Health & Safety Committee Workplace Inspection Form
HEALTH & SAFETY COMMITTEE WORKPLACE INSPECTION FORM
This form is designed for use by the Health & Safety Committee to conduct workplace inspections aimed at ensuring a safe and healthy environment for all employees. The information gathered will help identify hazards, compliance issues, and areas for improvement.
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INSPECTION OVERVIEW |
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Date: |
[April 12, 2050] |
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Time: |
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Location: |
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Inspector: |
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Contact Info.: |
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SAFETY FACTORS |
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Safety Factor |
Observations |
Action Required (if any) |
Responsible Person |
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Fire Safety |
[Fire extinguishers are present and accessible.] |
[Conduct a fire drill next month.] |
[Name] |
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Electrical Safety |
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Equipment Safety |
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Emergency Exits |
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Ventilation |
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HAZARD IDENTIFICATION |
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Hazard |
Priority |
Action Required (if any) |
Responsible Person |
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[Slippery floor due to oil spill] |
[High] |
[Placed wet floor signs] |
[Name |
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Recommendation/Action |
Priority Level (Low/Medium/High) |
Responsible Person |
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[Conduct additional safety training for all employees] |
[High] |
[Training Coordinator] |
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FOLLOW-UP PLAN |
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Follow-up Activity |
Scheduled Date |
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[Conduct fire drill] |
[April 30, 2050] |
Thank you for your commitment to maintaining a safe workplace. If you have any concerns, please contact [Your Name] at [Your Company Number].
