• Select date

  • Workers consulted (name/position):

  • Comments:

Fire and Emergency

  • 1. All emergency exits are unobstructed (inside and out)

  • 2. All exit doors are in good condition and operate correctly.

  • 3. Clear access to fire hose reel and extinguishers.

  • 4. All access/egress routes clear

  • 5. Emergency exit lights working

Floors/Stairs/Walkways

  • 6. Any loose or damaged flooring.

  • 7. Any slippery, wet or oily surfaces.

  • 8. Steps, stairs and walkways are in good condition.

  • 9. Steps, stairs and walkways are clear of obstructions.

  • 10. Steps, stairs and walkways are well lit.

Electrical

  • 11. Any damaged/frayed cords or fittings.

  • 12. Any cord trip hazards.

  • 13. Any piggybacked power boards.

General Housekeeping

  • 14. Archive boxes are stored safely and securely.

  • 15. Relevant safety signage is visible.

  • 16. Relevant safety signage is visible.

  • 17. Used parts/scrap materials have been removed.

Equipment

  • 18. Redundant equipment has been removed.

  • 19. Any damaged equipment.

  • 20. Light fittings are in good condition.

  • 21. Any lights not working.

  • 22. Tools and equipment are stored in the designated areas.

Chemicals/Hazardous Substances

  • 23. Chemicals are stored in the designated areas/cabinets.

  • 24. All chemicals/cleaning products containers/dispensers are correctly labelled.

Outdoor/Yard

  • 26. Ground surface is in good condition/lack of trip hazards.

Amenities

  • 27. Kitchens/toilets/showers are clean and well maintained.

  • 25. Gas cylinders are secured from falling and are appropriately stored.

  • 28. Plumbing is in good repair with no leaks.

  • 29. Locker room (s) clean and tidy.

  • Specific Areas

  • 3. Clear access to fire hose reel and extinguishers.

  • 4. All access/egress routes clear.

  • 5. Emergency exit lights working.

Floors/Stairs/Walkways

  • 6. Any loose or damaged flooring.

  • 7. Any slippery, wet or oily surfaces.

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