• Department

  • Conducted on

  • Prepared by

  • Location/Area

Fire Extinguisher

  • Extinguishers in place, clearly marked for type of fire?

  • Extinguishers recently serviced? (Check monthly.)

  • Extinguishers clear of obstructions?


  • Exits clear of obstructions?

  • Exit doors easily opened from inside?

  • Adequate direction notices for fire exits?

Building Safety

  • Floor surfaces even and uncluttered?

  • Entry and walkways kept clear?

  • Walkways adequately and clearly marked?

  • Intersections kept clear of boxes etc?

  • Stair and risers kept clear?

  • Are liquid spills removed quickly?

  • Are railings in good condition?

  • Are fall preventive measures in place and used where gaps occur in railings?

  • Loading area clean and tidy?

Storage Design and Use

  • Materials stored in racks and bins wherever possible?

  • Storage designed to minimise lifting problems?

  • Floors around racking clear of rubbish?

  • General condition of racks and pallets?

Hazcom/Chemical Safety

  • Hazardous Substance Register complete and available?

  • Material Safety Data Sheets available for all chemicals?

  • All containers labelled correctly?

  • Unused substances disposed of?

  • Do special storage conditions apply?

  • If applicable are special storage conditions followed?

  • If required is PPE available?

  • Is adequate ventilation provided?

  • Are eye washes and showers easily accessed?


  • Are all ladders Industrial strength? (Non Household rated, check label.)

  • Are ladders in good condition?

  • If used for electrical work are they non conductive? (Wood or fibre glass.)

  • Used according to instructions?

  • For extension ladders are ropes, pulleys and treads in a good state of repair?

First Aid Facilities

  • Are cabinets and contents clean and orderly?

  • Are contents regularly checked?

  • No contents past their expiration date?

  • Cabinets clearly labelled?

  • Is there easy access to cabinets?

Office Hazards

  • Condition of filing cabinets?

  • Condition of chairs? (Five star bases.)

  • Desks in good condition? (No damage.)

  • Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  • Air conditioning systems regularly maintained?

  • Stable non-slip floor coverings in good condition?

Vehicle Spot Check

  • Condition of tires?

  • Brake performance?

  • Lights? (Check operation of brake, indicator and reversing lights)

  • Condition of drivers seat?

  • Condition of other seats?

  • First aid kit supplied and adequate?

Forklift/Man-Lift Operations

  • Verify operator license.

  • Prior to use inspection completed?

  • Operator wearing seatbelt?

  • Operator has clear view of travel?

  • Operating in Safe manner?

Sign Off

  • On site representative

  • Sr. Risk Analyst/Safety Officer 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.