Inspection Forms

Here are some examples of things to look for:

  • Uncorrected problems from the previous inspection report
  • Improper storage of materials (for example, in front of emergency exits or electrical panels, or blocking aisles or stairs)
  • Slippery or unsafe surfaces, open manholes, accumulation of liquid or grease on floors
  • Failure to put a sign or barrier near wet floors
  • Lack of guarding on equipment
  • Poor condition of equipment

 

After the inspection; Follow these guidelines to address issues and conclude the inspection:

  • Remedy serious hazards or unsafe work practices immediately; this is a legal obligation. For example, if you find that a ladder has a loose or damaged rung, immediately remove the ladder from service and repair or replace it.
  • Prioritize other, less serious hazards and assign someone to remedy each one.
  • Follow up on any actions that will take time to complete (for example, purchasing new equipment).
  • Communicate inspection findings to workers and manager

 

 

Vehicle Inspection

    Inspection Points:

    Glass:
    Check the windshield and all of the windows for function and damage.

    Lights:
    Check all headlights, high and low beams, turn signals, brake lights and marker lights

    Belts, lines, hoses and leaks
    Check that any belts (power steering, alternator etc.) and hoses are free of damage or cracks. Check the engine and ground for signs of fluid leaks.

    Tires:
    Check tire lug nuts, tire pressure, tread wear and look for signs of damage.

    Oil:
    Check that engine oil is in desired zone, usually in the hashmarks. Check when next oil change is due.

    Fluids:
    Check coolant before starting the engine. Check transmission fluid in park with engine warm

    Body:
    Check the vehicles body for damage

    Describe Body Damage:

    Equipment:
    Check the vehicle's fire extinguisher to make sure it is in date. Check vehicle first aid kit for contents. Make sure all of the required job specific equipment and related safety equipment is present and in serviceable condition.

    What equipment needs attention?

    If equipped, ensure the GPS module is plugged in and functioning.

     

     

    Office Inspection

      Office being inspected:

      Bulletin Boards and Signs
      Is appropriate safety signage posted warning people of hazards and directing them what to do in an emergency?

      Does the bulletin board have information regarding who to contact for first aid or what to do if there's an emergency?

      Does the bulletin board have information pertaining to the JHSC, including current meeting minutes and who is on the committee?

      Cleanliness and Communicable Diseases:
      Are bathroom, kitchen and lunchroom areas kept clean and sanitary?

      Is there hand sanitizer and hand washing facilities available and are high touch surfaces disinfected?

      Environment, Ergonomics and Lighting:
      Are work areas well lighted and is all lighting functional?

      Are employees properly positioned at their desks and workstations? Have employee workstations been arranged to avoid awkward postures?

      Are air quality, temperature and humidity adequate?

      Evacuation and Fire:
      Are there enough exits that open properly without a key and are they free of obstructions? Are the emergency exits clearly marked?

      Are walkways and aisles at least 36" wide and free of obstructions, tripping hazards and other debris?

      Are fire extinguishers and emergency lighting in place and have they been inspected within the last year?

      Is there a fire response plan posted?

      Material Storage:
      Are materials and equipment safely and neatly stacked and stored?

      Are storage shelves loaded safely and within their rated capacity?

      Are chemicals stored in their appropriately labelled containers and away from incompatible products or heat sources?

      Are storage containers free of leaks and damage, and stored in drip trays where leaks would cause a hazard?

      Other Observations, Hazards and Inspection Notes :

       

       

      Field Inspection

        Location being inspected:

        Field Observations
        Are engineering controls identified in the hazard identification process available and being used?
        Observe a representative sample of engineering controls from the hazard identification process and verify they are available and being properly used. This may include guardrails, guarding devices or other non-PPE protective devices

        Do Workers work according to safe work procedures and job practices?
        Observe a representative sample of workers engaged in work for which SWPs and procedures have been developed and confirm they are following these procedures.

        Is there a system to ensure Employees wear appropriate PPE?
        Is it being followed? Observe use of PPE during site tour.

        Is PPE identified in the hazard identification process available and being properly maintained?
        Observe a representative sample of PPE identified in the hazard identification process and verify it is available and being properly maintained.

        Are the first aid equipment and supplies available as required?
        Observe the availability and condition of first aid equipment and supplies.

        Are there written emergency response plans?
        Is the emergency response plan readily available to all employees? Observe the location of the emergency response plan and ensure it is accessible to all employees.

        Does the organization have a workplace hazardous materials information system (WHMIS) program?
        Observe that the program is being followed. Ensure all elements have been successfully implemented including labelling and signage.

        Is there a system to ensure that unsafe or harmful conditions and work procedures are corrected, and followed up without delay?
        Is the system being followed? Observe corrective action from a sample of completed current inspection records during the site tour.

        Is there a system for preventing the use of defective / broken tools and equipment until it is repaired or replaced?
        Is it being followed? Observe and verify during site tour by looking at condition/repair of a sample of items

        Other Observations, Hazards and Inspection Notes :

         

        COR Questions

          There are no wrong answers. You do not have to put your name on this.

          Email (optional to get Bonusly points):

          Division:

          Role:

          All Employees: Please answer the following questions:

          1. Do you know about ServiceMaster's Health and Safety Policy?

          2. What are some key points mentioned in the health and safety policy?

          3. How does the senior management provide support for the health and safety program?

          4. What are some examples of your health and safety responsibilities?

          5. Give some examples of health and safety procedures that you follow.

          6. How do you report new hazards or if something is unsafe?

          7. Do you know how to identify hazards or dangerous situations at work? How did you learn to recognize these hazards?

          8. How does ServiceMaster make sure everyone is following the safety rules?

          9. Who tells you about new hazards and how to protect yourself?

          10. Who develops safe job procedures?

          11. How do they make sure workers know what safe job procedures to follow?

          12. If you are hurt at work, where can you get first aid help?

          13. If there is an emergency at work, what should you do?

          14. Where can you find more information about what to do in an emergency at work?

          15. Have you completed WHMIS training at work?

          16. What types of safety inspections do you do at work?

          17. If a piece of equipment is broken, what do you do?

          18. How do you report incidents (including near misses), occupational illness or work refusals?

          19. How do you participate in the investigation process for incidents or accidents?

          20. What is the process you follow for reporting incidents (including near misses), occupational illness or work refusals?

          21. What are some examples of safe work procedures that you use?

          22. How are the results from incident investigations communicated to you?

          23. Can you name some members of the Joint Health & Safety Committee (JHSC)?

          JHSC Members Only: Please answer all the worker questions above plus:

          1. JHSC Members: Did you receive training in incident investigation techniques?

          2. JHSC Members: Where can you find the JHSC Rules of Procedure?

          Supervisors/Managers: Please answer all questions above plus the following questions:

          1. Are you aware and knowledgeable of the applicable health and safety regulations?

          2. How do you demonstrate your commitment toward improving the workplace safety culture?

          3. Are hazard identifications, assessments and controls reviewed regularly?

          4. How are emergency response plans evaluated and revised?

          5. How do you know if employees are qualified and able to competently perform their duties in a safe manner?

          6. Does Servicemaster have a health and safety orientation for all new Employees?

          7. Does the organization have a health and safety orientation for all contractors?

          8. What kind of orientation do visitors get?

          9. Does senior management make sure that safety recommendations are implemented and deficiencies corrected?

           

           

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