Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous Inspection

  • 1.1 Are there any outstanding actions pending?

2.0 - General Area

  • 2.1 Exterior of building does not have any issues?

  • 2.2 Floor surfaces are even and uncluttered?

  • 2.3 Walkways are adequate (3ft. wide) and are well defined?

  • 2.4 Adequate lighting for the work being performed?

  • 2.5 Burnt out bulbs have been replaced?

  • 2.6 Stored items are in their designated storage area?

  • 2.7 Stairways and landing areas are clear, railings are in good condition?

  • 2.8 Loading areas clean and tidy.

3.0 - Emergency & Fire Prevention

  • 3.1 Evacuation plan displayed and understood by all personnel?

  • 3.2 Fire extinguishers are in place and are clearly marked?

  • 3.3 Fire extinguishers are charged and have been inspected?

  • 3.4 Fire extinguishers are in proper locations?

  • 3.5 Emergency exits are clearly marked?

  • 3.6 Exits are clear of obstructions?

  • 3.7 Fire or emergency alarm tested?

4.0 - First Aid

  • 4.1 First Aid kits are clearly marked?

  • 4.2 Contents are regularly checked for availability and expiration?

  • 4.3 Emergency numbers are clearly displayed?

5.0 - Electrical

  • 5.1 Electrical Panels are labeled and clear of obstruction?

  • 5.2 3 pronged or grounded extension cords are used?

  • 5.3 No broken prongs, plugs, sockets, or switches?

  • 5.4 Wall outlets covered with no cracks?

  • 5.5 No frayed or twisted leads?

  • 5.6 Trouble lights are enclosed and in good working order?

6.0 - Chemical Safety

  • 6.1 Material Safety Data Sheets (MSDS) for all chemicals?

  • 6.2 All containers labeled correctly?

  • 6.3 If applicable, are special storage conditions followed (hazardous or flammable)?

  • 6.4 Are gas cylinders properly stored and secured?

  • 6.5 If required, PPE are available and used?

  • 6.6 Are eye wash and showers available and easily accessible?

  • 6.7 Have eye wash or showers been tested?

  • 6.8 Unused substances disposed of?

7.0 - Ladders & Step Stools

  • Are ladders industrial rated?

  • Are ladders or step stools in good condition?

  • Are ladders or step stools used according to instructions?

  • Are safety and instruction labels affixed to ladders?

8.0 - Rubbish Removal

  • Rubbish bins located in suitable positions around work area?

  • Bins emptied regularly?

  • Oily rags and combustible refuse in covered metal containers?

  • Plastics & Cardboard are separated for recycling?

  • Old parts and scraps have been disposed of properly?

9.0 - Work Benches

  • Clear of rubbish & clutter?

  • Tools not in use are in their proper place?

  • No open food or drink containers?

  • No damaged power or hand tools in use?

10.0 - Machine/SST

  • Are kept clean?

  • Guards in place and in good condition?

  • Floor around equipment are kept clean and clear?

  • All equipment including lifts are not tagged "Do Not Operate" and are?

11.0 - Personal Protective Equipment

  • Respiratory protection plan in place?

  • PPE available and in use?<br>

  • Fit testing and evaluations up to date?

12.0 - Storage and Design

  • Materials stored in racks, bins and shelving wherever possible?

  • Storage design minimizes lifting?

  • Floors cleared around shelving?

13.0 - Material Handling Equipment

  • Forklift inspected and in good condition?

  • Hand trucks, carts, pallet jacks, in good condition?

14.0 - Vehicle condition

  • Scheduled maintenance performed?

  • Condition of tires?

  • Lights?

  • Condition of seating

  • First aid kit provided and up to date?

  • Fire extinguisher provided and up to date?

  • Storage compartment neat and orderly?

15.0 - No at risk behavior observed?

  • Observation

  • Observation

Sign off

  • Site Supervisor

  • Auditor

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