Title Page

  • DATE

  • Prepared by

  • Location

FIRES

  • Extinguishers in place and clearly marked for types of fire and in date

  • Adequate direction notices for fire exits

  • Exit doors easily opened from inside

  • Exits clear of obstructions

  • Fire alarm system functioning correctly

  • Fire instructions available and displayed

  • Are regular fire drills carried out?

  • Training/Induction sessions are conducted when required

ELECTRICAL

  • No broken plugs, sockets or switches

  • No frayed or damaged leads

  • Portable power tools testing and tagging is up to date

  • No temporary leads on floor

  • Emergency shutdown procedures in place

  • Circuit breakers/automatic cut outs installed

GENERAL LIGHTING

  • Adequate illumination

  • Good natural lighting

  • Is it possible to improve?

  • Good light reflection from walls and ceilings

  • No direct or reflected glare

  • Light fittings clean and Usable

  • Emergency lighting operable

STORAGE

  • Materials stored in racks and bins wherever possible

  • Storage designed to minimize lifting hazards i.e. between shoulder and knee

  • Floors around racking clear of Obstacles

  • General condition of racks and pallets and storage

CHEMICALS

  • MSDS for all chemicals and in date

  • Containers clearly labelled

  • Special storage conditions are followed and Labelled

FIRST AID

  • Kits and contents clean and orderly and adequate stock

  • Easy access to kits

  • Employees aware of Locations

  • First aid kit clearly labelled

  • Emergency Contact numbers displayed

FLOORS

  • Oil and grease removed

  • Entry and egress walkways kept clear

  • No electrical leads crossing walkways

  • Walkways adequately lit and clearly marked

  • Unobstructed vision at intersections

  • Even surface, no cracks or holes

  • Loose boards or grills cleaned regularly

PLANT AND EQUIPMENT

  • Kept clean

  • Adequate work space around Equipment

  • Noise levels controlled

  • Sufficient lighting around plant and equipment

  • Ergonomics satisfactory

WASTE

  • Bins located at suitable spots and emptied regularly

  • Clean provisions to store waste and off cuts

WORK AREAS

  • Clean and clear of rubbish

  • Working Ergonomics

  • Any Sharp Edges

OFFICE HAZZARDS

  • Sufficient Filing space and areas

  • Chairs meet standards

  • Desks meet standards

  • SBE - No Glare off the windows

  • Photocopiers – fumes, ventilation

  • Measures designed to prevent OOS

  • Air-conditioning system maintained regularly (Provide date of last service)

  • Correct disposal of chemical waste (batteries etc)

  • Stable non-slip floor coverings

NOTES

  • GENREAL COMMENTS

SIGNED OFF BY INSPECTOR/s

  • names

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.