Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there any outstanding actions? If yes, please reference the last report

2.0 - Emergency Response, Alarms, Regulatory Postings

  • 2.1 - Is there an Evacuation map(s) posted in appropriate location? e.g. at notice boards and throughout the facility

  • 2.2 - Does the Evacuation map(s) have the locations for fire hose reels, eye wash stations, first aid, AED(s) and fire extinguishers marked?

  • 2.3 - Extinguishers & Emergency Lighting, Eye wash stations, First Aid kits, AED's inspected monthly, in working order and serviced as required e.g. annual basis via 3rd party?

  • 2.4 - Accessibility - Life safety equipment (extinguishers, hose-reels, AED's etc) free from obstructions?

  • 2.5 - Postings - Are regulatory, SPOC's, First Aiders, JHSC members & other contact information posted and up to date

  • 2.6 - Drills - Are evacuation drills up to date, are the type of drills up to date (fire, spill, medical, bomb, etc.)

  • 2.7 - Installed Systems - Are fire alarm systems, exit lighting, installed and in good working order?

  • 2.8 - Has evacuation and other drills taken place as required across all shifts?

3.0 - General Lighting

  • 3.1 - Lighting is adequate and in good condition?

4.0 - Building Safety (interior)

  • 4.1 - Floor surfaces do not have holes, are even and uncluttered?

  • 4.2 - Entry, exits and walkways kept clear, marked, in good condition?

  • 4.10 - Asbestos, lead paint or other building hazardous materials being managed in place?

  • 4.11 - Loading area clean and tidy?

5.0 - General

  • 5.1 - No unguarded equipment (grinders, drill press, bench grinders)

  • 5.2 - All plugs, power cords have GFCI

  • 5.3 - No damaged hand/power tools/cords in use?

  • 5.4 - Housekeeping in good order & Bins located at suitable points around site and covered and flammable cabinets in order?

  • Pedestrian & PIT Traffic Route Risk? e.g. Assessment completed & implemented, class 2 vest , or additional controls required?

7.0 - Storage, Racking and Use

  • 7.1 - Are racking inspections in place and SWL posted, annual certificate on file?

  • 7.2 - General condition of racks and pallet storage (pallet storage height is stable and suitably located)?

9.0 - Electrical Safety

  • 9.3 - No double adapters/daisy chains?

  • 9.5 - No broken plugs, sockets or switches or unidentified panels (panels must be marked and have adequate clearance with no combustibles e.g. 3ft)?

  • 9.6 - No power leads across walkways, aisles, or on floor ?

10.0 - Chemical Safety

  • 10.2 - MSDS / SDS available for all chemicals?

  • 10.4 - All containers labelled correctly including adequately stocked and labeled spill kits?

11.0 - Docks, Vehicles & Exterior Facility Condition

  • 11.2 - Wheel chocks, jack stands, vehicle parking or other yard issues (lighting, pest, storage etc)

  • 11.1 - Any issues with physical conditions? (e.g. vegetation, fence damage, wall damage, paint damage, drainage, garbage bins, poor storage?)

  • 11.3 - Environment related issue? e.g. fluorescent bulbs, oil, batteries etc.

12.0 - Environmental, KORE, GAO issues? Note: if using GAP Assessment Tool, simply refer to that tool

Sign Off

  • On site representative

  • Auditor's signature

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.