Section 1: General
1. Floors: clean, dry, free from debris, clutter and trip hazards
Yes
No
N/A
2. Signs are posted when floors are wet (e.g., when floors are washed, spills)
Yes
No
N/A
3. Stairs and hallways kept clear and unobstructed
Yes
No
N/A
4. Stairwells adequately lit; steps, treads, etc., in good condition
Yes
No
N/A
5. Furniture and office equipment secure from tipping; appropriate for work being done
Yes
No
N/A
6. Chairs in safe condition and are caster, rungs and legs sturdy
Yes
No
N/A
7. All equipment and supplies in their proper places
Yes
No
N/A
8. Carts, dollies, etc. available for use in transporting heavy objects and boxes
Yes
No
N/A
Section 2: Exits, Entrances and Exterior Parking Lot
1. Doors are not blocked
Yes
No
N/A
2. Routes, signs and doors clearly marked; exit signs easy to see; outside entrances and parking lots are clearly lit
Yes
No
N/A
3. Walkways and parking lots are free from snow, ice, water, grease, etc.
Yes
No
N/A
Section 3: Workplace Environment
1. Lighting levels adequate; work areas free from glare
Yes
No
N/A
2. Air quality adequate
Yes
No
N/A
3. Temperature and humidity adequate
Yes
No
N/A
Section 4: Ergonomics
1. Heights of chairs and desks appropriate
Yes
No
N/A
2. Employee posture is being monitored
Yes
No
N/A
3. Seat depth, width, and height respect ergonomic requirements
Yes
No
N/A
4. The seating backrest offers the required support for the back
Yes
No
N/A
5. The seating surfaces free of sharp edges which could snag clothing or cause discomfort or injury
Yes
No
N/A
6. Seating comply with fire standards
Yes
No
N/A
7. Furniture easily accessible
Yes
No
N/A
8. Seat stable and has enough support points
Yes
No
N/A
9. The design and construction is robust and safe for use
Yes
No
N/A
10. Controls or moving parts can be operated without risk of trapping fingers
Yes
No
N/A
11. Seating upholstery is a breathable fabric
Yes
No
N/A
Section 5: Fire Protection and Warning System
1. Emergency lighting; adequate lighting, tested and record of annual inspection
Yes
No
N/A
2. Portable fire extinguishers: appropriate type, readily available and inspected
Yes
No
N/A
3. Fire exit doors: in good repair, unlocked and free from obstruction (both sides)
Yes
No
N/A
4. Fire/emergency alarm systems operational; fire exit signs lit
Yes
No
N/A
5. Fire and evacuation plan is posted Workers know the plan (ask an employee)
Yes
No
N/A
Section 6: Hygiene and First Aid
1. Washrooms are clean
Yes
No
N/A
2. Washing facility available (soap, warm water)
Yes
No
N/A
3. First aid kits: supply inventory; treatment log; first aid training manual
Yes
No
N/A
4. Employees know how to get first aid when needed (ask an employee)
Yes
No
N/A
Section 7: Electrical
1. Extension cords are secured and in good condition (no exposed wires or bent prongs)
Yes
No
N/A
Section 8: Security
1. Safe procedures and emergency procedures are in place
Yes
No
N/A
2. Emergency numbers for internal and external contacts are easily available
Yes
No
N/A
3. Emergency numbers for internal and external contacts are easily available
Yes
No
N/A
Section 9: Completion
1. Additional recommendation
2. Full name & Signature of Inspector