Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Select type of rooms/facilities being inspected

1. General Area

  • Fire Orders clearly visible

  • HS&E notice board clearly visible with relevant posters and notices.

  • First aid signs clearly visible

  • Lighting adequate and operational

  • Temperature is comfortable

  • Area is free from odours

  • Noise level is acceptable/adequately controlled

  • Ventilation is adequate

  • Handrails present, safe and secure

  • Electrical equipment tested, tagged and safe

  • Electrical switches/sockets in good condition

  • Carpets and flooring in good condition

  • Stair treads in good condition

  • Furniture safe and undamaged

2. Emergency

  • External access and egress paths clear

  • Area beneath stairs clear of combustible materials

  • Fire Doors are free from obstruction

  • Corridors and walkways are free from obstruction

  • First aid kit accessible

  • Are all Fire fighting equipment sited as intended

  • Fire fighting equipment easily accessible

  • Fire fighting equipment inspected in last 12 months

  • Have the occupants had a Fire Evacuation practice in the current term?

3. Kitchen or Utility Room

  • Fire blanket available and serviceable

  • Drains (floor and sink) clear and free flowing

  • Taps free from drips and mould

  • Kitchen clean, good condition

  • Fridge clean, good condition

  • Microwave clean and maintained

  • Oven/stove safe and clean

  • Small appliances safe to use

  • Appliances turned off when not in use

  • Area free from pests or evidence thereof

4. External

  • Seating if provided is safe

  • Tables if provided are safe and clean

  • Smoking shelter clean and serviceable

  • Waste and cigarette butt bins available

  • Boundary fences safe and secure

  • Guttering free from obstructions

  • Overhead structures safe and secure

5. Laundry

  • Electrical equipment tested and tagged and current

  • Lighting operating as designed

  • Floor/area free from water and being wet

  • Dryer filter clean

6. Pet Animals

  • If animals are kept in rooms are signs / notices displayed on the door

  • Is the room suitable for the animal i.e. clean with animal bedding and food and water available

  • Is the room free from animal waste

  • Has the owner been authorised to keep a pet

Additional Observations

  • Other comments

Actions Required/proposed

  • Other comments

Head of Dept is to send a signed copy of this final page to HS&E Office when signed by all signees.

  • Head of Dept Manager Name & Signature

  • Residence Manager Name & Signature

  • HS&E Manager Name & 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.