Title Page

  • Company

  • Prepared by

  • Conducted on

  • Location

Outdoor Area

  • Garbage is properly stored to avoid pests and insects

  • Property kept clear of litter, combustibles, hazardous materials and chemicals

  • Walls, floors, and ceiling free of possible penetration to avoid pests, dusts, smoke etc.

  • Outside lights in good working order

  • Exits and entrances are unobstructed and free of debris or storage

  • Rooftop access is restricted, locked and sign posted

Pathways

  • Entry mats are free of slip and trip hazards

  • Evacuation plan/map is up to date and is posted in pathways (lobbies, exit, entrance etc)

  • Walkways inside the site are clear and free of obstruction

  • Floors inside the site free of cracks, slip and trip hazards

  • Warning sign available for use if floor is wet and slippery

  • Stairways adequately lit

  • Stairways free of obstruction and is not slippery

  • Stair treads, handrails in good condition

  • Warning sign available for use if there are fall hazards in walkways (floor and stairs)

  • Exit signs illuminated and is visible

  • Exit routes kept clear and free of obstruction

Work Area

  • Air quality adequate

  • Temperature and humidity adequate

  • Adequate lighting on work areas and pathways present

  • Work areas free from glare

  • Aisles, doorways and corners free of obstructions and permits visibility and movement

  • Chairs in safe condition and are caster; rungs and legs sturdy

  • Ceiling tiles intact, undamaged and in place

  • All windows unbroken and free from any type of damage

  • Air conditioning vents and ducts appear to be clean upon visual inspection

  • All equipment and supplies are in their proper places

Common Areas

  • Washrooms are clean; free of slip and trip hazards

  • Food preparation area is clean; free of slip and trip hazards

Emergency Equipment & Procedures

  • Entry and exit procedures provide workers personal security

  • Emergency (evacuation, fire, bomb threat, hostile person) procedures in place

  • Path to first aid kit clear of obstruction

  • Fire extinguishers mounted, accessible, free of obstruction

  • Fire extinguishers inspected internally monthly

  • Security lighting installed and is in good condition

Completion

  • Additional recommendation

  • Full Name & Signature of Inspector

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. You should independently determine whether the template is suitable for your circumstances.