Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location


  • Extinguishers in place, clearly marked and serviced.

  • Emergency Exit signs illuminated.

  • Exits clear of obstruction.

  • Spray booth / oven warning lights working.

  • Bunds clear (ie no litter, spills, storm-water etc)

  • MSDS and/or emergency response signage (eg HAZCHEM, spills, waste) available and legible.


  • No broken plugs, sockets or switches.

  • Electrical equipment in good condition and 'tagged'.

  • No temporary leads on the floor.

  • Adequate illumination (ie lighting in working order)


  • Areas clear of oil, grease and water spills.

  • Walkways kept clear.

  • Unobstructed vision at intersections.

  • Access platforms / ladders intact and in good condition?

  • Floor clear of empty pallets?

  • Empty stillages / trolleys in designated locations?

  • Unused air hoses stored correctly (ie hung up or in designated location)

  • Are cabs placed at correct locations / stations as marked?

  • No items stored above 1.8 metres (ie racks above shoulder height)

  • Drains free of litter?


  • Bins located in designated locations?

  • Bins emptied and in clean condition (not overflowing / no foul smell)(include rag bins)

  • Correct waste in designated bins (is aerosol cans-blue bin, soiled rags-red bin)

  • Empty tins removed?


  • Chemicals stored correctly?

  • Appropriate containers used and clearly marked?

  • Spill kit adequate, clearly marked and sealed?

  • Emergency eye wash stations clean?

  • Lids on all containers and drums?

  • Earth straps on containers and drums in use?

  • Non sparking tools used?

  • Chemical bunding in good condition?


  • Tools stored correctly? (ie hung up or in designated location)

  • Floor clean? (ie no cable ties, nuts, bolts etc)

  • No parts on floor?


  • Hearing protection worn?

  • Safety vests / high vis clothing worn / paint overalls?

  • Safety footwear worn?

  • Safety glasses worn?

  • PVC gloves used when cleaning equipment?

  • Breathing apparatus and face mask used while painting?


  • Line move procedures being followed?

  • Are employees adhering to designated pathways?

  • Radios, phones, iPod not used in spray booths or flammable areas?


  • Emissions vented only through designated emissions points? (ie fume hoods)

  • No visible emissions?

  • Odours kept within reasonable levels?


  • List any hazards or opportunities requiring assessment?

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.