Sample Hazard Identification Checklist

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Sample hazard identification checklist
Service:
____________________________________________________________________
Date:
____________________________________________________________________
Inspected by:
____________________________________________________________________
Hazard
Yes
No
Comments
1. Floors
Surface is even and in good repair
Surface is free from tripping and slipping
hazards (e.g. oil, water, sand)
Surface is safe (e.g. not likely to become
excessively slippery when wet)
2. Kitchen and work benches
Work bench space is adequate and at
comfortable working height
Kitchen and work bench space is clean and
free of clutter
Equipment not in use is properly stored
Lighting is satisfactory
A door or gate restricts child access to the
kitchen
Ventilation fan is in good working order
Kitchen appliances are clean and in good
working order
3. Emergency evacuation
Staff have knowledge of fire drills and
emergency evacuation procedures
Fire drill instructions are displayed prominently
in the service
Regular fire drills are conducted
Extinguishers are in place, recently serviced
and clearly marked for type of fire
Exit signs are posted and clear of obstructions
Exit doors are easily opened from inside

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