Title Page
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Conducted on
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Location
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Date
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Area(s) inspected
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The Department Manager Responsible for Inspection
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The Department Manager is responsible for writing requisitions and follow-up for items that require repair or quotes for works discussed and items noted
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Health and Safety Representative Responsible for Inspection
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Others
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Review previous Workplace Inspection Corrective Actions
FLOORS, CEILINGS & WALLS
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Even surface - no holes/cracks and secure
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Dropped objects picked up
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Floor spills wiped
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Floor surfaces clean, dirt and dust free
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Stock material out of the way
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Manholes covered when not in use
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Ceiling fan operable and free of dust
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Heater operable and free of dust
GARDENS / PATH OR AISLES
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Wide enough for goods and traffic
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Surface free from defects
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Clear of equipment, stock and rubbish
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Clear of trolleys
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Clear of electrical leads
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Unobstructed vision at intersection
OCCUPATIONAL VIOLENCE
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Duress Alarms available in this area
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Numbers worn
MACHINES
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Adequate work space
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Noise level satisfactory
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Workbenches
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Desks in good condition and free of dust
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Clear of rubbish
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Chairs operable and clean
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Tools and equipment not in use kept in place
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No damaged tools or equipment
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Working height suitable
EMERGENCY MANAGEMENT
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Extinguisher full and numbered
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Area Warden checked and up to date
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Extinguishers in place
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Service date clearly marked
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Adequate direction for fire exits
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Exit doors easily opened from the inside
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Exit and corridors clear of obstructions
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Fire alarm system functioning properly
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Fire instructions available and displayed
GENERAL LIGHTING /GARDEN AND GROUNDS / OUTDOOR FURNITURE
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Adequate lighting
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No direct or reflected glare
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Light fittings clean and in good repair
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Emergency lighting operable
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Foot paths clear
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Outdoor furniture clean and in good repair
SHARPS CONTAINERS
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Not overfilled
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Not on floor
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Labelled
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Infectious waste labelled
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SDS are they up to date on intranet and hard copies (5 years)
WINDOWS
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Clean, admitting plenty of daylight
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No broken glass
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Secure
SIGNATURES
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Department Manager
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Health and Safety Representative