Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 Sort - Unnecessary parts, equipment, pipes, etc.

  • No obsolete parts, equipment, pipes, etc. in area

  • Work area has only the necessary materials and equipment to perform the job

  • Outdoor plastic bins are not overflowing

  • Desks/workstations only contain items required to do a job and does not contain personal items

  • Pictures - Upload from iPad camera roll

2.0 Set - A place for everything

  • Materials/ingredients are staged properly within pink demarcations (low proof)

  • All cabinets and cupboards are organized and clean

  • All tools, including cleaning tools, are placed on corresponding shadow boards or accounted for (in use)

  • All chemicals in acids cupboard are stored and labelled correctly

  • Required PPE is fully stocked and readily available (low proof)

  • All hoses are off the floor and capped

  • Pictures - Upload from iPad camera roll

3.0 Shine - Clean workplace and equipment

  • Workspaces are clean and organized

  • Floor demarcations are in good condition and identified

  • Floors are clean and any hazards are marked with a sign

  • No damage to any racking within blending department

  • Pictures - Upload from iPad camera roll

4.0 Standardize - Compliance to standards

  • Hallways and transit area are free of obstacles (i.e. equipment, pails, liquid)

  • Waste is properly sorted into corresponding bins (garbage, plastic, metal, wood, paper) with no cross contamination

  • All employees and visitors are wearing appropriate PPE

  • FIFO regulations are followed for finished product and industrial material

  • Sample bottle and lid containers are stocked and accessible

  • Spill kits are stocked and accessible

  • All expired or blocked status ingredients are only found in hold area

  • Pictures - Upload from iPad camera roll

5.0 Sustain - Maintain standards

  • Audit results from previous week have been posted on sustainability board

  • Audit results and sustainability board findings have been reviewed at morning dashboard at the beginning of the week

  • Pictures - Upload from iPad camera roll

6.0 Safety - Safety First!

  • Fire pull stations and fire extinguishers are free from obstruction

  • Emergency exits are labelled and free from obstruction

  • First aid kits and emergency showers are clearly labelled and accessible

  • Daily inspection check lists are completed for lift trucks and scissor lifts (in your area only)

  • Have you been asked "do you have any safety concerns?" Today?

  • Forklifts in use have completed forklift checklist

  • Pictures - Upload from iPad camera roll

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.