Title Page

  • Audit Title

  • Document No.

  • Location
  • Conducted on

  • Prepared by

1.0 Housekeeping

  • 1.1 Work area swept and all trash picked up?

  • 1.2 Area free from slip/trip hazards ?

  • 1.3 Exit signs present and working properly ?

2.0 Electrical

  • 2.4 No cable-trip hazards ? (extension cords)

  • 2.2 Power tools in good condition ?

  • 2.1 No broken plugs, sockets, switches ?

  • 2.3 No work near exposed live electrical eqyipment ?

  • 2.5 Switches/circuits/circuit breakers identified ?

3.0 Maintenance Workshop

  • 3.8 Tools in proper place ?

  • 3.1 Adequate work space ?

  • 3.2 Clean and tidy ?

  • 3.3 Free from excess oil and grease ?

  • 3.4 Machines adequately guarded ?

  • 3.5 PPE in good condition ?

  • 3.7 All substance containers labelled adequately ?

4.0 Lighting

  • 4.1 Adequate in general area ?

  • 4.2 Emergency lighting system checked ?

5.0 Hazardous Substance

  • 5.1 Stored appropriately ?

  • 5.2 Containers labelled correctly and capped ?

  • 5.3 Adequate ventilation ?

  • 5.4 Protective clothing/equipment available/used ?

  • 5.5 Safety data sheet (SDS) available/displayed ?

  • 5.6 Chemical handling procedures followed ?

  • 5.7 Is there has any secondary containment (I.e. spill trays) for chemical containers.

  • 5.8 Shower, eye bath, extinguishers, first aid kit facilities are not obstructed ?

  • 5.9 Chemical hazard warning signage displayed at the entrance of chemicals store and chemical handling area ?

6.0 Personal Protective Equipment (PPE)

  • 6.1 Employees provided with PPE ?

  • 6.2 PPE being worn appropriately by employees ?

  • 6.3 PPE effective ?

  • 6.4 PPE supply located where needed ?

7.0 First Aid

  • 7.1 Record of treatment and of supplies dispensed up to date ?

  • 7.2 Incident reports filled out correctly ?

  • 7.3 Cabinets and contents are clean and orderly and properly stacked ?

8.0 Ergonomics

  • 8.2 Safe work practices being followed ?

  • 8.3 Manual handling risk assessments performed ?

  • 8.4 Manual handling controls implemented ?

  • 8.5 There is no unnecessary or excessive bending or stooping ?

  • 8.6 Work surface [desks, benches] are set up at the appropriate height ?

  • 8.7 Routine tasks do not require individuals to lift excessive weight ?

  • 8.8 Mechanical equipment is available for lifting heavy loads ?

9.0 Stairs, Steps and Landings

  • 9.1 No worn or broken steps ?

  • 9.2 Handrails in good repair?

  • 9.3 Clear of obstructions ?

  • 9.4 Adequate lighting ?

  • 9.5 Emergency lighting ?

  • 9.6 Non-slip treatments/treads in good condition ?

  • 9.7 Floor have even surface [no cracks etc] ?

  • 9.8 Clear of debris and spills ?

10.0 Follow up audit at incident place

  • 10.1 Review the effectiveness of corrective & preventive action taken at improvement/incident area

12.0 Warehouse

  • 12.1 Material stable ?

  • 12.2 Heights of stacked storage material safe ?

  • 12.3 Sufficient space for moving stock ?

  • 12.4 No danger of falling objects ?

  • 12.5 No sharp edges ?

13.0 Fire Protection

  • 13.1 Extinguisher in place ?

  • 13.3 Appropriate signing of extinguishers ?

  • 13.4 Extinguishers appropriate to hazard ?

  • 13.5 Emergency personnel identified and trained ?

14.0 Emergency Procedures

  • 14.1 Evacuation plan displayed ?

  • 14.1 Evacuation drill within last 12 months ?

  • 14.2 Emergency exits clearly marked/functional ?

  • 14.3 Emergency exits unobstructed ?

Sign Off

  • Auditor

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.