Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Check fire extinguisher for compliance inspection.

  • Compliance Date:

  • Is fire extinguisher easily accessible with nothing blocking access?

  • Compliance Date:

  • Inspect for adequate lighting.

  • Compliance Date:

  • Emergency lights checked and working properly?

  • Compliance Date:

  • Inspect all lights for proper guarding.

  • Compliance Date:

  • Inspect propane tank.

  • Compliance Date:

  • Check for spills and leaks.

  • Compliance Date:

  • Inspect GEN SET, (Flammable legible)

  • Compliance Date:

  • Voltage?

  • Compliance Date:

  • First aid kits stocked and readily available?

  • Compliance Date:

  • Housekeeping

  • Compliance Date:

  • Proper labeling?

  • Compliance Date:

  • Check steps, guarding and handrails if applicable.

  • Compliance Date:

  • Are walkways free of clutter?

  • Compliance Date:

  • Are there proper trash cans provided with lids?

  • Compliance Date:

  • Is there evidence of proper garbage management in place?

  • Compliance Date:

  • Are all electrical checks current?

  • Compliance Date:

  • Is there GFCI protection on required outlets?

  • Compliance Date:

  • Are all distribution circuits labeled properly?

  • Compliance Date:

  • Breakers, controls and switches labeled correctly?

  • Compliance Date:

  • Are there any missing knock-outs?

  • Compliance Date:

  • Are all equipment / area guards in place and effective?

  • Compliance Date:

  • Are all power cords in good condition?

  • Compliance Date:

  • Is all fixed equipment clean and clear access provided?

  • Compliance Date:

  • Auditor(s) Signature

  • Revision 1.0 iCloud posted document is the controlled copy. 07/03/13

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.