Information
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Document No.
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Inspection Location
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Conducted on
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Inspection conducted by
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Inspection conducted by (SESA Number)
Checklist
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Version: 3
Personnel
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List persons accompanying inspector
Persons
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Name
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SESA Number
1.0 Building & Facilities
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1.1 Are floors clear of obstructions/fluids/oil/grease etc.?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Add media
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1.2 Are floors and coverings even, level and in good condition?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Add media
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1.3 Are doors unobstructed and free to open and close?
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Details
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Corrective action
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Add media
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1.4 Are walkways and passages free from hazards and marked appropriatley?
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Details
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Corrective action
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Add media
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1.5 is a thermometer available to all staff?
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Corrective Actions
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Enter the indicated temperature.
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1.6 Do heating/cooling systems work?
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Details
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Corrective action
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Add media
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1.7 Is ventilation adequate but draft free?
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Details
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Corrective action
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Add media
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1.8 Is lighting adequate in all areas?
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Details
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Corrective action
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Add media
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1.9 Are windows clean and unobstructed and do window blinds work?
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Details
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Corrective action
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Add media
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1.10 Is emergency lighting tested periodically?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Enter date of last test.
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1.11 Are there sufficient seats and are they in good condition?
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Details
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Corrective action
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Add media
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1.12 Are welfare facilities (canteen/restaurant/rest rooms/smoking areas/toilets, etc.) adequate, maintained and in clean condition?
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Details
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Corrective action
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Add media
2.0 Fire Precautions
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2.1 Are extinguishing media suitable?
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Details
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Corrective action
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Add media
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2.2 Are extinguishers available, unobstructed, in date and correct type?
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Details
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Corrective action
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Add media
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2.3 Are evacuation routes and exits clearly marked and free from obstructions?
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Details
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Corrective action
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Add media
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2.4 Are blue fire information notices displayed and, where applicable, in date?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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2.5 Are fire wardens appointed, named on signage and available?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Name(s) of wardens
Person
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Name
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2.6 Have regular alarm maintenance, alarm tests and drills been carried out?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Date of last alarm maintenance
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Date of last alarm test
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Date of last fire drill
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2.7 Is the Fire risk assessment by a responsible person up to date?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Date of last revision of fire risk assessment
3.0 First Aid
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3.1 Are incident records maintained?
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Details
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Corrective action
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Date of last recorded incident
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3.2 Are first aid kits (including eye wash) available, adequately stocked and in date?
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Details
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Corrective action
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Expiry date of Eye Wash
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3.3 Are First Aiders appointed, named on signage and on duty?
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Details
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Corrective action
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List First Aiders
Person
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Name
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3.4 Are green First Aid notices displayed and in date?
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Details
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Corrective action
4.0 Health & Safety
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4.1 Is the Health & Safety Law poster current and clearly displayed?
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Details
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Corrective action
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4.2 Is there a signed copy of the Health & Safety Policy statement displayed?
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Details
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Corrective action
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Date of Policy Document
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4.3 Are Risk Assessments and Method Statements current, available to staff, are staff trained and do staff know where they are stored?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Name of one document
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Date of document
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4.4 Are Display Screen Equipment assessments completed?
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Details
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Corrective action
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Corrective action to be carried out by (SESA number)
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Name of one assessed person
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Date of their assessment
5.0 Storage
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5.1 Are cupboard/cabinet tops clear of material/clutter and are they closed when not in use?
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Details
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Corrective action
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Add media
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5.2 Is all furniture fit for purpose and used as intended?
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Details
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Corrective action
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Add media
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5.3 Are heavy items stored at an appropriate height?
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Details
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Corrective action
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Add media
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5.4 Are lockers, cabinets and cupboards stable?
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Details
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Corrective action
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Add media
6.0 Electrical
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6.1 Are electrical supplies adequate?
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Details
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Corrective action
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Add media
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6.2 Are electrical appliances regularly inspected and tested?
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Details
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Corrective action
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Detail one item
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Date of next inspection/test
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Add media
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6.3 Are electrical connections in a safe condition?
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Details
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Corrective action
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Add media
7.0 General
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7.1 Are staff observed to behave in a safe manner and complying with signage?
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Details
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Corrective action
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Add media
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7.2 Are contractors observed to behave in a safe manner and complying with signage?
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Details
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Corrective action
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List contractor company and person
Contractor and person
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Company and name
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Add media
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7.3 Are "Prohibition" (red), "Warning" (yellow) and "Mandatory" (blue) signage fit for purpose?
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Details
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Corrective action
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Add media
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7.4 Is smoking policy being complied with?
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Details
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Corrective action
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Add media
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7.5 Is the area generally clean and tidy with rubbish regularly and suitably disposed of?
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Details
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Corrective action
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Add media
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7.6 Is there sufficient space?
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Details
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Corrective action
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Add media
Conclusion
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Enter additional topics
Additional topic
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Add media
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Inspected area
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Is this topic compliant?
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Details
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Media
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Corrective action
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Corrective action to be carried out by (SESA number)
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Give examples of any good behaviours or practices observed
Good examples
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Add media
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Inspection completed by
