Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Safety File
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What is the date of the safety file being reviewed?
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Daily Safety Contacts Completed
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JSHA Review Completed
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Job Safety Orientations (JSO) Completed and in File
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Monthly video topic sign-off
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Weekly Walk Thru in file
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Any accident reports still open
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Safety Committee Minutes
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Employee List Reviewed
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Are there open observations
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Safety discipline write-ups
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Confined space re-classification and air monitoring sheets
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Hot Work permits
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Safety lock cutoff sheets
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed and items corrected
2.0 - Fire Prevention
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2.1 - Evacuation plan displayed and understood by all employees?
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2.2 - Extinguishers in place, clearly marked for type of fire?
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2.3 - Extinguishers checked monthly by employee?
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2.4 - Extinguishers are in date by a qualified company and tagged?
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2.5 - Extinguishers clear of obstructions?
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2.7 - Adequate direction notices and signs at and for fire exits?
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2.8 - Exit doors easily opened from inside?
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2.9 - Exits clear of obstructions?
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2.10 - Are there sufficient exits to permit prompt escape and evacuation?
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2.11 - Fire alarm system functioning correctly?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fixtures clean and in good condition?
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3.4 - Emergency exit lighting operable?
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3.5 - Egress Lighting in place and operable?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are liquid spills removed quickly?
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4.7 - Are railings in good condition?
5.0 - Work Benches
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5.1 - Clear of rubbish?
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5.2 - Tools not in use kept in proper place?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
6.0 - Rubbish Removal
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
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6.3 - Oily rags and combustible refuse in covered metal containers?
7.0 - Storage Design and Use
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7.1 - Materials stored in racks and bins wherever possible?
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7.2 - Storage designed to minimise lifting problems?
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7.3 - Floors around racking clear of rubbish?
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7.4 - General condition of racks and pallets?
8.0 - Machines
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8.1 - Are they kept clean?
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8.2 - Are the floors around the machines kept clean?
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8.3 - Guards in good condition?
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8.4 - Starting and stopping devices within easy reach of operator?
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8.5 - Waste/off cuts removed and stored safely?
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8.6 - Drip pans on floor to prevent spillage?
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8.7 - Adequate work space?
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8.8 - Is lighting adequate?
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8.9 - Noise levels controlled?
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8.10 - No bending or stooping required?
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8.11 - Do operators comply with the training?
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8.12 - Are lockout procedures implemented and followed?
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8.13 - Are gas bottles secured?
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8.14 - Are foot operated pedals guarded properly?
9.0 - Electrical Safety
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9.1 - Safety switches installed?
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9.2 - No double adapters in use?
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9.3 - No broken plugs, sockets or switches?
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9.4 - No power leads or extension cords across walkways?
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9.5 - No frayed or damaged leads?
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9.6 - No strained leads?
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9.7 - Portable power tools in good condition?
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9.8 - Where required are emergency shut-down procedures in place?
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9.9 - Are GFCIs in use where applicable?
10.0 - Chemical Safety
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10.1 - Safety Data Sheets available for all chemicals?
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10.2 - All containers labelled correctly?
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10.3 - Unused substances disposed of?
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10.4 - Do special storage conditions apply?
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10.5 - If applicable are special storage conditions followed?
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10.6 - Workers trained in the use of hazardous substances?
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10.7 - If required is PPE available?
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10.8 - Is adequate ventilation provided?
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10.9 - Are eye washes and showers easily accessed?
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10.10 - Are Eye wash stations in date?
11.0 Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)
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11.4 - Used according to instructions?
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11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - Cabinets clearly labelled?
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12.4 Is there easy access to cabinets?
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12.5 - Is there a first aid / BBP trained employee on site?
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12.6 - Are emergency numbers displayed?
13.0 - Vehicle Condition
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13.1 - Schedule maintenance performed?
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13.2 - Condition of tires good?
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13.3 - Brake performance?
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13.4 - Lights? (Check operation of brake, indicator and reversing lights)
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13.5 - Condition of drivers seat and interior?
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13.6 - First aid kit supplied and adequate?
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13.7 - Fire extinguisher in place and serviced with 12 months?
14.0 - Employee Personal Protective Equipment
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14.1 - Are employees who need corrective lenses using proper safety glasses with side shields?
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14.2 - Is PPE maintained in a sanitary condition ready for use?
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14.3 - Are engineering and / or administrative controls where applicable?<br>
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14.4 - Employees are properly wearing PPE as required for task
Other
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Other
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Other
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Other
Sign Off
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On site representative
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Auditor's signature
