Subzero Monthly Workplace Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date inspection undertaken

  Date

Facilities

• Are the buildings, facilities and/or walkways in good condition?

  Yes

  No

  N/A

• Are walkways clearly defined and free of obstructions?

  Yes

  No

  N/A

• Are stairs, platforms and handrails in good condition?

  Yes

  No

  N/A

• Do stairs have non-slip tread?

  Yes

  No

  N/A

• Are the emergency exits signposted and clearly defined? Are they clear of any obstructions?

  Yes

  No

  N/A

• Are the inside of the buildings clean and maintained with a good standard of housekeeping?

  Yes

  No

  N/A

• Are the desks and chairs in good condition?

  Yes

  No

  N/A

Fire Protection

• Are fire extinguishers clearly identifiable and unobstructed?

  Yes

  No

  N/A

• Does the fire extinguisher signage clearly identify the type of fire extinguisher?

  Yes

  No

  N/A

• Is the signage at the correct level (2100mm off the ground) and is the fire extinguisher mounted at the correct height (no more than 1200mm high and the base no lower than 100mm)?

  Yes

  No

  N/A

• Are the fire extinguishers charged and in date?

  Yes

  No

  N/A

Lighting

• Is the lighting sufficient?

  Yes

  No

  N/A

• Are all lights working and in good condition?

  Yes

  No

  N/A

Emergency Response & First Aid Facilities

• Do staff know where the Emergency Evacuation Point is located?

  Yes

  No

  N/A

• Has there been an evacuation drill in the last 12 months?

  Yes

  No

  N/A

• Are the first aid kits locations clearly labelled?

  Yes

  No

  N/A

• Are the first aid cabinets fully stocked and in date?

  Yes

  No

  N/A

• Is there a list of current First Aid Officers attached near the cabinets?

  Yes

  No

  N/A

• Are emergency numbers displayed?

  Yes

  No

  N/A

Hygiene Facilities

• Are hand basins and toilet areas clean?

  Yes

  No

  N/A

• Is soap and hand towels available?

  Yes

  No

  N/A

• Is the crib room in good and clean condition?

  Yes

  No

  N/A

• Are the rubbish bins emptied regularly?

  Yes

  No

  N/A

• Are there sufficient bins located around the site and easily accessible?

  Yes

  No

  N/A

Electrical Equipment

• Are electrical leads tested and tagged?

  Yes

  No

  N/A

• Are power boards used correctly and not overloaded?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• Are all power tools in good working condition?

  Yes

  No

  N/A

• Have any power tools been modified?

  Yes

  No

  N/A

• Are any extension cords in / near water?

  Yes

  No

  N/A

• Is all wiring and electrical equipment in good condition?

  Yes

  No

  N/A

• Do all distribution boards have covers and are they closed / locked?

  Yes

  No

  N/A

Machinery

• Are guards in place and are they appropriate for protecting people?

  Yes

  No

  N/A

• Is the area around machinery clear and clean?

  Yes

  No

  N/A

• Are the Emergency Stop easily accessible?

  Yes

  No

  N/A

• Are PPE, safety and warning signs clearly displayed?

  Yes

  No

  N/A

• Is the machine work area demarcated and clear?

  Yes

  No

  N/A

• Are workers trained and competent to use the machinery?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is PPE being worn?

  Yes

  No

  N/A

• Is there access to the required PPE?

  Yes

  No

  N/A

• Is there an adequate supply of Out Of Service and Information tags?

  Yes

  No

  N/A

Chemical Safety

• Is there a register of all chemicals on site?

  Yes

  No

  N/A

• Are there current SD sheets available for all chemicals on site?

  Yes

  No

  N/A

• Are all chemicals correctly labelled and in proper containers?

  Yes

  No

  N/A

• Have all used chemicals been disposed of correctly?

  Yes

  No

  N/A

• Are eye wash facilities available and clearly signposted?

  Yes

  No

  N/A

• Have all spills been cleaned up?

  Yes

  No

  N/A

• Is there adequate ventilation for the use of the chemicals?

  Yes

  No

  N/A

• Are all gas bottles stored correctly?

  Yes

  No

  N/A

• Have the gas bottles been properly secured?

  Yes

  No

  N/A

• Is the use of chemicals addressed in the risk assessment and are SD sheets being utilised?

  Yes

  No

  N/A

Hand Tools

• Are all hand tools in a satisfactory condition (i.e. no mushrooming of hammers)

  Yes

  No

  N/A

• Are there any hard-faced hammers being used?

  Yes

  No

  N/A

Manual Handling & Lifting Equipment

• Is all lifting equipment in a satisfactory condition?

  Yes

  No

  N/A

• Do lifting equipment have the current inspection tag?

  Yes

  No

  N/A

• Have heavy items been stored at waist height and are there lifting aids available?

  Yes

  No

  N/A

• Is the floors around storage racks clear and accessible?

  Yes

  No

  N/A

Work Benches and Work Shop

• Are benches at the correct height for work being conducted?

  Yes

  No

  N/A

• Has all rubbish been cleared from bench tops?

  Yes

  No

  N/A

• Have all tools not in use been stored away correctly?

  Yes

  No

  N/A

• Auditors signature

  Sign

• Site representatives signature

  Sign