Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Are all heavy objects stored below eye level on shelves?

  • Are all chemical containers stored below eye level on shelves?

  • Is all combustible storage stored 18" below sprinkler head and at least 24" below ceiling?

  • Are "Wet Floor" signs available and used appropriately when floor is wet?

  • Are all sinks equipped with water supply hose and have floor sinks?

  • Are all lamps protected or covered?

  • Are chemical bottles properly labeled and mixed correctly?

  • Do chemical storage containers have spill containment under the containers when there are floor drains?

  • Are splash goggles available when mixing or dispensing chemicals?

  • Are appropriate gloves available for the employee?

  • Are all employees wearing slip-resistant safety shoes?

  • Are hand trucks and dollies available for materials handling?

  • Are emergency exit signs all working and illuminated?

  • Are all corridors and stairways free of obstructions and debris?

  • Are all fire extinguishers properly inspected and up to date?

  • Are all cords on cleaning equipment free of exposed wires, splices and damage?

  • Do all electrical plugs on grounded cleaning equipment have all three prongs?

  • Is the MSDS book prominently displayed, organized alphabetically and assembled for employees?

  • Is all shelving mounted securely to the wall to prevent the shelf from tipping over?

  • Is Universal Waste (lamps) placed in an appropriately labeled, closed container?

  • Where do you keep your respirator?

  • Where is the closest exit and fire alarm pull station?

  • Do you feel safe in your building?

  • Where is the MSDS manual located?

  • What do you consider the biggest safety hazard of your job?

  • Where is your PPE? (Gloves and goggles)

  • Are ladders or steps tools available for reaching items on higher shelves?

  • Additional Comments:

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.