1.0 - Personal Protective Equipment (PPE)

  • 1.1 - All employees wearing appropriate Eye Protection? (face shield when grinding and welding)

  • 1.2 - All employees wearing appropriate hearing protection?

  • 1.3 - All employees wearing appropriate clothing? (shoes, gloves, sleeves, jackets)

  • 1.4 - Are forklift operators wearing seatbelts?

2.0 - Fire Prevention

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

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

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Randomly inspect a few extinguishers. Have the been inspected within the past month?

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguisher mounted on the wall?

  • 2.7 - Proper extinguisher location signage?

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

  • 2.11 - Fire alarm system functioning correctly?

  • 2.12 - Are flammable materials clear of ignition sources?

3.0 - General Lighting

  • 3.1 - Adequate natural lighting?

  • 3.3 - Light fixtures clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of materials and parts?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

  • 4.11 - Are shipping and receiving areaa clean and tidy?

5.0 - Work Stations

  • 5.1 - Clear of garbage?

  • 5.2 - Tools not in use kept in 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 - Garbage Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse 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 rubbish?

  • 7.4 - Storage racks and pallets free of damage?

  • 7.5 Load Capacity posted on all storage racks?

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?

  • 8.10 - Bending and stooping minimized?

  • 8.12 - Operators trained/authorized to operate the machines?

  • 8.13 - Is the training recorded?

  • 8.14 - Do operators comply with the training?

  • 8.15 - Are lockout procedures implemented and followed?

  • 8.16 - Are pressurized gas cylinders properly secured?

9.0 - Electrical Safety

  • 9.1 - Are electrical disconnects (safety switches) installed for permanently wire machines and equipment?

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - No power cords across walkways?

  • 9.7 - No frayed or damaged power cords?

  • 9.8 - No strained power cords?

  • 9.9 - Portable power tools in good condition?

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

  • 9.11 - Are GFCI outlets installed where required and working properly?

  • 9.12 - Are energized electrical rooms and panels protected and secured?

10.0 - Chemical Safety

  • 10.1 - Hazardous Substance Register complete and available?

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

  • 10.3 - Risk assessments completed for hazardous substances?

  • 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 - Workers trained in the use of hazardous substances?

  • 10.9 - If required is PPE available?

  • 10.10 - Is adequate ventilation provided?

  • 10.11 - Are eye washes and showers easily accessed?

  • 10.12 Are eyewashes and showers cleaned and inspected weekly?

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 expiration 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 first aid officers accessible?

  • 12.8 - Are emergency numbers displayed?

13.0 - Cranes & Rigging

  • 13.1 - Are load capacities clearly posted on all cranes and rigging?

  • 13.2 - Are all cranes and rigging in good working order?

  • 13.3 - Are warning tags attached and safety clips in place?

Sign Off

  • Date & Time

  • Comments

  • Additional Media

  • Company Representative

  • Company Representative's signature

  • Auditor

  • 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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.