Information

  • Conducted on

  • Prepared by

FOYER & LIBRARY

  • Are there uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? Are electrical leads on floors?

  • Is the room uncluttered and safe? Is the room free of rubbish and obstructions?

  • Is equipment stored at height secure? Are decorations securely attached to the wall or on a stable base?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exit doors clear?

  • Is the first aid cabinet up to date?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

SABBATH SCHOOL ROOM WING & HALL 2

  • Are there uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? Are electrical leads on floors?

  • Is the room cluttered and safe? Is the room free of rubbish and obstructions?

  • Is equipment stored at height secure? Are decorations securely attached to the wall or on a stable base?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exist clear?

  • Is the toilet and baby change room clean. Objects at height secured and safe.

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

HALL 1

  • Are there uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? No electrical leads on floors?

  • Is the room cluttered and unsafe? Is the room free of rubbish and obstructions?

  • Is equipment stored at height secure? Are decorations securely attached to the wall or on a stable base?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exits clear?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

KITCHEN & TOILETS

  • Are there any uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? No electrical leads on floors?

  • Is the room uncluttered and safe? Is the room free of rubbish and obstructions?

  • Is there any equipment stored at height that could topple?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exits clear?

  • Is the kitchen neat and tidy? Are work surfaces kept clean?

  • Are knives and sharp equipment kept secured and clear or unauthorised use?

  • Is cleaning cupboard locked. Are SWMS present.

  • Are toilets secure and clean. Are cisterns operating correctly ie not leaking, fixed securely to wall.

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

UPSTAIRS ROOMS AND SABBATH SCHOOL ROOM

  • Are there uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? No electrical leads on floors?

  • Is the room uncluttered and safe? Is the room free of rubbish and obstructions?

  • Is equipment stored at height secure? Are decorations securely attached to the wall or on a stable base?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exits clear?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

CHURCH SANCTUARY

  • Are there uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? No electrical leads on floors?

  • Is the room cluttered and safe? Is the room free of rubbish and obstructions?

  • Is equipment stored at height secure? Are decorations securely attached to the wall or on a stable base?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exits clear?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

ELDERS ROOM AND SABBATH SCHOOL ROOMS BEHIND CHURCH

  • Are there uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? No electrical leads on floors?

  • Is the room cluttered and safe? Is the room free of rubbish and obstructions?

  • Is equipment stored at height secure? Are decorations securely attached to the wall or on a stable base?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exits clear?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

SABBATH SCHOOL ROOM BELOW AND STORAGE/PATHFINDER ROOM

  • Are there uneven surfaces present (slips, trips, hazard)? Is the floor surface in good condition? No electrical leads on floors?

  • Is the room cluttered and safe? Is the room free of rubbish and obstructions?

  • Is equipment stored at height secure? Are decorations securely attached to the wall or on a stable base?

  • Are all the lights working? Is there adequate lighting?

  • Are electrical appliances in good condition? No frayed electrical leads? No double adapters or over loaded power boards?

  • Are electrical leads tagged?

  • Are emergency evacuation signs present? Are emergency exit lights working? Are fire extinguishers tagged/inspected? Are emergency exits clear?

  • Are there any other issues?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

GARDEN & OUTSIDE OF BUILDING, & FRONT PORTICO

  • Are retaining walls in good order? No loose blocks?

  • Is the garden and concrete surfaces well maintained? Are they free of any possible slips and trips hazards?

  • Are trees free of dead branches?

  • Are external security and pedestrian lights functioning? Do external doors function and lock?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

CAR PARKS

  • Are surface of car park and driveways free of pot holes, cracks and other trip hazards?

  • Are suitable signage provided? Are signs/lines in good condition and not obscured?

  • Are drainage pits in good condition?

  • Add another safety observation.

  • Safety observation
  • Safety observation.

  • Description of observation

Completion

  • Signature of Officer completing inspection.

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.