Workplace Inspection (Non Workshop) - dynamic - duplicate

• Document No.

• Department

• Location

• Conducted on

  Date

• Personnel

Housekeeping

• Cabinet tops free of stored items

  Yes

  No

  N/A

• Floor space clear of objects / debris

  Yes

  No

  N/A

• Work area clear of electrical leads / network cables

  Yes

  No

  N/A

• Filing cabinets/desk drawers closed when not in use

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Floor coverings in good condition

  Yes

  No

  N/A

• Further Comments

Electrical Equipment

• Damaged electrical, plugs, sockets or leads

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Computers safely & appropriately situated on desks

  Yes

  No

  N/A

• Leads tested and tagged

  Yes

  No

  N/A

• Further Comments

Environment

• Sufficient ventilation

  Yes

  No

  N/A

• Lighting adequate

  Yes

  No

  N/A

• Noise level satisfactory

  Yes

  No

  N/A

• Further Comments

Amenities

• Dining / lunch room facilities

  Yes

  No

  N/A

• Shower & change-room facilities

  Yes

  No

  N/A

• Toilet facilities

  Yes

  No

  N/A

• Further Comments

Fire

• Extinguishers/hose reels in place

  Yes

  No

  N/A

• Extinguishers/hose reels serviced within 6 months

  Yes

  No

  N/A

• Exit doors easily opened from inside

  Yes

  No

  N/A

• Exit signage operable

  Yes

  No

  N/A

• Emergency equipment & exits unobstructed

  Yes

  No

  N/A

• Fire instructions available and displayed

  Yes

  No

  N/A

• Emergency Warden list displayed

  Yes

  No

  N/A

• Health & Safety Rep’s list displayed

  Yes

  No

  N/A

• Further Comments

First Aid

• Cabinet in an accessible position

  Yes

  No

  N/A

• Signage displayed

  Yes

  No

  N/A

• Cabinets & contents clean and orderly

  Yes

  No

  N/A

• All required supplies sighted and within use by period

  Yes

  No

  N/A

• Current first aiders list displayed

  Yes

  No

  N/A

• Further Comments

Ergonomics

• Suitable desk & chair for required task

  Yes

  No

  N/A

• Chair easily adjusted from seated position

  Yes

  No

  N/A

• Operator able to use workstation without impediment

  Yes

  No

  N/A

• Further Comments

Storage Areas and Rooms

• Adequate storage facilities

  Yes

  No

  N/A

• Pathways/walkways clear

  Yes

  No

  N/A

• Exit clear

  Yes

  No

  N/A

• Racking/shelving

  Yes

  No

  N/A

• Current manufacturer/supplier MSDS available for dangerous/hazardous substances

  Yes

  No

  N/A

• Further Comments

• Are there any Workplace Improvement Actions ?

  No

  Yes

• 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)

• Responsibility

• Completion Date

  Date

Verification

• Date

  Date

• DEAN/AD/HOAD/HOD

  Sign

• 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

  Date

• DEAN/AD/HOAD/HOD

  Sign

• HSRs Signature

  Sign

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