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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
Agnes Golele
Alfred Monyai
Asif Adat
Ayanda Motaung
Dino Pillay
Ditaba Molelekoa
Ebrahim Coovadia
Elliot Ndaba
Galaletsang Legobane
Galaletsang Thange
Imran Mamud
Mcebakazi Bellina Moloto
Mitah Mamatlhodi
Moloko Ramusi
Musa Chauke
Musa Irfan Patel
Nfanafuthi Mike Twala
Nolan Singh
Paballo Sekoboane
Puleng Manlike
Simon Kekae
Sithembiso Mpendulo
Tsililo Tshikalange
Tshireletso Molope
Yusuf Amanjee
Ziyaad Mamaniat
Agnes Golele
Alfred Monyai
Asif Adat
Ayanda Motaung
Dino Pillay
Ditaba Molelekoa
Ebrahim Coovadia
Elliot Ndaba
Galaletsang Legobane
Galaletsang Thange
Imran Mamud
Mcebakazi Bellina Moloto
Mitah Mamatlhodi
Moloko Ramusi
Musa Chauke
Musa Irfan Patel
Nfanafuthi Mike Twala
Nolan Singh
Paballo Sekoboane
Puleng Manlike
Simon Kekae
Sithembiso Mpendulo
Tsililo Tshikalange
Tshireletso Molope
Yusuf Amanjee
Ziyaad Mamaniat
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6
Branch
*
This field is required.
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7
Select Branch (Alfred Monyai)
Please Select
Alberton
Clayville
Kaalfontein
Kempton Park
Potchefstroom
Potchefstroom Nelson Mandela
Sam Ntuli Mall
Tembisa
Vosloorus
Please Select
Please Select
Alberton
Clayville
Kaalfontein
Kempton Park
Potchefstroom
Potchefstroom Nelson Mandela
Sam Ntuli Mall
Tembisa
Vosloorus
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8
Select Branch (Asif Adat)
Please Select
Roodekop Main DC
Langlaagte
SWH Mafikeng
SWH Mohale (Qwa Qwa)
SWH Pretoria
SWH Robertville
SWH Rustenburg
SWH Vanderbijlpark
Please Select
Please Select
Roodekop Main DC
Langlaagte
SWH Mafikeng
SWH Mohale (Qwa Qwa)
SWH Pretoria
SWH Robertville
SWH Rustenburg
SWH Vanderbijlpark
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9
Select Branch (Dino Pillay)
Please Select
Bara Square
Brits Letlhabile
Brits Spoorweg
Dhlamini
Dobsonville
Kiasha Park
Midway
Protea Glen
Soweto Jabulani
Please Select
Please Select
Bara Square
Brits Letlhabile
Brits Spoorweg
Dhlamini
Dobsonville
Kiasha Park
Midway
Protea Glen
Soweto Jabulani
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10
Select Branch (Ebrahim Coovadia)
Please Select
Bloemfontein Saint Andrew
Bloemfontein Twin City
Botshabelo
Evaton Golden Highway
Evaton Mall
Kronstad
Odendaalrus
Orange Farm
Phuthaditjhaba
Phuthaditjhaba Mota
Sebokeng
Vanderbijlpark
Vereeniging
Welkom
Welkom Boitumelo
Please Select
Please Select
Bloemfontein Saint Andrew
Bloemfontein Twin City
Botshabelo
Evaton Golden Highway
Evaton Mall
Kronstad
Odendaalrus
Orange Farm
Phuthaditjhaba
Phuthaditjhaba Mota
Sebokeng
Vanderbijlpark
Vereeniging
Welkom
Welkom Boitumelo
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11
Select Branch (Elliot Ndaba)
Please Select
SWH Bloemfontein
SWH Clayville
SWH Newton
SWH Springs
SWH Welkom
SWH Wynberg
Please Select
Please Select
SWH Bloemfontein
SWH Clayville
SWH Newton
SWH Springs
SWH Welkom
SWH Wynberg
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12
Select Branch (Imran Mamud)
Please Select
Chamdor
Chuma Mall
Cosmos City
Krugersdorp
Randfontein Main Reef
Randfontein Umphakathi Square
Please Select
Please Select
Chamdor
Chuma Mall
Cosmos City
Krugersdorp
Randfontein Main Reef
Randfontein Umphakathi Square
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13
Select Branch (Ditaba Molelekoa)
Please Select
Albertina
Alex Mall
Bree
Carletonville
Fochville
Harrison
Hillbrow
Mooi
Pritchard
Rosettenville
Southgate
Westonaria
Yeoville
Please Select
Please Select
Albertina
Alex Mall
Bree
Carletonville
Fochville
Harrison
Hillbrow
Mooi
Pritchard
Rosettenville
Southgate
Westonaria
Yeoville
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14
Select Branch (Galaletsang Legobane)
Please Select
Daveyton
Klerksdorp City Mall
Klerksdorp North
Klerksdorp Tower Mall
Kwathema Square
Springs 3rd
Springs 4th
Tsakane Mall
Please Select
Please Select
Daveyton
Klerksdorp City Mall
Klerksdorp North
Klerksdorp Tower Mall
Kwathema Square
Springs 3rd
Springs 4th
Tsakane Mall
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15
Select Branch (Nolan Singh)
Please Select
Belabela
Belabela SWH
Benoni Princess
Boksburg
Eastrand Value Mall
Hammanskraal Shopping Centre
Heidelburg
Jubilee Mall
Lakeside
Germiston
Please Select
Please Select
Belabela
Belabela SWH
Benoni Princess
Boksburg
Eastrand Value Mall
Hammanskraal Shopping Centre
Heidelburg
Jubilee Mall
Lakeside
Germiston
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16
Select Branch (Paballo Sekoboane)
Please Select
Litchenburg
Northham
Mabopane
Mafikeng Station
Mafikeng Newtown
Moruleng
Rustenburg Bethlehem
Rustenburg Kerk
Rustenburg Nelson Mandela
Rustenburg Tlhabane
Soshanguve
Thorntree
Zeerust
Please Select
Please Select
Litchenburg
Northham
Mabopane
Mafikeng Station
Mafikeng Newtown
Moruleng
Rustenburg Bethlehem
Rustenburg Kerk
Rustenburg Nelson Mandela
Rustenburg Tlhabane
Soshanguve
Thorntree
Zeerust
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17
Select Branch (Simon Kekae)
Please Select
Atteridgeville
Bronkhorstspruit
Denlyn
Kwaggafontein Mall
Mamelodi Plaza
Mamelodi Square
Middleburg
Nkomo Village
Pholapark Mall
Pretoria Paul Kruger
Pretoria Vermeulen
Silverton
Sunnyside
Witbank Delville
Witbank KwaGuqa Mall
Please Select
Please Select
Atteridgeville
Bronkhorstspruit
Denlyn
Kwaggafontein Mall
Mamelodi Plaza
Mamelodi Square
Middleburg
Nkomo Village
Pholapark Mall
Pretoria Paul Kruger
Pretoria Vermeulen
Silverton
Sunnyside
Witbank Delville
Witbank KwaGuqa Mall
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18
Select Branch (Sithembiso Mpendulo)
Please Select
Burgersfort Dirk
Burgersfort Twin City
Elim Hubyeni Centre
Jane Furse
Lebowakgomo
Louis Trichardt
Lydenburg
Mankweng
Mokopane
Polokwane Dahl
Polokwane Jorissen
Polokwane Rissik
Seshego
Thohoyandou Main Road
Thohoyandou Metropolitan
Please Select
Please Select
Burgersfort Dirk
Burgersfort Twin City
Elim Hubyeni Centre
Jane Furse
Lebowakgomo
Louis Trichardt
Lydenburg
Mankweng
Mokopane
Polokwane Dahl
Polokwane Jorissen
Polokwane Rissik
Seshego
Thohoyandou Main Road
Thohoyandou Metropolitan
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19
Select Branch (Musa Irfan Patel)
Please Select
Bravo Factory DC
Import Repairs
SWH Brits
SWH Industrial Carletonville
SWH Klerksdorp
Please Select
Please Select
Bravo Factory DC
Import Repairs
SWH Brits
SWH Industrial Carletonville
SWH Klerksdorp
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20
Select Branch (Tshililo Tshikalanga)
Please Select
SWH Bela Bela
SWH Burgersfort
SWH Jane Furse
SWH Lou Rissik
SWH Polokwane
SWH Thohoyandou
SWH Witbank
Please Select
Please Select
SWH Bela Bela
SWH Burgersfort
SWH Jane Furse
SWH Lou Rissik
SWH Polokwane
SWH Thohoyandou
SWH Witbank
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21
Select Factory Site
FPM Brits
FPM Brits
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22
1. Are the walls, ceilings and floors clean and in good repair?
*
This field is required.
YES
NO
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23
Notes
Anything needing attention? (leave blank if nothing to report)
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24
2. Are carpet tiles properly secured to floor?
*
This field is required.
YES
NO
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25
Notes
Anything needing attention? (leave blank if nothing to report)
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26
3. Is lighting adequate and free from glare?
*
This field is required.
YES
NO
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27
Notes
Anything needing attention? (leave blank if nothing to report)
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28
4. Is indoor air quality suitable?
*
This field is required.
YES
NO
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29
Notes
Anything needing attention? (leave blank if nothing to report)
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30
5. Are light fittings secure?
*
This field is required.
YES
NO
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31
Notes
Anything needing attention? (leave blank if nothing to report)
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32
6. Housekeeping - is everything neat, tidy and packed away?
*
This field is required.
YES
NO
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33
Notes
Anything needing attention? (leave blank if nothing to report)
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34
7. Are waste bins provided and is disposal / collection adequate?
*
This field is required.
YES
NO
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35
Notes
Anything needing attention? (leave blank if nothing to report)
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36
8. Are aisles and passages clear of obstructions?
*
This field is required.
YES
NO
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37
Notes
Anything needing attention? (leave blank if nothing to report)
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38
9. Is furniture and equipment in a safe condition?
*
This field is required.
YES
NO
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39
Notes
Anything needing attention? (leave blank if nothing to report)
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40
10. Are windows and panes in good repair?
*
This field is required.
YES
NO
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41
Notes
Anything needing attention? (leave blank if nothing to report)
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42
11. Are doors, hinges and fittings in good repair?
*
This field is required.
YES
NO
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43
Notes
Anything needing attention? (leave blank if nothing to report)
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44
12. Hygiene - are toilets / urinals clean and in good working order?
*
This field is required.
YES
NO
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45
Notes
Anything needing attention? (leave blank if nothing to report)
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46
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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47
Notes
Anything needing attention? (leave blank if nothing to report)
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48
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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49
Notes
Anything needing attention? (leave blank if nothing to report)
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50
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
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51
Notes
Anything needing attention? (leave blank if nothing to report)
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52
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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53
Notes
Anything needing attention? (leave blank if nothing to report)
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54
17. Fire equipment signage correctly displayed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
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55
Notes
Anything needing attention? (leave blank if nothing to report)
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56
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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57
Notes
Anything needing attention? (leave blank if nothing to report)
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58
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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59
Notes
Anything needing attention? (leave blank if nothing to report)
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60
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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61
Notes
Anything needing attention? (leave blank if nothing to report)
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62
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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63
Notes
Anything needing attention? (leave blank if nothing to report)
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64
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
NO
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65
Notes
Anything needing attention? (leave blank if nothing to report)
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66
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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67
Notes
Anything needing attention? (leave blank if nothing to report)
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68
24. Escape routes clear of obstruction?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
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69
Notes
Anything needing attention? (leave blank if nothing to report)
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70
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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71
Notes
Anything needing attention? (leave blank if nothing to report)
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72
26. Evacuation instruction displayed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
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73
Notes
Anything needing attention? (leave blank if nothing to report)
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74
27. Emergency telephone numbers displayed?
*
This field is required.
If no, please take a photo of the unsafe/untidy area
YES
NO
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75
Notes
Anything needing attention? (leave blank if nothing to report)
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76
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
NO
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77
Notes
Anything needing attention? (leave blank if nothing to report)
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78
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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79
Notes
Anything needing attention? (leave blank if nothing to report)
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80
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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81
Notes
Anything needing attention? (leave blank if nothing to report)
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82
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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83
Notes
Anything needing attention? (leave blank if nothing to report)
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84
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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85
Notes
Anything needing attention? (leave blank if nothing to report)
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86
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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87
Notes
Anything needing attention? (leave blank if nothing to report)
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88
Photo's
Please upload any photo's taken during inspection
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89
Score
33/33 Correct Answers = 100%
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90
Please verify that you are human
*
This field is required.
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91
Result
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92
Date Current
-
Date
Year
Month
Day
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93
Date 2
-
Date
Year
Month
Day
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