Title Page

  • Department

  • Conducted on

  • Auditor

Safety Report Card

  • Are all employees wearing safety glasses?

  • Are all employees wearing additional required PPE?

  • Are all machine guards in place and not over-ridden?

  • Are all utility knives present in area approved safety retractable blades?

  • Are forklift inspection being filled out prior to each shift?

  • Are all forklift operators in the area wearing seatbelts?

  • Are all portable or secondary containers properly labeled? GHS labels on hazardous materials.

  • Are all flammable liquids stored in yellow flame-proof storage cabinets?

  • Are any electrical panels or transformers blocked?

  • Are any electrical panels missing "knock-outs"?

  • Are all electrical panels closed?

  • Are any frayed or damaged electrical wires present?

  • Do all pneumatic air wand tips have an OSHA approved end with a pressure release?

  • Are there any slip, tip, or fall hazards in the area?

  • Have all dusts, residues, or scraps been swept up and removed?

  • Are any fire extinguishers blocked?

  • Have the fire extinguishers been checked on a monthly basis?

  • Are any eyewash stations blocked?

  • Have the eyewash stations been checked on a weekly basis?

  • Are any exits blocked?

  • Are exit signs posted and lit?

  • Are emergency lights functioning when tested?

  • Are any pull stations blocked?

  • Are any aisle-ways blocked?

  • Are all pallets or skids stored flat on the floor?

  • Ladders/steptools are in good repair and all stickers/labels are legible?

  • Machine maintenance checklists being completed?

  • Any unsafe procedures/behaviors observed?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.