Information

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 General Houskeeping

  • 1.1 - Floor surfaces are uncluttered

  • 1.2 - Entry and walkways are kept unclear<br>

  • 1.3 - Stair and risers are kept clear

  • 1.4 - Emergency exit lighting operable

  • 1.5 - Oily rags and combustible refuse in covered metal containers

2.0 Safety Documentation

  • 2.1 - Emergency contact information is posted on/near the door

  • 2.2 - A hazard assessment was completed on the work area<br>

  • 2.3 - SDS sheets are easily accessible in the work area

  • 2.4 - Proper documentation of safety training for all personnel working in the area

3.0 Personal Protective Equipment and Emergency Response

  • 3.1- First aid supplies are available and clearly labeled

  • *** No contents past their expiration date ***

  • 3.2 - First aid kits are easily accessible

  • 3.3 - Sill kits are available and easily accessible

  • 3.4 - Employees have the proper PPE available in the work area

  • 3.5 - Is adequate ventilation provided

  • 3.6 - Eye wash inspection completed

  • 3.7 - Shower inspection completed

4.0 Chemical Safety and storage

  • 4.1 - Safety Data Sheets available for all chemicals

  • 4.2 - Chemicals are stored properly

  • 4.3 - All containers are labelled correctly

  • 4.4 - Proper secondary containment devices are used when necessary

  • 4.5 - Chemical wastes are all properly capped

  • 4.6 - Chemical waste handled according to institutional policy

  • 4.7 - Incompatible chemicals are separated

  • 4.8 - Hazardous Chemicals are not stored above eye level

  • 4.9 - Flammable chemicals are kept away from heat sources, open flames and other sparking devices

5.0 Gas cylinder storage

  • 5.1 - The number of cylinders are appropriate for the storage area

  • 5.2 - Gas cylinders are stored upright and restrained

  • 5.3 - Caps are in place on unused cylinders

  • 5.4 - Cylinder location is appropriate

6.0 Machines

  • 6.1 - Guards are in good condition

  • 6.2 - Starting and stopping devices are within easy reach of operator

  • 6.3 - Adequate work space

  • 6.4 - Is lighting adequate

7.0 Biological waste

  • 7.1 - Biological waste is collected in approved containers

  • 7.2 - Biological waste containers are maintained at less than 3/4 full

  • 7.3 - A biohazard symbol is present on biological collection or storage areas

8.0 Fire Prevention

  • 8.1 - Proper fire extinguisher available

  • 8.2 - Extinguisher inspection complete

  • 8.3 - Extinguisher is clear of obstructions

9.0 Facility issues

  • 9.1 - No broken plugs, sockets, or switches

  • 9.2 - No power cords across walkways

  • 9.3 - No frayed or damaged power cords

  • 9.4 - No strained power cords

  • 9.5 - Portable equipment in good condition

Additional comments:

Signature of person completing inspection.

  • Auditor's signature

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.