Title Page

  • Conducted on

  • Prepared by

  • Plant Walkthrough

  • Location
  • What location is being audited?

Employee Observations

  • Are eye and face protection being worn?

  • Is hearing protection being worn?

  • Are respirators or dusk mask being worn, if applicable?

  • Is the proper foot protection being used?

  • Are employees practicing safe lifting techniques?

  • Are gloves being worn, if applicable?

  • Are working workers practicing good ergonomics while performing task?

Housekeeping

  • Are exits/stairs/walkways clear?

  • Are pallets, boxes, and crates all in properly marked locations?

  • Are pallets, boxes, and crates properly labeled?

  • Are all unused tools, extension cords, and supplies properly put away?

  • Is workstation clean of debris?

Emergency Action Plan

  • Do all marked locations for fire extinguishers contain an extinguisher?

  • Is there a clear exit path for the worker?

Electrical Safety

  • Electrical panel area is clear of any obstructions

  • Control of hazardous energy procedure is being used

  • Extension cords aren’t being use permanently, hooked up while not in use, and stored correctly?

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.