Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General business details

  • Time commenced

  • Estimated annual turnover (if applicable to survey)

  • Number of staff including directors ( if applicable to survey)

Construction

  • What are the walls made of

  • What is the ground floor made of?

  • What is the upper floor made of

  • What are the stairs made of?

  • What is the age of the building

  • Is there any internal or external use of sandwhich panels?

  • Does the client know what type of materials are inside the sandwhich panels as the insulator? (EPS, XPS, MWRF, PIR, LPBC) some are fire resistant, is there a fire authority certificate to prove the materials?

  • As a percentage of the total wall space, what percentage is constructed from sandwhich panels?

  • Photo of the front of the building

  • Photo of the left of the building (standing from the front of the building looking toward the rear of the property)

  • Photo of the right of the building (standing from the front of the building looking toward the rear of the property)

  • Photo of the rear of the building

Housekeeping and external risk questions

  • Are all roof gutters free from debris and free flowing?

  • Are all roof downpipes connected to a drain system, unblocked and free flowing?

  • Is there any evidence of lime, moss, or calcium buildup on the external walls or ground around the premise which may indicate a long term water flow problem with guttering or drainage?

  • Photo of any potential drainage risks

  • Photo of any potential drainage risks

  • Is there any evidence of smoking adjacent to the building, check gardens and directly outside staff exits?

  • Where there are truck deliveries or pickups; is there a designated turning area and is it sufficient? I.e. is there any evidence of impact damage to the building perhaps by a delivery vehicle or garbage truck or tyre marks through the dirt or garden off the concrete?

  • Are bollards installed in delivery areas to mitigate risk of impact damage?

  • How frequently is the waste removed from the location

  • What is the distance of the waste area to the main building?

  • Are any pallets or flammable items stored against or adjacent to the building?

  • A photograph of the waste storage area

Locale risks

  • What is the occupation and distance to the neighbouring building (left)

  • What is the occupation and distance to the neighbouring building (right)

  • What is the occupation and distance to the neighbouring building (rear)

  • Type of location

  • Are there any immediate neighbours or businesses in the same complex that have a late friday or saturday trading hours such as dominos, kfc, mcdonalds etc

  • Is there any graffiti or other evidence of a high pass through pedestrian traffic such as general rubbish buildup like drink bottles, snack foods or mcdonalds wrappers?

  • Photo of any graffiti

  • Notes

  • Crude site map

Carparks

  • How many car park spaces are there?

  • Is each car space clearly marked and well defined?

  • Is the surface of the car park ashphalt or concrete ?

  • Is the car park surface in good condition with no pot holes or divets that may cause scratches to cars or trip hazards to pedestrians?

  • Are all handrails or balustrades in good condition solidly fixed into the ground or walls?

  • Does the car park have sufficient drainage?

  • Are the drains of the car park free free flowing and unlikely to be blocked by organic growth such as weeds or dirt buildup?

  • Notes on the carpark

  • Photo of the carpark

Fire safety

  • Are there monitored heat or smoke alarms hardwired at the site<br>

  • Did the site have extinguishers

  • What type of extinguisher was present?

  • What was the date of last service?

  • Photo of extinguisher or the service tag

  • Does the site have hose reels?

  • Does the site have a hydrant point?

  • What is the distance to the nearest fire station if known

  • Does the site have single source sprinklers?

  • Does the site have dual source sprinklers? Mains and a backup supply?

  • Was there an escape plan on the wall?

  • Photo of the fire safety or evacuation plans

  • Has the business conducted a fire drill or emergency evacuation drill in past 12 months

  • Were there any obstructions blocking free access to equipment or fire exits

  • Are emergency exits marked with correct signage?

  • Other fire safety notes

Security measures

  • Describe door security

  • Describe window security

  • Do all display windows have 11mm plate glass?

  • Type of alarm system

  • Described security guard useage

  • Does the business utilise CCTV

  • Is there a 2m high full perimiter fence

  • Does the business have bollards or other ram raid prevention measures?

  • Is there after hours security lighting

  • Other security notes

Office risk questions

  • Does this section apply?

  • Was there evidence of testing and tagging?

  • Was there any evidence of the use of power leads, double or multi point adapter boards?

  • Do any power leads, extension cables, or powerboards cross over walkways which may present a tripping hazard?

  • Where there is use of multi point adapter boards, are they surge protected and to what voltage or surge level?

  • Was there a server for the office?

  • Is the server isolated within a temperature controlled environment?

  • Is it secured by UPS systems that have been tested within the last 3 months?

  • Is there any evidence of water damage to the ceiling nearby to the server?

  • Other notes about the office

  • Photo of the server room if applicable

  • General photo of the office or reception

Commercial kitchen risks

  • Is there deep frying?

  • Are fryers thermostatically controlled with an automatic shut off?

  • What is the total capacity of fryers in litres?

  • Does the business use wok cooking?

  • What is the total number of wok burners?

  • Is the cooking or deep frying area protected by an automatic fire retardant or foam supression system such as the ANSUL system?

  • Is there a readily accesible fire blanket in the kitchen?

  • Are the extinguishers in the kitchen the correct type for oil or cooking fires?

  • Describe the condition of the floor with respect to oily, wet, or slippery floors in the kitchen area

  • Is there an emergency exit?

  • Is the exit free from rubbish or stock, easy to open and escape on both sides of the exit (check if locked and external access to door)

  • Other notes about the kitchen

  • General Photo of the kitchen area

  • Photo of the deep fryers or wok area

  • Photo of the waste storage area

Internal storage, warehousing and mobile machinery use

  • Describe the goods normally stored in the warehouse or storage area. Include details of packaging especially if flammable or prome to water damage

  • Indicate the primary type of storage methods used

  • What is the distance between the sprinkler system heads and the maximum storage height approx in metres

  • Has the storage height clearence been confirmed and verified as safe by external fire inspectors or advisors?

  • Are the storage shelving units securely fastened to the floor or walls to prevent tipping?

  • Are storage areas clean and tidy?

  • Are all walkways and work areas clean and tidy, free from debris and trip hazards?

  • Is a forklift, pallet jack, scissor lift, or any other similar mobile plant used in the warehouseor storage area?

  • Are such mobile plant registered with conditional registration plates?

  • Do such plant have light and sirens employed to warm other nearby workers?

  • Are there defined areas in which the machinery can be used with marked visual indicators on the floor to indicate the use of machinery in the area for the safety of other workers and visitors and to protect stored stock from impact damage?

  • Notes

Flammables and hazardous goods storage

  • Is the storage internal or external?

  • Describe the storage area, include details about whether it is isolated, ventilation of the area, construction of area, and security of area

  • Is the storage unit AS(1940:2004) compliant?

  • Describe the type of flammabe gasses stored, the use or purpose of the gas, and the quantity or volume of the gas

  • Describe the type of flammable liquids stored, the use or purpose of the liquid, and the quantity or volume of the liquid stored

  • Describe the type of hazardous gases, liquids or goods stored, the purpose, and the quantity stored

  • Are all areas correctly signposted with clean visable signage?

  • Is there any evidence of smoking nearby the flammable or hazardous storage areas?

  • Flammable gas storage

  • Flammable liquid storage

  • Hazardous item storage

  • Notes

Electronics and machinery

  • Please indicate type of Electrical switchboard or mains system that best describes the system in use at the location

  • Photo of the electrical mains board

  • Is the power mains or switchboard protected by a UPS

  • Does the premise have a manually started generator?

  • Does the business or occupier have access and training sufficient enough to turn on the generator if manual?

  • Does the premise have an automatic generator power system?

  • When was the generator system last serviced and tested?

  • What type of fuel is used in the generator?

  • What is the total number of overhead cranes, elevators, lifts and hoists?

  • What is the total number of escalators, travellators, or conveyor belts in use?

  • Are there any cold or freezer rooms that have been installed within a room?

  • Other than the cold rooms above, Are there any temperature controlled environments or rooms, what is the total mumber of areas and an approximate total floorspace %

  • Describe the Space heating or cooling?

  • Notes

Manufacturing risks - timber works

  • Does the manufacturing involve any timber works?

  • Are all cutting and sanding units fitted with or within operational distance of an atmospheric dust extraction system?

  • Are all equipment safety guards or rails present and in use?

  • Are operator safety zones marked or installed around each machine, and staff trained to understand the maximum number of workers in each zone?

  • Photo of workshop

  • Photo of dust extraction system

Manufacturing risks - welding, powdercoating, and soldering

  • Does the manufacturing involve hotworks (engineering including welding or soldering)

  • Are welding bays installed with firewalls?

  • Is there an extinguisher present in each bay?

  • Are spot checks undertaken prior to leaving every day to ensure there are no embers or risk of flare ups?

  • Photo of workshop

Manufacturing risks - plastics, rubber or fibreglass

  • Is heat moulding or cutting used in the manufacturing process?

  • What is the maximum temperature used?

  • Describe the processes that involve plastics in general terms

  • Describe the fibreglass processes in general terms

  • Describe the processes that involve rubber or foam in general terms

  • Photo of workshop

Manufacturing risks- painting, spraying, lacquering

  • What type of spraybooth or spray facility is used?

  • What type of goods are sprayed or manufactured in this area?

  • Photo of spray booth

Manufacturing risks other

  • Does the business cut, shape, or manufacture glass or glass products?

  • Photo of workshop

  • Manufacturing risk notes

Completion

  • Name of surveyor

  • Signature of surveyor

  • Name of client

  • Position in company

  • Signature of client

  • Time completed

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.