A. Structure and Hazards

  • A1. Are buildings safe, with no obvious defects?

  • A2. Are steps, stairs and ramps in good condition?

  • A3. Are bridges and subways in good condition?

  • A4. Are surfaces free from slips, trips and falls hazards?

  • A5. Are there risks from falling objects?

  • A6. Are there areas of overgrown vegetation requiring attention

B. Security

  • B1. Are fences, railings and gates secure?

  • B2. Are door entry systems working effective?

C. Cleaning and Waste Removals

  • C1. Are all areas clean and tidy?

  • C2. Are all areas free from graffiti

  • C3. Are cleaning frequencies satisfactory?

  • C4. Are there sufficient bins/skips?

E. Electrical Fittings and Equipment

  • E1. Do all sockets, plugs, switches and wiring appear to be good condition?

  • E2. Are there sufficient sockets for your needs?

  • E3. Are portable appliances tested annually?

F. Fire Precautions

  • F1. Is fire fighting equipment available?

  • F4. Are fire escape routes including external routes clear and unobstructed?

  • F5. Are Fire Action notices displayed and accurate?

  • F7. Are fire exit doors signed and easily opened?

G. Information

  • G1. Are the depot clocks working and accurate?

  • G2. Is the a Health, Safety & Enviroment notice board displayed with the correct information (See S&PM 17.1)

  • G3. Is the current Security Poster displayed on the staff notice board?

  • G4. Are the relevant Notice Cases in good order and displaying the correct items? (See S&PM 17.2) and is safety documentation current?

H. Staff Facilities

  • H1. Are staff toilets working, clean and with sufficient supplies?

  • H2. Are kitchen and rest areas clean and in good condition?

  • H3. Is all heating and ventilation adequate and working

  • H4. Are cooking etc appliances in good order and maintained?

L. Lighting

  • L1. Is all lighting in working order?

  • L2. Has the emergency/escape lighting (if installed) been tested, and in working order?

  • L3. Are walking routes adequately lit?

M. First Aid

  • M1. Are first aid box(es) readily available?

  • M2. Are first aid box(es) suitably stocked (see S&PM 7.5)?

P. Staff

  • P1. Are staff wearing appropriate uniform, badges and photo ID?

  • P3. Where Personal Protective Equipment has been issued is it in date and in good condition?

Q. Quarterly Fire Precautions checks

  • Q3. Is the company smoking policy adhered to?

  • Q6. Are fire signs clear and unobstructed?

  • Q7. Are door closures fitted and working?

  • Q8. Are exit doors easily opened without a key?

  • Q15. Are fire extinguishers correctly located and accessible?

  • Q16. Is the location of extinguishers shown by signage?

  • Q17. Are safety pins and pull-tight seals fitted?

  • Q18. Have extinguishers been tested in last twelve months?

R. Reporting

  • R1. Does the location have access to QPulse for accidents/incidents reporting and if not are paper forms available?

S. Operating Equipment

  • S2. Is computer based information available and working?

  • S3. Are telephones, mobile devices and fax machines avalible and working?

U. Utilities

  • U1. Are lighting and heating controls set for efficient use?

  • U2. Are lights turned off when not required?

  • U3. Is all other equipment turned off when possible?

V. Documentation Checks

  • V1. Are procedures being followed in respect of Drivers back notices?

  • V2. Are booking-on sheets correctly completed with signatures (or reasons if unsigned) where appropriate?

  • V3. Is the date/time stamp accurate?

X. General

  • X1. Are adequate precautions in place for adverse weather conditions?

  • X3. Are outstanding faults still logged with facilities?

  • X4. Is there any evidence of unsafe working practices?

  • X5. Are required warning signs and notices in good condition?

  • X7. Do staff receives regular briefs?

  • X8. Is heating and ventilation equipment cleaned and serviced?

  • X9. Are glass doors, partitions etc marked to make them apparent?

Action Summary

Detail of faults that need reporting to facilities

  • Fault 1

  • Fault 2

  • Fault 3

  • Fault 4

  • Fault 5

  • Fault 6

  • Fault 7

  • Fault 8

  • Fault 9

  • Fault 10

  • Fault 11

  • Fault 12

  • Fault 13

  • Fault 14

  • Fault 15

Details of local issues that need addressing

  • Local Issue 1

  • Local Issue 2

  • Local Issue 3

  • Local Issue 4

  • Local Issue 5

  • Local Issue 6

  • Local Issue 7

  • Local Issue 8

  • Local Issue 9

  • Local Issue 10

  • Local Issue 11

  • Local Issue 12

  • Local Issue 13

  • Local Issue 14

  • Local Issue 15

  • Add signature

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.