Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Signature of preparer

  • Location
  • Personnel

1.0 - Previous Inspection

  • Are there any outstanding actions pending?

2.0 - General Area

  • Exterior of building does not have any issues?

  • Floor surfaces are even and uncluttered?

  • Walkways are adequate (3ft. wide) and are well defined?

  • Adequate lighting for the work being performed?

  • Burnt out bulbs have been replaced?

  • Stored items are in their designated storage area?

  • Stairways and landing areas are clear, railings are in good condition?

3.0 - Emergency & Fire Prevention

  • Evacuation plan displayed and understood by all personnel?

  • Fire extinguishers are in place and are clearly marked?

  • Fire extinguishers are charged and have been inspected?

  • Fire extinguishers are in proper locations?

  • Emergency exits are clearly marked?

  • Exits are clear of obstructions?

  • No Smoking signs posted?

  • Fire or emergency alarm tested?

4.0 - First Aid

  • First Aid kits are clearly marked?

  • Contents are regularly checked for availability and expiration?

  • Emergency numbers are clearly displayed?

  • AED is ready and up to date?

5.0 - Electrical

  • Electrical Panels are labeled and clear of obstruction?

  • 3 pronged or grounded extension cords are used?

  • No broken prongs, plugs, sockets, or switches?

  • Wall outlets covered with no cracks?

  • No frayed or twisted leads?

6.0 - Chemical Safety

  • Material Safety Data Sheets (MSDS) for all chemicals?

  • All containers labeled correctly?

  • Unused substances disposed of?

  • If applicable, are special storage conditions followed (hazardous or flammable)?

  • If required, PPE are available and used?

  • Are eye wash and showers available and easily accessible?

  • Have eye wash or showers been tested?

7.0 - Ladders & Step Stools

  • Are ladders industrial rated?

  • Are ladders or step stools in good condition?

  • Are ladders or step stools used according to instructions?

  • Are safety and instruction labels affixed to ladders?

8.0 - Rubbish Removal

  • Rubbish bins located in suitable positions around work area?

  • Bins emptied regularly?

  • Oily rags and combustible refuse in covered metal containers?

  • Plastics & Cardboard are separated for recycling?

9.0 - Work Carts

  • Clear of rubbish & clutter?

  • Tools not in use are in their proper place?

  • No damaged power or hand tools in use?

  • All chemical products have proper labeling?

  • No open drinks or food containers?

10.0 - Drains and Water Separator

  • Drains are free and clear of debris?

  • Water Separator Alarm has been tested?

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.