Frequency: |
Monthly |
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Date issued: |
……/……/2010 |
Target for completion: |
……/…../2010 |
Inspector: |
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Department: |
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Location: |
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Nr |
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Yes |
No |
Remarks |
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BUILDINGS |
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1 |
Clean and in good state of repair |
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2 |
No broken windows, doors or other openings? |
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FLOORS |
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3 |
Clean and free from slippery substances |
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4 |
No tripping or other obstruction hazards? |
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5 |
No holes, unevenness or structural damage? |
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VENTILATION |
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6 |
Sufficient natural or artificial ventilation? |
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7 |
All fans in working order? |
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8 |
Free from any dangerous gasses, dust, smoke etc.? |
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LIGHTING |
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9 |
Sufficient natural or artificial lighting? |
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10 |
All lights in working order? |
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11 |
No straining glares or contrasts? |
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12 |
No dark or shadowy spots? |
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POLLUTION |
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13 |
Adequate disposal system? |
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14 |
No air pollution? |
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15 |
Complying with all disposal standards and procedures? |
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HYGIENE |
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16 |
All toilets, urinals and change rooms clean and hygienic |
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17 |
Kitchens & eating places clean and hygienic? |
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18 |
No eating in places not so indicated? |
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DEMARCATION |
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19 |
Aisles and passageways demarcated? |
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20 |
Access and exit routes demarcated? |
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21 |
Fire equipment demarcated? |
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22 |
Electrical switchgear demarcated? |
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23 |
All demarcation lines clear and visible? |
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HOUSEKEEPING |
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24 |
Working area clean and tidy at all times? |
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25 |
Yard tidy and clean? |
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26 |
No redundant materials |
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27 |
Adequate storing space? |
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28 |
Stacking safe? |
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29 |
No obstruction in aisles? |
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30 |
Cupboards and shelves tidy and clean? |
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REFUSE AND WASTE |
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31 |
Adequate refuse bins and removal system? |
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32 |
Separate bins for specific materials as prescribed? |
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COLOUR CODING |
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33 |
All pipe work colour coded? |
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34 |
All electrical apparatus colour coded? |
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35 |
Hazardous machine parts colour coded? |
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36 |
Uniform colour coding system throughout? |
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MACHINE GUARDING |
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37 |
All hazardous machine parts adequately guarded? |
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38 |
All guards in good state of repair? |
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39 |
All guards in place and used according prescriptions? |
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ELECTRICAL SUPPLY AND EQUIPMENT |
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40 |
No installation defects |
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41 |
Regular inspections as prescribed? |
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42 |
No abuse? |
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EMERGENCIES |
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43 |
First Aid Boxes in place, demarcated, secured? |
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44 |
First Aid Boxes contents correct? |
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45 |
First Aiders trained with valid certificates? |
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46 |
Emergency Procedure understood by all and displayed? |
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47 |
Alarm System working? |
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38 |
All guards in good state of repair? |
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39 |
All guards in place and used according prescriptions? |
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ELECTRICAL SUPPLY AND EQUIPMENT |
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40 |
No installation defects |
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41 |
Regular inspections as prescribed? |
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42 |
No abuse? |
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EMERGENCIES |
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43 |
First Aid Boxes in place, demarcated, secured? |
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44 |
First Aid Boxes contents correct? |
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45 |
First Aiders trained with valid certificates? |
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46 |
Emergency Procedure understood by all and displayed? |
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47 |
Alarm System working? |
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44 |
First Aid Boxes contents correct? |
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45 |
First Aiders trained with valid certificates? |
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46 |
Emergency Procedure understood by all and displayed? |
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47 |
Alarm System working? |
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Recommendations:
………………………………………………………………………………………………………………
______________________ ______________
Signature of representative Date