Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Chemical Safety

  • Are appropriate labels and hazard warnings applied on all chemicals containers?

  • Are Safety Data Sheets (SDS) available for all chemicals used in the plant site?

  • Are SDS up-to-date?

  • Is emergency procedures (spillage, splash, poisoning) available and easy to read?

  • Is chemical handling training provided for the workers?

  • Are these chemicals placed separately in the warehouse?

Gas Cylinder Safety

  • Are gas cylinders placed in a special room, fenced and locked?

  • Are gas cylinders properly labeled?

  • Are empty gas cylinders separated from new ones?

  • Are gas cylinders protected from falling and mechanical damage?

Electrical Safety

  • Are electrical equipments, fittings and tools in the plant site regularly checked and maintained?

  • Are electrical safety signs and warnings available and easy to read?

  • Is high voltage electrical equipment restricted to authorized persons only?

  • Is power cable rack condition good?

  • Are power tools properly grounded?

  • Is temporary lighting installed securely?

  • Are power panels, controls, receptacles and wiring covered?

Lighting

  • Are lighting for every workplace and workstation enough according to the regulation and working requirements?

  • Is lighting regularly checked and monitored and the record kept?

  • Is emergency lighting available and

Machinery

  • Is preventative maintenance of machinery regularly carried out?

  • Are machine guards properly installed and maintained?

  • Are there enough safety signs around these machines?

  • Have workers been trained about machinery operation and maintenance?

Pressure vessels

  • Is all the pressure vessels periodically checked and monitored?

  • Are appropriate pressure and temperature gauges installed on it?

  • Are normal operating pressure and temperature ranges indicted on the gauges?

  • Is safety relief valve installed on the pressure vessel?

  • Is the pressure gauge periodically calibrated?

  • Is calibration record kept?

  • Are records of hydrostatic pressure test kept?

Personal Protective Equipment

  • Is personal protective equipment provided?

  • Is PPE condition regularly checked and monitored?

  • Is damage PPE immediately replaced?

  • Is area that requires PPE wearing clearly described?

  • Are eye washers and body showers stations clean, functional and accessible?

  • Is PPE training provided?

First aid

  • Is a first aid box provided and easily accessible?

  • Is the first aid box content complete and regularly checked?

  • Is there a clear sign for the first aid box?

Fire Precautions

  • Are there enough fire precaution signs through out the site?

  • Are storage of flammable materials separated?

  • Are sources of ignition far enough from these flammable materials storage?

  • Are flammable material tanks surrounded by adequate dike?

  • Are cigarettes and matches disposed separately from other rubbish?

  • Is hazardous area clearly defined?

  • Are fire hydrants availability and coverage area adequate for the site?

  • Are fire extinguishers properly placed and protected?

  • Is fire drill carried out periodically each year?

  • Is map of fire extinguishers and fire hydrants available?

Emergency Response

  • Does the site have an emergency response plan?

  • Is emergency response training carried out periodically?

  • Can exits and evacuation routes signs be easily readable?

House Keeping

  • Are workplaces cleaned up regularly?

Slip, Trips and falls

  • Are drains and ditches covers good and installed?

  • Are ladders, guardrails, steps and lift regularly checked?

  • Are floor openings and open sides protected by guardrails?

Forklift

  • Is all forklift operators licensed?

  • Are forklift accessories (brake, horn, controls and backup alarm) functions properly?

  • Is forklift seat belt available?

  • Is forklift capacity chart established and marked?

  • Are forklift traffic routes established and marked?

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.