Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Inspection Date

  • Area Inspected

  • Team Leader

  • Enablon #

  • Area Representative and Team Members

  • Audit Details

  • Equipment Inspected

  • Safety and Health

Buildings and Structures

  • Free from damage

  • Adequate lighting

  • Adequate ventilation

  • Hygienic Amenities

  • Emergency preparedness

House Keeping

  • Adequate demarcation

  • Clear access an egress

  • No redundant plant/material

  • 5S principles applied

Electrical Safeguarding

  • Register of Equipment

  • Free from damage

  • Adequate Earthing

  • Inspection tags

  • HV power line signage

  • Clear area under power lines

Mechanical Safeguarding

  • Guards on machines

  • Isolation system in place

  • Emergency stop in place

  • Compliant ladders, handrails and walkways

  • Lifting gear inspection

Gas Cylinders and Pressure Vessels

  • In good condition

  • Correct segregation

  • Correct storage

  • Adequate signage

Hazardous Substances

  • MSDS available

  • Adequate storage including bunding

  • Spill kits and emergency equipment available

  • No leaks/spills

Personal Protective Equipment

  • Hearing protection

  • Eye and face protection

  • Safety harness and lanyard

  • Respiratory equipment

  • Welding PPE

Fire protection and Prevention

  • Fire fighting equipment in working order/tested and tagged

  • Adequate signage

  • Correct type of extinguisher

  • No fire hazards/area free of debris

  • Environment

Waste Management

  • Waste segregated and in correct bin

  • Adequate provision of bins

Water Management

  • Segregation of mine water and clean water

  • Clear draining lines

  • Pumps and pipes in good order

  • Erosion and sediment controls

  • Oily water separators operational

Land Management

  • No unauthorised vegetation clearing

  • Permits to disturb complete

  • No hydrocarbon spills evident

  • No weeds or pest animals

  • Bench height =< 10m

Noise and Vibration

  • No excessive noise and vibration

Energy and Greenhouse Gas

  • Responsible use of electricity

  • Devices off when not in use

  • No excessive/unknown emissions

  • Positive Details

  • Improvement Actions

  • Assigned To

  • Enablon Action Plan#

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.