Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

NOTES: (R) Random sampling check. Include dates of service where possible.

Contractor Management

  • 1. Are all restricted areas locked and signage clearly displayed?

  • 2. Is the contractor box locked and all relevant forms stocked?

  • 3. Are contractors using the contractor induction box?

  • 4. Are all contractors inducted and reviewed within past 12 months?

  • 5. Has the Hazard Awareness Chart been updated in the last 12 months?

Fire Protection Systems

  • 1. Is a Service Provider regularly testing and maintaining the following components to the relevant Service Agreement and appropriate State legislation:

  • A - Fire extinguishers (R)

  • B - Fire Hose Reels (R)

  • C - Fire Doors

  • D - Fire Alarm System

  • E - Fire Sprinkler System

  • F - Early Warning Intercommunication System (EWIS)

  • G - Emergency Lighting & Exit Signs (R)

  • H - Hydrants

  • I - Smoke curtain(s)

  • 2. Has Flow test been done?

  • 3. Are Fire Cupboards (hose reel storage etc) free from stored materials and rubbish? (R)

  • 4. Are Portable Fire Extinguishers and Fire Hose Reels clearly signed? (R)

  • 5. Is access to fire cupboards unimpeded?

Emergency Management

  • 1. Is the emergency evacuation plan clearly displayed in all areas?

  • 2. Are ALL Fire Doors / Breakout panels operational?

  • 3. Are assembly areas allocated and understood?

  • 4. Has a practice drill occurred in the last six months?

  • 5. Are the means of escape paths and emergency exits clear?

Electrical (Common area equipment only)

  • 1. Has electrical equipment and Residual Current Devices been tested / tagged in last 12 months?

  • 2. Are power points being used appropriately (i.e no multiboards, double adaptors, etc)

  • 3. Has Distribution Board had thermal test done in last 12 months

Hazardous Substances

  • 1. Are there any hazardous materials or dangerous goods present on site?

  • 2. Is Hazmat register current?

  • 3. Are the materials or goods stored correctly?

  • 4. Are Material Safety Data Sheets (MSDS) available for all dangerous goods?

  • 5. Is there asbestos on site and is the register up to date?

  • 6. Is a spill kit on site and is it complete?

First Aid. (Applies to manned properties only)

  • 1. Is a first aid kit supplied?

  • 2. Has the first aid kit been audited in the last year?

  • 3. Are all injuries reported and recorded in a book or form?

  • 4. When first aid equipment is used is it recorded?

  • 5. Is a sharps kit available?

Interior Environment

  • 1. Are floors and surfaces in good condition?

  • 2. Are stairways and aisles kept clear and useable?

  • 3. Are lighting levels satisfactory?

  • 4. Is the general presentation and cleanliness satisfactory e.g. Ceilings, high glass, furniture?

  • 5. Are toilets clean and adequately stocked with supplies (Men's, Women's, Disabled)?

  • 6. Are the kitchen/tea rooms clean?

  • 7. Is air conditioning within operational limits?

  • 8. Is the directory board up to date?

  • 9. Are vacant areas clean and presentable?

  • 10. Are lifts clean, well lit and are the emergency phones operational? (R)

  • 11. Are public facilities and large common areas (i.e food courts, etc) well presented?

  • 12. Is CCTV operational?

  • 13. Are shop fronts clean / presentable?

  • 14. Are signs in good condition / current?

  • 15. Are ceilings and high glass areas presentable?

  • 16. Are furniture items in good condition?

  • 17. Are mall tiles clean and in good condition?

  • 18. Are bins / planters clean and in good condition?

  • 19. Are storerooms tidy and secure?

Exterior Environment

  • 1. Are exterior walls and surfaces clean and in good repair?

  • 2. Are paths and external stairs in good condition?

  • 6. Are roller doors / boom gates / dock levellers operational / undamaged?

  • 7. Is exterior / security lighting working?

  • 8. Are drains / grates clear of rubbish?

  • 9. Are waste bins regularly emptied and area clean / tidy?

  • 10. Are fences / gates undamaged?

  • 11. Are landscaped areas well presented & free from rubbish?

Car Park

  • 1. Is car park surface in good condition?

  • 2. Are parking areas tidy and bollards/speed humps undamaged?

  • 3. Is the line marking & signage adequate in the car park area?

  • 4. Are driveways clear and free of hazards?

  • 5. Is external signage current and in good condition?

  • 6. Is car park lighting sufficient and timers working?

Plant & Equipment

  • 1. Are all access ladders and stairways in good condition?

  • 2. Are the lifts and escalators serviced frequently?

  • 3. Are the Building Maintenance Units (BMU's) serviced regularly?

  • 4. Does the car park ventilation system appear to be working correctly?

  • 5. Are ALL plant rooms neat and tidy, free from debris and trip hazards?

  • 6. Is there evidence that chillers / cooling towers are regularly serviced?

  • 7. Is water testing regularly tested and are results available?

Roof

  • 1. Is the roof area free from debris and trip hazards?

  • 2. Are gutters clear and in good condition? (R)

  • 3. Are roof walkways and perimeter barriers in good condition?

Environmental

  • 1. Has the back flow device been tested?

  • 2. Are grease traps serviced as per regulations?

  • 3. Are sump pumps operational and regularly serviced?

Workplace safety

  • 1. Are there any confined spaces areas on site?

  • 2. Are there any trip hazards apparent?

  • Please make a note of any hazards not already identified in this report.

General Comment

  • Please make a note of any issues not already identified in this report.

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.