Title Page

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  • Conducted on

  • Prepared by

  • Personnel

  • Location
  • Please select the Plant Room identification.

1. Before You Start

  • 1. Have you reviewed actions arising from your previous inspection report?

2. Evacuation

  • 1. Is your nearest emergency exit clearly signed and accessible?

  • 2. Are fire doors clear of obstructions and able to close freely?

3. Fire and First Aid Elements

  • 1. Are the fire extinguishers signposted and clearly visible?

  • 2. Are the fire extinguishers the correct type for the hazards of the area?

  • 3. Are Fire Extinguishers within the next Service due date

  • 4. Are overhead fire sprinkler and detector heads clear of obstructions?

  • 5. Is there a first aid kit within 4 minutes of the area?

4. Egress / Floors / Passageways

  • 1. Are walkways and handrails defect free, clear of obstruction and clearly marked?

  • 2. Are walkways and floor surfaces even, free from slip and trip hazards and any openings in the floor protected?

  • 3. Are all access doors open freely and are safe and secure from falling off their tracks and/or hinges?

5. Storage and Housekeeping

  • 1. There are no bins or rubbish left behind by others?

  • 2. Is storage safe, orderly and secure?

  • 3. Has obsolete equipment been removed?

  • 4. Is housekeeping of an adequate standard?

6. Lighting

  • 1. Is there adequate lighting for tasks performed?

  • 2. Are the light switches near entrance and easily accessible?

7. Electrical

  • 1. Are the switches/power points in good working order? (if applicable)

  • 2. Are electrical conduits free from buildup of water and corrosion?

  • 3. Is all electrical equipment tested and tagged (including portable Residual Current Devices [RCD])?

  • 4. There are no power boards and electrical power leads/ cords on the floor (tripping hazard)?

  • 5. There are no piggy back power boards and/or extension cords?

  • 6. There are no frayed, defective or stretched electrical power leads?

8. Chemicals

  • 1. Are all chemicals (including solutions) labelled appropriately?

  • 2. Are all incompatible chemicals segregated?

  • 3. Are material safety data sheets (MSDS) available and current (within 5 years)?

  • 4. Where required, are spill kits complete and accessible?

9. Plant

  • 1. Is there adequate working space for operators of plant/equipment?

  • 2. Are appropriate safe guards and interlocking on plant where required?

  • 3. Have all guard covers been placed back securely on equipment?

  • 4. Is plant that is under pressure tested?

  • 5. Is equipment that is under pressure eg gas cylinders, compressors, suitably stored and located?

  • 6. Is there a test certificate for cranes, hoists & lifting tackle and is the equipment marked clearly with the maximum loads? Are lifting chains, slings, straps etc fit for use and safe?

  • 7. Have safety features or warning devices on the plant/equipment been appropriately maintained and tested on a regular basis.

  • 8. Is noise level damaging? If yes then is it mandatory to wear ear protection within this area?

  • 9. If required (as indicated by signage), is Personal Protective Equipment available for use with Plant (eg hearing protection, gloves etc), and is it clean?

10. Environment and Pest/Vermin

  • 1. Is there any build up of water? (water pooling, leakage, broken or blocked drains etc)

  • 2. Is the area free from signs of pest & vermin infestations that may pose a health hazard? (e.g wasps, spiders, rodents, snakes etc)

  • 3. Is the area free from bird activity which may cause a hazard?

11. Other

  • 1. Is the plant room kept locked and accessible only to authorised personnel?

  • 2. Does the area have hand washing facilities available?

  • 3. Any other damage or defects noticed during this inspection?

  • 4. The are no other items to be actioned from this inspection?


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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.