Workplace Inspection Form Please enable JavaScript in your browser to complete this form.Please select the Housekeeping Zone:Zone 1 - Downstairs Office Area including Toilets and KitchenZone 2 - Workshop/Facility Area, Canteen, Boiler Room, Toilet, OfficeZone 3 - General Office Area - Meeting Rooms 1 & 2Zone 4 - Stores - 1st floor & OfficeZone 5 Upstairs - CP Office/Archive/OP's Director / AccountsZone 6 - Sales Office/Area/MD/Sales StorageZone 7a - TRU TestZone 7b - Ground Floor TR AssemblyZone 7c - Saw / DIN Rail AreaZone 8 - Workshop - Extension Area OnlyZone 9 - Factory Area - Warehouse Area / Containers / ShedZone 10 - 1st Floor TR AssemblyZone 11 - Field Services Store & ContainerZone 12 - Yard / Car Park/ All Other External AreasHousekeeping Inspector *Gina FarleyAdam WeatherillSadie GillettStuart ParkerJeff ChildsSam DodwellDate of InspectionAre notice boards readable and is the content current?YesNoNot ApplicablePlease describe the issues found?Is the fabric of the area including any furniture and lighting in a good state of repair?YesNoNot ApplicablePlease describe the issues found?Are passageways and thoroughfares clear of obstruction?YesNoNot ApplicablePlease describe the issues found?Are extension leads used safely and is all cabling safely routed?YesNoNot ApplicablePlease describe the issues found?Is waste properly managed?YesNoNot ApplicablePlease describe the issues found?Is the area generally tidy and in a safe state?YesNoNot ApplicablePlease describe the issues found?Are fire extinguishers present in their designated locations?YesNoNot ApplicablePlease describe the issues found?Are all machinery guards in place and in good condition?YesNoNot ApplicablePlease describe the issues found?Does the guard adequately prevent access to any moving parts during operation?YesNoNot ApplicablePlease describe the issues found?Are start / stop controls easily identified and in working order?YesNoNot ApplicablePlease describe the issues found?Are oil spills and other slips, trips, and falls hazards promptly cleaned up or removed YesNoNot ApplicablePlease describe the issues found?Are raw materials, work in progress, and completed work stored correctly and safely?YesNoNot ApplicablePlease describe the issues found?Is PPE being used where required and is it fit for purpose?YesNoNot ApplicablePlease describe the issues found?Is all pallet racking in good condition?YesNoNot ApplicablePlease describe the issues found?Is lifting equipment clearly marked to indicate its safe working load?YesNoNot ApplicablePlease describe the issues found?Are suitable measures in place to prevent falls and falling objects?YesNoNot ApplicablePlease describe the issues found?Are quantities of flammable / highly flammable chemicals kept to a minimum and correctly stored?YesNoNot ApplicablePlease describe the issues found?Are chemical containers correctly labelled and are empties regularly removed?YesNoNot ApplicablePlease describe the issues found?Other than ones that are in use are all chemicals stored in the COSHH cupboard?YesNoNot ApplicablePlease describe the issues found?Where they show an indicator are all fire extinguishers correctly charged and do they show a test date of less that 1 year ago?YesNoNot ApplicablePlease describe the issues found?Are all exits free from obstruction?YesNoNot ApplicablePlease describe the issues found?Are any fire doors wedged open?YesNoNot ApplicablePlease describe the issues found?Is there any evidence the smoking ban is not being followed?YesNoNot ApplicablePlease describe the issues found?Is all electrical equipment in a good state of repair, are there sufficient sockets and is all equipment PAT tested and within date?YesNoNot ApplicablePlease describe the issues found?Are first aiders identified?YesNoNot ApplicablePlease describe the issues found?Is all first aid equipment well maintained, correctly stocked and in dateYesNoNot ApplicablePlease describe the issues found?Are toilet facilities in a clean and orderly condition?YesNoNot ApplicablePlease describe the issues found?Is the area appropriately ventilated?YesNoNot ApplicablePlease describe the issues found?Is soap available?YesNoNot ApplicablePlease describe the issues found?Are towels or hand driers available?YesNoNot ApplicablePlease describe the issues found?Are rest areas in a clean and orderly condition?YesNoNot ApplicablePlease describe the issues found?Are any microwaves in a clean and orderly condition?YesNoNot ApplicablePlease describe the issues found?Are any fridges in a clean and orderly condition?YesNoNot ApplicablePlease describe the issues found?Is fresh and clean drinking water available?YesNoNot ApplicablePlease describe the issues found?Please add any additional comments in this section:Attach photo(s) of workplace Click or drag files to this area to upload. You can upload up to 4 files. Paragraph TextNameSubmit
