Title Page

  • Conducted on

  • Prepared by

  • Location

Housekeeping

  • Access/Exit routes unobstructed?

  • Access /Exit routes clear of trip hazards?

  • Are all floors in good order?

  • Are stairways clear and unobstructed?

  • Is lighting in area adequate?

  • Are the floors clean and tidy?

  • Are the floors clear of trip hazards?

  • Are doors opening and closing correctly

  • Are all doors clear of obstructions?

  • Are materials stored in the correct location?

  • Work areas clean and tidy?

  • Are tools stored correctly?

  • Are rubbish bins overflowing with rubbish?

First Aid Equipment

  • Are first Aiders Appointed?

  • Are first aid boxes adequately stocked?

  • Are eyewash bottles in good order and in date?

  • Are emergency eyewash stations operative?

  • Are emergency eyewash stations signposted?

PPE (Personal Protective Equipment

  • Is suitable protective clothing being worn at all times?

  • Eye protection available to all staff?

  • Is hearing protection made available to all staff?

  • Are gloves being made available to staff?

  • Protective footwear being worn?

  • Are the PPE stations in good condition?

Chemical Safety

  • Is there a designated storage area for chemicals?

  • Are the substances stored correctly?

  • Are all containers labelled?

  • Is there an inventory of chemicals stored?

  • Are SDS (Safety Data Sheets) available?

  • Are COSHH assessments available?

  • Are storage drums in good condition?

  • Are IBCs in good condition?

Electrical Equipment

  • Are all electrical panels secured?

  • Are the electrical panels accessible?

  • Are all cables in good condition?

  • Is a lock out procedure in place?

Mechanical Equipment

  • Is all rotating equipment guarded?

  • Are all drive belts guarded?

  • Are all emergency stops clearly indicated?

  • Are all safety interlocks operational?

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.