• Guidelines:
    1. Please indicate the condition for below areas.
    2. Please insert note/comment/photos if any action required.

  • Department
  • Department:


  • Is there loose material, debris, worn carpeting?

  • Are the floors slippery, oily or wet?


  • Are they clear and unblocked?

  • Are aisles well lighted?

Material Storage

  • Are materials stacked on desks or cabinets?

  • Are materials neatly and safely piled?

  • Are large and heavy objects stored on lower shelves?

  • Are passageways and work areas clear of obstructions?


  • Are any areas dark?

  • Are electrical or telephone cords exposed in areas where employees may become entangled?

  • Are wall and ceiling fixtures fastened securely?

  • Are paper and waste properly disposed of?

  • Are desk and file drawers kept closed when not in use?

  • Are office accessories stored appropriately?

  • Are file cabinet drawers overloaded?

  • Are file cabinets loaded with the heaviest items in the bottom drawers?

  • Are filing stools or wastebaskets placed where they might be tripping hazards?


  • Please list down the inspectors.

  • Inspector
  • Inspectors Name & Signature:

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