Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Instructions
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    1. Answer "Yes", "No", or "Safe", "At Risk", "N/A" for the questions below
    2. Add any photos and notes by clicking on the paperclip icon
    3. To create and assign a corrective action click on "Add Action", provide a description, assign to a member, set priority and due date
    4. Complete audit by providing digital signature
    5. Send your report by exporting as PDF, Word Doc, Excel or via Web Link

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Chemical Safety, Storage & Hazardous Materials

  • Flammable/combustible liquids not stored/kept near exits

  • Quantities >10 gals stored in cabinets

  • No basement storage unless sprinklered

  • Storage exceeds Maximum Allowable Quantities

  • Compressed gas cylinder security

  • Labels accurate/current

  • Proper separation of incompatible chemicals

  • Shelving equipped with restraints from falling

  • Sash closed when fume hood unattended

  • Compressed gas cylinders secured with chain

  • All chemicals properly labeled

  • All chemicals dated when first opened

  • Chemicals shall not be stored in fume hood

Construction Features & Fire Resistance

  • Fire rated construction present/maintained

  • Rated fire doors operational & not blocked

Exiting & Egress

  • Exits, aisles and corridors free of obstructions

  • Adequate number of exits

  • Exit signage present & operable

  • Emergency lighting present & operational

  • Exit corridors rated

  • Vertical openings of 2 or more stories shall be protected

  • Vertical openings of 3-5 stories protected with sprinklers

Electrical

  • Electrical hazards

  • Electrical appliances, fixtures, cords in good condition

  • Multiplug adapters

  • Extension cords not a substitute for permanent wiring

  • 36" clearance for electrical panels

  • GFCI outlets near water source

Elevator Machine Room

  • Free of storage

  • Portable fire extinguisher

Kitchen Extinguishing & Suppression Systems

  • Kitchen hood system fuel shutoff

  • Kitchen hood suppression system maintained

Occupant Load

  • Occupant load exceeded

Portable Fire Extinguishers

  • Readily accessible, not obstructed

  • Travel distance not exceeded

  • Tested/inspected annually

  • Extinguishers must be mounted

Sprinker Systems

  • Controls are readily accessible

  • Wrench & spare sprinklers available

Storage

  • Storage neat & orderly

  • Combustibles prohibited in mechanical/electrical rooms

  • Attic storage prohibited if unprotected

  • Concealed space storage prohibited if unprotected

  • Storage maintained, <2" ceiling unsprinkled, <18" sprinkled

Sign off

  • Inspected by

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.