Title Page

  • Conducted on

  • Prepared by

  • Location

Building and Precinct

  • Are the floors/carpets in good condition?

  • Are walls and ceilings in good condition?

  • Are stairs safe and clear of any rubbish?

  • Are light fittings and ceiling tiles secure?

  • Are all lights working correctly?

  • Does the exterior of the building appear free from defects?

  • Are all footpaths around the building safe and free of any hazards?

  • Can traffic move safely around the building?

Housekeeping

  • Are the floors clean, dry and free of trip hazards?

  • Are stairways, walkways and exits free of obstructions?

  • Do doors open easily?

  • Are work areas uncluttered?

  • Have all redundant pieces of equipment or substances been removed?

  • Have all unclaimed or accumulated items and rubbish been removed?

  • Are all items stored appropriately? i.e. heavy items on the ground and lighter items up high

  • Have all non risk assessed and non general office or kitchen chemicals been removed?

  • Are kitchen benches and sinks clean?

  • Are kitchen chemicals clearly labelled?

  • Are gloves available for tasks that may require them? e.g. cleaning up glass

  • Are all electrical cords in good conditions and away from sink/wet areas?

  • Are toilets and change rooms clean and hygienic?

  • Is the fridge clean and clear of all excess food items?

  • Are storage areas clean and tidy?

  • Have all old items been removed from storage areas?

  • Are all heavy items stored below 1.5m high?

  • Are items stored securely so that they will not fall?

  • Are suitable trolleys, lifters and steps available for the tasks performed in the environment?

  • Are suitable ladders or steps available to retrieve items stored at height?

Comfort

  • Are lighting levels comfortable for the work undertaken?

  • Is excessive glare or reflection minimised?

  • Are all lighting covers fixed securely?

  • Are all fluoro tubes and globes operating?

  • Are noise levels comfortable?

  • Is the ventilation and air-conditioning acceptable?

  • Are photocopiers and printers in well ventilated areas?

Emergency

  • Are first aid signs displayed

  • Are first aid kits clean, well-stocked and accessible?

  • Are first aid kits regularly maintained? See WHS10 form.

  • Are first aid officers and emergency personnel listed in a prominent position?

  • Are fire extinguishers and blankets in good condition and secured well?

  • Are fire extinguishers free from obstructions?

  • Have fire extinguishers been inspected in the last 6 months?

  • Are walkways and exits clear and free of obstructions?

  • Do the emergency exits have illuminated signage?

  • Are the wall mounted building evacuation maps current and correct? If not, contact FM-Assist to update

Electrical Equipment

  • Are all electrical items free from signs of damage or wear?

  • Have all electrical items been electrically tested and tagged?

  • Are all power boards of good quality, surge protected and fitted with individual switches?

  • Are all switches, power points, power-boards and cords free of cracks, buzzing and affixed properly?

  • Are all switches, power points, power-boards and cords free from overloading?

  • Are extension cords only being used temporarily or tucked away or covered so they don't pose a trip hazard?

  • Is 'piggy backing' of power boards avoided?

  • Is all damaged or inoperable equipment labelled as such?

Low risk equipment

  • Is all equipment of low risk in good condition and free from undue wear and tear or damage?

Ergonomics

  • Are workstations setup so that good posture is encouraged?

Other

  • Is the general office area and all desk spaces (including drawers) free from any chemicals?

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.