{Enter Company Name}

MONTHLY SAFETY INSPECTION Building Floor: Name of Manager: ____________________ Assessor: NO 1 2 3 4 5 6 7 8 9 ____________________ INSPECTION POINT FIRE Are the emergency exits clear of obstructions? Do the exit doors open? Are the stairwells and lift lobbys clear of obstructions? Are the walkways and escape routes clear of obstructions? Are all portable fire fighting appliances in date, in position and free from obstruction? Are the fire signage and instructions notices in place and visible? Is the fire alarm audible in all areas? Are all emergency lights functioning? Are all emergency exit signs in position and clearly visible? TRAINING Have all staff and contractors received Induction training? Have staff and contractors received training on equipment they may use in their work? Have staff been trained in what to do in the event of an emergency? FIRST AID Is the location of the First Aider identified? Is the nominated first aider/appointed person available? Is the first aid box adequately stocked and easily accessible? Is the accident book available? ELECTRICAL / WIRING Are there any trailing cables or overloaded sockets? Yes/No RISK H/M/L Date: Area Signature: ________________

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NO 16 17 18 19 20 21 22 23 24 25 26 27 28

INSPECTION POINT Are there electrical items which have not been provided by the Company (i.e. toasters, kettles, microwaves, fridges etc) Is the lighting adequate and in working order? WORKSTATIONS Are workstations and desks free of hazards, obstructions and excessive paper? Is there any overloading of shelving? Are files etc being stored above head height? PHOTOCOPIERS/FAX MACHINES Are there any photocopiers with high volume copy runs situated on desks close to staff? Are printers/fax machines easily accessible? NOTICE BOARDS Are the notice boards displaying up to date information? TOILETS Are both male and female toilets clean and well maintained? VENDING AREAS Are the vending areas clean and free of spillages? Is the equipment in the vending areas clean and in good condition? Are there any photocopiers with high volume copy runs situated on desks close to staff? SLIPS, TRIPS AND FALLS Are the floors free from obstructions and tripping hazards? INSURANCE Is the Employers Liability Certificate displayed? GENERAL SAFETY Is the Health and Safety Law poster displayed? Is the Health and Safety Policy Statement displayed? Is the Health and Safety policy readily available? Are all risk assessments available? Are all areas in a good state of repair? Are all lights functioning? Is all storage and racking safe? Are all chemicals stored safely? Are all areas of floor covering safe and free from defect and tripping hazards? Have all new contractors received the relevant forms and submitted their information? Have all ladders and steps been inspected and a

Yes/No

RISK H/M/L

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Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used for any other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure that the information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use of any such information.

NO record made?

INSPECTION POINT

Yes/No

RISK H/M/L

Other Comments

Where a No is highlighted an action point must be written on the action plan.

Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used for any other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure that the information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use of any such information.