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Health and Safety - Monthly Inspection Checklist
Date
*
Inspector(s)
*
*
Where are you inspecting?
*
Where are you inspecting?
Retail- DTK
Retail- Uptown
Production
Health And Safety Bulletin Board
Current copy of applicable legislation and regulations
Current copy of applicable legislation and regulations
A
Yes
B
No
C
N/A
Mandatory posters (WSIB, WCB, or WSBC)
Mandatory posters (WSIB, WCB, or WSBC)
A
Yes
B
No
C
N/A
Violence and Harassment Policy (signed and dated yearly)
Violence and Harassment Policy (signed and dated yearly)
A
Yes
B
No
C
N/A
First aid certified members (Certificates)
First aid certified members (Certificates)
A
Yes
B
No
C
N/A
Health and Safety policy (signed and dated yearly)
Health and Safety policy (signed and dated yearly)
A
Yes
B
No
C
N/A
Evacuation plan/First Aid Procedures, if applicable
Evacuation plan/First Aid Procedures, if applicable
A
Yes
B
No
C
N/A
Workplace inspection reports
Workplace inspection reports
A
Yes
B
No
C
N/A
H&S committee meeting minutes and action plan
H&S committee meeting minutes and action plan
A
Yes
B
No
C
N/A
Inspection Officer orders
Inspection Officer orders
A
Yes
B
No
C
N/A
JHSC names, contact, and work location
JHSC names, contact, and work location
A
Yes
B
No
C
N/A
Emergency Contact Numbers
Emergency Contact Numbers
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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General
Floors: Clean, dry, free from debris, clutter, and trip hazards
Floors: Clean, dry, free from debris, clutter, and trip hazards
A
Yes
B
No
C
N/A
Signs are posted when floors are wet (e.g., when floors are washed, spills)
Signs are posted when floors are wet (e.g., when floors are washed, spills)
A
Yes
B
No
C
N/A
Fluid spills cleaned up immediately?
Fluid spills cleaned up immediately?
A
Yes
B
No
C
N/A
Signage indicating where high levels of caution are required is present
Signage indicating where high levels of caution are required is present
A
Yes
B
No
C
N/A
"No Smoking" signs posted where required
"No Smoking" signs posted where required
A
Yes
B
No
C
N/A
Aisles are marked, clear and unobstructed
Aisles are marked, clear and unobstructed
A
Yes
B
No
C
N/A
Stairs and landings kept clear and unobstructed.
Stairs and landings kept clear and unobstructed.
A
Yes
B
No
C
N/A
Stairwells adequately lit; steps, treads, etc. in good condition.
Stairwells adequately lit; steps, treads, etc. in good condition.
A
Yes
B
No
C
N/A
Furniture/office equipment secured from tipping; drawers closed when not in use.
Furniture/office equipment secured from tipping; drawers closed when not in use.
A
Yes
B
No
C
N/A
Power bars/outlets not overloaded or blocked; cords secured to prevent tripping.
Power bars/outlets not overloaded or blocked; cords secured to prevent tripping.
A
Yes
B
No
C
N/A
Lighting levels adequate; worker areas free from glare/shadows.
Lighting levels adequate; worker areas free from glare/shadows.
A
Yes
B
No
C
N/A
Contractor Rules in place and communicated. Contractors and/or visitors signed in/out.
Contractor Rules in place and communicated. Contractors and/or visitors signed in/out.
A
Yes
B
No
C
N/A
Washrooms are clean (chemicals are stored).
Washrooms are clean (chemicals are stored).
A
Yes
B
No
C
N/A
Washing facility available (soap, warm water).
Washing facility available (soap, warm water).
A
Yes
B
No
C
N/A
Walkways and parking lots are free from snow, ice, water, grease etc.
Walkways and parking lots are free from snow, ice, water, grease etc.
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
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Size limit: 10 MB
Personal Protective Equipment
Required PPE signs posted prior to areas that require.
Required PPE signs posted prior to areas that require.
A
Yes
B
No
C
N/A
Employees wearing required PPE for tasks or location of work.
Employees wearing required PPE for tasks or location of work.
A
Yes
B
No
C
N/A
Are the clothing/uniform the staff wearing clean and presentable?
Are the clothing/uniform the staff wearing clean and presentable?
A
Yes
B
No
C
N/A
Is long hair tied back?
Is long hair tied back?
A
Yes
B
No
C
N/A
Are hairnets being used for workers who are handling food?
Are hairnets being used for workers who are handling food?
A
Yes
B
No
C
N/A
Are employees wearing closed toe shoes or slip resistant footwear?
Are employees wearing closed toe shoes or slip resistant footwear?
A
Yes
B
No
C
N/A
Employees working and conducting themselves in a safe manner.
Employees working and conducting themselves in a safe manner.
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
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Size limit: 10 MB
Fire/Emergency Response Equipment
Emergency lighting and exit signs in proper working condition.
Emergency lighting and exit signs in proper working condition.
A
Yes
B
No
C
N/A
Portable fire extinguishers: appropriate type readily available, correctly located/mounted, inspected. (Annual & Monthly)
Portable fire extinguishers: appropriate type readily available, correctly located/mounted, inspected. (Annual & Monthly)
A
Yes
B
No
C
N/A
Fire exit doors: in good repair, unlocked and free from obstruction (both sides).
Fire exit doors: in good repair, unlocked and free from obstruction (both sides).
A
Yes
B
No
C
N/A
Emergency eye wash (or showers) available and in working order.
Emergency eye wash (or showers) available and in working order.
A
Yes
B
No
C
N/A
First Aid kits: Appropriate kit as outlined in legislation, supply inventory, treatment log, first aid training manual.
First Aid kits: Appropriate kit as outlined in legislation, supply inventory, treatment log, first aid training manual.
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Material Handling And Storage
Materials are neatly and safely stored
Materials are neatly and safely stored
A
Yes
B
No
C
N/A
Storage shelves are loaded only to capacity and heavy, awkward items are lower.
Storage shelves are loaded only to capacity and heavy, awkward items are lower.
A
Yes
B
No
C
N/A
Materials are stacked in a manner that will not allow anything to fall off the racking.
Materials are stacked in a manner that will not allow anything to fall off the racking.
A
Yes
B
No
C
N/A
Pallets used on the racks are in good condition and correct size.
Pallets used on the racks are in good condition and correct size.
A
Yes
B
No
C
N/A
Materials are stored in identified storage locations.
Materials are stored in identified storage locations.
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Hazardous Substances
Hazardous substances are properly labelled, stored, and disposed of.
Hazardous substances are properly labelled, stored, and disposed of.
A
Yes
B
No
C
N/A
SDS sheets are readily available for each hazardous product.
SDS sheets are readily available for each hazardous product.
A
Yes
B
No
C
N/A
Flammable products stored properly, away from ignition sources..
Flammable products stored properly, away from ignition sources..
A
Yes
B
No
C
N/A
Spill/cleanup kits stocked and readily available.
Spill/cleanup kits stocked and readily available.
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Electrical
Extension cords are secured to avoid tripping and are in good condition (no exposed wires or bent prongs).
Extension cords are secured to avoid tripping and are in good condition (no exposed wires or bent prongs).
A
Yes
B
No
C
N/A
All portable hand tools are either grounded (3-prong plug) or double-insulated; cord in good condition
All portable hand tools are either grounded (3-prong plug) or double-insulated; cord in good condition
A
Yes
B
No
C
N/A
Clear access to electrical panels (3ft (0.91m) clearance as per ANSI Code) and no combustible material stored nearby.
Clear access to electrical panels (3ft (0.91m) clearance as per ANSI Code) and no combustible material stored nearby.
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Exits, Entrances And Exterior Parking Lots
Doors are not blocked (inside & outside)
Doors are not blocked (inside & outside)
A
Yes
B
No
C
N/A
Routes, signs, and doors are clearly marked; exit signs are easy to see; outside entrances and parking lots are clearly lit.
Routes, signs, and doors are clearly marked; exit signs are easy to see; outside entrances and parking lots are clearly lit.
A
Yes
B
No
C
N/A
Appropriate snow removal equipment at each exterior door, snow removal completed in winter seasons.
Appropriate snow removal equipment at each exterior door, snow removal completed in winter seasons.
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Tools and Equipment
Start/Stop switches are clearly marked and easy to reach.
Start/Stop switches are clearly marked and easy to reach.
A
Yes.
B
No
C
N/A
Are all tools and equipment manuals present and legible?
Are all tools and equipment manuals present and legible?
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Walk-in Cooler/Freezer
Are the shelves inside the walk-in cooler/freezer in good condition and strong enough to support the weight of the items stored on them? Are they secured to prevent them from tipping over or falling?.
Are the shelves inside the walk-in cooler/freezer in good condition and strong enough to support the weight of the items stored on them? Are they secured to prevent them from tipping over or falling?.
A
Yes
B
No
C
N/A
Is there a thermostat in good working condition that accurately displays the temperature inside the cooler/freezer at all times?
Is there a thermostat in good working condition that accurately displays the temperature inside the cooler/freezer at all times?
A
Yes
B
No
C
N/A
Are the racks free of rusting or chipping paint?
Are the racks free of rusting or chipping paint?
A
Yes.
B
No
C
N/A
Are foods inside the cooler/freezer at least 6 inches off the floor and kept in containers with lids?
Are foods inside the cooler/freezer at least 6 inches off the floor and kept in containers with lids?
A
Yes
B
No
C
N/A
Is there any still water or ice buildup on the floor?
Is there any still water or ice buildup on the floor?
A
Yes
B
No
C
N/A
Do the doors to the cooler/freezer shut properly? (A seal should be made when closed properly to prevent condensation and ice buildup.)
Do the doors to the cooler/freezer shut properly? (A seal should be made when closed properly to prevent condensation and ice buildup.)
A
Yes
B
No
C
N/A
Is there a mechanism in place to ensure that the walk-in cooler door will not lock from the inside to prevent a worker from getting trapped?
Is there a mechanism in place to ensure that the walk-in cooler door will not lock from the inside to prevent a worker from getting trapped?
A
Yes
B
No
C
N/A
Is the air conditioner condenser working properly inside the cooler/freezer?
Is the air conditioner condenser working properly inside the cooler/freezer?
A
Yes
B
No
C
N/A
Is there adequate lighting inside the cooler /freezer?
Is there adequate lighting inside the cooler /freezer?
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Public Health Safety Considerations
Is there a thermometer to check and verify food temperature requirements?
Is there a thermometer to check and verify food temperature requirements?
A
Yes
B
No
C
N/A
Are the freezers keeping frozen food at -18 degrees C or lower?
Are the freezers keeping frozen food at -18 degrees C or lower?
A
Yes
B
No
C
N/A
Is food inside the walk-in cooler being kept at 4 degrees C or lower?
Is food inside the walk-in cooler being kept at 4 degrees C or lower?
A
Yes.
B
No
C
N/A
Is there a microwave on site? Is it cleaned regularly?
Is there a microwave on site? Is it cleaned regularly?
A
Yes
B
No
C
N/A
Is there a 3-step mechanism to ensure proper sanitation of dishes? (washing, rinsing, sanitizing)-
Note: Dishwasher does all three
Is there a 3-step mechanism to ensure proper sanitation of dishes? (washing, rinsing, sanitizing)- Note: Dishwasher does all three
A
Yes
B
No
C
N/A
Are testing strips being used to test the concentration of sanitizing solutions – quat or bleach?
Are testing strips being used to test the concentration of sanitizing solutions – quat or bleach?
A
Yes
B
No
C
N/A
Are measures being implemented to prevent cross-contamination?
Do kitchen and Dairy staff regularly wash their hands?
Are measures being implemented to prevent cross-contamination? Do kitchen and Dairy staff regularly wash their hands?
A
Yes
B
No
C
N/A
Are countertops and utensils used to prepare food properly sanitized/cleaned after use?
Are countertops and utensils used to prepare food properly sanitized/cleaned after use?
A
Yes
B
No
C
N/A
Deficiencies Requiring Corrective Actions
*
Take a Photo of each Deficiency
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Size limit: 10 MB
Inspectors Sign Off
Once all sections have been completed, inspectors are to sign off below, acknowledging completion.
Inspector 1 Signature
*
Signature
Inspector 2 Signature
Signature
Submit
