Questionnaire template
Workplace Inspection Checklist
A routine workplace inspection checklist for supervisors covering housekeeping, safety equipment and corrective actions.
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Questions in this template
Inspection Details
Use this checklist while walking the area. Mark each check as met, not met or not applicable, and record any follow-up needed.
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What type of area are you inspecting?
Choose one from a list:
- Office
- Warehouse
- Retail floor
- Kitchen
- Workshop
- Other
-
Why is this inspection taking place?
Choose one:
- Routine scheduled inspection
- Follow-up to earlier findings
- Unannounced spot check
- After an incident
-
How many people were working in the area during the inspection?
A number from 0 to 1000
Premises and Housekeeping
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Is each of these conditions met?
- Walkways and exits are clear
- Floors are clean and dry
- All lighting works
- Waste has been removed
- Storage is tidy and secure
For each row: choose one:
- Yes
- No
- Not applicable
-
Describe each premises condition that was not met.
Condition: Shown when at least one premises check was not met
Open answer
Safety Equipment
-
Is each of these conditions met?
- Fire extinguishers are accessible and in date
- First aid kit is fully stocked
- Emergency exit signs are lit
- Required protective equipment is available
- Hazard signs are displayed where needed
For each row: choose one:
- Yes
- No
- Not applicable
-
Describe each safety condition that was not met.
Condition: Shown when at least one safety check was not met
Open answer
Outcome and Follow-up
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Overall, what condition is the area in?
Choose one:
- Excellent
- Good
- Fair
- Poor
-
Does anything need corrective action?
Choose one:
- Yes
- No
-
How soon must the action be completed?
Condition: Shown when corrective action is needed
Choose one:
- Immediately
- Within 24 hours
- Within a week
- By the next routine inspection
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What needs to be done, and who is responsible?
Condition: Shown when corrective action is needed
Open answer
-
In how many weeks should this area be inspected again?
A number from 1 to 52