Quarterly Workplace Inspection

General Info

• Area Inspected

  Select

• Inspected by

• For Quarter

  Q1

  Q2

  Q3

  Q4

• Date and Time

  Date

• Are the floors clean, dry and good condition?

  Yes

  No

  N/A

• Walking surface free of tripping hazard?

  Yes

  No

  N/A

• Emergency lights are in good condition?

  Yes

  No

  N/A

• Workplace lightings are in good condition?

  Yes

  No

  N/A

• Marked hazard/non-build zone/warning line on the floor in good condition?

  Yes

  No

  N/A

• All entrance and exit in good condition and accessible?

  Yes

  No

  N/A

• Emergency exit not blocked?

  Yes

  No

  N/A

• All "KELUAR" sign in good condition?

  Yes

  No

  N/A

• All stairs and ramps are in good condition?

  Yes

  No

  N/A

• Any suitable blindspot mirror available and good condition?

  Yes

  No

  N/A

• Are the grills/air-conditioning and diffuser in good condition?

  Yes

  No

  N/A

• The air fresh, with normal smell without any bad odor found at that area?

  Yes

  No

  N/A

• Ergonomically mechanical lifting aids such as trolleys available for heavy items?

  Yes

  No

  N/A

• Manual handling tools such as trolley in good condition?

  Yes

  No

  N/A

• All electrical board in good condition?

  Yes

  No

  N/A

• Electrical components are stacked properly and in neat condition?

  Yes

  No

  N/A

• Are electrical cords and plugs sufficient and good condition?

  Yes

  No

  N/A

• Are the ladders available are in good condition?

  Yes

  No

  N/A

• Are those ladders stored in proper place?

  Yes

  No

  N/A

• All cylinder gasses stored and chain upright position?

  Yes

  No

  N/A

• All gas sensors functioning and maintained properly?

  Yes

  No

  N/A

• Are all hand portable tools available in good condition?

  Yes

  No

  N/A

• All the tools stored in proper place?

  Yes

  No

  N/A

• All fire fighting equipment maintained and in good condition?

  Yes

  No

  N/A

• All equipment are accessible at all time.

  Yes

  No

  N/A

• All first aid kit maintained and available at all time?

  Yes

  No

  N/A

• All first aid kit visible, accessible easily and labelled properly?

  Yes

  No

  N/A

• General storage in good condition?

  Yes

  No

  N/A

• Chemicals storage are in good and neat condition?

  Yes

  No

  N/A

• Eye bath is readily available and functional ?

  Yes

  No

  N/A

• Spillage kit's content are available and is in good condition ?

  Yes

  No

  N/A

• Safety Data Sheet (SDS) available on site ?

  Yes

  No

  N/A

• Schedule Waste Store are in a good condition ?

  Yes

  No

  N/A

• Name of PPE with serial No. (if any)

• Storage location

• Last date inspection

• Date next inspection by qualify company

• Manufacturing date

  Date

• Visual Check (please state the PPE condition in the remarks column eg. Colour condition/physical mark or cond./any wear & tear/ defect findings).

  Yes

  No

  N/A

• Operational Check (please state in the remarks column any comment/complaint/defect findings on functional of the equipment)

  Yes

  No

  N/A

• Name of PPE with serial No. (if any)

• Storage location

• Last date inspection

• Date next inspection by qualify company

• Manufacturing date

  Date

• Visual Check (please state the PPE condition in the remarks column eg. Colour condition/physical mark or cond./any wear & tear/ defect findings)

  Yes

  No

  N/A

• Operational Check (please state in the remarks column any comment/complaint/defect findings on functional of the equipment)

  Yes

  No

  N/A

Recommendation

• Write recommendations here

Completion

• Full Name and Signature of Inspector

  Sign