Workplace Inspection Checklist نموذج قائمة فحص مكان العمل
The
following includes some of the items which may be found on workplace inspection
checklists.  It is in no way a complete
list.  The best checklist for an
individual workplace is one that is developed keeping in mind the specific
needs of the workplace.
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Checklist Items 
 | 
   
    
Location 
 | 
   
    
Conditions/Notes 
 | 
  
| 
   
Ventilation System 
 | 
  
   | 
  
   | 
 
| 
   
System
  meets standards 
 | 
  
   | 
  
   | 
 
| 
   
System
  free from dust, fumes, etc 
 | 
  
   | 
  
   | 
 
| 
   
System
  controls smoke, dust and fumes 
 | 
  
   | 
  
   | 
 
| 
   
Complaints
  of headaches, skin or eye irritation 
 | 
  
   | 
  
   | 
 
| 
   
Exhaust
  systems are prevented form returning to the workplace 
 | 
  
   | 
  
   | 
 
| 
   | 
 ||
| 
   
Lighting 
 | 
  
   
1 
 | 
  
   | 
 
| 
   
Adequate
  illumination during the day 
 | 
  
   
********** 
 | 
  
   | 
 
| 
   
Adequate
  illumination during the night 
 | 
  
   
**** 
 | 
  
   | 
 
| 
   
Glare
  from light source 
 | 
  
   | 
  
   | 
 
| 
   
Effect
  from moving equipment(eg: fans) or trees 
 | 
  
   
***** 
 | 
  
   | 
 
| 
   | 
 ||
| 
   
Stairs 
 | 
  
   | 
  
   | 
 
| 
   
Free
  from objects 
 | 
  
   | 
  
   | 
 
| 
   
Safe
  angle 
 | 
  
   | 
  
   | 
 
| 
   
Free
  from clutter 
 | 
  
   | 
  
   | 
 
| 
   
Adequate
  lighting 
 | 
  
   | 
  
   | 
 
| 
   
Safe
  riser height and width 
 | 
  
   | 
  
   | 
 
| 
   
Railing
  available 
 | 
  
   | 
  
   | 
 
| 
   | 
 ||
| 
   
Exits 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Signage
  present 
 | 
  
   | 
  
   | 
 
| 
   
Width/wheelchair
  accessibility 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Ice
  controls 
 | 
  
   
*** 
 | 
  
   | 
 
| 
   
Direction
  of openings 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Mechanical
  hardware 
 | 
  
   | 
  
   | 
 
| 
   
Door
  kept closed 
 | 
  
   
** 
 | 
  
   | 
 
| 
   | 
 ||
| 
   
Ergonomics 
 | 
  
   | 
  
   | 
 
| 
   
Excessive
  force when lifting, pushing or pulling heavy loads 
 | 
  
   | 
  
   | 
 
| 
   
Repetitive
  movements required 
 | 
  
   | 
  
   | 
 
| 
   
High
  paced production 
 | 
  
   | 
  
   | 
 
| 
   
Awkward
  postures used 
 | 
  
   | 
  
   | 
 
| 
   
Workers
  using proper lifting techniques 
 | 
  
   | 
  
   | 
 
| 
   
Stacking/Storage 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Safe
  storage areas and containers 
 | 
  
   
* 
 | 
  
   | 
 
| 
   
Exposure
  to heat, moisture, vibration, flame 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Safe
  arrangement of equipment or materials 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Storage
  of disposal waste 
 | 
  
   
** 
 | 
  
   | 
 
| 
   | 
 ||
| 
   
Materials Handling Equipment 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Safe
  clearance of equipment 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Free
  from tipping hazards 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Operators
  trained 
 | 
  
   | 
  
   | 
 
| 
   
Proper
  placement of mirrors 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Posted
  information regarding maximum loads 
 | 
  
   | 
  
   | 
 
| 
   
Correct
  size of pallets and skids 
 | 
  
   | 
  
   | 
 
| 
   
Regular
  checking and maintenance 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Regular
  inspections of equipment 
 | 
  
   | 
  
   | 
 
| 
   | 
 ||
| 
   
Aisles/Passageways 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Adequate
  width 
 | 
  
   
**** 
 | 
  
   | 
 
| 
   
Clear
  of clutter 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Adequate
  lighting 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Free
  of protruding objects 
 | 
  
   
**** 
 | 
  
   | 
 
| 
   
Clear
  signage 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Doors
  have windows 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Is
  there equipment “right of way” 
 | 
  
   
** 
 | 
  
   | 
 
| 
   | 
 ||
| 
   
Ladders/Scaffolds 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
In
  good condition 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Correct
  type for job being done 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Spacing
  of rungs 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Anchored
  properly 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Overhead
  hazards checked 
 | 
  
   
** 
 | 
  
   | 
 
| 
   | 
 ||
| 
   
Dangerous Substances 
 | 
  
   | 
  
   | 
 
| 
   
Have
  been identified 
 | 
  
   | 
  
   | 
 
| 
   
Workers
  are familiar with harmful effects 
 | 
  
   | 
  
   | 
 
| 
   
Exposure
  levels 
 | 
  
   | 
  
   | 
 
| 
   
Emergency
  plans in place 
 | 
  
   | 
  
   | 
 
| 
   
Plans
  for response to spills 
 | 
  
   | 
  
   | 
 
| 
   
Sanitation 
 | 
  
   | 
  
   | 
 
| 
   
Washrooms
  meet standards 
 | 
  
   | 
  
   | 
 
| 
   
Kitchens
  or food preparation areas meet standards 
 | 
  
   | 
  
   | 
 
| 
   | 
 ||
| 
   
PPE 
 | 
  
   | 
  
   | 
 
| 
   
Provided 
 | 
  
   | 
  
   | 
 
| 
   
Maintained 
 | 
  
   | 
  
   | 
 
| 
   
Meets
  the standard 
 | 
  
   | 
  
   | 
 
| 
   
Workers
  trained in the proper use 
 | 
  
   | 
  
   | 
 
| 
   
Workers
  use PPE 
 | 
  
   | 
  
   | 
 
| 
   | 
 ||
| 
   
Electrical 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Switches
  and outlets have plate covers 
 | 
  
   
**** 
 | 
  
   | 
 
| 
   
All
  breakers identified 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Access
  to electrical panels unobstructed 
 | 
  
   
** 
 | 
  
   | 
 
| 
   
Electrical
  cords in good condition 
 | 
  
   
*** 
 | 
  
   | 
 
| 
   | 
 ||
| 
   
Emergency Preparedness 
 | 
  
   | 
  
   | 
 
| 
   
Emergency
  plan in place 
 | 
  
   | 
  
   | 
 
| 
   
Stocked
  first aid kits available 
 | 
  
   | 
  
   | 
 
| 
   
Regularly
  inspected fire extinguishers 
 | 
  
   | 
  
   | 
 
| 
   
Emergency
  lighting 
 | 
  
   | 
  
   | 
 
| 
   | 
  
   | 
  
   | 
 
Additional
Information:_____________________________________________________________
Inspected
by: ___________________________________ Date: ___________________
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