• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Facilities & Structures

  • Floors maintained free from dirt, liquids, debris, electrical cabling, tools and equipment

  • Lighting sufficient for tasks undertaken?

  • Lights operational, steady and fittings in good repair?

  • Emergency lights and signs legible and operational?

Office Machines

  • Sufficient access to and room around office machines to allow safe and ergonomic operation and maintenance?

  • Equipment and materials not in use kept in place?

Office Furniture

  • Desks and chairs are suitable, purpose built and in good order?

  • Shelving and storage cabinets in offices are purpose built, stable and in good order?

  • Shelving space is sufficient and not cluttered or overloaded?

  • Work benches clear of rubbish, tidy and uncluttered?


  • Ablution facilities maintained in a clean hygienic condition?

  • Crib/lunch room facilities include adequate seating, fridge space and sink with hot and cold potable water?

  • Crib/lunch room facilities maintained in a clean hygienic condition?


  • Signs are ligible?

Storage Areas

  • Storage shelves purpose built with appropriate durable materials?

  • Flammable liquids stored in purpose built cupboards?

  • Acids, alkalis, and corrosives stored in accordance with MSDS and Dangerous Goods requirements?

Labeling, Color Coding and Demarcation

  • Distribution boards correctly labelled?

  • Electrical outlets labeled?

Stairs and landings

  • Clean and clear of obstructions?

Ladders, Handrails & Scafolding

  • Portable ladders in good condition with non-slip feet?

  • Stored in correct place?

  • No broken rungs or other defects?

Hazardous Substances (Cleaning Agents and Chemicals)

  • Stored correctly?

  • Correctly labeled?

  • MSDS Available?


  • No broken or defective leads?

  • No broken plugs?

  • No uprooted leads o r traffic areas?

Fire Extinguishing Equipment

  • Available?

  • Good condition, current inspection/test tag?

  • Visible and accessible?

  • Clearly signposted?

First Aid

  • First aid box present?

  • First aid trained personnel recorded and displayed?

  • Record of inspection current?

Emergency Plan

  • Plan is predominantly displayed?

  • Plan and contact details are correct?

Inspection Sign Off

  • Total number of corrective actions identified

  • Number of outstanding actions (i.e. not able to be immediately rectified)

  • Signature

  • Select date

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.