Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Walkways, Floors and Wall Openings

  • Are aisles and passageways kept clear?

  • Are holes in floors and walkways covered and made safe for use?

  • Are materials stored so they do not project into the walkway?

  • Are walking surfaces kept clean and dry?

  • Are areas properly illuminated?

  • Are guardrails used where walkways are four feet above flooring?

  • Are floor openings guarded on all sides?

  • Are grates and covers of sufficient strength for foot and motor traffic?

  • Do stairs of four or more risers have handrails?

  • Do steps or stairs have a slip resistant surface or edge?

  • Are handrails 30 34 inches above the leading edge of the surface?

  • Are work areas clean and orderly?

Personal Protective Equipment

  • Are approved safety glasses/goggles used in work areas as required?

  • Does the Supervisor enforce the use of Personal Protective Equipment?

  • Are signs posted warning of potential for eye injury where flying particles can be present?

  • Are gloves, aprons, shields, or other means provided for protection against cuts, corrosives, and chemicals?

  • Are hard hats provided and used when needed?

  • Are required safety shoes used while at work?

  • Is electrical protection available when working around or with electricity?

  • Is hearing protection provided for high noise areas?

  • Is damaged PPE replaced in a timely manner?

  • Is PPE stored and kept clean when not in use?

  • Are first aid and infection control kits readily available?

Fire Protection

  • Are fire alarms inspected annually?

  • Are fire doors and shutters operational and in good condition?

  • Are sprinkler systems checked and records kept?

  • Are portable fire extinguishers checked and tagged at least annually?

  • Are fire evacuations and emergency procedures current, posted and are employees aware of procedures to follow?

  • Are employees instructed in the use of fire extinguishers?

  • Are fire extinguishers needing service removed from the work area and stored for recharging?

  • Are emergency exits clear of obstructions?

  • Are stairwells clear and free of obstructions?

  • Are voice speaker systems and phones inspected monthly?

Elevated Surfaces

  • Is material on elevated surfaces stored in a safe manner?

  • Are platform areas guarded with rails and a four inch toe board for protection?

  • Is a means of access and egress provided to elevated surfaces?

Exits and Means of Egress

  • Are all exit doors unlocked, accessible and free of obstruction while the building is occupied?

  • Are all exits marked with a sign and illuminated?

  • Are the directions to exits marked with proper signage?

  • Are letters on exit signs at least six inches high and ¾ inch wide?

Ladders

  • Are ladders maintained in good condition?

  • Are all rungs and supports tight, without bends, twists or broken pieces?

  • Are non-slip safety feet provided on all extension ladders?

  • Are employees prohibited from using ladders that are broken?

  • Do portable rung ladders extend 3 feet above the landing surface?

Tools and Power Equipment

  • Are all tools in good working condition?

  • Are tool handles free from taped repair?

  • Are employees prohibited from using chipped or cracked tools?

  • Are hammers and screwdrivers checked for damage and chipped surfaces?

  • Do power tools have proper safety guards?

  • Are all belts, pulleys, chains and sprockets guarded?

  • Are fans guarded?

  • Are goggles and face shields used and warnings posted?

  • Is GFCI used on temporary circuits?

  • Is GFCI used where water or moisture is present?

  • Are hand grinders used with the proper guards in place?

  • Is the tool rest on bench grinders adjusted to within 1/8 inch of the wheel?

  • Do side guards cover nut, spindle and 75% of the wheel?

  • Are bench and pedestal grinders securely mounted?

  • Are tools, equipment and materials properly stored when not in use?

Air Compressors and Compressed Air

  • Are maintenance records kept and up-to-date?

  • Are compressors equipped with relief valves and pressure gauges?

  • Are warnings posted for the automatic starting feature?

  • Is the belt drive system guarded?

  • Are compressed air receivers periodically drained of moisture and oil?

Welding, Cutting and Brazing

  • Is care used in handling and storage of compressed gas?

  • Does the area have proper ventilation?

  • Are empty cylinders identified and stored away from full tanks?

  • Are cylinder storage areas properly identified with signs?

  • Are cylinders kept away from heat sources?

  • Are welding electrodes removed from holders when not in use?

  • Is fire protection readily available?

  • Is proper PPE available and used?

Lockout/Tagout

  • Are all employees trained in lockout/tagout?

  • Are all electrical enclosures properly identified?

  • Are employees provided with proper lockout equipment?

  • Are employees required to keep personal control of keys?

  • Are all machines capable of lockout/tagout?

Permit Required Confined Spaces

  • Are permit required confined spaces properly identified and marked?

  • Are rescuers trained in CPR and first aid?

  • Are employees trained in permit confined space entry procedure?

  • Is the proper PPE available?

  • Are permit spaces checked with gas detection meters before entry?

  • Is the proper rescue equipment available for permit spaces?

  • Are attendants used to assist and watch for hazards?

Flammable and Combustible Substances

  • Are proper containers with labels used for storage of flammable liquids?

  • Are storage areas properly illuminated?

  • Are drums grounded during the transfer of materials?

  • Are storage areas properly ventilated?

  • Are No Smoking and Danger signs posted, regardless of the site smoking policy?

  • Are fire extinguishers available with 75 feet of outside and 10 feet of inside storage areas?

  • Are fire extinguishers charged, tagged, mounted and identified?

  • Are appropriate lockers or containers used for storage?

Occupational Noise

  • Have employees been trained in the proper use of hearing protection?

  • Do employees use hearing protection in high noise areas?

  • Are Hearing Protection Required signs posted at entry areas with noise levels of 85 dBA or greater?

  • Are employees given a choice of hearing protection?

Hazard Communication

  • Are asbestos-containing materials identified to prevent disturbance?

  • Are employees trained in the safe handling of chemicals?

  • Are SDS accessible to employees?

  • Are proper labels used on containers?

  • Is proper PPE available for employees?

  • Is an SDS available for all chemicals used in the work place?

  • Are eyewash and drenching shower stations provided within at least 75 feet of the use of corrosive chemicals?

  • Are eating and drinking prohibited in hazardous chemical use and storage areas?

  • Are identified asbestos-containing materials in good condition?

Electrical

  • Are all boxes, plugs, switches and fittings properly covered?

  • Is all electrical equipment properly grounded?

  • Are cords with exposed wiring, damaged insulation, frays, or taped splices removed from service or repaired?

  • Are all switches and circuits breakers identified as to their use?

  • Are all energized parts guarded against accidental contact?

  • Are extension cords prohibited from being used as permanent wiring?

  • All electrical panels marked DANGER – HIGH VOLTAGE?

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.