Title Page

  • Client / Site

  • Location
  • Conducted on

  • Prepared by James Andrade

Job safety analysts

  • Jsa

  • Was it filled out correctly

Working Environment

Working Environment

  • Is it too hot?

  • Is it too cold?

Housekeeping

Housekeeping

  • Inspection area tidy, clean and well organised?

  • Access ways obstructed?

  • Tripping hazards (including floor finishes)?

  • All electrical cleaning equipment tested?

  • All equipment stored under correct conditions?

  • Rubbish disposal area clean and clear?

  • Sharps removal procedure in place?

  • No smoking signs in position?

Electrical

Electrical

  • Is all portable equipment tested and labeled?

  • Leads undamaged?

  • Trailing leads?

  • Sockets overloaded?

First Aid

First Aid

  • First aid kit in truck?

  • appointed first aid person displayed?

  • Emergency telephone number displayed?

  • Accident reporting procedure in place?

Fire Precautions

Fire Precaution

  • Routes clear of obstructions?

  • Evacuation routes clearly signed?

  • Extinguishers in place?

  • Extinguishers in date?

  • Correct type?

  • Identification label in place?

Fire instructions

Fire Instructions

  • Posted up?

  • Free from damage?

  • Current and up to date?

  • Weekly test undertaken?

  • Annual evacuation undertaken?

  • Evacuation chairs in place?

  • Fire risk assessment completed?

Machinery

Machinery

  • All guards in place?

  • Kept clean of rubbish?

  • All cords in good condition

  • All tools in good working order

  • Risk assessment in place?

PPE (personal protective equipment)

PPE

  • Correct type gloves for hazard

  • Good condition?

  • Wearing all PPE

Eyewash Bottles/Cylinders

Eyewash Bottles/Cylinders

  • Full?

  • In date?

  • Correctly stored/fixed?

  • Correct pressure?

Completion

Completion

  • Recommendations

  • Full Name and Signature of the Inspector

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.