Inspection Checklist | Signa

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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.

1
Inspection Completed By:* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
What Branch are you at?
PE
PE ASE
Lynnwood Ground Floor
Lynwood 1st Floor
Centurion
KZN - Umhlanga ASE
KZN - LBS
CLT North Office
PMB
Potch
Bloemfontein
Morningside
Benoni
ED Cape Town South
Head Office
4
1. Are the walls, ceilings and floors clean and in good repair?
YESNO
5
NotesAnything needing attention? (leave blank if nothing to report)
6
2. Are carpet tiles properly secured to floor?
YESNO
7
NotesAnything needing attention? (leave blank if nothing to report)
8
3. Is lighting adequate and free from glare?
YESNO
9
NotesAnything needing attention? (leave blank if nothing to report)
10
4. Is indoor air quality suitable?
YESNO
11
NotesAnything needing attention? (leave blank if nothing to report)
12
5. Are light fittings secure?
YESNO
13
NotesAnything needing attention? (leave blank if nothing to report)
14
6. Housekeeping - is everything neat, tidy and packed away?
YESNO
15
NotesAnything needing attention? (leave blank if nothing to report)
16
7. Are waste bins provided and is disposal / collection adequate?
YESNO
17
NotesAnything needing attention? (leave blank if nothing to report)
18
8. Are aisles and passages clear of obstructions?
YESNO
19
NotesAnything needing attention? (leave blank if nothing to report)
20
9. Is furniture and equipment in a safe condition?
YESNO
21
NotesAnything needing attention? (leave blank if nothing to report)
22
10. Are windows and panes in good repair?
YESNO
23
NotesAnything needing attention? (leave blank if nothing to report)
24
11. Are doors, hinges and fittings in good repair?
YESNO
25
NotesAnything needing attention? (leave blank if nothing to report)
26
12. Hygiene - are toilets / urinals clean and in good working order?
YESNO
27
NotesAnything needing attention? (leave blank if nothing to report)
28
13. Are hazardous chemical substances and flammable liquids properly labelled and stored in suitable containers?
YESNO
29
NotesAnything needing attention? (leave blank if nothing to report)
30
14. Hygiene - are all kitchen / canteen areas clean and hygienic?If no, please take a photo of the unsafe/untidy area
YESNO
31
NotesAnything needing attention? (leave blank if nothing to report)
32
15. Are ladders and storage racks adequate and in a safe condition?If no, please take a photo of the unsafe/untidy area
YESNO
33
NotesAnything needing attention? (leave blank if nothing to report)
34
16. Are all extinguishers in regular positions?If no, please take a photo of the unsafe/untidy area
YESNO
35
NotesAnything needing attention? (leave blank if nothing to report)
36
17. Fire equipment signage correctly displayed?If no, please take a photo of the unsafe/untidy area
YESNO
37
NotesAnything needing attention? (leave blank if nothing to report)
38
18. Can extinguishers be removed from their bracket easily?If no, please take a photo of the unsafe/untidy area
YESNO
39
NotesAnything needing attention? (leave blank if nothing to report)
40
19. Are extinguishers easily accessible?If no, please take a photo of the unsafe/untidy area
YESNO
41
NotesAnything needing attention? (leave blank if nothing to report)
42
20. Has fire equipment been service during the last year?If no, please take a photo of the unsafe/untidy area
YESNO
43
NotesAnything needing attention? (leave blank if nothing to report)
44
21. Are the fire extinguisher seals intact?If no, please take a photo of the unsafe/untidy area
YESNO
45
NotesAnything needing attention? (leave blank if nothing to report)
46
22. Are fire hose reels easily accessible?If no, please take a photo of the unsafe/untidy area
YESNO
47
NotesAnything needing attention? (leave blank if nothing to report)
48
23. Are the hose connections free of leaking water?If no, please take a photo of the unsafe/untidy area
YESNO
49
NotesAnything needing attention? (leave blank if nothing to report)
50
24. Are the hose reels rolled neatly onto their drums?If no, please take a photo of the unsafe/untidy area
YESNO
51
NotesAnything needing attention? (leave blank if nothing to report)
52
25. Do staff know how to use fire equipment?If no, please take a photo of the unsafe/untidy area
YESNO
53
NotesAnything needing attention? (leave blank if nothing to report)
54
26. Evacuation escape doors in good working order?If no, please take a photo of the unsafe/untidy area
YESNO
55
NotesAnything needing attention? (leave blank if nothing to report)
56
27. Escape routes clear of obstruction?If no, please take a photo of the unsafe/untidy area
YESNO
57
NotesAnything needing attention? (leave blank if nothing to report)
58
28. Is emergency exit accessible and exit unobstructed?If no, please take a photo of the unsafe/untidy area
YESNO
59
NotesAnything needing attention? (leave blank if nothing to report)
60
29. Evacuation instruction displayed?If no, please take a photo of the unsafe/untidy area
YESNO
61
NotesAnything needing attention? (leave blank if nothing to report)
62
30. Emergency telephone numbers displayed?If no, please take a photo of the unsafe/untidy area
YESNO
63
NotesAnything needing attention? (leave blank if nothing to report)
64
31. Are wall plug fittings undamaged? Do plugs fit securely in wall sockets?If no, please take a photo of the unsafe/untidy area
YESNO
65
NotesAnything needing attention? (leave blank if nothing to report)
66
32. Are adaptors clear of heat discolouration? Are power cords free from damage?If no, please take a photo of the unsafe/untidy area
YESNO
67
NotesAnything needing attention? (leave blank if nothing to report)
68
33. Are power cords neatly channelled and away from water or similar hazards?If no, please take a photo of the unsafe/untidy area
YESNO
69
NotesAnything needing attention? (leave blank if nothing to report)
70
34. Are power cords firmly and correctly fitted to plugs?If no, please take a photo of the unsafe/untidy area
YESNO
71
NotesAnything needing attention? (leave blank if nothing to report)
72
35. Is the maximum of 4 devices per wall plug via adaptors not exceeded?If no, please take a photo of the unsafe/untidy area
YESNO
73
NotesAnything needing attention? (leave blank if nothing to report)
74
36. Electrical distribution boards accessible and signed?If no, please take a photo of the unsafe/untidy area
YESNO
75
NotesAnything needing attention? (leave blank if nothing to report)
76
Photo'sPlease upload any photo's taken during inspection
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Max. file size: 10.6MB
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77
Score36/36 Correct Answers = 100%
78
Result
Should be Empty:

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