• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Agility Records

General Housekeeping

  • Are areas free of trip hazards and obstructions?

  • Are scrap/waste items segregated and disposed of correctly?

  • Are fire exits and evacuation routes clear?

  • Is the 5S principal being followed?

  • Are floor surfaces clean and free from oils/residue?

Risk Assessments

  • Has the R.A. for the current task been reviewed? An example should be documented

  • Is the R.A. suitable and sufficient for the current task?

Personal Protective Equipment (P.P.E.)

  • Is job specific mandatory PPE in use?

  • Is all P.P.E. at a satisfactory standard? No exessive signs of wear and tear.

  • Additional Comments

Fire Prevention and Emergency

  • Are fire extinguishers and first aid kit accessible?

  • Are materials stored to allow safe manual handling practices?

  • Only approved fuel/chemical containers in use?

  • Is there evidence of general clutter?

  • Gas bottles are safe and secure in proper storage area(s)?

  • Gas storage area displays no smoking, flammable gasses and appropriate class?

  • Any additional findings:

Sign Off

  • On Site Representative Signature

  • Auditor's Signature

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