H.S.E Monthly Workplace Inspection Reports

Royals Management Monthly Work Place inspections reports to be completed as close to the 1st of each month as possible.

Location
Date Date / DD / MM YYYY
Name of Person Carrying out Inspection Name of Person Carrying out Inspection First Last
This Checklist is provided as a guide and can be developed to meet the need of specific workplaces. The list is not exhaustive. Inspections should be carried out at least once per calendar month as close to the 1st as possible. Any items not covered by this checklist please use the additional notes section to add further comments. Please don not select Not Applicable if you are unsure please seek further advice.

General Access- Internal
General Access- Internal	Yes	No	N/A
Are Passageways free from obstructions?	Are Passageways free from obstructions?Yes	Are Passageways free from obstructions?No	Are Passageways free from obstructions?N/A
Is the Flooring in good condition?	Is the Flooring in good condition?Yes	Is the Flooring in good condition?No	Is the Flooring in good condition?N/A
Floor free from slip, trip and fall hazards?	Floor free from slip, trip and fall hazards?Yes	Floor free from slip, trip and fall hazards?No	Floor free from slip, trip and fall hazards?N/A
Are stair treads in good condtion?	Are stair treads in good condtion?Yes	Are stair treads in good condtion?No	Are stair treads in good condtion?N/A
Are staircases, banisters/handrails in good condition?	Are staircases, banisters/handrails in good condition?Yes	Are staircases, banisters/handrails in good condition?No	Are staircases, banisters/handrails in good condition?N/A
Are the Doors and gates of suitable construction and operate correctly?	Are the Doors and gates of suitable construction and operate correctly?Yes	Are the Doors and gates of suitable construction and operate correctly?No	Are the Doors and gates of suitable construction and operate correctly?N/A
Are transparent surfaces/panels indoors clearly marked?	Are transparent surfaces/panels indoors clearly marked?Yes	Are transparent surfaces/panels indoors clearly marked?No	Are transparent surfaces/panels indoors clearly marked?N/A

General Access- External
General Access- External	Yes	No	N/A
Where vechicles and Pedesttians use the same routes ais the sufficient separation between them?	Where vechicles and Pedesttians use the same routes ais the sufficient separation between them?Yes	Where vechicles and Pedesttians use the same routes ais the sufficient separation between them?No	Where vechicles and Pedesttians use the same routes ais the sufficient separation between them?N/A
Are footpaths free from slip, trip and fall hazards?	Are footpaths free from slip, trip and fall hazards?Yes	Are footpaths free from slip, trip and fall hazards?No	Are footpaths free from slip, trip and fall hazards?N/A
In winter months are acess routes gritted. salts and clears of snow?	In winter months are acess routes gritted. salts and clears of snow?Yes	In winter months are acess routes gritted. salts and clears of snow?No	In winter months are acess routes gritted. salts and clears of snow?N/A
Is external lighting adequate?	Is external lighting adequate?Yes	Is external lighting adequate?No	Is external lighting adequate?N/A

Working Environment
Working Environment	Yes	No	N/A
Is the Temperature reasonable Minimum of 16°C?	Is the Temperature reasonable Minimum of 16°C?Yes	Is the Temperature reasonable Minimum of 16°C?No	Is the Temperature reasonable Minimum of 16°C?N/A
IF portable heater are requried are they functioning correctly?	IF portable heater are requried are they functioning correctly?Yes	IF portable heater are requried are they functioning correctly?No	IF portable heater are requried are they functioning correctly?N/A
Are thermometers provide?	Are thermometers provide?Yes	Are thermometers provide?No	Are thermometers provide?N/A
Are lighting levels adequate to allow safe working?	Are lighting levels adequate to allow safe working?Yes	Are lighting levels adequate to allow safe working?No	Are lighting levels adequate to allow safe working?N/A
Are the lights stable and flicker-free?	Are the lights stable and flicker-free?Yes	Are the lights stable and flicker-free?No	Are the lights stable and flicker-free?N/A
Is the ventilation adequate?	Is the ventilation adequate?Yes	Is the ventilation adequate?No	Is the ventilation adequate?N/A
Can the ventilation be controlled?	Can the ventilation be controlled?Yes	Can the ventilation be controlled?No	Can the ventilation be controlled?N/A
Is the ventilation draught-free?	Is the ventilation draught-free?Yes	Is the ventilation draught-free?No	Is the ventilation draught-free?N/A
Is there adequate space to allow work activities to be carried out safely?	Is there adequate space to allow work activities to be carried out safely?Yes	Is there adequate space to allow work activities to be carried out safely?No	Is there adequate space to allow work activities to be carried out safely?N/A
Is there any Visible Damage to doors, walls, ceilings, etc?	Is there any Visible Damage to doors, walls, ceilings, etc?Yes	Is there any Visible Damage to doors, walls, ceilings, etc?No	Is there any Visible Damage to doors, walls, ceilings, etc?N/A

Workstations
Workstations	Yes	No	N/A
Every workstaion is to be arranged so that it is suitable for a person to work at and for their type of work to be carries out?	Every workstaion is to be arranged so that it is suitable for a person to work at and for their type of work to be carries out?Yes	Every workstaion is to be arranged so that it is suitable for a person to work at and for their type of work to be carries out?No	Every workstaion is to be arranged so that it is suitable for a person to work at and for their type of work to be carries out?N/A
Have employees got unobstructed access/egress to/from their workstations?	Have employees got unobstructed access/egress to/from their workstations?Yes	Have employees got unobstructed access/egress to/from their workstations?No	Have employees got unobstructed access/egress to/from their workstations?N/A
Are the seats provoided suitable and give adequare supoort to the user?	Are the seats provoided suitable and give adequare supoort to the user?Yes	Are the seats provoided suitable and give adequare supoort to the user?No	Are the seats provoided suitable and give adequare supoort to the user?N/A
Do Employees have adequate working space to allow freedom of movement?	Do Employees have adequate working space to allow freedom of movement?Yes	Do Employees have adequate working space to allow freedom of movement?No	Do Employees have adequate working space to allow freedom of movement?N/A
Is the floor clear of slip, trip fall hazards? e.g. trailing cables?	Is the floor clear of slip, trip fall hazards? e.g. trailing cables?Yes	Is the floor clear of slip, trip fall hazards? e.g. trailing cables?No	Is the floor clear of slip, trip fall hazards? e.g. trailing cables?N/A
Are workstations tidy?	Are workstations tidy?Yes	Are workstations tidy?No	Are workstations tidy?N/A

Work Equipment
Work Equipment	Yes	No	N/A
Is prortable electrical visually inspected by the user prior to use?	Is prortable electrical visually inspected by the user prior to use?Yes	Is prortable electrical visually inspected by the user prior to use?No	Is prortable electrical visually inspected by the user prior to use?N/A
is non-essentail electrical equipemnt switched off and disconnected after use?	is non-essentail electrical equipemnt switched off and disconnected after use?Yes	is non-essentail electrical equipemnt switched off and disconnected after use?No	is non-essentail electrical equipemnt switched off and disconnected after use?N/A
Is the equipment regularly maintained and cleaned?	Is the equipment regularly maintained and cleaned?Yes	Is the equipment regularly maintained and cleaned?No	Is the equipment regularly maintained and cleaned?N/A
If required, are guards fitted to machines?	If required, are guards fitted to machines?Yes	If required, are guards fitted to machines?No	If required, are guards fitted to machines?N/A
If the use of equipment is limited to trained persons, are there signs indicating this?	If the use of equipment is limited to trained persons, are there signs indicating this?Yes	If the use of equipment is limited to trained persons, are there signs indicating this?No	If the use of equipment is limited to trained persons, are there signs indicating this?N/A
Where emergency stop controls are installed, are they clearly marked and easily accessible?	Where emergency stop controls are installed, are they clearly marked and easily accessible?Yes	Where emergency stop controls are installed, are they clearly marked and easily accessible?No	Where emergency stop controls are installed, are they clearly marked and easily accessible?N/A

Personal Protective Equipment (PPE)
Personal Protective Equipment (PPE)	Yes	No	N/A
Where PP is required for a task is is provided and worn correctly?	Where PP is required for a task is is provided and worn correctly?Yes	Where PP is required for a task is is provided and worn correctly?No	Where PP is required for a task is is provided and worn correctly?N/A
Are adequate supplies provied?	Are adequate supplies provied?Yes	Are adequate supplies provied?No	Are adequate supplies provied?N/A
Are emplyeess wearing appropriate PPE?	Are emplyeess wearing appropriate PPE?Yes	Are emplyeess wearing appropriate PPE?No	Are emplyeess wearing appropriate PPE?N/A

Windows
Windows	Yes	No	N/A
Are they able to be opened safely, with the risk of anyone falling out?	Are they able to be opened safely, with the risk of anyone falling out?Yes	Are they able to be opened safely, with the risk of anyone falling out?No	Are they able to be opened safely, with the risk of anyone falling out?N/A
Is the wicth of the opening restricted to prevent anyone from falling out?	Is the wicth of the opening restricted to prevent anyone from falling out?Yes	Is the wicth of the opening restricted to prevent anyone from falling out?No	Is the wicth of the opening restricted to prevent anyone from falling out?N/A
Are they maintained in good condriton?	Are they maintained in good condriton?Yes	Are they maintained in good condriton?No	Are they maintained in good condriton?N/A

Facilities for rest and to eat meals
Facilities for rest and to eat meals	Yes	No	N/A
If required are rest areas provided with suitable furniture?	If required are rest areas provided with suitable furniture?Yes	If required are rest areas provided with suitable furniture?No	If required are rest areas provided with suitable furniture?N/A
If required are facilities provied for food preparation maintianed in good hygienic condtion?	If required are facilities provied for food preparation maintianed in good hygienic condtion?Yes	If required are facilities provied for food preparation maintianed in good hygienic condtion?No	If required are facilities provied for food preparation maintianed in good hygienic condtion?N/A
Where provided, are facilities for pregnant/nirsing mother suitable and maintianied in good order?	Where provided, are facilities for pregnant/nirsing mother suitable and maintianied in good order?Yes	Where provided, are facilities for pregnant/nirsing mother suitable and maintianied in good order?No	Where provided, are facilities for pregnant/nirsing mother suitable and maintianied in good order?N/A
Are eating facilities kept clean?	Are eating facilities kept clean?Yes	Are eating facilities kept clean?No	Are eating facilities kept clean?N/A

Fire Escape Routes and Safety Signs
Fire Escape Routes and Safety Signs	Yes	No	N?A
Are Fire Escape routes and exits clearly indicted by signs?	Are Fire Escape routes and exits clearly indicted by signs?Yes	Are Fire Escape routes and exits clearly indicted by signs?No	Are Fire Escape routes and exits clearly indicted by signs?N?A
Are fire escape routes free from obstrcutions?	Are fire escape routes free from obstrcutions?Yes	Are fire escape routes free from obstrcutions?No	Are fire escape routes free from obstrcutions?N?A
Are all fire doors operable and unobstructed?	Are all fire doors operable and unobstructed?Yes	Are all fire doors operable and unobstructed?No	Are all fire doors operable and unobstructed?N?A
Are there Fire Action notices positioned at each manual break glass point?	Are there Fire Action notices positioned at each manual break glass point?Yes	Are there Fire Action notices positioned at each manual break glass point?No	Are there Fire Action notices positioned at each manual break glass point?N?A
Are fire Extinguishers and fire blankets accessible and ready to use?	Are fire Extinguishers and fire blankets accessible and ready to use?Yes	Are fire Extinguishers and fire blankets accessible and ready to use?No	Are fire Extinguishers and fire blankets accessible and ready to use?N?A

Action Points

Action Points Action point 1 Action point 2 Action point 3 Action point 4 Action point 5 Action point 6 Action point 7 Action point 8 Action point 9 Action point 10

Please check an action point for each defect identified on this form or addition hazards/ issues not covered by this form.
Action required for Action Point 1
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 2
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 3
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 4
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 5
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 6
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 7
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 8
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 9
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Action required for Action Point 10
To be lead by To be lead by First Last
If unsure please discuss with line manager.
Date to be rectified Date to be rectified / DD / MM YYYY

If unsure please discuss with line manager.
Any pictures of defect/ action point
Additional Actions/ Comments

Please note and comments or additional actions with are not covered in the the action list.
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Date of signature. Date of signature. / DD / MM YYYY