Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed and understood by all employees?

  • 2.2 - Extinguishers properly mounted, located and clearly marked?

  • 2.3 - Extinguishers recently serviced and/or inspected? (Check punch mark on tag for both monthly and annual inspections.)

  • 2.4 - Extinguishers clear of obstructions?

  • 2.5 - Adequate direction notices for fire exits?

  • 2.6 - Exit doors easily opened from inside?

  • 2.7 - Exits clear of obstructions?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fixtures clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

  • 3.5 - All light bulbs are illuminated? (No burned out bulbs)

4.0 - Work Place Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and safety walkways kept clear?

  • 4.3 - Safety Walkways adequately clearly marked?

  • 4.4 - Intersections kept clear of boxes, pallets, carts, etc?

  • 4.5 - Are liquid spills removed quickly? (No presence of dried spills)

  • 4.6 - Stable non-slip floor coverings in good condition?

  • 4.7 - Furniture in sound condition? (Desk, Chairs, etc..)

  • 4.8 - Loading and Unloading areas clean and tidy?

5.0 - Work Benches

  • 5.1 - Clear of trash?

  • 5.2 - Tools not in use kept in proper place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges?

6.0 - Trash Removal

  • 6.1 - Bins located at suitable points around work area?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Biomedical waste and other hazardous material in covered containers?

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Storage designed to minimize lifting problems?

  • 7.3 - Floors around racking clear of trash?

  • 7.4 - General condition of racks and pallets?

8.0 - Machines

  • 8.1 - Are they kept clean?

  • 8.2 - Are the floors around the machines kept clean?

  • 8.3 - Guards in good condition?

  • 8.4 - Starting and stopping devices within easy reach of operator?

  • 8.5 - Waste/off cuts removed and stored safely?

  • 8.6 - Drip pans on floor to prevent spillage?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled? (Use of hearing protection in required areas)

  • 8.10 - No bending or stooping required?

  • 8.11 - Are lockout / tagout procedures implemented and followed?

9.0 - Electrical Safety

  • 9.1 - E-Stop switches installed?

  • 9.2 - No liquids around electrical sources?

  • 9.3 - Portable equipment tested and tagged?

  • 9.4 - No broken plugs, sockets or switches?

  • 9.5 - No power cords across walkways?

  • 9.6 - No frayed or damaged cords?

  • 9.7 - No cords or power strips are daisy chained?

  • 9.8 - Portable power tools in good condition?

  • 9.9 - Where required are emergency shut-down procedures in place?

  • 9.10 - Is a 36" clearance maintained around electrical panels? (Identified and clearly marked)

10.0 - Hazardous Materials

  • 10.1 - Chemical Inventory complete and available? (Inventory must be posted in work area)

  • 10.2 - Employees know where to locate Safety Data Sheets (SDS)?

  • 10.3 - Job Hazard Analysis assessment completed for work area?

  • 10.4 - All containers labelled correctly?

  • 10.5 - Unused substances disposed of?

  • 10.6 - Do special storage conditions apply?

  • 10.7 - If applicable, are special storage conditions followed?

  • 10.8 - PPE available and neatly organized?

  • 10.9 - Is PPE being properly worn and used?

  • 10.10 - Hazardous materials properly segregated and stored in appropriate cabinets?

  • 10.11 - Chemical amounts are within the authorized capacity of storage cabinets?

  • 10.12 - Are eye washes and showers easily accessed? (10 seconds)

  • 10.13 - Are spill kits available?

11.0 - First Aid Supplies

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiry date?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.7 - Are Emergency Response Team (ERT) members accessible?

  • 12.8 - Are emergency numbers displayed?

  • 12.9 - If applicable, ERT response bag sealed and verified monthly?

12.0 - General Safety Knowledge

  • 12.1 - Do employees know the current ORI Rate? (3 employees)

  • 12.2 - Do employees know the current month's safety focus? (3 employees)

  • 12.3 - Do employees know the location of their emergency assembly area if there is a building evacuation? (3 employees)

  • 12.4 - Do employees know the location of the nearest severe weather shelter? (3 employees)

Sign Off Signature

  • Work Area Supervisor

  • EHS Manager, or designee

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.