Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

1.0 Building Safety

  • Are floor surfaces even and uncluttered?

  • Are entrances and walkways kept clear?

  • Walkways-Sterile areas, material storage areas are clearly marked / defined?

  • Why doesn't the situation apply?

  • Are dedicated emergency exit doors provided, and easily operated from inside?

  • Are welfare areas in good order? (Suitable number of toilets - seats - tables etc. in good condition, is water available?

  • Adequate lighting provided in work areas?

  • Warehousing area has functioning doors and shutters protecting from water ingress, dust and pest entry?

2.0 Housekeeping

  • General work environment is clean and tidy?

  • Operational areas are organised properly to allow free unhindered movement?

  • Storage areas are kept clean, tidy and easy access/escape?

  • Waste is cleared regularly?

3.0 Electrical Safety

  • Are there any broken plugs, sockets or switches?

  • Are there any power leads across walkways?

  • Are there any frayed or damaged leads

  • Appropriate signs are posted on or near electrical equipment?

4.0 PPE

  • Do employees wear appropriate PPE as identified?

  • Is the correct PPE being worn for job specific tasks?

5.0 Fire Prevention

  • Evacuation notices are displayed in at all fire exits?

  • Fire extinguishers are in correct locations, hung (or off floor on stand) and easily accessible?

  • Fire alarm switches / Manual call points are identified by signs and easily accessible?

  • Routes to fire exit are kept clear of trip hazards and obstructions?

  • Fire doors are adequately lit, identified, have correct signage and open freely?

6.0 Waste Management

  • There is an adequate number of waste collection points?

  • Are waste collection points overflowing with waste?

  • Are the waste collection points empty and strapping and shrink wrap on the floor?

7.0 Observations

  • Enter observations

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.