• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Are there any outstanding action items arising from pervious audits, inspections, etc?

  • Have the created actions been effective in addressing the actions?

Hydrocarbon/chemical management

  • Drums stored correctly?

  • Storage facility adequate?

  • Integrity of bunding?

  • Adequate and complete spill kits?

  • Evidence of spills or leaks?

  • Do procedures consider chemical spills?

  • Signage appropriate?

  • Housekeeping?

Water management

  • All bores in working order?

  • Bores free from water leaks?

  • Collector dam free from water leaks?

Waste management

  • Controlled waste managed as per regulations?

  • Waste segregation<br>- Steel<br>- Rubber<br>- General Rubbish<br>- Battery storage<br>- Tyres<br>- Oily rags<br>- Filters

Dust management

  • Visible dust levels kept to a minimum?


  • Have 2.1 Premises inspections been carried out on "high risk" areas?

  • Are corrective actions entered into SAP?

  • Inspection reports filed appropriately?

General procedural/behavioural

  • Housekeeping?

  • Do procedures contain environmental content where required or are employees aware of the correct procedures to follow?

  • Are employees aware of the requirement to report environmental incidents?

  • Have employees completed "Environmental Awareness " training or environmental induction within the last 12 months?

Corrective actions

  • Action

  • Action

  • Action

Sign off

  • Area Representative

  • Site Environmental Advisor

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.