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:

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|Aisle ways and passage ways: | | |

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|Sufficient exits for prompt escape: | | |

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|Exit signs visible: | | |

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|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:

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|Adequate storage facilities: | | |

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|Wood / Steel Shelving | | |

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|Condition of Storage | | |

3. Fire Protection GOOD Comments:

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|Approp. number of fire extinguishers: | | |

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|Approp. location of fire extinguishers: | | |

4. Electrical GOOD Comments:

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|High voltage and control panels closed and secured: | | |

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|Electrical equipment protected from fluids: | | |

5. Lighting GOOD Comments:

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|Walking and working areas: | | |

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|Adequately illuminated during working hours: | | |

6A. First Aid GOOD Comments:

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|Form 82 is posted in a conspicuous location: Office and Shop| | |

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|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:

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|Use of PPE by workers | | |

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|Availability of ear plugs, glasses, respirator, spray and | | |

|PPE | | |

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|PPE storage facilities are easily accessible? | | |

8. Pesticides GOOD Comments:

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|Separate storage area locked: | | |

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|Authorized personal warning signs: | | |

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|No smoking signs: | | |

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|Chemicals in original containers: | | |

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|Pesticides are stored separately: | | |

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|Trained Personnel (licensed operators ) | | |

9. Fuel Safety GOOD Comments:

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|Tanks of steel or appropriate material: | | |

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|Tanks adequately vented: | | |

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|Tanks adequately grounded: | | |

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|Tanks adequately supported: | | |

|Labeled properly / appropriately colour coded: | | |

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|Containers used with correct fuels: | | |

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|Caps secured: | | |

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|No smoking signs posted: | | |

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|Separate containers provided for oil: | | |

10. Hand and Power tools GOOD Comments:

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|Proper condition and maintenance | | |

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|Proper storage | | |

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|Guards and safety devices in place | | |

11. Equipment GOOD Comments:

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|Condition of Bobcats | | |

| | | |

|Condition of Mini Ex | | |

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|Condition of Pay loader | | |

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|Condition of Tractor | | |

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|Tag Out Signage and Tags | | |

| | | |

|Inspection Sheet up to date for all Equipment | | |

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