Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Housekeeping

Housekeeping

  • Are Emergency Exits/Aisles clear and free from obstructions?

  • Are walking/working aisles clear and free from obstructions?

  • Are desks/ supervisors work space neat/orderly?

  • Is material in use or to be used kept in a safe manner?

  • Are the floors clear of all trip hazards?

  • Are fire extinguishers clear and accessible?

  • Have all extinguishers in the area been in inspected in the last month?

  • Do all door carts have front guard installed?

  • Are all door carts using the front guard?

PPE

Personal Protective Equipment

  • Are all employees wearing proper safety glasses?

  • Are employees handling sheet metal wearing gloves?

  • Any additional PPE required? (Chemical gloves, electrical rubber gloves, leather gloves, face shield, FR smock?)

Electrical

Electrical

  • Are all outlets, power drops & cords in good working condition? (No holes or openings greater than 1/8", no cracking, no insulation exposure)

  • Are there extension cords in use greater that 24 consecutive hours?

  • Are there power strips close to being overloaded.

  • Are there power strips daisy chained together?

  • Are fans in good working condition? Blade cage has no opening greater 1/2"?<br>Power cords have ground plugs?<br>Power cords are un-nicked and un-frayed?

Hand Tools

Hand Tools

  • Are hand tools in use in good working condition?

  • Were hand tools inspected prior to use?

  • Was it the right tool for the job?

  • Are powered hand tools in good working condition? Cords/hoses free from nicks, cuts and I frayed?

General Safety

General Safety

  • Do two associates know where the AED is located?

  • Do two associates know where the SDS binder is located?

  • Do two associates know who the nearest first responder is? If no, do they know where the list can be found?

  • Do two associates know what to do if they are cut an bleeding? (Stay in place and call for help. No blood trails.)

  • How many near misses reported last month?

  • How many near misses reported current month?

  • Has cell/ area been without a recordable injury?

Overall Assessment

Overall Assessment

  • Cell Lead Signature

  • Supervisor Signature

  • Auditor 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.