Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Scope of inspection

  • Is temperature throughout the building suitable for the kind of work being carried out?

  • Are lighting levels sound and sufficient throughout the building? Please outline in comments any glare, blackspots and defective lighting

  • Emergency lighting routinely tested and in full working order?

  • Please rate overall cleanliness, orderliness and general housekeeping throughout the building. (Make notes of good practices and improvements)

  • Is there adequate and sufficient room and space for personnel to work in?

  • Are workstations suitable, adjustable and adaptable to the individual?

  • Please outline the condition and organisation of floors and traffic routes.

  • Are transparent doors and windows clean, free of cracks / damage and in good condition?

  • Are windows fitted with blinds / curtains to block out glare and sunlight if needed?

  • Are sanitary conveniences adequately ventilated and lit?

  • Are sanitary conveniences clean, fully functional and in orderly condition?

  • Are sanitary conveniences provided separate from male to female?

  • shared (male / female) sanitary conveniences lockable from the inside?

  • Are there any disabled sanitary conviniences?

  • Are washing facilities clean, suitable and well lit?

  • Are washing facilities supplied with soap and hand drying provisions?

  • Is drinking water available and provided?

  • Are there any means of food storage provided?

  • Are there any means of boiling water?

  • Are there any means of heating food?

  • Are accommodation for clothing / lockers provided?

  • Are changing facilities provided?

  • Are those facilities separated from male/female

  • Are facilities provided for drying clothes?

  • Female showers are fully functional, clean and orderly?

  • Male showers are fully functional, well lit, orderly and in good condition?

Other

  • Observation 1

  • Observation 2

  • Observation 3

  • Observation 4

  • Observation 5

  • Observation 6

  • Observation 7

  • Observation 8

  • Observation 9

  • Observation 10

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.