Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Risk Management

  • Are the significant risks known for this area?

  • What are they?

  • Are the critical controls in place and known by our employees ?

  • Are there any new identified risks that could cause serious harm to our employees?

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Prevention

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

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

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

  • 2.4 - Extinguishers recently serviced as required ( check for annual service)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.7 - Indicator signs above floor level?

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

  • 2.11 - Fire alarm system functioning correctly ( if applicable)?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

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

  • 4.9 - Furniture in sound condition?

  • 4.10- Loading area clean and tidy?

  • 4.11-Are hoses, ropes, electrical cords, etc... stored properly off the ground?

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges, nails, etc...that could hurt our employees?

6.0 - Garbage Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly(i.e not full of material hanging over the top)?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Storage Design and Use

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

  • 7.2 - Storage designed to minimise lifting problems?

  • 7.3 - Floors around racking clear of rubbish?

  • 7.4 - General condition of racks and pallets?

8.0 - Machines

  • 8.1 - Are they kept clean?

  • 8.2 - Are the floors around the machines kept clean?

  • 8.3 - Guards in good condition?

  • 8.4 - Starting and stopping devices within easy reach of operator?

  • 8.5 - Waste/off cuts removed and stored safely?

  • 8.6 - Drip pans on floor to prevent spillage?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled (ear protection available)?

  • 8.10 - No bending or stooping required?

  • 8.11 - Duck-boards in good repair?

  • 8.12 - Operators trained/inducted into the operation of the machines?

  • 8.13 - Is the training recorded?

  • 8.14 - Do operators comply with the training?

  • 8.15 - Are lockout procedures implemented and followed?

  • 8.16 - Are gas bottles secured?

9.0 - Electrical Safety

  • 9.1 - Safety switches installed?

  • 9.2 - Safety switches tested every 6 months and tests recorded?

  • 9.3- Portable equipment have been ground tested and tagged?

  • 9.4-No broken plugs, sockets or switches?

  • 9.5- No power leads across walkways?

  • 9.6 - No frayed or damaged leads?

  • 9.7- No strained leads?

  • 9.8- Portable power tools in good condition?

  • 9.9- Where required are emergency shut-down procedures in place?

10.0 - Chemical Safety

  • 10.1 - Hazardous Substance Register complete and available?

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

  • 10.3 - Risk assessments completed for hazardous substances?

  • 10.4 - All containers labelled correctly?

  • 10.5 - Unused substances disposed of?

  • 10.6 - Do special storage conditions apply?

  • 10.7 - If applicable are special storage conditions followed?

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

  • 10.9 - If required is PPE available?

  • 10.10 - Is adequate ventilation provided?

  • 10.11 - Are eye washes and showers easily accessed?

11.0 Ladders

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

  • 11.2 - Are ladders in good condition?

  • 11.3 - If used for electrical work are they non conductive fiberglass)?

  • 11.4 - Used according to instructions?

  • 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiration date?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

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

  • 12.7 - Are first aid officers accessible?

  • 12.8 - Are emergency numbers displayed?

13.0 - Office Hazards

  • 13.1 - Condition of filing cabinets?

  • 13.2 - Condition of chairs? (Five star bases.)

  • 13.3 - Desks in good condition? (No damage.)

  • 13.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 13.5 - Photocopiers positioned to avoid fumes?

  • 13.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  • 13.7 - HVAC systems regularly maintained?

  • 13.8 - Stable non-slip floor coverings in good condition?

14.0 - Vehicle Condition

  • 14.1 - Schedule maintenance performed?

  • 14.2 - Condition of tires?

  • 14.3 - Brake performance?

  • 14.4 - Lights? (Brake, Headlights, signal lights)

  • 14.5 - Condition of seats in the cab?

  • 14.6 - First aid kit supplied and adequate?

Corrective Action Requests (CAR) or Preventative Action Requests (PAR)?

Sign Off

  • On site representative

  • Auditor's 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.