Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Prevention

  • 2.1 - Extinguishers in place, clearly marked for type of fire?

  • 2.2 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.3 - Extinguishers clear of obstructions?

  • 2.4 - Exits clear of obstructions?

3.0 - Safety Equipment

  • 3.1 - Spill Kit Station

  • 3.2 - Eye Wash & Shower Station

  • 3.3 - First Aid Kit

  • 3.4 - PPE available

4.0 - Electrical Safety

  • 4.1 - Portable equipment tested and tagged?

5.0 - Chemical Safety

  • 5.1 - Chemicals contained & labeled

  • 5.2 - Spare Forklift Gas Bottles secured with chain?

6.0 - Truck & Delivery Vehicle

  • 6.1 - Vehicle Log Book

  • 6.2 - DG Compliant?

7.0 - Documentation

  • 7.1 - DG Manual (Hazard ID, Risk Assessment etc) Onsite?

  • 7.2 - MSDS Register (Filed & available inside)

  • 7.3 - MSDS Register (Red Information Cabinet Outside)

  • 7.4 - Emergency Response Documentation available

  • 7.5 - Building Plan incl location Gas Bottles, Fire Equipment etc (Red Information Cabinet Outside)

8.0 - Building

8.1 Evacuation Plan

  • 8.1.1 - Evacuation plan displayed and understood by all employees?

  • 8.1.2 - Evacuation Plan Compliant?

  • 8.2 - Signage (Exits, Fire Extinguishers etc)

  • 8.3 - Work Environment (Clean & Tidy)

  • 8.4 - Plant & Equipment

Sign Off

  • Auditor's signature

  • Add drawing

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.