Scribd
Upload
11 views

Form 1.1a - Building, Floors and Housekeeping Checklist

Uploaded by

valveworkshse
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
11 views

Form 1.1a - Building, Floors and Housekeeping Checklist

Uploaded by

valveworkshse
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

AMIBASE (PTY) LTD

Building, Floors and Housekeeping Checklist


Form 1.1a Rev 0

Date
Building and Floors Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Yes / No Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N

1 Are buildings and floors maintained?


2 Are wall and support columns in good condition?
3 Are doorways and window frames in good condition?
4 Are floors in good condition?
5 Are Carpets / Tiles in good condition?
6 Are responsibilities for inspections clearly defined and displayed

General Work Environment Yes / No Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N

1 Are all worksites clean and orderly?


Are work surfaces kept dry or is appropriate means taken to assure the
2 surfaces are slip-resistant?
Are all spilled hazardous materials or liquids, including blood and other
3 potentially infectious materials, cleaned up immediately and according to
proper procedures?
Is combustible scrap/debris & waste stored safely & removed from the
4 worksite properly?
Are accumulations of combustible dust routinely removed from elevated
5 surfaces including the overhead structure of buildings, etc.?
Is combustible dust cleaned up with a vacuum system to prevent the dust from
6 going into suspension?
Is metallic or conductive dust prevented from entering or accumulating on or
7 around electrical enclosures or equipment?

Any defects are to be reported onto Form 14-Sa – Deviation Report by the responsible nominated person.

Page 1 of 4
AMIBASE (PTY) LTD

Building, Floors and Housekeeping Checklist


Form 1.1a Rev 0

Walkways Yes / No Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N

1 Are aisles and passageways kept clear?


2 Are aisles and walkways marked as appropriate?
Are holes in the floor, sidewalk or other walking surface repaired properly,
3 covered or otherwise made safe?
Is there safe clearance for walking in aisles where motorized or mechanical
4 handling equipment is operating?
Are materials or equipment stored in such a way that sharp projective will not
5 interfere with the walkway?
6 Are changes of direction or elevation readily identifiable?
Are aisles or walkways that pass near moving or operating machinery,
7 welding operations or similar operations arranged so employees will not be
subjected to potential hazards?
8 Is adequate headroom provided for the entire length of any aisle / walkway?
Are standard guardrails provided wherever aisle or walkway surfaces are
9 elevated more than 30 inches above any adjacent floor or the ground?
10 Are bridges provided over conveyors and similar hazards?
Walkways - Floor and Wall Openings Yes / No Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
Are floor openings guarded by a cover, or guardrail, or equivalent on all sides
1 (except at entrance to stairways or ladders)?
Is the glass in the windows, doors, glass walls, etc., which are subject to
2 human impact, of sufficient thickness and type for the condition of use?
Are grates or similar type covers over floor openings such as floor drains of
3 such design that foot traffic/rolling equip will not be affected by the grate
spacing?
Are unused portions of service pits not actually in use either covered or
4 protected by guardrails or equivalent?
Are floor or wall openings in fire resistive construction provided with doors or
5 covers compatible with the fire rating of the structure and provided with a self-
closing feature when appropriate?

Page 2 of 4
AMIBASE (PTY) LTD

Building, Floors and Housekeeping Checklist


Form 1.1a Rev 0

Any defects are to be reported onto Form 14-Sa – Defects / Deficiency Report by the responsible nominated person.

Walkways - Stairs and Stairways Yes / No Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N


Are standard stair rails/handrails on all stairways having four or more
1 risers?
2 Are step risers on stairs uniform from top to bottom?
Are steps on stairs and stairways designed / provided with a surface that
3 renders them slip resistant?
4 Are stairway handrails located above the leading edge of stair treads?
Do stairway handrails have at least 3 inches of clearance between the
5 handrails and the wall or surface they are mounted on?
Where doors/gates open directly on a stairway, is there a platform provided
6 so the swing of the door does not reduce the width of the platform?
Where stairs or stairways exit directly into any area where vehicles may be
7 operated, are adequate barriers and warnings provided to prevent
employees stepping into the path of traffic?
Do stairway landings have a dimension measured in the direction of travel,
8 at least equal to the width of the stairway?
Elevated Surfaces Yes / No Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
Are surfaces elevated above the floor or ground provided with standard
1 guardrails?
Are all elevated surfaces (beneath which people or machinery could be
2 exposed to falling objects) provided with standard 4-inch toe boards?
Is a permanent means of access and egress provided to elevated storage
3 and work surfaces?
Is material on elevated surfaces piled, stacked or racked in a manner to
4 prevent it from tipping, falling, collapsing, rolling or spreading?
Are dock boards or bridge plates used when transferring materials between
5 docks and trucks or rail cars?

Page 3 of 4
AMIBASE (PTY) LTD

Building, Floors and Housekeeping Checklist


Form 1.1a Rev 0

Inspectors Name
Inspectors Signature

Any defects are to be reported onto Form 14-Sa – Defects / Deficiency Report by the responsible nominated person.

Page 4 of 4

You might also like