Workplace Inspection Checklist

• Site conducted inspection

  Select

• Zone/Area Inspected

  Select

• Conducted on

  Date

• Inspected by Health & Safety Reps

• Accompanied by Manager/Guest

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Room Inspection

• Indicate Room #

• Is the equipment stored appropriately? (uncluttered, easy reach)

  Safe

  At Risk

  N/A

• Is the furniture safe? (no sharp edges, shelves are not overloaded)

  Safe

  At Risk

  N/A

• Are there slip/trip/fall hazards? (cords, damaged flooring, wet floors)

  Safe

  At Risk

  N/A

• Electrical safety (no appliances plugged into power bars/extension cords)

  Safe

  At Risk

  N/A

• Are hazardous substances properly stored and labelled?

  Safe

  At Risk

  N/A

• Access/egress - Are aisles and exits clear of obstructions

  Safe

  At Risk

  N/A

• Are fire extinguishers available and accessible

  Yes

  No

  N/A

• Please inspect, and record date last checked

  Date

• Is the First Aid Kit checked quarterly?

  Yes

  No

  N/A

• Record date last checked

  Date

• Are the names of First Aiders displayed and up to date?

  Yes

  No

• Is emergency lighting in place and tested

  Safe

  At Risk

  N/A

• Other items; general observations of safety

• Any staff concerns to note

Hallways

• Check the Defibrillator (an alarm will sound opening cabinet - not monitored)

• Indicate AED #

• Test the Emergency Call Box for working order. Security will respond.

• Indicate location and response time

• Are washroom facilities clean and functional

  Yes

  No

  N/A

• Indicate any hazards in hallway/stairways

• Are hallways/stairways free of hazards

  Yes

  No

  N/A
Laboratory Environment

• Indicate Room #

• Are Lab coats and eye protection worn in the lab and removed when leaving

  Yes

  No

  N/A

• Are walkways and work areas free of clutter

  Safe

  At Risk

  N/A

• Are the eye wash station/safety shower clean and accessible

• Are they checked regularily for operation?

• Are there fume hoods free of clutter

• Are they checked monthly for adequate flow and inspected annually?

• Is the safety equipment/monitor devices maintained, calibrated and tested?

• Are gas cylinders stored upright, secured from tipping, labeled and in good condition

  Yes

  No

  N/A

• Are fire extinguishers available and accessible

  Yes

  No

  N/A

• Please inspect and record last date recorded

  Date

• Are hazardous chemicals properly labeled and stored

  Yes

  No

  N/A

• Other items, general observation of safety

• Any staff concerns to note

Industrial & Shop Environments

• Indicate Room #

• Is PPE practiced (safety shoes/eye protection/hearing protection)

  Compliant

  Non-Compliant

  N/A

• Are walkways free of obstacles

  Safe

  At Risk

  N/A

• Is material safely stored

  Safe

  At Risk

  N/A

• Are ladders, long pipes, etc, secured from falling over

  Safe

  At Risk

  N/A

• Are fire extinguishers available and accessible

  Yes

  No

  N/A

• Inspect and indicate date last recorded.

  Date

• Is the equipment in good repair and guarding in place

  Safe

  At Risk

  N/A

• Electrical cords/outlets in good condition and not overloaded

  Safe

  At Risk

  N/A

• Are emergency shut-off switches clearly identified and operable

  Safe

  At Risk

  N/A

• Are lock-out systems available

  Safe

  At Risk

  N/A

• Are hoists and other lifting devices marked with design capacity.

  Compliant

  Non-Compliant

  N/A

• Are lifting devices inspected annually and documented.

  Compliant

  Non-Compliant

  N/A

• Are hazardous chemicals properly labeled and stored

  Yes

  No

  N/A

• Are oily rags placed in a self-closing, marked, metal container

  Yes

  No

  N/A

• Are expired or out-of-use chemicals regularly disposed of as hazardous waste

  Yes

  No

  N/A

• Yes

  No

  N/A

Please Sign and Email the Report to OHW Specialist

• Enter date and Time

  Date

• Signature

  Sign