Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location


  • Person conducting inspection:

  • Position:

  • Date:

  • Area inspected:


  • Is the area tidy, clean and well kept?

  • Adequate storage area provided?

  • Floor is free of obstructions?

  • Floor coverings are in good condition?

  • Are ventilation ducts kept clean and unobstructed?

  • No Sharp Edges?


  • Lighting Adequate

  • Area is free from odours

  • Noise Level acceptable

  • Have adjustable chairs been provided for workstations and been shown how to adjust them?

  • Workstation has been assessed

  • Chair appropriately adjusted

  • Items such as document Holders, wrist rest foot stools etc have been made available where required


  • Emergency Evacuation Maps post on walls

  • Staff are aware of procedures and who there fire warden is

  • Extinguishers And Fire Blankets of appropriate type are close by and service is up to date?

  • Staff are inducted and records kept?

  • Alarm can be heard in the area

  • Escape routes are in good order

  • Emergency and hazard signage is clearly marked?

  • Exit doors are not blocked?


  • Location of kits is known to staff?

  • Kits are accessible

  • Kits have been checked on a regular basis

  • Qualified First Aiders available

  • Staff know who first aiders are on site


  • Paper Recycling bins are provided

  • Electronic mail used when possible

  • Double side photocopying and printing used when possible


  • Washing/bathroom Facilities are clean and tidy

  • Cleaning of the area is adequate

  • Cleaning chemicals are labelled and appropriately stored

  • MSDS for all chemicals are available?

  • Access to OHS Information on Notice boards, emails and web provide

  • Electrical devices in good working order

  • Kitchen utensils are kept clean


  • Items often used are within easy reach

  • Heavy items are stored at waist height

  • Steps, ladders; stools are used to access items stored on high shelves

  • Repetitive operations minimised

  • Regular breaks are taken

  • Trolleys are available and used to transport items

  • OH&S manual and incident report sheet are available to employees?


  • Outstanding Items Completed

  • Equipment has current test tags

  • Extension leads are used only for temporary power supply

  • There are no broken plugs, switches or leads?

  • Powerboards used not Double adaptors

  • Leads kept clear of walkways

  • Faulty equipment taken out of service


  • Temperatures are monitored ?

  • Clean and orderly?

  • Comments?

  • Date:

  • Signature:

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.