Workplace Inspection Report
Workplace Inspection Report
Action Urgency: A = Immediate (Major) (Contact Supervisor) B = Short Term (Serious) (2 weeks) C = Intermediate Term (Minor)(1 month)
Supplies/Equipment:
First Aid Kit: ____________________________________________________________
Supplies __________________________________________________
Respiratory Illness Kit:
required: __________________________________________________
Smoke Alarm/CO
__________________________________________________
Fire Extinguisher Checked:
If corrective action cannot be completed, state reason why and projected completion date:
Copy to: Chief Executive Officer Employee Co-Chair Supervisor Inspector JHS Committee
INSPECTION CHECKLIST
Inspector (s)
Location: Date:
Satisfactory X Unsatisfactory, requires attention
WORKSTATIONS/OFFICE AREAS
□ Temperature is kept at a minimum of 18°C
□ Liquid/tablet detergents are used over powdered detergent
□ Chair is adjustable
□ A First Aid kits are readily available
HAZARDOUS SUBSTANCES
□ Non-latex/powder-free latex gloves are available
□ There is a current inventory list of all hazardous substances SLIPS, TRIPS, FALLS
□ MSDS (Material Safety Data Sheets) are current and readily □ Floor is free of tripping hazards
available □ Furniture is arranged to prevent obstacles
□ All containers are adequately labelled □ Doors are not obstructed by mats
□ All chemicals are safety stored □ Walkways are not a source of trip/slip hazards