Branch 73 Monthly Safety Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A

2.0 - Fire Prevention

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

  Yes

  No

  N/A

• 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 2.5 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?

  Yes

  No

  N/A

• 2.7 - Indicator signs 2.1 m above floor level?

  Yes

  No

  N/A

• 2.8 - Adequate direction notices for fire exits?

  Yes

  No

  N/A

• 2.9 - Exit doors easily opened from inside?

  Yes

  No

  N/A

• 2.10 - Exits clear of obstructions?

  Yes

  No

  N/A

• 2.11 - Fire alarm system functioning correctly?

  Yes

  No

  N/A

• 2.12 - Are sprinkler head stock adequate for number of risers in the facility

  Yes

  No

  N/A

3.0 - General Lighting

• 3.1 - Good natural lighting?

  Yes

  No

  N/A

• 3.2 - Light fittings clean and in good condition?

  Yes

  No

  N/A

• 3.3 - Emergency exit lighting operable?

  Yes

  No

  N/A

4.0 - Building Safety

• 4.1 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 4.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 4.3 - Walkways adequately and clearly marked?

  Yes

  No

  N/A

• 4.4 - Intersections kept clear of boxes etc?

  Yes

  No

  N/A

• 4.5 - Stair and risers kept clear?

  Yes

  No

  N/A

• 4.6 - Are liquid spills removed quickly?

  Yes

  No

  N/A

• 4.7 - Are railings in good condition?

  Yes

  No

  N/A

• 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• 4.9 - Are footpaths in good condition?

  Yes

  No

  N/A

• 4.10 - Loading area clean and tidy?

  Yes

  No

  N/A

• 4.11 - Are all dock lights operational?

  Yes

  No

  N/A

• 4.12 - Are floors free of boards with nails?

  Yes

  No

  N/A

6.0 - Rubbish Removal

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

7.0 - Storage Design and Use

• 7.1 - Materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• 7.2 - Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• 7.3 - Floors around racking clear of rubbish?

  Yes

  No

  N/A

• 7.4 - General condition of racks and pallets?

  Safe

  At Risk

  N/A

• 8.17 - Do operators wear required PPE?

  Yes

  No

  N/A

9.0 - Electrical Safety

• 9.3 - Are all outlet covers in place?

  Yes

  No

  N/A

• 9.4 - Is there nothing stored on top of power/electrical panels?

  Yes

  No

  N/A

• 9.6 - Is there nothing stored around electrical breaker panels?

  Yes

  No

  N/A

10.0 - Chemical Safety

• 10.2 - Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• 10.3 - Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• 10.8 - Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• 10.9 - If required is PPE available and in good condition?

  Yes

  No

  N/A

• 10.10 - Is adequate ventilation provided?

  Yes

  No

  N/A

• 10.11 - Are eye washes and showers easily accessed?

  Yes

  No

  N/A

11.0 Ladders

• 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• 11.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 11.3 - Used according to instructions?

  Yes

  No

  N/A

12.0 - First Aid Facilities

• 12.1 - Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• 12.2 - Are contents regularly checked?

  Yes

  No

  N/A

• 12.3 - No contents past their expiry date?

  Yes

  No

  N/A

• 12.4 - Cabinets clearly labelled?

  Yes

  No

  N/A

• 12.5 - Is there easy access to cabinets?

  Yes

  No

  N/A

• 12.6 - Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• 12.7 - Are persons trained in first aid accessible?

  Yes

  No

  N/A

• 12.8 - Are emergency numbers displayed?

  Yes

  No

  N/A

13.0 - Powered Industrial Trucks

• 13.1 - Are daily pre-use inspections being conducted?

  Yes

  No

  N/A

• 13.2 - Are capacity data plates legible?

  Yes

  No

  N/A

• 13.3 - Are forks in lowest position when not in use?

  Yes

  No

  N/A

• 13.4 - Are all lighting systems operational?

  Yes

  No

  N/A

• 13.5 - Are tires and castor wheels operational?

  Yes

  No

  N/A

• 13.6 - Are employees observed operating equipment safely?

  Yes

  No

  N/A

• 13.8 - Are all safety devices in good condition and operation correctly?

  Yes

  No

  N/A

14.0 - Battery Charging Areas

• 14.1 - Are the chargers free of stored combustibles?

  Yes

  No

  N/A

• 14.2 - Are the charging cables in good condition?

  Yes

  No

  N/A

• 14.3 - Are there no exposed wires on charging cables?

  Yes

  No

  N/A

• 14.4 - Are eyewash and shower stations inspected on a regular basis? (Per the manufacturer)

  Yes

  No

  N/A

• 14.5 - Are floors free of spills/leaks?

  Yes

  No

  N/A

• 14.6 - Is PPE in good condition and stored properly?

  Yes

  No

  N/A

• 14.7 - Is the overall cleanliness of the area good?

  Yes

  No

  N/A

• 14.8 - Is acid neutralizer provided for electrolyte spills and is it stored properly?

  Yes

  No

  N/A

Sign Off

• On site representative

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• Auditor's signature

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1.0 - Previous Inspections:

• Check if completed:

• Action:

2.0 - Fire Prevention

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3.0 - General Lighting

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4.0 - Building Safety

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5.0 - Work Benches

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6.0 - Rubbish Removal

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7.0 - Storage Design and Use

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8.0 - Machines

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9.0 - Electrical Safety

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10.0 - Chemical Safety

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11.0 - Ladders

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12.0 - First Aid Facilities

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13.0 - Powered Industrial Trucks

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14.0 - Battery Charging Areas

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15.0 - Weld Area

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• Safety Coordinator Sign-Off

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• Management Sign-Off

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