Title Page

  • Conducted on

  • Location
  • Date

  • Area(s) inspected

  • The Department Manager Responsible for Inspection

  • The Department Manager is responsible for writing requisitions and follow-up for items that require repair or quotes for works discussed and items noted

  • Health and Safety Representative Responsible for Inspection

  • Others

  • Review previous Workplace Inspection Corrective Actions

FLOORS, CEILINGS & WALLS

  • Even surface - no holes/cracks and secure

  • Dropped objects picked up

  • Floor spills wiped

  • Floor surfaces clean, dirt and dust free

  • Stock material out of the way

  • Manholes covered when not in use

  • Ceiling fan operable and free of dust

  • Heater operable and free of dust

GARDENS / PATH OR AISLES

  • Wide enough for goods and traffic

  • Surface free from defects

  • Clear of equipment, stock and rubbish

  • Clear of trolleys

  • Clear of electrical leads

  • Unobstructed vision at intersection

OCCUPATIONAL VIOLENCE

  • Duress Alarms available in this area

  • Numbers worn

MACHINES

  • Adequate work space

  • Noise level satisfactory

  • Workbenches

  • Desks in good condition and free of dust

  • Clear of rubbish

  • Chairs operable and clean

  • Tools and equipment not in use kept in place

  • No damaged tools or equipment

  • Working height suitable

EMERGENCY MANAGEMENT

  • Extinguisher full and numbered

  • Area Warden checked and up to date

  • Extinguishers in place

  • Service date clearly marked

  • Adequate direction for fire exits

  • Exit doors easily opened from the inside

  • Exit and corridors clear of obstructions

  • Fire alarm system functioning properly

  • Fire instructions available and displayed

GENERAL LIGHTING /GARDEN AND GROUNDS / OUTDOOR FURNITURE

  • Adequate lighting

  • No direct or reflected glare

  • Light fittings clean and in good repair

  • Emergency lighting operable

  • Foot paths clear

  • Outdoor furniture clean and in good repair

SHARPS CONTAINERS

  • Not overfilled

  • Not on floor

  • Labelled

  • Infectious waste labelled

  • SDS are they up to date on intranet and hard copies (5 years)

WINDOWS

  • Clean, admitting plenty of daylight

  • No broken glass

  • Secure

SIGNATURES

  • Department Manager

  • Health and Safety Representative

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.