Cabinet tops free of stored items

Floor space clear of objects / debris

Work area clear of electrical leads / network cables

Filing cabinets/desk drawers closed when not in use

Waste paper bins free of hazardous materials (eg broken glass)

Floor coverings in good condition

Further Comments

Electrical Equipment

Damaged electrical, plugs, sockets or leads

Electrical appliances in a safe working area (eg heaters/fans)

Computers safely & appropriately situated on desks

Leads tested and tagged

Further Comments


Sufficient ventilation

Lighting adequate

Noise level satisfactory

Further Comments


Dining / lunch room facilities

Shower & change-room facilities

Toilet facilities

Further Comments


Extinguishers/hose reels in place

Extinguishers/hose reels serviced within 6 months

Exit doors easily opened from inside

Exit signage operable

Emergency equipment & exits unobstructed

Fire instructions available and displayed

Emergency Warden list displayed

Health & Safety Rep’s list displayed

Further Comments

First Aid

Cabinet in an accessible position

Signage displayed

Cabinets & contents clean and orderly

All required supplies sighted and within use by period

Current first aiders list displayed

Further Comments


Suitable desk & chair for required task

Chair easily adjusted from seated position

Operator able to use workstation without impediment

Further Comments

Storage Areas and Rooms

Adequate storage facilities

Pathways/walkways clear

Exit clear


Current manufacturer/supplier MSDS available for dangerous/hazardous substances

Further Comments

Workplace Improvement Action Plan

Are there any Workplace Improvement Actions ?

For each Workplace Improvement Action - press the "Add Workplace Improvement Action" Button

Workplace Improvement Action

Items to be addressed (include new control measures implemented in the last 12 months)

Action (For hazards that require further investigations, conduct a risk assessment – refer to Risk Assessment Procedure)


Completion Date

Please attach further documentation if required.
Note: For hazards that require further investigation, conduct a risk assessment as per Risk Assessment Procedure.

Approval of planned Actions
Select date
HSRs Signature

Distribution: DEAN, AD, HOAD, HOD, HSR, OHS Advisor : After approval of planned actions and after verification of actions

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.