Title Page

  • Conducted on

  • Audited by

  • Building

  • Area

  • Unoccupied areas. No more than 1 personal item on desks?

  • Are all desks clean and tidy; keys not left in drawers. Nothing left under the desks?

  • Walkways, doors and fire exits clear and unobstructed?

  • Chairs in correct location, under the desk when not being used?

  • Is the work area (floor) clear of items and damage (check under desks as well)

  • Is all machinery clean?

  • Items stored in an ordered fashion with correct labelling?

  • Surfaces to be clean and tidy?

  • Are lockers closed and locked? ( keys removed and nothing on top)?

  • Correct items placed in correct bins, in the correct location?

  • Are shadow boards being used effectively?

  • Tops of cupboards and shelves clear?

  • All light ok (note some bulbs are off intentionally in some units to reduce brightness for DSE)

  • Is the area free from pests, insects and flies?

  • Is the kitchen area clean and tidy?

  • Is the fridge clean with no out of date items?

  • Noticeboard - items in orderly fashion - no out of date leaflets

  • Is a first aid kit present and security seal intact and in date?

  • Is the correct PPE being work/available?

  • Are hazardous substances being controlled. Are COSHH cabinets closed and secure?

  • Are the fire extinguishers present with the safety tag in place?

  • Have any Unsafe acts or conditions been identified ? If yes please raise form HSFM030.

  • Action Plan
  • Action Required by

  • By who

  • Target Date

  • Auditor Sign off

  • Manager Sign Off

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.