Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there any outstanding actions?

  • 1.3 - How many partners on site interviewed?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan understood by all employees?

  • 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

  • 2.3. Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.4. Do Partners know where the Rally point is?

3.0 - General Lighting

  • 3.1 - Working areas well lighted?

  • 3.2 - Stairwell lighting in place and working?

  • 3.3 - Light fixtures clean and in good condition?

  • 3.4 - Lighting in Mech. Rooms, Electrical rooms, and storage areas adequate?

4.0 - Building Safety

  • 4.1 - Are emergency exits functional not blocked or locked?

  • 4.2 - Stairwells and emergency egress kept clear?

  • 4.3 - Are emergency lights (bug eyes, exit lights) working and been tested?

  • 4.4 - Are liquid spills / leaks cleaned up?

  • 4.5 - Are ladders to the roof access in good condition?

  • 4.6- Are fall preventive measures in place when working on the roof?

  • 4.7 - Loading area clean and tidy?

5.0 - Work Areas

  • 5.1 - Clean and well kept?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - Damaged tools red tagged and removed from service?

  • 5.5 - Work areas barricaded off / accessed control?

6.0 - Trash Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Storage Areas

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

  • 7.2 - Are body harness hung up when not in use?

  • 7.3 - Floors around racking clear?

  • 7.4 - General condition of racks and pallets?

8.0 - Machines We Use

  • 8.1 - Are they kept clean?

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

  • 8.3 - Are all guards in place and in good condition?

  • 8.4 - Drip pans on floor to prevent spillage?

  • 8.5 - Adequate work space?

  • 8.6 - Is lighting adequate?

  • 8.7 - Noise levels controlled?

  • 8.8 - Operators trained in the proper and safe operation of the machines?

  • 8.9 - Is the training recorded?

  • 8.10 - Do operators comply with the training?

  • 8.11 - Are lockout procedures implemented and followed?

  • 8.12 - Are gas bottles secured?

  • 8.13 - Are gas bottles separated with caps / valve covers on when stored?

9.0 - Electrical Safety

  • 9.1 - EEW permit system being used?

  • 9.2 - EEW equipment on site, in date and in good condition?

  • 9.3 - GFCI's tested and tests recorded?

  • 9.4 - Electrical extension cords being used for permanent power?

  • 9.5 - No broken plugs, sockets or missing ground prongs?

  • 9.6 - No frayed or damaged extension cords?

  • 9.8 - Are all covers in place and secure?

  • 9.9 - Power tool cords in good condition?

  • 9.10 - Where required is there a written shut-down / LOTO procedures in place?

10.0 - Chemical Safety

  • 10.1 - Hazardous Chemical inventory complete and available?

  • 10.2 - Material Safety Data Sheets available for all chemicals?

  • 10.3 - All containers labelled correctly?

  • 10.4 - Unused substances disposed of?

  • 10.5 - Do special storage conditions apply?

  • 10.6 - If applicable are special storage conditions followed?

  • 10.7 - Workers trained in the use of hazardous substances?

  • 10.8 - If required is PPE available?

  • 10.9 - Is adequate ventilation provided?

  • 10.10 - Are eye washes and showers easily accessed?

11.0 Ladders

  • 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 11.2 - Are ladders in good condition?

  • 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 11.4 - Used according to instructions?

  • 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

12.0 - First Aid Facilities

  • 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?

  • 12.7 - Are first aid trained partners on site?

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

  • 12.8 - Are emergency numbers displayed?

  • 12.9 - Have required Partners had their Hep. C vaccine?

  • 12.10 - Do we have records?

13.0 - Site Vehicle Condition

  • 13.1 - Schedule maintenance performed?

  • 13.2 - Condition of tires?

  • 13.3 - Brake performance?

  • 13.4- Lights? (Check operation of brake, indicator and reversing lights)

  • 13.5 - Condition of windshield?

  • 13.6 - Condition of windshield wipers?

  • 13.7 - First aid kit supplied and adequate?

  • 13.8 - Outside appearance, does it have our name on it?

Area of Facility Inspected

Required Paperwork

  • Required postings up and visible?

  • Safety meetings being held and documented?

  • How often are they being held?

  • Are JHAs, PTSPs, or JSA being done and on file?

Sign Off

  • On site representative

  • Auditor's signature

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.