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					               Department Report of Health and Safety Inspection
1.        Department ...................................................................................................

2.        Date of Inspection .......................................................................................

3.        Team Members ............................................................................................

4.        Records (The following records were viewed by the team)


                                                        Yes No            N/A            Comments
     Accident
     Report

Fire

     Fire Drills
     Fire Alarm Tests
     Automatic Detectors Tests
     EmergencyDetectors Tests
     Automatic Lighting Tests

Risk Assessments

General
WCB AND COR
Manual Handling Operations
Display Screen Equipment
Lasers

Project Forms

Radiation Projects
Genetic Modification Projects

Inspections

Portable Electrical Equipment
Local Exhaust Ventilation
Fume Cupboards
Biological Safety Cabinets
Pressure Systems


Others
5. Details of Inspection

  Areas/Activities         Location and    Recommendations for remedial    Action
  Inspected                significance    action (Include timescale and   By
                           of failing(s)   priorities)
                           discovered
5. Details of Inspection

 Areas/Activities            Location and            Recommendations for remedial                    Action
 Inspected                   significance            action (Include timescale and                   By
                             of failing(s)           priorities)
                             discovered




This report must be submitted to the SAFETY Department or Unit for
information/Action


Received by the Management .......................................................................
Date:__________________________________

Comments

				
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posted:7/22/2010
language:English
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