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300-AQ0-01-IGDO © 2019, Workplace Safety & Prevention Services (WSPS)
1 877 494 WSPS (9777) | 905 614 1400 | www.wsps.ca
This assessment focuses on the nature of the workplace. It takes you through a survey of your workplace's physical
environment and its security measures. There are spaces for you to note the controls that are already in place, and to
identify what additional controls may be suitable for your workplace.
You are not required to use all or any of the examples of controls. There may be other controls that are more
suitable to your workplace's circumstances and to controlling the risks of workplace violence that you identify.
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Developing Workplace Violence and Harassment Policies and Programs: A Toolbox
General Physical Environment Assessment
Overview and Context for Action
Physical Yes No N/A Examples of Controls Existing Controls Recommended Controls
Environment
(identify person(s) responsible
and expected completion
dates, if possible)
Have you assessed
the following?
• Outside building
and parking lot
• Entry control and
security system
General Physical Environment Assessment (GA)
Job / Department/ Location: Completed by: Date:
Shading indicates elevated risk
• Bolted entries / locks
• Designated public entry doors
• Clear sightlines (look at
landscaping, layout, and
bushes)
• Good lighting
• Motion/movement detectors
• Coded doors / security doors
• Employee ID cards and guest
passes with sign-in/out
• Clearly labelled staff areas
• Closed-circuit video system
• Metal detectors
• Alarms (silent or sounding)
• Mirrors
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