| Actions (Yes/No) |
| Are the physical layouts of the work areas suitable? |
| Is the ambient temperature in the work areas suitable? |
| Is the ambient noise in the work areas suitable? |
| Is the ambient illumination in the work areas suitable? |
| Is the ambient ventilation in the work areas suitable? |
| Is the ambient humidity in the work areas suitable? |
| Is Personal Protective Equipment (PPE) available to the workers? |
| Are the workers trained on proper use of PPE? |
| Do the workers wear PPE? |