• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Housekeeping

  • Are areas free of trip hazards and obstructions?

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

  • Is the 5S principal being followed? (Sort, Shine, Straighten, Standardise & Sustain)

  • Clean desk policy

  • Are bins full and/or overflowing?

  • Is there evidence of general clutter?

Office Safety

  • Is office lighting adequate?

  • Is furniture appropriate and sound?

  • Is air conditioning sound?

  • Are filing cabinets and storage kept closed when not in use?

  • Are materials stored so they will not fall?

  • Are materials stored so that good manual handling practices can be applied, therefore safe retrieval?

Fire Control

  • Are fire exits and evacuation routes clear?

  • Is fire extinguishers in place and signed?

  • Are fire/emergency exit signs in place?

  • Are occupants aware of the fire evacuation procedures? Muster points etc

Personal Protective Equipment (P.P.E.)

  • Is job specific mandatory PPE readily available and in use?

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

  • Additional Comments

Electrical Safety

  • Are there any broken plugs or outlets?

  • Are there any frayed or damaged leads?

  • Is there evidence of up to date PAT on electrical items?

  • Are there any signs of overloading on power points?

  • Actions required to rectify

Sign Off

  • On Site Representative Signature

  • 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. You should independently determine whether the template is suitable for your circumstances.