Inspection Number
Inspected by
Inspection Date
Is there enough space to move around safely?
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Is there enough space for storage?
Are flammable & hazardous chemicals used & stored safely?
Are fire exits & escape routes free of obstructions?
Are up to date posters displayed with names & locations of trained first aiders?
Are first aid boxes clearly marked & kept fully stocked?
Corrective Action Date (if applicable)
Additional Notes
Signature