Basic Template Creation Tutorial

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Aisles and walkways clear of obstructions

  Yes

  No

  N/A

• Floors free of spills debris

  Yes

  No

  N/A

• Proper waste disposal bins not overflowing segregated correctly

  Yes

  No

  N/A

• Are work areas tidy and organised

  Yes

  No

  N/A

• Add floor picture

  Media

Fire safety

• Fire exits clear and accessible

  Yes

  No

  N/A

• Extinguishers in place visible and serviced

  Yes

  No

  N/A

• Alarm sprinklers bells tested working

  Yes

  No

  N/A

• Emergency evac routes properly marked

  Yes

  No

  N/A

• Add fire exit pic

  Media

PPE

• Teams are wearing correct required PPE

  Safe

  At Risk

  N/A

• Extra PPE is in good condition properly stored when not in usev

  Safe

  At Risk

  N/A

• Employees know where it's kept and how to use

  Safe

  At Risk

  N/A

• Take pic of team member waring correct ppe (no face)

  Media

Machinery & equipment safety

• MHE is operated safely

  Safe

  At Risk

  N/A

• MHE is inspected daily and before each use

  Safe

  At Risk

  N/A

• Emergency stop buttons are functional & accessible

  Safe

  At Risk

  N/A

• No damaged or frayed electrical cords on equipment

  Safe

  At Risk

  N/A

• Take pic of MHE

  Safe

  At Risk

  N/A

Manual handling ergonomics

• Team members are using safet lifting techniques

  Safe

  At Risk

  N/A

• Heavy loads are stored at safety heights

  Safe

  At Risk

  N/A

• Lifting aids available and in good condition records kept

  Safe

  At Risk

  N/A

• No signs of worker fatigue or strain from improper lifting

  Compliant

  Non-Compliant

  N/A

• Take a pic of lifting aids

  Media

Racking and storage safety

• Shelving racks are stable undamaged and properly secured

  Yes

  No

  N/A

• Items are racked safely

  Media

• Load limits displayed

  Yes

  No

  N/A

• No items overhanging or leaning that could fall

  Yes

  No

  N/A

• Take pic of racking

  Media

Signage lighting

• Safety Signage is present and in good condition

  Yes

  No

  N/A

• Emergency exits signs are illuminated and unobstructed

  Compliant

  Non-Compliant

  N/A

• Lighting is sufficient and properly maintained

  Compliant

  Non-Compliant

  N/A

• All alarm panels are operating and free from faults

  Compliant

  Non-Compliant

  N/A

• Take pic of signage lighting

  Media

Hazardous materials

• Chemical and hazardous substances stored corrctly

  Safe

  At Risk

  N/A

• Safety data sheets available and accessible

  Yes

  No

  N/A

• Spill kits are available and fully stocked

  Yes

  No

  N/A

• Team handling hazardous substances are properly trained

  Safe

  At Risk

  N/A

• Pic

  Media

Emergency procedures

• First aid kits stocked and items in date

  Good

  Fair

  Poor

  N/A

• Emergency contacts and procedures displayed

  Good

  Fair

  Poor

  N/A

• Employees know what to do in event emergency (3 of 5 minimum to pass)

  Pass

  Fail

  N/A

• Depending on Qtr time how many drills have been done (Q2 end should have 4 fire drills done )

  Pass

  Fail

  N/A

• Pic

  Media

Worker engagement and safety culture

• Teams are aware of safety policies (3 of 5 to pass)

  Pass

  Fail

  N/A

• Employees feel comfortable reporting incidents (3 of 5)

  Yes

  No

  N/A

• Previous raised safety concerns addressed

  Yes

  No

  N/A

• Pic

  Media