Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Personnel
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Is the lighting adequate?
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Completion Date:
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Does lighting have proper guarding?
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Completion Date:
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Emergency lights checked and working properly.
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Completion Date:
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Emergency evacuation posted?
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Completion Date:
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First aid kits stocked and readily available?
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Completion Date:
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Fire extinguishers are easily accessible?
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Completion Date:
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Fire extinguishers are in compliance?
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Completion Date:
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Refrigerator, coffee pot and microwave are clean and orderly?
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Completion Date:
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Housekeeping in workstations is acceptable?
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Completion Date:
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Walkways are clear of clutter?
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Completion Date:
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Proper storage of materials (overhead)?
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Completion Date:
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Proper trash containers with lids?
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Completion Date:
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Ground checks are current?
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Completion Date:
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Power distribution circuits are properly labeled?
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Completion Date:
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Breakers, controls and switches labeled correctly?
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Completion Date:
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Are there any missing knock-outs?
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Completion Date:
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Work area inspection form completed properly?
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Completion Date:
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As there any spills or debris on floor?
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Completion Date:
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Are all equipment and area guards in place and effective?
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Completion Date:
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Are eyewash stations in good condition and inspected appropriately?
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Completion Date:
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Hand tools are properly stored?
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Completion Date:
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Hand tools are in good repair?
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Completion Date:
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Proper PPE is readily available and being used?
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Completion Date:
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Fall protection equipment is in good condition and properly stored.
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Completion Date:
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Fall protection equipment is current on inspections?
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Completion Date:
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Cylinders are properly secured?
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Completion Date:
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Are valves protected when not in use?
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Completion Date:
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Are lines held of residual pressure?
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Completion Date:
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Are all power cords in good condition and current ground checks?
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Completion Date:
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Grinding face shield readily available and in good condition?
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Completion Date:
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Fixed equipment clean and clear access?
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Completion Date:
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Fixed equipment guards adequate, in place and effective?
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Completion Date:
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Is the area free of combustibles?
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Completion Date:
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Ladders are in good condition and inspected?
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Completion Date:
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Doors and windows are in good condition?
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Completion Date:
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Heating and cooling work properly?
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Completion Date:
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Are all drains clear?
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Completion Date:
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Is dust control management in place and effective?
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Completion Date:
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Is used tire management in place and effective?
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Completion Date:
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Is aerosol can management in place and effective? Not heaping?
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Completion Date:
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Is garbage management in place?
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Completion Date:
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Is drum / container / bin management in place and effective?
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Completion Date:
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Are parts washers being used properly?
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Completion Date:
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Is filter management in place and effective?
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Completion Date:
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Is secondary containment in place and effective?
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Completion Date:
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Are tanks inspected regularly?
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Completion Date:
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Auditor(s) Signature
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Revision 1.0 iCloud posted document is the controlled copy. 06/17/13
