Workplace Inspection Form

Workplace Inspection 4
(Cold rooms and Thermal Chambers)
Building
Room number(s) and name(s)
Department/Faculty
Inspection date
Date of report
Inspection team:
1
2
3
Minimum of two people:- Safety coordinator /Technician/Manager /Union Representative
Instructions:

This inspection form applies to areas such as; lecture theatres, teaching rooms, libraries, offices, staff kitchens and common rooms, corridors and
reception spaces. Use Workplace Inspection Checklist 2 for Laboratories, science stores etc, Workplace Inspection Checklist 3 for Workshops and
Studios and Workplace Inspection Checklist 4 for Cold rooms, tissue laboratories etc.

If the item is not relevant for that particular area, write NA (Not Applicable) in the ‘check’ box.

If there are no problems under a particular item, tick the ‘check’ box ().

If there is a problem, put a cross in the ‘check’ box (X) and in ‘Comments’ a brief description what is wrong

If you do sort it out immediately, still describe the problem and what you did and tick the relevant box if further action is required

After the inspection, send the checklist to your Line Manager/safety coordinator, who will track the actions and send a copy to the K Drive – Health &
Safety Coordinators section.
Item
No
Action
Green
Action
Amber
Urgent
Action
Comments
Red
General
1
The area is tidy and the floor free of clutter
2
Walkways are clear of obstructions and trip
hazards (e.g. cables, boxes etc)
3
Laboratory entrance has suitable signage is in
place
4
Emergency eyewash bottles are available, clearly
visible and in date
5
Emergency shower (if available) is functional and
serviced regularly
6
Lighting is adequate and operational Suitable for
the tasks being undertaken
7
Benches are clear of clutter and clean
8
First aid notices are displayed and visible
9
First aid notices are displayed and visible
1
Oxygen deficient atmospheres
No
Action
Green
10
Is there adequate ventilation
11
Ventilation/air conditioning systems are working
as designed
12
Ventilation/air conditioning systems regularly
maintained and regularly inspected
13
Has the atmospheric oxygen shift following
maximum spillage been determined
14
Is there a designated contact person in the case
of emergencies
15
Personal protective equipment (face visor, RPE,
gloves and safety boots/shoes) is available and
used as necessary
16
Number of air changes per hour:
Action
Amber
Urgent
Action
Comments
Red
a) normal cycle ___/hr
b) emergency cycle ___/hr
17
If necessary, is there a warning device in
case of:
a) oxygen enrichment/deficiency
b) failure of ventilation
18
Is there a written emergency procedure
19
Is the room restricted to trained/authorised
users?
20
Up to date first aider notice is displayed
21
First aid kit is available in the vicinity
2
Refrigerated areas and cold rooms
No
Action
Green
22
Warning signs are present on entrance doors to
the area
23
Clear conspicuous signs are to be prominently
displayed at the cold store entrance door
indicating NO UNAUTHORISED ENTRY.
24
Correct personal protective equipment (P.P.E),
coat, safety goggles and gloves) is being used as
intended
25
The access door is to be capable of being
opened from both inside and outside.
26
27
28
29
30
31
32
33
Action
Amber
Urgent
Action
Comments
Red
Is an alarm light, buzzer or bell, audible or
visible from outside the refrigerated space is to
be provided.
Does it have a battery backup to ensure
operation in the event of mains/circuit failure?
Is the alarm sounder clearly distinguishable from
the fire alarm and appropriately labelled; with
the label sited in a conspicuous position adjacent
to the sounder.
Is Battery-operated emergency lighting to BS
5266-1:2011 standard
Is an independent light provided within the
space, which cannot be switched off from
outside.
Is a lamp indicating the internal light is on, or off
provided outside the refrigerated space.
Is an easily read temperature indicator, on an
exterior wall in a position where it can be clearly
seen and the temperature sensitive element
located inside the cold room
Regular cleaning is carried out and the
refrigerator / cold room is routinely disinfected
to guard against formation of mould and fungi
3
Oxygen enriched atmospheres/Hypoxic
Chambers
No
Action
Green
34
Is the chamber on a regular maintenance
scheme
35
Viewing panels kept clear and room occupants
visible
36
Ventilation/air conditioning systems are working
as designed
37
Ventilation/air conditioning systems regularly
maintained and regularly inspected
38
Has the atmospheric oxygen shift following
maximum spillage been determined
39
Is there a designated contact person in the case
of emergencies
40
Personal protective equipment (face visor, RPE,
gloves and safety boots/shoes) is available and
used as necessary
41
Number of air changes per hour:
Action
Amber
Urgent
Action
Comments
Red
a) normal cycle ___/hr
b) emergency cycle ___/hr
42
If necessary, is there a warning device in
case of:
a) oxygen enrichment/deficiency
b) failure of ventilation
43
Is there a written emergency procedure
44
Is the room restricted to trained/authorised
users?
4