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 no outstanding actions?

  • Corrective Actions:

2.0 - Fire Prevention

  • 2.1 - Is there an Emergency Evacuation plan in place and understood by all employees?

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

  • 2.3 - Extinguishers in place, clearly marked?

  • 2.4 - Extinguishers recently serviced? (Check punch mark on tabs.)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguisher no more than 5' off of floor and not lower than 3' from floor?

  • 2.7 - Indicator signs are clearly visible?

  • 2.8 - Exit doors easily opened and clearly marked.

  • 2.9 - Exits clear of obstructions?

  • 2.10 - Fire or emergency alarm tested?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately (3ft. wide) and clearly defined?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 4.9 - Are footpaths in good condition?

  • 4.10 - Furniture in sound condition?

  • 4.11 - Loading area clean and tidy?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 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?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

6.0 - Rubbish 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?

  • 6.4 - Are waste streams in these containers correct?

  • 6.5 - Are spill materials in kits stocked?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

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 - General condition of racks and pallets?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

8.0 - Machines

  • 8.1 - Are they kept clean?

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

  • 8.3 - Guards in place and 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 - Operators trained/inducted into the operation of the machines?

  • 8.11 - Is the training recorded?

  • 8.12 - Do operators comply with the training?

  • 8.13 - Are lockout procedures implemented and followed?

  • 8.14 - Are gas bottles secured and properly stored?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

9.0 - Electrical Safety

  • 9.1 - Electrical panels are labeled and clear (3ft. clearance) of obstructions?

  • 9.2 - Equipment disconnects clear accessible and clear of obstructions?

  • 9.3 - 3 pronged or grounded extension cords used?

  • 9.4 - No power leads across walkways?

  • 9.5 - No power leads through wall openings or used as permanent wiring?

  • 9.6 - No frayed or damaged leads?

  • 9.7 - No strained leads?

  • 9.8 - Portable power tools in good condition?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

10.0 - Chemical Safety

  • 10.1 - Safety Data Sheets available for all chemicals?

  • 10.2 - Do special storage conditions apply?

  • 10.3 - Are all primary and secondary containers labelled correctly?

  • 10.4 - Unused substances disposed of?

  • 10.5 - Workers trained in the use and identification of hazardous substances?

  • 10.6 - If required is PPE available?

  • 10.7 - Are eye washes and showers easily accessed?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

11.0 Ladders

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

  • 11.2 - Are ladders in good condition?

  • 11.3 - Used according to instructions?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

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 AED and first aid cabinet?

  • 12.7 - AED accessible and checked monthly?

  • 12.8 - Are emergency numbers displayed?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

13.0 - Office Hazards

  • 13.1 - Condition of filing cabinets?

  • 13.2 - Condition of chairs? (Five star bases.)

  • 13.3 - Desks in good condition? (No damage.)

  • 13.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 13.5 - Air conditioning systems regularly maintained?

  • 13.6 - Stable non-slip floor coverings in good condition?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

14.0 - Vehicle Condition

  • 14.1 - Schedule maintenance performed?

  • 14.2 - Condition of tires?

  • 14.3 - Brake performance?

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

  • 14.5 - Condition of drivers seat?

  • 14.6 - Condition of other seats?

  • 14.7 - First aid kit supplied and adequate?

  • 14.8 - Storage provisions?

  • Corrective Actions:

  • Responsible Person/Task Owner:

  • Risk:

15.0 - Material Handling Equipment

  • Daily or shift inspections performed on forklift?

  • Hand trucks, carts, and pallet jacks in good condition?

  • Corrective Actions:

  • Responsible Person/Task Owner

  • Risk:

16.0 - No at risk behavior observed

  • 16.1 - Observation

  • 16.2 - Observation

  • Corrective Actions:

  • Responsible Person/Task Owner

  • Risk:

Sign Off

  • On site representative

  • Auditor's signature

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