Workplace inspection Offices & QC

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Fire safety

• Fire exits and gangways clear?

  Yes

  No

  N/A

• Fire alarms and extinguishers obvious and unobstructed?

  Yes

  No

  N/A

• Date on fire extinguishers

  Yes

  No

  N/A

• Fire doors shut?

  Yes

  No

  N/A

• All heating equipment clear from combustibles<br>

  Yes

  No

  N/A

• No flammable substances<br>

  Yes

  No

  N/A

Work equipment

• Is electrical equipment PAT tested<br>

  Yes

  No

  N/A

• Are electrical and Computer cables tidy under desks<br>

  Yes

  No

  N/A

• Electrical cables taped, damaged or trip hazard<br>

  Yes

  No

  N/A

• Can kettles etc, be knocked over onto electrical equip<br>

  Yes

  No

  N/A

Housekeeping

• Are waste receptacles used<br>

  Yes

  No

  N/A

• Are spillages cleaned up<br>

  Yes

  No

  N/A

• Are walkways clear and easily accessible<br>

  Yes

  No

  N/A

• Are floors free of trip hazards<br>

  Yes

  No

  N/A

• Are goods stored in correct places<br>

  Yes

  No

  N/A

Environment

• Is lighting adequate<br>

  Yes

  No

  N/A

• Is ventilation adequate<br>

  Yes

  No

  N/A

• Notice displaying First Aiders<br>

  Yes

  No

  N/A

• Trained in incident reporting (when & how to report)<br>

  Yes

  No

  N/A

• Is he/she familiar with safety procedures fire, first aid..<br>

  Yes

  No

  N/A

• Select date

  Date

• Signature

  Sign