Burton Office HS & Energy Tour

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Housekeeping

• Is the work area clean and tidy ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are the floors clean and dry and in good condition ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are pedestrian traffic routes free from obstruction

  Yes

  No

  N/A

• Low

  Medium

  High

• Is the work area free from trip hazards ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are tools and equipment stored appropriately ?

  Yes

  No

  N/A

• Low

  Medium

  High

• If items are stored at height, has this been done appropriately ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Is waste properly segregated, and are the containers emptied regularly ?

  Yes

  No

  N/A

• Low

  Medium

  High

Workplace

• Is working at height equipment in good condition, and any in use stable ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are desks, chairs and work surfaces safe and in good condition ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are work areas well illuminated ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are work areas at a comfortable temperature ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are work areas well ventilated ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Is drinking water marked and readily available ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are the toilets clean and sanitary ?

  Yes

  No

  N/A

• Low

  Medium

  High

First Aid Provision

• Are adequate First Aid supplies available and easily accessible ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are eye wash stations / bottles clean, within date and properly labelled ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are First Aiders identified and able to be quickly contacted ?

  Yes

  No

  N/A

• Low

  Medium

  High

Fire Protection

• Are Fire Extinguishers conspicuously marked, present and correctly mounted ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are they fully charged and inspected ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are exits unlocked during normal working hours ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are all exits, call points and extinguishers free from obstruction ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are exits and exit routes clearly marked and defined ?

  Yes

  No

  N/A

• Low

  Medium

  High

Electrical and Equipment

• Are Electrical tools, cables and plugs in good condition ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Is all Electrical equipment tagged with plant number and electrical test date ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are distribution boards and junction boxes closed and is emergency isolation accessible ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are cables and hoses away from where they may be damaged ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Can you confirm that extension cables are not being overloaded ?

  Yes

  No

  N/A

• Low

  Medium

  High

• Are notice boards up to date with the relevant safety information ?

  Yes

  No

  N/A

• Low

  Medium

  High

Energy

• Are all lights in good working order

  Yes

  No

  N/A

• Low

  Medium

  High

• Is lighting appropriate for the area

  Yes

  No

  N/A

• Low

  Medium

  High

• Is all unnecessary equipment switched off

  Yes

  No

  N/A

• Low

  Medium

  High

Energy

• Can you confirm there aren't any additional hazards and there were no unsafe acts observed during the audit

  Yes

  No

  N/A

• Low

  Medium

  High