Source: XpertHR P&D Date: 20/12/2004 Publisher: XpertHR

Health and safety: Housekeeping checklist (form)

TOPICS:
health and safety  incidents
workplace environment

AUTHOR: David Pratt


This form is provided by RSK ENSR Health & Safety Ltd.

Form wording:

Location  
Date of inspection  
Conducted by  
Signed  
Hazard/Issue

Is Hazard present? (tick one box only)

*Yes / No / N/A

Notes on *Hazards found and Recommended Actions
Offices - General/ Materials/ Environmental Conditions    
Walkways obstructed    
Trailing cables - trip hazard    
Slippery floors    
Cupboard or filing cabinet doors left open    
Safety signs/notices missing    
Waste paper not cleared - fire hazard    
Excessive papers not stored in cabinets - fire hazard    
Unsafe storage, eg on high shelving    
Hazardous substances incorrectly stored    
Unreasonable temperature    
Inadequate cooling for comfortable work    
Poor ventilation    
Fumes from chemicals    
Excessive noise levels    
Inadequate general lighting    
Excessive glare    
Common Areas    
Steps or fixed obstacles not clearly marked    
Walls/ceilings poorly maintained - loose materials    
Walls/ceilings and fittings not kept clean    
Handrails for stairs not secure    
Corridors obstructed    
Stairs obstructed    
Damaged or loose floor coverings    
Trailing cables - trip hazard    
Waste materials not cleared    
Slippery floors    
Inadequate lighting    
Unreasonable temperature    
Poor ventilation    
Electricity - Safe Installation    
Insufficient/overloaded socket outlets    
Sockets/plugs poorly fitted or damaged    
Power cable insulation damaged    
Temporary installations (extensions, etc) that should be replaced by permanent installations    
Portable electrical appliances without in-date safety inspection tags (Portable Appliance Testing)    
Fire Precautions    
Fire escape doors obstructed    
Fire escape doors locked while building is occupied    
Fire doors wedged open    
Flammable materials stored below stairs or walkways forming escape routes    
Lack of clear fire instructions    
Fire extinguishers missing from Fire Points    
First Aid    
First-aid box not available    
First-aid box depleted    
Accident book not available    
External Areas    
Slippery surfaces    
Routes not kept safe in icy conditions    
Inadequate general lighting    
Lack of lighting for pedestrian routes and at road crossings    
Parked vehicles obstructing emergency exits    
Contractors/Maintenance Work    
Lack of warning signs, inadequate barriers    
Excessive dust or fumes    
Excessive noise levels affecting others in building    
Necessary personal protective equipment not being used by contractors    
Unsafe means of access used by contractors    
Unsafe method of working by contractors    

Additional Comments

 

 

 

When to use this document

Use this checklist when undertaking workplace inspections to identify hazards and determine whether safety measures are in use.

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