Premise Home Office Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

Location and Management of Facilities

• Is the means of access safe?

  Yes

  No

  N/A

• Are consumable items, such as soap and toilet paper, replaced regularly?

  Yes

  No

  N/A

• Is broken or damaged infrastructure, such as plumbing, air-conditioning or lighting, repaired promptly?

  Yes

  No

  N/A

• Is equipment and furniture, like fridges, lockers and seating, maintained in good condition?

  Yes

  No

  N/A

• Are facilities cleaned regularly, at least weekly?

  Yes

  No

  N/A

Work space

• Is there safe entry to and exit from the workstation?

  Yes

  No

  N/A

• Add media

  Media

• Is there enough clear space, taking into account the physical actions needed to perform the task, and any plant and personal protective equipment that is needed?

  Yes

  No

  N/A

• Is there enough space in walkways and around cupboards, storage or doors, in addition to the clear workstation space?

  Yes

  No

  N/A

• Is the work space and facilities on the same level?

  Yes

  No

  N/A

• Are the steps in good condition?

  Yes

  No

  N/A

• Take a photo of the steps

  Media

• Is a handrail installed and maintained in good condition?

  Yes

  No

  N/A

Floors

• Is adequate floor covering provided for workers who need to stand for long periods?

  Yes

  No

  N/A

• Are the floors maintained to be free of slip and trip hazards?

  Yes

  No

  N/A

• Add media

  Media

Seating

• Can the chair be adjusted for individual needs and is it appropriate to the type of work being carried out?

  Yes

  No

  N/A

• Does the chair have a 5 point base?

  Yes

  No

  N/A

• Add media

  Media

• Are all the wheels in good condition

  Yes

  No

  N/A

Lighting

• Does the lighting allow workers to move about easily and to carry out their work effectively without adopting awkward postures or straining their eyes to see?

  Yes

  No

  N/A

• Does the working environment minimise the amount of glare, contrast or reflection?

  Yes

  No

  N/A

Air Quality

• Is the temperature between 20°C and 26°C ?

  Yes

  No

  N/A

• Are ventilation and air-conditioning systems serviced regularly and maintained in a safe condition?

  Yes

  No

  N/A

• Add media

  Media

Drinking Water

• Are drinking water outlets accessible to workers?

  Yes

  No

  N/A

• Are the drinking water outlets separate from toilet and washing facilities?

  Yes

  No

  N/A

• Is the water clean, cool and hygienically provided?

  Yes

  No

  N/A

Hand Washing

• Are there enough hand washing basins for all persons?

  Yes

  No

  N/A

• Are the hand washing facilities separate from work-related troughs or sinks, protected from weather and accessible from work areas, dining facilities and toilets?

  Yes

  No

  N/A

• Is hot and cold water, soap or other cleaning product provided?

  Yes

  No

  N/A

Toilets

• Is hygienic hand drying provided that does not involve workers sharing towels?

  Yes

  No

  N/A

• Is there adequate toilet paper, hand washing facilities and soap, rubbish bins and sanitary disposal?

  Yes

  No

  N/A

• Are toilets cleaned regularly?

  Yes

  No

  N/A

• Do toilets have lockable doors, adequate lighting and ventilation?

  Yes

  No

  N/A

Dining Facilities

• Is a dining room or dining area?

  Yes

  No

  N/A

• Is there adequate protection from the elements, the work area, contaminants and hazards?

  Yes

  No

  N/A

• Are all fittings, appliances and any other equipment maintained in good condition?

  Yes

  No

  N/A

Emergency response

• Does the workplace have first aid facilities and emergency equipment to deal with the types of emergencies that may arise?

  Yes

  No

  N/A

• Add media

  Media

• Is the fire protection equipment suitable for the types of risks at the workplace (e.g. foam or dry powder type extinguishers for fires that involve flammable liquids)?

  Yes

  No

  N/A

• Is equipment easily accessible in an emergency?

  Yes

  No

  N/A

• Is there a suitable area for emergency assembly?

  Yes

  No

  N/A

• Add media

  Media

• Is there at least two points of access for emergency evacuation?

  Yes

  No

  N/A
• Nearest Doctors/Medical Facility?
  Address
• Nearest Hospital?
  Address