Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Production area

    Production area
  • Location and floor

  • Are the floors in good condition?

  • Are the windows adequately sealed with any pest guards in good condition?

  • Are the walls free from flaking paint and or any debris that presents a risk to food safety?

  • Are the ceilings free from flaking paint and or any debris that presents a risk to food safety?

  • Are the walls, floors and ceilings free from evidence of water ingress, leakage or contamination?

  • Are all drains and down pipes visually free from leakage and or discolouration?

  • Are the air intakes and extracts free from debris, dust or containation?

  • Are the utility services pipework free from condensation and evidence of leakage?

  • Are the pest control stations correctly positioned?

  • Are there any other observations or concerns?

  • Add media

Stairs

    Stairs
  • Location

  • Ae the emergency exits and routes clearly dislayed?

  • Is the correct signage displayed?

  • Ae the handrails in good condition?<br>

  • Are the nosings clearly defined and in good condition?

  • Is the lighting adequate?

  • Are the stairs clean and free from debris, dirt or inappropriately stored items?

  • Is the stair structure, covering or fabric in good condition with no raised or loose sections?

  • Any other observations?

  • Add media

Lift

    Lift
  • Location and or reference?

  • Is the lift functioning correctly?

  • Are the lights functioning?

  • Do the doors close correctly?

  • Are the internal walls, floor and ceiling in good condition?

  • Is the signage correct?

  • Ae the external frames and doors free from loose paint, damage, dirt and litter?

  • Any other observations?

  • Add media

Plant room

    Plant room
  • Location or reference number

  • Is the access door secure and in good condition with adequate signage?

  • Is the emergency exit sign functioning?

  • Is there a fire extinguisher?

  • Is there an emergency telephone?

  • Is the plant room free from obstructions including incorrectly stored items?

  • Is the plant room clean and tidy?

  • Is the fabric of the plant room in good condition?

  • Are the windows secure and correctly designed?

  • Is the plant room free from leakage or contamination?

  • Is the signage adequate and correct?

  • Is the plant free from obvious faults?

  • Any other observations?

  • Add media

Doors

    Doors
  • Location or reference number

  • Is the door correctly signed and secured for its required function?

  • Does the door close correctly?

  • Is the door in good condition?

  • Is the door furniture including any pest control measures in good condition and adequate?

  • Any other observations?

  • Add media

Roof

    Roof
  • Location

  • Is there correct PPE at the access points?

  • Are the access points secure and in good condition?

  • Is the roof clean and tidy?

  • Is there evidence of standing water?

  • Are trip hazards correctly identified?

  • Is the signage adequate and in good condition?

  • Is the roof free from loose items that present a risk of falling?

  • Are the roof specific stairs in good condition?

  • Are all items of plant free from obvious visual fault and in good repair?

  • Any other observations?

  • Add media

General area

    General area
  • Location

  • Area type?

  • Is the area in good condition?

  • Is the signage adequate?

  • Are the pest control measures adequate?

  • Is the lighting adequate?

  • Is the area free from leaks, debris or contamination?

  • Is the correct PPE and or safety equipment provided?

  • Are the windows in good condition and adequately protected for there required function?

  • Are the floors, walls and ceilings in good condition?

  • Any other observations?

  • Add media

Outdoor

    Outdoor area
  • Location

  • Is the area free from environmental hazards?

  • Is the area free from Safety hazards?

  • Is the area free from quality hazards?

  • Further action required?<br>

  • Immediate action required?

  • Comments

  • Photographic evidence

Substation

    Substation
  • Location or reference number

  • Adequate door security and signage?

  • Is the emergency exit sign functioning?<br>

  • Is there a fire extinguisher?

  • Is there an emergency telephone?

  • Is the substation free from incorrectly stored items?

  • Is the substation clean and tidy?

  • Is the substation fabric in good condition?

  • Is the substation enclosure, windows, walls in good condition?

  • Is the substation signage correct?

  • Is the plant free from visual faults?

  • Is the substation free from leakage and contamination?

  • Comments

  • Add media

Faults general

    Fault/concern
  • Location

  • Type of fault

  • Urgency

  • Description

  • Add media

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.