• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PPE & Safe Work Practices

  • Correct PPE worn and is it in good condition?

  • Metatarsal safety shoes worn and are they in good condition

  • Hearing protection worn

  • Gloves (if required)

  • Other required PPE?

Lifting Devices

  • Material lifting devices used and are they in good condition

  • Can operator explain daily inspection performed on lifting devices

  • Inspect lifting devices for worn or damaged devices

  • Are suspended loads attended

  • Suspended loads must never be lifted over employees

Safety Shower / Eye Wash Station

  • Is their a shower of eye station located where acids / bases (corrosives) used. " Sodium Aluminate"

  • Are they inspected monthly and access not blocked

  • Are eye wash stations available in high dust areas

Emergency Exits

  • Aisles and emergency exits not blocked


  • Is voltage indicated on electrical control enclosures, power cabinets,, junction boxes etc.

  • Arc Flash label present on electrical control enclosures, power cabinets, junction boxes etc.

  • Clearance in front of electrical enclosures 36" (0-150v) and 42" (151-600v)

  • Chords are free from frays and damage

  • Extension cords only allowed for temporary situations <90 days. must be inspected annually

  • GFCI's required on portable electric tools and in areas where wetness or damage to cord is possible

  • Are knockout plugs present on all electrical enclosures

Mobile Equipment

  • Are inspections being completed on equipment, prior to being used before each shift

  • Mobile equipment license and training current within 3 years

  • Seatbelt used whenever forklift operated

Material Storage Area

  • Material organized and rotated by date

  • Material not triple stacked, only two high

Flammable Cabinets

  • Only flammable liquids in cabinet (no paper, wood or plastic stored in cabinet)

  • Cabinets undamaged

  • No more than 3 cabinets within 100 square feet


  • Are all areas free from spills?

Machine Guarding

  • Is point of operation (grinding wheel, etc.) protected such that inadvertent contact is prevented?

  • Flywheels, gears, shafts, pulleys, belts, gears, sprockets, chains and couplings guarded to protect employees

  • E-stop button present

Walking / Working surfaces

  • Are the walkways clear and free of debris

  • Are all holes or floor openings guarded?

Fire Extinguishers

  • Monthly Inspection completed / Verify completely charged

Confined space

  • Marked with proper signage (permit required sign or non permit required sign


  • All containers labeled. (Original container with Manufacturers Label or secondary container with HMIS label)

  • Do employees know how to access an MSDS for a chemicals used?

Lockout / Tagout

  • Is machine specific energy control procedure present?

  • Are LOTO labels present

Compressed Air Nozzles

  • Are nozzles labeled as OSHA compliant. (regulate air pressure to 30psi or less)

Compressed Gas Cylinder Storage

  • Are cylinders identified with a durable label that clearly identifies the cylinder contents and gives a brief description of the potential hazard?

  • Cylinders secured with chain, lab strap or hard stock device located on the upper one third of the cylinder

  • Nesting methods for storage are prohibited. Acceptable means of storage include individual chains or straps, holding racks, cylinder carts etc.

  • Flammable gasses shall be stored at least 20 feet from oxidizers and any other source of ignition or separated by an approved firewall

OE and Standard Work

  • Material consumption be tracked PP/T?

  • Are 5S audits and Safety audits posted and current

  • Observe if standard work is being followed

  • Area clean & organized (less than 1 day of dirt)?

  • Aisles and emergency exits not blocked?

Do the employees know: (Interview a few people)

  • How to report suggestions

  • Who to report incident or injuries to and how long they have to do it in "as soon as it happens"

  • How to do and R3 and what it is

  • What is standard work and where is it located

  • What do they do if they find a problem

  • What a STOP card is and do they have them available

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.