Title Page

  • Conducted on

  • Client / Site

  • Personnel

  • Prepared by

  • Location

General Facilities

  • Is the temperature and airflow in the area adequate?

  • Are photocopiers/printers located away from personal workstations?

  • Is the area free of sources of excessive noise?

Housekeeping

  • Is the area tidy and well kept?

  • Are items safely stored so they are not at risk of falling off or causing injury?

  • Is the floor free of trip hazards?

  • Is furniture in good repair?

  • Are filing cabinets/desk drawers closed when not in use?

Floors, Aisles, Stairs and Landings

  • Do floors have even surfaces (no cracks or holes)?

  • Are stairs in good condition (no worn or broken treads)?

  • Are handrails in good condition?

  • Are non-skid strips in good condition?

  • Are landings clear of obstructions?

Emergency Procedures

  • Are emergency numbers and procedures clearly displayed?

  • Are appropriate fire extinguishers visible and easy to access?

  • Have fire extinguishers been inspected/tagged within the last 6 months?

  • Are fire extinguishers free from obstruction?

  • Are emergency exit stairs adequately lit?

  • Are exit signs in place and illuminated?

  • Are exit doors marked and clearly visible?

  • Can exit doors be opened from inside?

  • Are exit corridors clear of obstructions (including outside of the building)?

First Aid

  • Are cabinets and contents clean, orderly and properly stocked?

  • Are First Aid kits accessible and the first aid officers identified?

  • Do staff know the location of the first aid kits?

Electrical

  • Are electrical items tested (not required for Non Hostile areas), tagged and in date? “Portable Appliance Testing and Tagging Guideline”.

  • Are all power outlets and switches in good condition (not broken) and tagged out if faulty?

  • Are extension leads / power boards used as designed (Ensure no temporary or makeshift leads/power boards, double adaptors, piggyback plugs, overloading)?

  • Do power boards have overload protection and individual switched outlets?

  • Are electrical items free from damage and unlikely to be exposed to water?

  • Do portable heaters have time switches and are electrical appliances in a safe working area?

  • Are leads/cords kept clear of walkways and tucked away tidily under desks?

Manual Handling

  • Are frequently used items within easy access between knee and shoulder?

  • Are heavy items stored at waist height?

  • Are step ladders or stools used to access items stored on high shelves?

  • Are trolleys available and used to transport items?

  • Are repetitive actions minimised and rest breaks taken?

  • Is a risk assessment made when furniture or offices must be moved and are the risks from manual handling controlled as far as possible?

Lighting

  • Is there adequate lighting for the work being carried out?

  • Is glare and reflection controlled to acceptable levels?

  • Is the area’s lighting steady (no flickering light)?

Ergonomics

  • Is the workstation set up correctly? (Has it been assessed and are staff aware of the “Working Comfortably With Computers Brochure”?)

  • Is space under the desk clear to allow leg room and symmetrical posture to access workspace on the desk?

  • Is there sufficient desk space for large documents, completed work or writing?

Kitchen

  • Is there a kitchen or food preparation area?

  • Is fridge clean and operational?

  • Is microwave position at suitable height, clean and operational?

  • Is oven/stove clean and operational?

  • Is equipment secured?

  • Is the area free from pests or evidence thereof?

Laundry

  • Is there a laundry area?

  • Is electrical equipment tested and tagged and current?

  • Is ventilation adequate?

  • Is lighting adequate?

  • Is the floor/area free from water?

  • Are chemicals stored and handled according to the Safety Data Sheets (SDS) or manufacturers instructions?

  • Are flammable (including LPGs on BBQs), explosive, toxic and asphyxiant gases stored outside?

  • Are BBQs stored, maintained and cleaned appropriately?

  • Is there a responsible person allocated to ensure flammables are stored correctly?

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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.