• Audit Title

  • Site Name

  • Conducted on

  • Auditor

  • Location
  • Site EHS Manager

Applicable Standards

  • Select those standards that apply.

Documents Reviewed

  • Site Slip, Trip, Fall Assessment

  • Training Program

  • Training Records

  • Site specific documents reviewed:

Program Execution

  • Is there an IOSS program leader on site?

  • Has the site completed a slip, trip, fall assessment using the “J&J Slips, Trips and Fall Prevention Site Risk Assessment” or equivalent tool in the past three years?

  • What is the date of the last assessment?

  • Has the organization established, implemented, and maintained a process to ensure that action items from the hazard identification/risk assessment are documented in a facility action plan?

  • What tool do they use to track actions?


  • What is the frequency of training?

  • Does the training program cover the required program elements?

  • Has the organization conducted analyses of accident logs and incident records that involved slips, trips or falls in order to provide input for potential improvements in the facility’s Fall Prevention Program?

Employee Discussions

  • Discussions were held with the following groups or employees on site. List number of people when applicable.

Plant Tour

  • Are signs posted advising not to walk and text?

  • Is signage present in stairwells to use handrails?

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.