Off Site Building (except Pools/Childcare) - Health and Safety Inspections

Aylmer Office

Sommerfield

21 Kains Street - Tiny Hope

Hiawatha

All Sites

Rows	Yes	No	N/A
Are stored materials safe and secure? Free from trip hazards? Is the shelving secure? Appropriate access to high shelves?
Are First Aid kits stocked? Are the items being tracked properly?
Are all entranceways free from other obstructions, which could cause a trip or fall?
Are hazards substances correctly labelled and stored in a safe and secure manner?
Are floors in good physical repair at entrances and throughout the building? Free from debris with no evidence of cracks, missing and/or damaged tiles or grease spots?
Fire: Are evacuation procedures clearly marked? Emergency exit signs clearly visible and working? Are fire extinguishers charged? Readily available and staff know where they are? Have all required fire drills been completed and documented onsite?
Are electrical cables controlled? Are wet floor signs used? Are there any stair tread issues?
Have staff been instructed to clean spills immediately?
Staff used washrooms: door and locks function properly? Washroom is cleaned and regularly disinfected? Floors are dry and free of slip/trip hazards? Soap, paper towels and other essentials are consistently available?
Health and Safety Board is displayed and up to date?
Are the main entrance sidewalks flush with the main entrance door so there are no obvious tripping hazards?
Is de-icer and/or sand available near the front entrances for slip prevention?
Is snow removed promptly so there is no snow build-up at the entrance or the approach to the entrance?
Have staff reported any concerns that are not being properly addressed?
Is exterior lighting in good working condition?
Food Serving/Preparation Area : countertops, tables, and handles are clean and disinfected? Sink is clean and free of food debris? Floors are swept and free of spills? Garbage and recycling are emptied regularly? No signs of pests? Microwave and other shared appliances are kept clean? Soap and paper towels are available?

21 Kains Street/Aylmer Office/Sommerfield

Rows	Yes	No	N/A
Automated External Defibrillator: Have daily inspections been completed? Is the unit in good working condition? Are all components with the machine and in good working condition?

Hiawatha

Rows	Working	Not Working	Replaced
Fire Extinguisher - Front Door - B456
Fire Extinguisher - Kitchen - H839554
Fire Extinguisher - backdoor stairwell - 045165
Emergency Lights/Exit Sign - Front Door
Emergency Lights/Exit Sign - Great Room (under the balcony)
Emergency Lights/Exit Sign - Great Room (back door)
Emergency Lights/Exit Sign - Back Stairwell
Smoke Detector - Kitchen (YW Device)
Smoke Detector - Balcony
Smoke Detector - Great Room (YW Device)
Motion Sensor - Great Room (Zone 565)
Motion Sensor - Great Roo Rear (Zone 569)
Motion Sensor - Kitchen (Zone 568)
Motion Sensor - Back Door (Zone 570)
Fire Extinguisher - front hall - F51047003
Fire Extinguisher - Furnace Room - B10989267
Fire Extinguisher - near hall to outdoors - B500
Emergency Lights/Exit Signs - front hallway
Emergency Lights/Exit Signs - Rear Hall
Emergency Lights/Exit Signs - hall to outdoors
Smoke Detector - front hall (YW Device)
Smoke Detector - rear hall
CO2 Detector - front hall
Motion Sensor - Office (zone 566)
Motion Sensor - Hallway (Zone 567)
Motion Sensor - Exterior Side Door (Zone 571)

Hazards Summary and Action Plan

Rows	Details of Hazard and Location	Recommended Action	By Whom	By When	Completed
1
2
3
4

Name of Worker Member:

Full NameSignature/Initials

Name of Supervisor Member (if applicable):

Full NameSignature/Initials

Inspected Date

Date

Any comments

AFTER WORKPLACE SAFETY INSPECTION IS COMPLETED, PLEASE COMPLETE THE FOLLOWING PRIOR TO THE NEXT H&S MEETING:

- Save Inspection Worksheet to Inspection-Location-Month-Year

- Share Inspection Worksheet with members of JHSC

- JHSC Chair to share hazards lists with Directors & relevant Department Supervisor

* Sommerfield is only inspected monthly from January to March and October to December*

YWCA St. Thomas Elgin Safety Inspection