Company
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Inspector
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Conducted on
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Location
General
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Floors: clean, dry, free from debris, clutter and trip hazards
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Signs are posted when floors are wet (e.g., when floors are washed, spills)
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Stairs and hallways kept clear and unobstructed
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Stairwells adequately lit; steps, treads, etc., in good condition
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Furniture and office equipment secure from tipping; appropriate for work being done
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Chairs in safe condition and are caster, rungs and legs sturdy <br> <br>
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All equipment and supplies in their proper places
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Carts, dollies, etc. available for use in transporting heavy objects and boxes
Exits, Entrances and Exterior Parking Lot
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Doors are not blocked
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Routes, signs and doors clearly marked; exit signs easy to see; outside entrances and parking lots are clearly lit
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Walkways and parking lots are free from snow, ice, water, grease, etc.
Workplace Environment
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Lighting levels adequate; work areas free from glare
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Air quality adequate
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Temperature and humidity adequate
Ergonomics
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Heights of chairs and desks appropriate
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Employee posture is being monitored
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Seat depth, width, and height respect ergonomic requirements
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The seating backrest offers the required support for the back
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The seating surfaces free of sharp edges which could snag clothing or cause discomfort or injury
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Seating comply with fire standards
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Furniture easily accessible
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Seat stable and has enough support points
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The design and construction is robust and safe for use
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Controls or moving parts can be operated without risk of trapping fingers
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Seating upholstery is a breathable fabric
Fire Protection and Warning System
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Emergency lighting; adequate lighting, tested and record of annual inspection
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Portable fire extinguishers: appropriate type, readily available and inspected
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Fire exit doors: in good repair, unlocked and free from obstruction (both sides)
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Fire/emergency alarm systems operational; fire exit signs lit
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Fire and evacuation plan is posted Workers know the plan (ask an employee)
Hygiene and First Aid
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Washrooms are clean
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Washing facility available (soap, warm water)
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First aid kits: supply inventory; treatment log; first aid training manual
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Employees know how to get first aid when needed (ask an employee)
Electrical
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Extension cords are secured and in good condition (no exposed wires or bent prongs)
Security
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Safe procedures and emergency procedures are in place
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Emergency numbers for internal and external contacts are easily available
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Training on workplace violence and harassment (ask an employee)
Completion
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Additional recommendation
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Full name & Signature of Inspector