Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Drive entry and access pathways are clear and easily maneuvered?

  • Completion Date:

  • Buckets are lidded and properly stored?

  • Completion Date:

  • Items in storage are properly labeled and off the ground?

  • Completion Date:

  • Proper storage of materials overhead?

  • Completion Date:

  • Walkways are clear of clutter?

  • Completion Date:

  • No aerosol cans present?

  • Completion Date:

  • Proper trash cans with lids?

  • Completion Date:

  • No spills or debris evident?

  • Completion Date:

  • Equipment guards are in place and effective?

  • Completion Date:

  • Hand tools are properly stored?

  • Completion Date:

  • Hand tools are in good repair?

  • Completion Date:

  • Proper PPE is readily available and being utilized by employees?

  • Completion Date:

  • Area is free of combustibles?

  • Completion Date:

  • Ladders / stools are in good condition and inspected?

  • Completion Date:

  • Ensure there are no leaky sources anywhere?

  • Completion Date:

  • Is garbage management in place and effective?

  • Completion Date:

  • Overall housekeeping is effective?

  • Completion Date:

  • Eyewash stations are in good condition and inspected?

  • Completion Date:

  • Breakers, controls and switches are properly labeled?

  • Completion Date:

  • Are there any missing knock-outs?

  • Completion Date:

  • Electrical current checks are current?

  • Completion Date:

  • All power cords are in good condition?

  • Completion Date:

  • All power cords are in good condition?

  • Completion Date:

  • Adequate lighting with guards?

  • Completion Date:

  • GFCI protection on outlets?

  • Completion Date:

  • Steps and handrails are in place and securely mounted?

  • Completion Date:

  • Auditor(s) Signature

  • Revision 1.0 iCloud posted document is the controlled copy. 06/18/13

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.