WORKPLACE INSPECTION PLAN SCHEDULE

YEAR
NO. CHECKLIST INSPECTION REMARKS
Month Jan Feb Mar Apr may Jun July Aug Sept Oct Nov Dec

Plan
1 Emergency Procedures
Actual
Plan
2 Egress & Evacuation
Actual
Plan
3 Fire Extinguishers
Actual
Plan
4 Floors
Actual
Plan
5 Stairs & Landings
Actual
Plan
6 Lighting
Actual
Plan
7 Noise
Actual
Plan
8 Ventilation
Actual
Plan
9 Housekeeping
Actual
Plan
10 Signage
Actual
Plan
11 Handling & Storage of materials
Actual
Plan
12 Hygiene
Actual
Plan
13 Environmental
Actual
Plan
14 Office Layout
Actual
Plan
15 Electrical Equipment
Actual

MAA/QESH-MS/FORM/SH-01/01/02 Issue date: 20 december 2010 Page 1 of 2

 YEAR
NO. CHECKLIST INSPECTION REMARKS
Month Jan Feb Mar Apr may Jun July Aug Sept Oct Nov Dec

Plan
16 Chair
Actual
Plan
17 Desk / Benches
Actual
Plan
18 Computer equipment
Actual
Plan
19 Clearance
Actual
Plan
20 Health
Actual
Plan
21 First Aid
Actual

PROGRAM OWNER REVIEW BY

Name Name
Designation Designation
Signature Signature

MAA/QESH-MS/FORM/SH-01/01/02 Issue date: 20 december 2010 Page 2 of 2