Workplace Inspection Checklist Form - Landscape Ontario
Workplace Inspection Checklist Form
Location : ______________________ Date: _________________
Inspectors name(s): ____________________________________________________
The following is a list of areas to be inspected. Please comment on each item in your department. Some items may not apply to some areas. Please make a note if this is the case.
1. Office / Shop / Yard Housekeeping GOOD Comments:
| | | |
|Aisle ways and passage ways: | | |
| | | |
|Sufficient exits for prompt escape: | | |
| | | |
|Exit signs visible: | | |
| | | |
|Flammables kept in proper storage: | | |
|Cleaned of Ice and Snow: | | |
|All Emergency Signs Clear and Noticeable: | | |
|Floors – Hazards? | | |
2. Stacking and Storage Facilities GOOD Comments:
| | | |
|Adequate storage facilities: | | |
| | | |
|Wood / Steel Shelving | | |
| | | |
|Condition of Storage | | |
3. Fire Protection GOOD Comments:
| | | |
|Approp. number of fire extinguishers: | | |
| | | |
|Approp. location of fire extinguishers: | | |
4. Electrical GOOD Comments:
| | | |
|High voltage and control panels closed and secured: | | |
| | | |
|Electrical equipment protected from fluids: | | |
5. Lighting GOOD Comments:
| | | |
|Walking and working areas: | | |
| | | |
|Adequately illuminated during working hours: | | |
6A. First Aid GOOD Comments:
| | | |
|Form 82 is posted in a conspicuous location: Office and Shop| | |
| | | |
|First Aid kit locations and conditions: | | |
|Office Shop Inside Front Door | | |
| | | |
|Supplies: | | |
6B. Eye Wash Station (monthly)
|Shop: front above work bench | | |
|Shop: rear above work bench | | |
|Shop: north side above work bench | | |
|Lawn care shed: inside door on the left | | |
| | | |
|Bottle Condition | | |
|Water level / Cleanliness | | |
7. Personal Protective Equipment GOOD Comments:
| | | |
|Use of PPE by workers | | |
| | | |
|Availability of ear plugs, glasses, respirator, spray and | | |
|PPE | | |
| | | |
|PPE storage facilities are easily accessible? | | |
8. Pesticides GOOD Comments:
| | | |
|Separate storage area locked: | | |
| | | |
|Authorized personal warning signs: | | |
| | | |
|No smoking signs: | | |
| | | |
|Chemicals in original containers: | | |
| | | |
|Pesticides are stored separately: | | |
| | | |
|Trained Personnel (licensed operators ) | | |
9. Fuel Safety GOOD Comments:
| | | |
|Tanks of steel or appropriate material: | | |
| | | |
|Tanks adequately vented: | | |
| | | |
|Tanks adequately grounded: | | |
| | | |
|Tanks adequately supported: | | |
|Labeled properly / appropriately colour coded: | | |
| | | |
|Containers used with correct fuels: | | |
| | | |
| | | |
|Caps secured: | | |
| | | |
|No smoking signs posted: | | |
| | | |
|Separate containers provided for oil: | | |
10. Hand and Power tools GOOD Comments:
| | | |
|Proper condition and maintenance | | |
| | | |
|Proper storage | | |
| | | |
|Guards and safety devices in place | | |
11. Equipment GOOD Comments:
| | | |
|Condition of Bobcats | | |
| | | |
|Condition of Mini Ex | | |
| | | |
|Condition of Pay loader | | |
| | | |
|Condition of Tractor | | |
| | | |
|Tag Out Signage and Tags | | |
| | | |
|Inspection Sheet up to date for all Equipment | | |
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