4 sections, 17 items
1Access and housekeeping
- Text
Area or zone inspected *
- Pass / fail
Walkways, aisles and stairs clear, floors free of spills, trip hazards and damage *
- Pass / fail
Lighting adequate, no failed fittings
- Pass / fail
Waste and materials stored properly, nothing stacked unsafely or above shoulder height without means *
2Fire and emergency
- Pass / fail
Exit routes and fire doors unobstructed, exit signs lit *
- Pass / fail
Extinguishers in place, accessible and in date *
- Pass / fail
Fire alarm call points accessible; evacuation notice displayed
- Pass / fail
First aid kit stocked and in date; eyewash where required
3Equipment and electrical
- Pass / fail
Portable equipment and leads undamaged, no daisy-chained extensions or overloaded sockets *
- Pass / fail
Machine guards in place and interlocks working
- Pass / fail
Racking undamaged, load notices displayed
- Pass / fail
Hazardous substances labelled, stored correctly, data sheets available
4People
- Pass / fail
Required PPE available and worn
- Pass / fail
Welfare facilities clean and stocked
- Text
Findings and actions
- Photo
Photo of each finding
- Signature
Inspector signature *
* Required