Title Page
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Site
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Prepared by
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Conducted on
Reception Area
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General housekeeping to a good standard? - no accumulation of boxes/rubbish, cable management etc.
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Portable Electrical Appliances PAT tested? Is the testing sticker in date?
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Emergency exits and fire doors clear from obstruction and are clearly visible with correct signage?
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Fire extinguishers are approriate to the relevant fire hazards in the area and are within service date?
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Are fire action notices displayed?
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Display Screen Equipment. Does the receptionist have all that is required to carry out work with DSE? I.e. good lighting? Appropriate adjustable office chair? Eye level with computer.
Circulation Routes
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Are the floors secured? I.e. loose tiles, uneven floor, loose carpet etc.
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Are ceilings secured? Risk of falling debris?
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Are there any visible tripping/slipping hazards?
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Is there any obvious damage to walls/windows?
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Are stairways and handrails secure and clear of tripping/slipping hazards? Process for checking the lifts in place?
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Emergency Exits and fire doors are clear from obstruction and clearly visible?
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Fire extinguishers are within service date?
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Fire action signs/notices are clearly displayed?
Toilets
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General cleanliness to a good standard?
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Adequate provision of soap and toilet paper?
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Adequate system for cleaning in place?
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Water pressure and temperature of tap water is adequate? Are any taps not running?
Office Areas
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General housekeeping to a good standard? - no accumulation of boxes/rubbish, cable management etc.
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Portable Electrical Appliances are PAT tested? Is the testing sticker in date?
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Emergency exits are clear of obstruction and are clearly visible with appropriate signage in place?
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Fire action notices clearly displayed?
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Are extinguishers in this area appropriate to the types of hazard and are they within the service date?
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Display Screen Equipment - Do workers have all that is required to carry out work with DSE? I.e. good lighting? Appropriate adjustable offce chair? Eye level with computer?
Storage Areas and Cupboards
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General housekeeping, storage of combustible items in electrical switchboard rooms prohibited?
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Chemicals storage i.e. chemicals properly segregated, bunds where appropriate for liquid storage?
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COSHH information available in chemical storage areas?
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All storage areas kept locked shut with appropriate signage in place to encourage this? (Fire door, keep locked shut).
Staff Areas
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General housekeeping to a good standard?
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Food preparation areas kept hygienically clean?
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Kitchen appliances kept clean and PAT testing in date?
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Hand washing facilities available in food preparation areas?
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Temperature in staff areas reasonable?
External/Basement Areas
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No accumulation of waste? External bins emptied?
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No accumulation of uneccessary fire loads (bins, skips etc should be kept away from the side of the building).
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External side of fire exits kept clear with appropriate signage in place?
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No obvious slip/trip hazards?
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Windows/doors secured with no obvious damage?
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External lighting operational?
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Car park - general condition, lighting, pot holes, appropriate signage etc?
Emergency Procedures
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Staff are aware of and are regularly updated on the fire evacuation procedure?
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All fire safety checks are conducted and logged?
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First aid boxes fully stocked? Contents within expiry date?
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Incident report forms fully completed and submitted via AMS?
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Emergency grab bag available? Contents up to date?
Summary
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Additional Comments or Observations
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Assessor Signature