Departmental Inspection Form
Shops/Studios
Department: / Building and Room Number(s):
Contact Person/Supervisor: / Ext.:
Inspected by: / Ext.: / Date:
Signs & Labels
- First Aid Poster
- Fire Poster
- Emergency Call List
- Spills Poster
- Phone 911 Label
- Hazard Warning Signs
First Aid Stations/Kit
- Stocked
- Accessible
- Regularly Inspected
- Names of First Aiders posted
Fire Extinguishers
- Seal Unbroken
- Accessible
- Proper Type
- Regularly Inspected
General
- Phone Access
- WHMIS
Floors and Aisles
- Clean
- Aisles Clear
- Good Condition
- Cabinets secured
Doors and Exits
- Accessible
- Identified
Lighting
- Adequate
- Operating Properly
Emergency Shower/Eye Wash
- Accessible
- Within 10 sec travel time
- Clearly Identified
- Good Condition
Personal Protection
- Footwear
/
- Eye Protection
- Gloves
- Hearing Protection
- Fall protection
- Shop Coats
Gas Shut Off Valves
- Accessible
- Identified
Electrical
- Panels Accessible/Identified
- Wire Condition
- Proper Grounding
- Adequate Outlets
- Extension Cords temporary use only
- C.S.A. Approved
- Electrical panels are covered
- GFI’s used in wet areas
- Lockout Tagout procedures
Equipment
- Pre-use Inspection record
- Clean
- Properly Guarded
- Good Condition
- Lockout Tagout procedures
- Anchored
- Handles replaced if damaged
- Ladders in good condition
- Ladders meet CSA standards
Lifting Devices
- Lifting Devices Inspected annually
- Slings and ropes inspected prior to use
Ventilation
- Temperature
- Dust Control
- Fume Control
/
- Equipment maintained
Chemical Storage
- Identification
- Segregated by Type
- Flammable Storage Cabinets & container less than 5L
- MSDS Available (3 years or less)
- WHMIS Labels
Chemical Waste
- Proper Segregation
- Regular Disposal
- Proper Storage
Regular Waste Containers
- Adequate Type
- Labelled Broken Glass Container
- Labelled sharps Containers
Compressed Gas Cylinders
- Secured
- Properly Marked
- Properly Stored
- Proper Regulators
- Maximum quantity not exceeded
- Segregated
Spill Kits
- Appropriate
- Stocked
Benches
- Clean
- Good Condition
- Adequate Space
Training
- WHMIS Training (valid 5 years)
- Respirator Training
- Compressed Gas
- Equipment
- Lifting devices
Other Items
Feb 2014
Departmental Inspection Form
Shops/Studios
Department: / Building and Room Number(s):
Contact Person/Supervisor: / Ext.:
Inspected by: / Ext.: / Date:
Action Items and Comment(s) / Recommended Action(s) / Priority* / Person
Responsible / Date Completed
*High–Response required within 24 hours - Immediately dangerous to life and health
Medium–Response required within 14 days - Potential to cause injury but not immediately dangerous
Low–Response required within 14 days – May result in minor or no injury, but should be corrected
Monitor – Revisit within 90 days – Compliant, but circumstances may change or deteriorate