Prepared by: [Your Name]
Company: [Your Company Name]
Date: [Date]
Facility Name:
Location:
Date of Inspection:
Checklist Version:
Inspected By:
Diagram of Facility Layout:
(Attach a diagram or include a brief description of the layout)
Key Areas Identified:
Production Area:
Storage Area:
Administrative Area:
Loading/Unloading Zones:
Equipment Inventory:
Equipment Name | Location | Condition | Maintenance Required | Comments |
---|---|---|---|---|
Safety Equipment Availability:
Fire Extinguishers:
Available
Not Available
First Aid Kits:
Available
Not Available
Safety Signage:
Compliant
Non-Compliant
Emergency Exits:
Marked:
Yes
No
Accessible:
Yes
No
General Safety Observations:
Clear of Obstructions
Proper PPE Availability
Workflow Path Evaluation:
Paths Clear:
Yes
No
Bottlenecks Identified:
Yes
No
Process Flow Review:
Meets Operational Needs
Areas for Improvement:
Actions Required:
Equipment Repairs
Safety Signage Updates
Layout Adjustments
Cleaning Tasks
Priority Level of Actions:
High
Medium
Low
Houston Smith
Inspector
[Date Signed]
[Your Name]
Manager
[Date Signed]
Templates
Templates