Office Area Doc Number: SJCPL-HSE-CL-02

Project Name:
Location: Inspection Date:

SL. NO. POINTS Yes/NO/Not Remarks

Applicable
ACCESS & EGRESS
Are the entry roads / walkways / passages kept
1.
clear?
Are the walkways & roads are even and free from
2.
water logging?
3. Is Illumination level OK in access / egress?
OFFICE
1. Is the ventilation of the rooms adequate?
2. Is the illumination of the rooms adequate?
Is the general hygienic condition of the rooms
3.
adequate?
4. Are materials stored tidily and securely?
Is all loose and easily combustible material, such
5. as paper cloth and fluids, put away at the end of
the working day?
6. Are dustbin / garbage bins allocated?
Is the garbage being disposed off on regular
7.
basis?

8. Whether disinfection activities carried out on

weekly basis?
VISUAL DISPLAY UNITS
Are screens free from significant reflections and
1.
glare?
Are keyboards/screens clean and functioning
2.
properly?
3. Are chairs adjustable and in good repair?
4. Is there sufficient leg room?
5. Can the VDU be adjusted to suit individual

Created on 15th April’2018 Revised on 01 st April’2022

SL. NO. POINTS Yes/NO/Not Remarks
Applicable
preferences, swivel and tilt?
TOILETS
1. Are adequate toilets available?
2. Is the dedicated toilets for ladies available?
3. Are the toilets are being cleaned on regular basis?
4. Is there adequate water facility available?
5. Are the septic tank and soak pit working properly?
Is area around bathrooms cleaned & kept dry and
6.
non slippery?
7. Is water tank cleaned regularly?

PANTRY
1. Whether the pantry kept clean and tidy?
Is the water supply adequate for cooking &
2.
washing?
Is the garbage of pantry being disposed off every
3.
day?
4. Are the utensils being cleaned on regular basis?
Are gas cylinders & other flammable materials
5. kept in safe area (away from fire)?
Are suitable regulator, Connecting tube &
6. connections with the cylinder O.K

Representative from EHS Representative from Admin/HR

Name
Signature
Date

Created on 15th April’2018 Revised on 01 st April’2022