Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Is there adequate lighting?

  • Completion Date:

  • Lights have adequate guarding?

  • Completion Date:

  • Verify emergency lights are working properly?

  • Completion Date:

  • Emergency evacuation route is posted?

  • Completion Date:

  • First aid kits are stocked and readily available?

  • Completion Date:

  • Fire extinguishers are readily accessible?

  • Completion Date:

  • Fire extinguishers are in compliance?

  • Completion Date:

  • Refrigerator, coffee pot and microwave are clean?

  • Completion Date:

  • Housekeeping in office is acceptable?

  • Completion Date:

  • Walkways are free of clutter?

  • Completion Date:

  • Proper storage of material (overhead)?

  • Completion Date:

  • Proper trash containers with lids?

  • Completion Date:

  • Ground checks are current?

  • Completion Date:

  • GFCI protection on outlets?

  • Completion Date:

  • All distribution circuits are properly labeled?

  • Completion Date:

  • All breakers, controls and switches are properly labeled?

  • Completion Date:

  • As there any missing knock-outs?

  • Completion Date:

  • As there any missing knock-outs?

  • Completion Date:

  • Are there any spills or debris present?

  • Completion Date:

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

  • Completion Date:

  • Are hand tools properly stored?

  • Completion Date:

  • Are hand tools in good condition?

  • Completion Date:

  • Proper PPE readily available and being utilized by employees?

  • Completion Date:

  • Is the area free of combustibles?

  • Completion Date:

  • Are ladders / stools in good condition and inspected properly?

  • Completion Date:

  • Are doors and windows in good condition?

  • Completion Date:

  • Heating and cooling systems working properly?

  • Completion Date:

  • Is garbage management in place and effective?

  • 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.