Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

General Safety

  • Area under desks and counters uncluttered?

  • Shelving not overloaded?

  • Exit routes identified and unobstructed, 44"?

  • Emergency Exit Guide posted?

  • Emergency Flip Guide present?

  • AED map posted?

  • Information for work injury medical provider/assistance posted?

  • Fire extinguishers unobstructed and checked monthly?

  • Extension cords and surge protectors used properly?

  • Electrical panel unobstructed?

  • Storage clear 18" from fire suppression sprinklers?

  • Emergency extension 1300 label on phones?

  • Space heaters used correctly?

  • Used batteries given to EH&S weekly for disposal?

  • E-waste given to EH&S and/or FS in a timely manner?

Kitchen Safety

  • Toaster oven used correctly?

  • Combustible items distanced from heat sources, such as toaster oven or toaster?

  • If needed, surge protectors in use rather than extension cords?

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.