Workplace Health and Hygiene Inspection

Is suitable protective equipment provided for the hazards of each job?

Choose one:

• Yes
• Partly
• No

Where does the provision of protective equipment fall short?

Condition: Shown when provision is partial or absent

Open answer

Which types of protective equipment are provided? Select all that apply.

Condition: Shown when some protective equipment is provided

Choose any that apply:

• Gloves
• Face masks
• Eye protection
• Aprons or gowns
• Hair coverings
• Safety footwear
• Hearing protection

Are work areas and walkways kept clean and tidy?

Choose one:

• Yes
• No

What is the condition of each of the following?

• Disinfection of door handles and light switches
• Cleanliness of toilets and washrooms
• Frequency of waste removal

For each row: choose one:

• Acceptable
• Needs attention
• Not checked

Do staff follow the required hygiene practices, such as washing hands?

Choose one:

• Yes
• No

Which hygiene practices are not being followed?

Condition: Shown when practices are not followed

Open answer

How often is each routine carried out as required?

• Staff wash their hands at the required times
• Utensils and tools are cleaned
• Work surfaces are cleaned

For each row: choose one:

• Always
• Often
• Sometimes
• Rarely
• Never

Is food prepared or served on site?

Choose one:

• Yes
• No

Which food safety practices are in place in the kitchen? Select all that apply.

Condition: Shown when food is handled on site

Choose any that apply:

• Regular temperature checks
• Safe handling of raw food
• Correct food storage
• None of these

Add any notes about these practices (optional).

Condition: Shown when a food safety answer was given

Open answer

Record any other observations about hygiene in the food preparation area.

Condition: Shown when food is handled on site

Open answer