Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Is the lighting adequate?

  • Completion Date:

  • Is there proper guarding on the lights?

  • Completion Date:

  • Are the emergency lights checked and working properly?

  • Completion Date:

  • Is the emergency evacuation posted?

  • Completion Date:

  • Are first aid kits stocked and readily available?

  • Completion Date:

  • Are fire extinguishers easily accessible?

  • Completion Date:

  • Are fire extinguishers in compliance?

  • Completion Date:

  • Is the refrigerator, coffee pot and microwave clean?

  • Completion Date:

  • Is the housekeeping in the workstations acceptable?

  • Completion Date:

  • Are walkways free of clutter?

  • Completion Date:

  • Proper storage of materials (overhead)?

  • Completion Date:

  • Proper trash containers with lids?

  • Completion Date:

  • Are ground checks current?

  • Completion Date:

  • GFCI protection on applicable outlets?

  • Completion Date:

  • Are distribution circuits properly labeled?

  • Completion Date:

  • Are breakers, controls and switches properly labeled?

  • Completion Date:

  • Are there any missing knock-outs?

  • Completion Date:

  • Is the work area inspection properly filled out?

  • Completion Date:

  • Are there any spills or debris on the floor?

  • Completion Date:

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

  • Completion Date:

  • Are eyewash stations in good order and inspected appropriately?

  • Completion Date:

  • Are hand tools properly stored?

  • Completion Date:

  • Are hand tools in good condition?

  • Completion Date:

  • Is proper PPE readily available and being used by employees?

  • Completion Date:

  • Is fall protection equipment in good condition and properly stored?

  • Completion Date:

  • Are fall protection equipment inspections current?

  • Completion Date:

  • Are cylinders properly secured?

  • Completion Date:

  • Are valves protected when not in use?

  • Completion Date:

  • Are lines bled of residual pressure?

  • Completion Date:

  • Are all power cords in good condition and properly inspected?

  • Completion Date:

  • Is aerosol can management in place and effective?

  • Completion Date:

  • Is a grinding face shield readily available and in good condition?

  • Completion Date:

  • Is fixed equipment clean and easily accessible?

  • Completion Date:

  • Are fixed equipment guards in place and effective?

  • Completion Date:

  • Is the area free of combustibles?

  • Completion Date:

  • Are ladders in good condition and properly inspected?

  • Completion Date:

  • Are all doors and windows in good condition?

  • Completion Date:

  • Does the heating and cooling work properly?

  • Completion Date:

  • Are all drains clear?

  • Completion Date:

  • Is dust control management in place and effective?

  • Completion Date:

  • Is used tire management in place and effective?

  • Completion Date:

  • Is garbage management in place and effective?

  • Completion Date:

  • Is drum / container / bin management in place and effective?

  • Completion Date:

  • Are parts washers being used properly?

  • Completion Date:

  • Is filter management in place and effective?

  • Completion Date:

  • Is secondary containment in place and effective?

  • Completion Date:

  • Are all tanks inspected regularly?

  • Completion Date:

  • Auditor(s) Signature

  • Revision 1.0 iCloud posted document is the controlled copy. 07/02/13

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.