Information

  • Month

  • Work Place Inspections

  • Site Name

  • Site Number

  • Conducted on

  • Safety Team

Bakery

  • Checkers Name & Position.

Bakery - Lights

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

Bakery - Power Points

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

  • Caution sticker in place (Green 397 709)

Bakery - Scales

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

Bakery - Bread Slicer

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

  • Interlocked guard working. Guards in place and in good condition.

  • Emergency Stop Operational.

Bakery - Bun Rounder

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

  • Emergency Stop Operational.

  • Interlocked guard working. Guards in place and in good condition.

Bakery - Dough Divider

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

  • Emergency Stop Operational.

  • Interlocked guard working. Guards in place and in good condition.

Bakery - 80kg Spiral Mixer

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

  • Emergency Stop Operational.

  • Interlocked guard working. Guards in place and in good condition.

Bakery - 60qrt Planetary Mixer

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

  • Emergency Stop Operational.

  • Interlocked guard working. Guards in place and in good condition.

Bakery - 20qrt Planetary Mixer

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

  • Emergency Stop Operational.

  • Interlocked guard working. Guards in place and in good condition.

Bakery - Moulder

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

  • Emergency Stop Operational.

  • Interlocked guard working. Guards in place and in good condition.

Bakery - Ovens

  • Switches in good condition. Free from obvious damage.

Bakery - Donut Robot

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

Bakery - Hot plate

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

Bakery - Microwave

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

Bakery - Refrigerated Display Case

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition.

  • Light tubes fitted to all fittings.

  • Caution sticker in place (Yellow 397 609)

Bakery - Coolroom

  • Switches in good condition. Free from obvious damage.

  • Bell Operational.

  • Light tubes fitted to all fittings.

Bakery - Insectocutor

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Light tubes fitted to all fittings.

Bakery - Dishwasher (if installed)

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

Bakery - General

  • First Aid cabinet checked.

  • First Aid cabinet checked.

  • First Aid attendants list displayed & current.

  • Team Leader Name & Signature

  • Select date

Deli / Seafood

  • Checkers Name & Position.

Deli / Seafood - Lights

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

Deli / Seafood - Power Points

  • Switches in good condition. Free from obvious damage.

  • Caution sticker in place (Green 397 709)

Deli / Seafood - Scales

  • Switches in good condition. Free from obvious damage.

  • Tag & Test current.

Deli / Seafood - Manual Wrappers

  • Switches in good condition. Free from obvious damage.

  • Plug and cables in good condition. Tag & Test current.<br>

  • Caution sticker in place (Green 397 709)

Deli / Seafood - Auto Slicers

  • Switches in good condition. Free from obvious damage.

  • Plug and cables in good condition. Tag & Test current.<br>

  • Caution sticker in place (Green 397 709)

  • Guards in place and in good condition.

Deli / Seafood - Semi Auto Slicers

  • Switches in good condition. Free from obvious damage.

  • Plug and cables in good condition. Tag & Test current.<br>

  • Caution sticker in place (Green 397 709)

  • Guards in place and in good condition.

Deli / Seafood - Chicken Ovens EG Multiessire

  • Switches in good condition. Free from obvious damage.

  • Plug and cables in good condition. Tag & Test current.<br>

  • Caution sticker in place (Green 397 709)

  • Emergency Stop Operational.

Deli / Seafood - Hex Warmer

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

  • Plug and cables in good condition. Tag & Test current.<br>

  • Hot Surface sticker in place 397 708.<br>

Deli / Seafood - Deli Case / Chicken Warmer

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

  • Caution sticker in place (Yellow 397 609)

Deli / Seafood - Coolrooms

  • Switches in good condition. Free from obvious damage.

  • Bell Operational.

Deli / Seafood - General

  • Deli Slicer Authorised list displayed near slicers?

  • First Aid cabinet contents checked?

  • First Aid Attendants List displayed and current?

  • Team Leader Name & Signature

  • Select date

Produce

  • Checkers Name & Position.

Produce - Lights

  • Switches in good condition. Free from obvious damage.

  • Caution sticker in place (Yellow 397 609)

Produce - Power Points

  • Switches in good condition. Free from obvious damage.

  • Caution sticker in place (Green 397 709)

Produce - Scales

  • Switches in good condition. Free from obvious damage.

  • Caution sticker in place (Green 397 709)

Produce - Manual Wrappers

  • Switches in good condition. Free from obvious damage.

  • Pug & Cables in good condition. Tag & Test current.

  • Caution sticker in place (Green 397 709)

Produce - Produce Cases

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

  • Caution sticker in place (Yellow 397 609)

Produce - Coolrooms

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

  • Bell Operational.

Produce - Insectocutor

  • Switches in good condition. Free from obvious damage.

Produce - General

  • First Aid cabinet checked.

  • First Aid attendants list displayed & current.

  • Team Leader Name & Signature

  • Select date

Meat

  • Checkers Name & Position.

Meat - Lights

  • Switches in good condition, free from obvious damage and light tubes fitted to all fittings.

Meat - Power Points

  • Switches in good condition. Free from obvious damage.

  • Green Caution sticker in place (397 709)

Meat - Mincer

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Green Caution sticker in place (397 709)

  • Emergency Stop Operational.

  • Interlocking Guard working. Guards in place and in good condition.

Meat - Bandsaw

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Green Caution sticker in place (397 709)

  • Emergency Stop Operational.

  • Interlocking Guard working. Guards in place and in good condition.

Meat - Tenderisor

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Green Caution sticker in place (397 709)

  • Interlocking Guard working. Guards in place and in good condition.

Meat - Auto Wrappers

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Green Caution sticker in place (397 709)

Meat - Manual Wrappers

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.

  • Green Caution sticker in place (397 709)

Meat - Meat Case

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

  • Yellow Caution sticker in place (397 609)

Meat - Coolrooms

  • Switches in good condition. Free from obvious damage.

  • Bell Operational.

Meat - Insectocutor

  • Switches in good condition. Free from obvious damage.

Meat - General

  • Sliding table in place.<br>

  • Authorised users list displayed and up to date. (Ask Team and Inspect).

  • Table insert in good condition.

  • First Aid cabinet checked.

  • First Aid Attendants list displayed and current.

  • Team Leader Name & Signature

  • Select date

Longlife

  • Checkers Name & Position.

Longlife - Pelmet Lights

  • Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.

Longlife - Back End Lights

  • Light tubes fitted to all fittings and free from obvious damage.

  • Switches in good condition, Plug & Cables in good condition.

Perishables - Refrigeration Cases

  • Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.

  • Caution sticker in place (Yellow 397 609)

Perishables - Freezer Cases

  • Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.

Perishables - Coolroom & Freezer Room

  • Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.

  • Bell Operational.

  • Team Leader Name & Signature

  • Select date

Store Entrance / Service / Liquor

  • Checkers Name & Position.

Entrance - Amusement & Vendor Machines

  • Switches in good condition and free form obvious damage.

  • Plugs & cables in good condition. Tag & Test current.<br>

Entrance - Ice Freezer

  • Switches in good condition and free form obvious damage.

  • Plugs & cables in good condition. Tag & Test current.<br>

  • Light tubes fitted in all fittings.<br>

Service Area - Lights

  • Switches in good condition and free form obvious damage.

  • Light tubes fitted in all fittings.<br>

Service Area - Power Points

  • Switches in good condition and free form obvious damage.

Service Area - Registers

  • Switches in good condition and free form obvious damage.

  • Plugs & cables in good condition.<br>

Service Area - Fridges

  • Switches in good condition and free form obvious damage.

  • Plugs & cables in good condition. Tag & Test current.<br>

  • Light tubes fitted in all fittings.<br>

Liquor- Lights

  • Switches in good condition and free form obvious damage.

  • Light tubes fitted in all fittings.<br>

Liquor - Power Points

  • Switches in good condition and free form obvious damage.

Liquor - Registers

  • Switches in good condition and free form obvious damage.

  • Plugs & cables in good condition.<br>

Liquor - Fridges

  • Switches in good condition and free form obvious damage.

  • Plugs & cables in good condition. Tag & Test current.<br>

  • Light tubes fitted in all fittings.<br>

Service / Liquor - General

  • Duress & Hold Up Alarms Operating Correctly (Call CMS prior to testing)

  • First Aid attendants list displayed & current.

  • Team Leader Name & Signature

  • Select date

Storeroom

  • Checkers Name & Position

Storeroom - Dock Leveller

  • Switches in good condition. Free from obvious damage.

  • Emergency stop button operating (where fitted)

Storeroom - Roller Doors

  • Switches in good condition. Free from obvious damage.

  • Emergency stop button operating (where fitted)

Storeroom - Lights

  • Switches in good condition. Free from obvious damage.

  • Light tubes fitted to all fittings.

Storeroom - Bale Press

  • Switches in good condition. Free from obvious damage.

  • Plug & Cables in good condition. Tag & Test Current.

  • Emergency stop button operating (where fitted)

Storeroom - General

  • Pallett racking (Upright condition, impact protection, locking pins, SWL) Stock stored securely.<br>

  • Main Switchroom Locked<br>

  • Plantroom Locked<br>

  • Signage displayed for Unauthorised Access on Plantroom / Main Switchroom door.

  • Dock ladders / stairs (Secure and in safe use).<br><br>

  • Egress paths minimum of 600mm wide and lines clearly marked.<br><br><br>

  • First Aid cabinet contents checked.<br>

  • First Aid attendants list displayed & current.

  • Team Leader Name & Signature.

  • Select date

Amenities / Office & Tea Room

  • Checkers Name & Position.

Office - Lighting

  • Switches in good condition and free from obvious damage.

Office - Fax Machine

  • Switches in good condition and free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.<br>

Office - Laminator

  • Switches in good condition and free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.<br>

Office - Fridge

  • Switches in good condition and free from obvious damage.

  • Plug & Cables in good condition. Tag & Test current.<br>

Office - General

  • Stairs - Treads, handrails, free of storage.

  • Electrical Cabinet ( Clear & Unobstructed)

  • No double adaptors or power boards in use.

  • Duress & Hold Up Alarms operating correctly.

  • First Aid cabinet contents checked.

  • First Aid attendants list displayed & current.

  • Team Leader Name & Signature.

  • Select date

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.