safety representative report form. - wordpress.com...2018/05/03 · electrical trunking uncovered....
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pg. 1
Safety Representative Report Form.
Date of Inspection 03/05/2018
What is the Hazard? Level 3 Cleaners materials stored in toilets with corrosive chemicals and items stacked on top of cupboard. Female toilets have cleaning materials stored on chair under boiler.
Carpet repairs worn. Shelves packed at high levels
.
pg. 2
Electrical trunking uncovered. Electrical device left open with wires exposed.
Fire escapes not clearly labelled. Storage under desks. Fan heaters under desks. First Aid kits out of date. First Aid lists out of date. Copiers in same room as staff. Level 2 Female toilets whole in wall covered by duct tape. Ceiling trunking falling down.
pg. 3
Cables exposed
Carpet tiles loose.
Generals state of disrepair.
pg. 4
Lift without head height warnings.
pg. 5
Insufficient lighting by fire escape. Fire escape not marked. Fire escape signage leads you in continual loop. Ceilings damp and paint flaking.
Alarms and cabling hanging from ceilings/walls.
. Dangerous storage practices
Fire extinguishers locations not clearly marked.
pg. 6
Female toilets reported as not flushing properly. Hand trowels not replaced often enough. Windows are out of reach. Ground Level Blinds not working, replaced with paper (how did it get there?)
pg. 7
Rubbish in circulation spaces
Cables covered in packing tape.
Electrical cables and other dangers as per photos.
pg. 8
CONFIDENTIAL WAST LEFT ON FLOOR!
pg. 9
Cables loose in central service area.
More holes in more female toilets covered with duct tape and cleaning materials left on cupboard.
pg. 10
Fire manual out of date.
Front door does not always close properly. Lower level (Emergency HQ) Fire door propped open with brick
pg. 11
Flammable materials and cleaning materials stored in electrical service room.
Wall has hole in so fire protection is compromised. First aid materials 30 YEARS out of date.
Dead-leg pipe in kitchen.
Boiler drips. Broken glass on work surface.
pg. 12
Safety Reps Name: Lee Rhodes Date 03/05/2018
Record of receipt by the employers (representative).
Name (Print & Sign): Date:
To be completed by the employer:
Remedial Action taken (with date) or explanation if not taken. This information to be relayed to safety representative(s).
This report does not imply that the conditions are safe and healthy or that the arrangements for
welfare at work are satisfactory in all other respects.
Signature of employer or representative Date: