Workplace Inspection ReportFill this in on your phone. Tap the boxes and type in the blanks. What you enter is kept on this phone while you work. When you are done, send it to the safety team, or print it.[ Church name ] church Workplace inspection report Instructions: This report should be completed monthly or as needed. Use this form to record findings from workplace inspections and monitor corrective actions. Inspection details Field Information Inspection Date: Inspection Time: Start: **Finish: Inspector(s): Inspection Type: Routine MonthlySpecialPost-IncidentPre-Event Weather Conditions: FineWetWindyOther Areas Inspected: All AreasSpecific Areas (list below) Specific Areas Inspected: Inspection methodology Inspection Standards Used: Church H&S Manual Building Code WorkSafe Guidelines Industry Standards Other Documentation Used: Previous inspection reports Risk register Incident reports Maintenance records Other People Consulted: Staff Volunteers Contractors Congregation members Other Inspection findings Housekeeping and general conditions Area/Location Condition Issues Identified Risk Level Action Required Main Sanctuary Good Fair Poor HML Foyer/Entry Areas Good Fair Poor HML Offices Good Fair Poor HML Kitchen Good Fair Poor HML Toilets Good Fair Poor HML Children’s Areas Good Fair Poor HML Storage Areas Good Fair Poor HML External Areas Good Fair Poor HML Slip, trip and fall hazards Hazard Type Location Description Risk Level Immediate Action Long-term Solution Wet/Slippery Surfaces H M L Uneven Surfaces H M L Trailing Cords H M L Cluttered Walkways H M L Poor Lighting H M L Damaged Flooring H M L Electrical safety Item Location Condition Issues Action Required Priority Power Points Good Fair Poor HML Extension Cords Good Fair Poor HML Lighting Good Fair Poor HML Switchboards Good Fair Poor HML Equipment Good Fair Poor HML Test and Tag Status: CurrentOverdue Next Due Fire safety Item Location Condition Last Service Issues Action Required Fire Extinguishers Good Fair Poor Smoke Detectors Good Fair Poor Exit Signs Good Fair Poor Emergency Lighting Good Fair Poor Fire Doors Good Fair Poor Evacuation Routes Good Fair Poor Structural integrity Element Condition Issues Identified Urgent Action Required Professional Assessment Needed Roof Structure Good Fair Poor YesNo YesNo Walls Good Fair Poor YesNo YesNo Floors Good Fair Poor YesNo YesNo Stairs Good Fair Poor YesNo YesNo Handrails Good Fair Poor YesNo YesNo Security Item Condition Issues Action Required Priority Door Locks Good Fair Poor HML Window Security Good Fair Poor HML Alarm System Good Fair Poor HML External Lighting Good Fair Poor HML CCTV Good Fair Poor HML Specific area assessments Children’s areas Safety Aspect Compliant Issues Action Required Age-appropriate equipment YesNo Choking hazards removed YesNo Sharp corners protected YesNo Electrical outlets covered YesNo Cleaning supplies secured YesNo First aid accessible YesNo Kitchen area Safety Aspect Compliant Issues Action Required Hot surfaces marked YesNo Knives stored safely YesNo Non-slip mats are in place YesNo Fire blanket accessible YesNo Gas connections secure YesNo Cleaning chemicals are stored safely YesNo Outdoor areas Safety Aspect Compliant Issues Action Required Pathways are even and clear YesNo Adequate lighting YesNo Drainage effective YesNo Trees/vegetation maintained YesNo Car park safe YesNo Playground equipment safe YesNo Positive observations Good Practices Noted: Improvements Since Last Inspection: Commendations: Priority actions required Immediate actions (Within 24 Hours) Issue Location Action Required Responsible Person Completion Date Short-term actions (Within 1 Week) Issue Location Action Required Responsible Person Target Date Medium-term actions (Within 1 Month) Issue Location Action Required Responsible Person Target Date Long-term actions (1-6 Months) Issue Location Action Required Responsible Person Target Date Recommendations Policy/Procedure Updates Required Training Needs Identified Equipment/Infrastructure Improvements Budget Implications Estimated Costs: - Immediate actions: $ - Short-term actions: $ - Medium-term actions: $ - Long-term actions: $ - Total estimated cost: $ Funding Sources: Operating budgetMaintenance budgetCapital budgetSpecial funding required Inspection summary Overall Assessment General Condition: Excellent Good Satisfactory Poor Unacceptable Risk Level: Low Medium High Critical Compliance Status: Fully Compliant Minor Issues Significant Issues Major Non-Compliance Key Statistics Total Issues Identified: High Priority Issues: Medium Priority Issues: Low Priority Issues: Issues Resolved Since Last Inspection: Trends and Patterns Recurring Issues: Improvement Areas: Emerging Risks: Follow-up actions Communication Required Report Distribution: Senior PastorChurch EldersProperty ManagerH&S ChampionMaintenance TeamOther Congregation Notification Required: YesNo If Yes, Method: Notice BoardNewsletterAnnouncementEmail Next Inspection Next Routine Inspection: Special Follow-up Inspection Required: YesNo If Yes, Date: Focus Areas: Inspector sign-off Primary Inspector Name: Position: Qualifications: Signature: Date: Additional Inspector (if applicable) Name: Position: Signature: Date: Management response Report Reviewed By Name: Position: Review Date: Actions Approved: AllPartialModified Comments: Signature: Date: Resource Allocation Budget Approved: $ Additional Resources Required: Approved By: Date: Record keeping Report Filed: Location: Action Items Entered in Tracking System: YesNo Risk Register Updated: YesNo Insurance Company Notified (if required): YesNo Next Review Date: Finished?Website Your name *Send to the safety teamPrint or save as PDF Clear everything