Title Page
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Document Number
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Conducted on
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Prepared by
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Personnel Involved
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Completed On
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Site conducted
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Location
Planned Inspection
1. STORES AREA
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Aisle ways and access paths clear and unobstructed
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Are cupboards and shelves neat and tidy
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Proper drainage in storage area
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Store area clean and cleared of foreign materials
2. HOUSEKEEPING
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Benches kept clean
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Adequate number of refuse containers in place
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Obsolete or unwanted items/materials disposed of
3. VENTILATION
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Adequate means provided
4. FLOORS
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Clean, orderly, sanitary condition
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Drainage maintained
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Free of slip, trip or fall hazards
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Free of protrusions, nails etc.
5. EXISTS & EGRESS
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Sufficient exits for prompt escape
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No locks or fastenings restricting escape
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Emergency exits adequately illuminated and sign posted
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More than one exit from the work area
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Approaches to exits unobstructed
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Flammables kept out of exits
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Exit at least 0.7m wide
6. WASTE DISPOSAL
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Adequate refuse containers
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Separate containers provided for different materials
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All ash trays emptied
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Safe disposal facilities for wastes
7. LIGHTING
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Walking and working areas adequately illuminated during periods of occupancy
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Lighting fixtures clean
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Emergency lighting of all exit routes not naturally lighted
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Extinguishers properly mounted and accessible
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Signs in place and clean
8. FIRE PROTECTION
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Portable extinguishers appropriate to type of materials readily available
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Extinguishers inspected six monthly
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Extinguishers properly mounted and accessible
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Signs in place and clean
9. FIRST AID KITS / STATIONS
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Located as prescribed by legislation and organisational medical policy
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Adequate materials and equipment available and properly located
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Signposted
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Eye wash stations signposted, Illuminated and contents in date
10. ELECTRICAL FIXTURES
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Wiring in good condition
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Wiring clearly marked & tagged
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Connections in good condition
11. EMERGENCY INSTRUCTIONS
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Operational placards / details on emergency controls (on-off, open-closed etc)
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Emergency instructions at primary telephone in each work area
12. FLAMMABLE LIQUIDS / GASSES
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Should not be stored in proximity to heating or spark sources
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Should be signposted
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Should have fire extinguisher nearby
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Should be stored away from exits in case of fire
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Liquids and gasses separated and stored in approves cabinets
13. STORE LAY DOWN AREA
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Is redundant scrap metal properly stored and sorted in designated area
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Clearly marked and sign posted
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Are materials stored in a safe manner
14. STORAGE SHED
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Are all chemicals MARKED clearly and legible
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Are materials stored in a safe manner
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SDS for all chemicals in store (sign posted?)
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PPE gear stored appropriately
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Fall protection gear stored appropriately
Review
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Name & Signature of person conducting Inspection: