SHE Inspections Offices

• Office Block #:

  Select

• Conducted on:

  Date

• Conducted by:

1. BUILDINGS AND FLOORS

• 1.1 Floors are clean and in a good condition?

  Yes

  No

  N/ A

• 1.2 Floors slippery?

  Yes

  No

  N/A

• 1.3 Windows and window panes are in good condition (no broken windows)?

  Yes

  No

  N/ A

• 1.4 Windows and blinds are opening and closing properly?

  Yes

  No

  N/ A

• 1.5 Handrails are in a good condition (not loose or damaged)?

  Yes

  No

  N/ A

• 1.6 Stairs are in good condition (not damaged or slippery)?

  Yes

  No

  N/ A

• 1.7 Lighting is sufficient (all lights work)?

  Yes

  No

  N/ A

• 1.8 Loose carpets causing a tripping hazard?

  Yes

  No

  N/A

• 1.9 Furniture is in a good condition?

  Yes

  No

  N/ A

• 1.10 Ceilings are in a good condition?

  Yes

  No

  N/ A

• 1.11 Obvious water leaks?

  Yes

  No

  N/A

• 1.12 Walls damaged?

  Yes

  No

  N/A

2. PASSAGEWAYS AND STORAGE

• 2.1 Passageways are obstruction free (no stacking in passageways)

  Yes

  No

  N/ A

• 2.2 Stacking is safe (stable and not to high)

  Yes

  No

  N/ A

• 2.3 Flammable and hazardous liquids are stored correctly

  Yes

  No

  N/ A

• 2.4 Rubbish bins over flowing

  Yes

  No

  N/A

• 2.5 Stacking on cupboards?

  Yes

  No

  N/A

• 2.6 Kitchens are clean and food is stored appropriately?

  Yes

  No

  N/ A

• 2.7 All waste bins has lids?

  Yes

  No

  N/ A

• 2.8 Desks are clean and neat?

  Yes

  No

  N/ A

3. ELECTRICAL EQUIPMENT

• 3.1 Electrical distribution boards are closed

  Yes

  No

  N/ A

• 3.2 Electrical cables are in a good condition?

  Yes

  No

  N/ A

• 3.3 Electrical plugs are in a good condition?

  Yes

  No

  N/ A

• 3.4 Electrical distribution boards are clearly labelled (including isolators and circuit breakers)

  Yes

  No

  N/ A

• 3.5 Portable electrical equipment is in a good condition and on register?

  Yes

  No

  N/ A

• 3.5.1 Register up to date?

  Yes

  No

  N/A

• 3.6 Any open holes/spaces in distribution boards?

  Yes

  No

  N/A

• 3.7 Any loose electrical wires on the floor causing a tripping hazard?

  Yes

  No

  N/A

4. FIRE FIGHTING EQUIPMENT AND OTHER

• 4.1 Fire fighting equipment is in a good condition?

  Yes

  No

  N/ A

• 4.2 Fire fighting equipment is inspected and on register

  Yes

  No

  N/ A

• 4.2.1 Register up to date?

  Yes

  No

  N/A

• 4.3 Fire fighting equipment is obstruction free (nothing stacked in front of the equipment)?

  Yes

  No

  N/ A

• 4.4 First aid boxes are correct and inspected?

  Yes

  No

  N/ A

• 4.5 Emergency exits are clearly marked and obstruction free?

  Yes

  No

  N/ A

• 4.6 Signage is visible and in good condition?

  Yes

  No

  N/ A

• 4.7 Emergency Co ordinator and fire warden trained and available?

  Yes

  No

  N/ A

• 4.8 Roll call list updated and available?

  Yes

  No

  N/ A

• 4.9 Emergency Evacuation Map available?

  Yes

  No

  N/ A

• 4.10 Regular fire drills completed?

  Yes

  No

  N/ A

• 4.11 Fire Siren/ Warning system in place nd working?

  Yes

  No

  N/ A

ACTION PLAN

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NOTES

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SIGNATURES

• SIGNATURE OF H&S REP.

  Sign

• SIGNATURE OF SHE COMMITTEE CHAIR:

  Sign

REV:1 AUGUST 2022