Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Element 1: Premises and Housekeeping

  • Building and floors clean and in good condition

  • Eating and drinking prohibitions adhered too

  • Workplace tidy and clear of superfluous material

  • Good stacking and storage practices

  • Demarcation visible and complied with

  • Lighting level sufficient - no lights out and windows clean

  • Sufficient ventilation, fresh air, air movement

  • Pollution of ground, air and water prevented

  • Sufficient waste bins provided and frequently emptied

  • Spill kits available and complete with content and signage

  • Sanitation, plant hygiene and personal hygiene

  • Inside plant : free of rodents and birds, free of droppings

Element 2: Mechanical, Electrical and Personal Safeguarding

  • Office equipment in good condition

  • Portable electrical equipment stored securely and in good standing

  • Machine guard/covers in place

  • Adequate signage and in good condition

  • Ladders in good condition and correctly stored

  • Lifting gear inspected

  • Forklifts in good condition and daily checks conducted

  • Workers following safe work procedures while using equipment (lifts, Forklifts...)

  • Power tools and equipment used safely. Right tool for the job

  • All workers following safe work practices

  • Hand tools in good condition and inspected

  • Safety belt/harnesses in good condition and inspected

  • Compliance to PPE

  • Electrical panels locked

  • Lock-out system

  • Portable gas cylinders correctly stored,

Element 3: Management of Fire and Other Emergency Risk

  • Fire equipment available, inspected and on register

  • Fire equipment signage in place and compliant

  • Emergency plan displayed

Element 5: Organizational Management

  • Safety, Health and Environmental policies displayed

  • First aid box in place, first aider identified and first aid box inspected

Additional Comments

  • Is there other concerns

Sign-off of Audit Report

  • Date and Time of Audit

  • Lead Auditor Signature

  • Acceptor: Please rate the quality of the inspection conducted

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