VP5 Monthly Housekeeping & Safety Inspection

• Date of Inspection

  Date

• Inspection Completed By

• Housekeeping Area Eg. HK #

General

• Walkways clear and free from any obstacles or tripping hazards?

  Yes

  No

  N/A

• Stairs clean and clear from any slip/trip hazards?

  Yes

  No

  N/A

• Hoses wound up and put away when not in use?

  Yes

  No

  N/A

• Bins placed in their deisgnated locations?

  Yes

  No

  N/A

• Correct waste stored in bins?

  Yes

  No

  N/A

• Drinking fountains reasnably clean and functional? (Please test.)

  Yes

  No

  N/A

• Uvex cleaner station adequately stocked? (if no, please notify HSE Coordinator)

  Yes

  No

  N/A

• Earplug dispensers adequately stocked? (if no, please notifiy HSE Coordinator)

  Yes

  No

  N/A

• Work stations/benches/desks reasonably neat and tidy?

  Yes

  No

  N/A

• Designated smoking area well-kept and area clean?

  Yes

  No

  N/A

• Storm water drains clean from debris?

  Yes

  No

  N/A

• Kitchen/Lunch Room reasonably clean and tidy?

  Yes

  No

  N/A

• Toilets/Change rooms clean and tidy?

  Yes

  No

  N/A

• Signage clearly visible and damage free?

  Yes

  No

  N/A

Emergency Response

• Emergency exits clearly visble from general work areas?

  Yes

  No

  N/A

• Exit doors closed, unobstructed and functional?

  Yes

  No

  N/A

• Exit doors clear from any slip/trip hazards?

  Yes

  No

  N/A

• First Aid Kits adequately stocked and serviced within 3 months?

  Yes

  No

  N/A

• Spill Kits accessible and tagged? (if no, please notifiy HSE Coordinator)

  Yes

  No

  N/A

• Emergency stops clearly visible and accessible?

  Yes

  No

  N/A

Fire Fighting

• Fire hoses well maintained and not being used for operational needs?

  Yes

  No

  N/A

• Fire Extinguishers clear from any obstructions and easily accessible?

  Yes

  No

  N/A

• Fire equipment labelled and have been tested/serviced within the last 6 months?

  Yes

  No

  N/A

• Fire equipment available in correct location?

  Yes

  No

  N/A

Additional Issues

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