Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Managers/Supervisors-Building and Floors Monthly Inspection

Location

  • Location

  • Select date

STANDARD

  • 1.1 Structure, furniture, and equipment, in good condition and safe condition

  • 1.1 Floors- clean and free of dirt or other dangers

  • 1.2 Good lighting, natural or artificial?

  • 1.4 Rest room facilities-toilet,wash basins, clean and hygienic

  • 1.4 Kitchen lunchroom clean. No food in unauthorized areas.

  • 1.5 Pollution of air, water and ground

  • 1.5 Hazardous waste disposal in responsible manner.

  • 1.6 Areas demarcated.

  • 1.7 Stacking-stable, neat and safe.

  • 1.8 Areas inside and outside of building are neat and tidy. General housekeeping.

  • 1.9 Scrap and refuse bins enough and correctly placed.

  • 1.10 Color coding of pipes and plant in order.

General

Other Items not mentioned above:

  • Other items

Report by Inspector:

  • Does the report contain any major threat to the safety of any Employee?

  • If yes, complete the following:

  • Report by Inspector
  • The matter was reported as soon as practical?

  • Signature of Inspector:

  • To

  • Date Reported:

  • This Safety Information Report must be discussed with Manager/Supervisor as soon as possible.
    I have reviewed the inspection report and have been taken action on correcting the deviations noted.

  • Signature of Supervisor/Manager:

  • Select date

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.