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Comply Online Inspection Checklist
There are 36 questions to complete - if an area is not compliant there will be a section to make notes to be addressed.
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1
Inspection Completed By:
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First Name
Surname
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2
Email
*
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example@example.com
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3
Please select which branch type?
Branch/Store
Distribution
Factory
Support Office
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4
Select Province
Gauteng
Free-State
North-west
Limpopo
Mpumalanga
Gauteng
Free-State
North-west
Limpopo
Mpumalanga
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5
Select Regional Manager
Ahmed Ismail
Asif Adat
Ebrahim Coovadia
Elliot Ndaba
Imran Mamud
Muhammed Hansa
Musa Irfan Patel
Nokuthula Thabetha
Paballo Sekoboane
Shabier Malek
Simon Kekae
Sithembiso Mendulo
Tshililo Tshikalanga
Keith Kruger
Ahmed Ismail
Asif Adat
Ebrahim Coovadia
Elliot Ndaba
Imran Mamud
Muhammed Hansa
Musa Irfan Patel
Nokuthula Thabetha
Paballo Sekoboane
Shabier Malek
Simon Kekae
Sithembiso Mendulo
Tshililo Tshikalanga
Keith Kruger
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6
Select Branch (Asif Adat)
Please Select
Roodekop Main DC
SWH Carletonville
SWH Mafikeng
SWH Pretoria
SWH Rustenburg
SWH Vereeniging
Please Select
Please Select
Roodekop Main DC
SWH Carletonville
SWH Mafikeng
SWH Pretoria
SWH Rustenburg
SWH Vereeniging
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7
Select Branch (Ahmed Ismail)
Please Select
Alberton
Benoni
Boksburg
Daveyton Shopping Centre
East Rand Value Mall
Germiston
Heidelberg
Kwathema Square
Lakeside Mall
Sam Ntuli Mall
Springs Fourth
Springs Third
Tsakane Mall
Vosloorus
Please Select
Please Select
Alberton
Benoni
Boksburg
Daveyton Shopping Centre
East Rand Value Mall
Germiston
Heidelberg
Kwathema Square
Lakeside Mall
Sam Ntuli Mall
Springs Fourth
Springs Third
Tsakane Mall
Vosloorus
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8
Select Branch (Ebrahim Coovadia)
Please Select
Bloemfontein Saint Andrew
Bloemfontein Twin City
Botshabelo
De Deur
Evaton Golden Highway
Kroonstad
Odendaalsrus
Orange Farm
Phuthaditjhaba
Phuthaditjhaba Mota
Sebokeng
Vanderbijl Park
Vereeniging
Welkom Thabong Mall
Welkom
Please Select
Please Select
Bloemfontein Saint Andrew
Bloemfontein Twin City
Botshabelo
De Deur
Evaton Golden Highway
Kroonstad
Odendaalsrus
Orange Farm
Phuthaditjhaba
Phuthaditjhaba Mota
Sebokeng
Vanderbijl Park
Vereeniging
Welkom Thabong Mall
Welkom
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9
Select Branch (Elliot Ndaba)
Please Select
SWH Bloemfontein
SWH Newton
SWH Mohale Qwa Qwa
SWH Springs
SWH Welkom
SWH Witbank
Please Select
Please Select
SWH Bloemfontein
SWH Newton
SWH Mohale Qwa Qwa
SWH Springs
SWH Welkom
SWH Witbank
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10
Select Branch (Imran Mamud)
Please Select
Carletonville
Chamdor
Chuma Mall
Clayville
Cosmos City
Fochville
Kempton Park
Klerksdorp North
Krugersdorp
Potchefstroom Riverwalk
Randfontein Main Reef
Randfontein Umphakathi Square
Tembisa
Westonaria
Please Select
Please Select
Carletonville
Chamdor
Chuma Mall
Clayville
Cosmos City
Fochville
Kempton Park
Klerksdorp North
Krugersdorp
Potchefstroom Riverwalk
Randfontein Main Reef
Randfontein Umphakathi Square
Tembisa
Westonaria
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11
Select Branch (Nokuthula Thabethe)
Please Select
Albertina
Bree
Bronkhorstspruit
Harrison
Hillbrow
Kwaggafontein
Middelburg
Mooi
Phola Park
Pritchard
Rosettenville
Witbank Delville
Witbank Kwaguqa
Yeoville
Please Select
Please Select
Albertina
Bree
Bronkhorstspruit
Harrison
Hillbrow
Kwaggafontein
Middelburg
Mooi
Phola Park
Pritchard
Rosettenville
Witbank Delville
Witbank Kwaguqa
Yeoville
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12
Select Branch (Paballo Sekoboane)
Please Select
Brits Lethlabile
Brits Spoorweg
Jubilee Mall
Lichtenburg
Mabopane
Mafikeng Newton
Mafikeng Station
Moruleng
Northam
Rustenburg Bethlehem
Rustenburg Kerk
Rustenburg Nelson Mandela
Soshanguve
Thorntree Shopping Centre
Tlhabane Square
Zeerust
Please Select
Please Select
Brits Lethlabile
Brits Spoorweg
Jubilee Mall
Lichtenburg
Mabopane
Mafikeng Newton
Mafikeng Station
Moruleng
Northam
Rustenburg Bethlehem
Rustenburg Kerk
Rustenburg Nelson Mandela
Soshanguve
Thorntree Shopping Centre
Tlhabane Square
Zeerust
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13
Select Branch (Shabier Malek)
Please Select
Alex Mall
Bara Square
Dobsonville
Kiasha Park
Midway
Protea Glen Kganwe
Southgate
Soweto Jabulani
Wynberg
Please Select
Please Select
Alex Mall
Bara Square
Dobsonville
Kiasha Park
Midway
Protea Glen Kganwe
Southgate
Soweto Jabulani
Wynberg
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14
Select Branch (Simon Kekae)
Please Select
Atteridgeville
Mamelodi Plaza
Mamelodi Square
Nkomo
Pretoria Paul Kruger
Pretoria Vermeulen
Silverton-Fountain
Sunnyside Robert Sobukwe
Please Select
Please Select
Atteridgeville
Mamelodi Plaza
Mamelodi Square
Nkomo
Pretoria Paul Kruger
Pretoria Vermeulen
Silverton-Fountain
Sunnyside Robert Sobukwe
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15
Select Branch (Sithembiso Mpendulo)
Please Select
Bela Bela
Burgersfort Dirk
Burgersfort Twin City
Elim - Hubyeni Shopping Centre
Lebowakgomo
Louis Trichardt
Lydenburg
Mankweng
Mokopane
Polokwane Dahl
Polokwane Jorissen
Polokwane Rissik
Seshego Plaza
Thohoyandou Main Road
Thohoyandou Metropolitan
Tzaneen
Please Select
Please Select
Bela Bela
Burgersfort Dirk
Burgersfort Twin City
Elim - Hubyeni Shopping Centre
Lebowakgomo
Louis Trichardt
Lydenburg
Mankweng
Mokopane
Polokwane Dahl
Polokwane Jorissen
Polokwane Rissik
Seshego Plaza
Thohoyandou Main Road
Thohoyandou Metropolitan
Tzaneen
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16
Select Branch (Musa Irfan Patel)
Please Select
Bravo Factory DC
Import Repairs
SWH Soweto
SWH Brits
Please Select
Please Select
Bravo Factory DC
Import Repairs
SWH Soweto
SWH Brits
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17
Select Branch (Tshilili Tshikalanga)
Please Select
SWH Burgersfort
SWH Lou Rissik
SWH Polokwane
SWH Tzaneen
SWH Thohoyandou
Please Select
Please Select
SWH Burgersfort
SWH Lou Rissik
SWH Polokwane
SWH Tzaneen
SWH Thohoyandou
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18
Select Factory Site
FPM Brits
FPM Brits
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19
1. Are the walls, ceilings and floors clean and in good repair?
*
This field is required.
YES
NO
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20
Notes
Anything needing attention? (leave blank if nothing to report)
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21
2. Are carpet tiles properly secured to floor?
*
This field is required.
YES
NO
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22
Notes
Anything needing attention? (leave blank if nothing to report)
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23
3. Is lighting adequate and free from glare?
*
This field is required.
YES
NO
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24
Notes
Anything needing attention? (leave blank if nothing to report)
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25
4. Is indoor air quality suitable?
*
This field is required.
YES
NO
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26
Notes
Anything needing attention? (leave blank if nothing to report)
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27
5. Are light fittings secure?
*
This field is required.
YES
NO
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28
Notes
Anything needing attention? (leave blank if nothing to report)
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29
6. Housekeeping - is everything neat, tidy and packed away?
*
This field is required.
YES
NO
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30
Notes
Anything needing attention? (leave blank if nothing to report)
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31
7. Are waste bins provided and is disposal / collection adequate?
*
This field is required.
YES
NO
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32
Notes
Anything needing attention? (leave blank if nothing to report)
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33
8. Are aisles and passages clear of obstructions?
*
This field is required.
YES
NO
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34
Notes
Anything needing attention? (leave blank if nothing to report)
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35
9. Is furniture and equipment in a safe condition?
*
This field is required.
YES
NO
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36
Notes
Anything needing attention? (leave blank if nothing to report)
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37
10. Are windows and panes in good repair?
*
This field is required.
YES
NO
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38
Notes
Anything needing attention? (leave blank if nothing to report)
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39
11. Are doors, hinges and fittings in good repair?
*
This field is required.
YES
NO
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40
Notes
Anything needing attention? (leave blank if nothing to report)
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41
12. Hygiene - are toilets / urinals clean and in good working order?
*
This field is required.
YES
NO
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42
Notes
Anything needing attention? (leave blank if nothing to report)
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43
13. Are hazardous chemical substances and flammable liquids properly labelled and stored in suitable containers?
*
This field is required.
YES
NO
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44
Notes
Anything needing attention? (leave blank if nothing to report)
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45
14. Hygiene - are all kitchen / canteen areas clean and hygienic?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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46
Notes
Anything needing attention? (leave blank if nothing to report)
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47
15. Are walkways, steps, platforms, ladders and storage racks in a safe condition?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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48
Notes
Anything needing attention? (leave blank if nothing to report)
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49
16. Are all extinguishers in regular positions?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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50
Notes
Anything needing attention? (leave blank if nothing to report)
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51
17. Fire equipment signage correctly displayed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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52
Notes
Anything needing attention? (leave blank if nothing to report)
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53
18. Can extinguishers be removed from their bracket easily?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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54
Notes
Anything needing attention? (leave blank if nothing to report)
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55
19. Are fire extinguishers and/or hose reels easily accessible?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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56
Notes
Anything needing attention? (leave blank if nothing to report)
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57
20. Has fire equipment been service during the last year?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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58
Notes
Anything needing attention? (leave blank if nothing to report)
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59
21. Are the fire extinguisher and/or hose reels seals intact?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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60
Notes
Anything needing attention? (leave blank if nothing to report)
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61
22. Do staff know how to use fire equipment?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
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62
Notes
Anything needing attention? (leave blank if nothing to report)
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63
23. Evacuation escape doors in good working order?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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64
Notes
Anything needing attention? (leave blank if nothing to report)
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65
24. Escape routes clear of obstruction?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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66
Notes
Anything needing attention? (leave blank if nothing to report)
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67
25. Is emergency exit accessible and exit unobstructed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
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68
Notes
Anything needing attention? (leave blank if nothing to report)
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69
26. Evacuation instruction displayed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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70
Notes
Anything needing attention? (leave blank if nothing to report)
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71
27. Emergency telephone numbers displayed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
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72
Notes
Anything needing attention? (leave blank if nothing to report)
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73
28. Are wall plug fittings undamaged? Do plugs fit securely in wall sockets?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
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74
Notes
Anything needing attention? (leave blank if nothing to report)
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75
29. Are adaptors clear of heat discolouration? Are power cords free from damage?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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76
Notes
Anything needing attention? (leave blank if nothing to report)
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77
30. Are power cords neatly channelled and away from water or similar hazards?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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78
Notes
Anything needing attention? (leave blank if nothing to report)
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79
31. Are power cords firmly and correctly fitted to plugs?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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80
Notes
Anything needing attention? (leave blank if nothing to report)
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81
32. Is the maximum of 4 devices per wall plug via adaptors not exceeded?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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82
Notes
Anything needing attention? (leave blank if nothing to report)
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83
33. Electrical distribution boards accessible and signed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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84
Notes
Anything needing attention? (leave blank if nothing to report)
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85
Photo's
Please upload any photo's taken during inspection
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Max. file size
: 10.6MB
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86
Score
33/33 Correct Answers = 100%
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87
Please verify that you are human
*
This field is required.
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88
Result
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89
Date Current
-
Date
Year
Month
Day
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90
Date 2
-
Date
Year
Month
Day
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