Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Safety File

  • What is the date of the safety file being reviewed?

  • Daily Safety Contacts Completed

  • JSHA Review Completed

  • Job Safety Orientations (JSO) Completed and in File

  • Monthly video topic sign-off

  • Weekly Walk Thru in file

  • Any accident reports still open

  • Safety Committee Minutes

  • Employee List Reviewed

  • Are there open observations

  • Safety discipline write-ups

  • Confined space re-classification and air monitoring sheets

  • Hot Work permits

  • Safety lock cutoff sheets

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed and items corrected

2.0 - Fire Prevention

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

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

  • 2.3 - Extinguishers checked monthly by employee?

  • 2.4 - Extinguishers are in date by a qualified company and tagged?

  • 2.5 - Extinguishers clear of obstructions?

  • 2.7 - Adequate direction notices and signs at and for fire exits?

  • 2.8 - Exit doors easily opened from inside?

  • 2.9 - Exits clear of obstructions?

  • 2.10 - Are there sufficient exits to permit prompt escape and evacuation?

  • 2.11 - Fire alarm system functioning correctly?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fixtures clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

  • 3.5 - Egress Lighting in place and 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?

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in proper 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?

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 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?

  • 8.10 - No bending or stooping required?

  • 8.11 - Do operators comply with the training?

  • 8.12 - Are lockout procedures implemented and followed?

  • 8.13 - Are gas bottles secured?

  • 8.14 - Are foot operated pedals guarded properly?

9.0 - Electrical Safety

  • 9.1 - Safety switches installed?

  • 9.2 - No double adapters in use?

  • 9.3 - No broken plugs, sockets or switches?

  • 9.4 - No power leads or extension cords across walkways?

  • 9.5 - No frayed or damaged leads?

  • 9.6 - No strained leads?

  • 9.7 - Portable power tools in good condition?

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

  • 9.9 - Are GFCIs in use where applicable?

10.0 - Chemical Safety

  • 10.1 - Safety Data Sheets available for all chemicals?

  • 10.2 - All containers labelled correctly?

  • 10.3 - Unused substances disposed of?

  • 10.4 - Do special storage conditions apply?

  • 10.5 - If applicable are special storage conditions followed?

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

  • 10.7 - If required is PPE available?

  • 10.8 - Is adequate ventilation provided?

  • 10.9 - Are eye washes and showers easily accessed?

  • 10.10 - Are Eye wash stations in date?

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? (Wood or fibre glass.)

  • 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 - Cabinets clearly labelled?

  • 12.4 Is there easy access to cabinets?

  • 12.5 - Is there a first aid / BBP trained employee on site?

  • 12.6 - Are emergency numbers displayed?

13.0 - Vehicle Condition

  • 13.1 - Schedule maintenance performed?

  • 13.2 - Condition of tires good?

  • 13.3 - Brake performance?

  • 13.4 - Lights? (Check operation of brake, indicator and reversing lights)

  • 13.5 - Condition of drivers seat and interior?

  • 13.6 - First aid kit supplied and adequate?

  • 13.7 - Fire extinguisher in place and serviced with 12 months?

14.0 - Employee Personal Protective Equipment

  • 14.1 - Are employees who need corrective lenses using proper safety glasses with side shields?

  • 14.2 - Is PPE maintained in a sanitary condition ready for use?

  • 14.3 - Are engineering and / or administrative controls where applicable?<br>

  • 14.4 - Employees are properly wearing PPE as required for task

Other

  • Other

  • Other

  • Other

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.