Title Page

  • Site conducted

  • Conducted on

  • Inspected by

  • Location
  • Plant ID

  • Notification

  • Work Order Description

Workplace Inspection

  • Are all walkways, stairways & access/egress points clear from obstructions? E.g., temporary stored items, equipment.

  • Is the area free of slip/trip hazards? E.g. no spillage, product build up or unlevelled ground?

  • Are all items stored at an appropriate height? E.g., objects leaning against walls, stored at height, off balance?

  • Are exit points readily accessible and free of obstructions in the event of an incident or evacuation?

  • Is lighting in the area adequate for task being executed?

  • Is there a high level of dust in the area and are dust masks readily available?

  • Are there other work crews in the area and can all works be executed safely in conjunction with each other?

  • Are isolations required to execute task?

  • Have all required isolation points been identified and isolated?

  • Have you confirmed a zero energy state?

  • Has all required barricading been set up before commencing the task?

  • I confirm that the Workplace inspection has been Inspected By (Signature) completed to an acceptable standard and in-line with the scheduled frequency. (Inspections are a legal requirement)

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.