Jeff Boothe

FMSO MCC Room

Compliance Audit

Use this Template

Print as PDF

Use this Template

Information

Audit Title
Client / Site
Conducted on
Prepared by
Personnel

Entrance clear of debris?
Completion Date:
Walkways clear of debris?
Completion Date:
All items stored are well organized?
Completion Date:
Housekeeping is acceptable?
Completion Date:
Storage lockers and shelves are secured?
Completion Date:
Items stored on shelves are secured?
Completion Date:
Any spills or leaks?
Completion Date:
Is there adequate lighting?
Completion Date:
Is there adequate guarding on lights?
Completion Date:
Are all distribution circuits labeled properly?
Completion Date:
Are there any missing knock-outs?
Completion Date:
All electrical checks are current?
Completion Date:
All breakers, controls and switches are properly marked?
Completion Date:
Doors are in good repair?
Completion Date:
Auditor(s) Signature
Revision 1.0 iCloud posted document is the controlled copy. 07/02/13

Jeff Boothe

FMSO MCC Room

Compliance Audit

Use this Template

Print as PDF

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.