Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Safety Coordinator

  • Location
  • Personnel

Exterior Premises

  • Sidewalks clear and free of slip/trip hazards.

  • Parking area clear of slip/trip hazards.

  • Exterior lighting in place and working.

  • Storage areas neat, clean and secure.

General Building Condition

  • Aisles and walkways clear of obstructions and trip hazards.

  • Stairs clear of obstructions and trip hazards

  • Doorways clear of obstructions and trip hazards

  • All doors open fully and easily.

  • Electrical outlets and extension cords not overloaded.

  • All electrical cords intact with no worn areas.

  • All power and equipment cords are secured out of the way of workers.

  • All lights in working condition.

  • Kitchen clean and fume hood filter clean.

  • Laundry facilities clean, working with no dirt buildup behind and lint trap clean.

  • All office chairs stable and working.

  • Filing cabinets are stable and marked with signs instructing users to open only one drawer at a time and close when not in use.

  • Safety/Training Board info current with old removed.

Fire/Life Safety

  • All exits properly marked and lights working.

  • All doors not an exit, marked "Not an Exit".

  • Evacuation routes posted by doors in all rooms.

  • Date of last evacuation drill?

  • Emergency lighting systems working. (30 second test)

  • Carbon monoxide detectors tested and working.

  • Alarm systems including detectors tested and working.

  • All means of egress clear of clutter.

  • All doors open fully and easily.

  • All fire extinguishers fully charged and free of corrosion.

  • Furnace and AC units checked and filters clean.

Other

  • Bay floors clean, dry and free of slip/trip hazards.

  • Eyewash station -clean, check and refill (change every three months).

  • Indoor storage areas neat, clean and clutter free.

  • All secondary containers are properly labeled with hazards identified.

  • All chemical products in approved containers.

  • All ladders are clean, working properly and stored safely.

  • All unit disinfection logs are complete and turned in to be filed.

  • Deficiencies Noted

  • Corrective actions taken.

  • Coordinator signature

  • Manager signature

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.