Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • H & S Policies & Fire Evacuation Procedure displayed

  • Understanding of H & S Policy (pick person(s) & assess) person(s) name

  • Understanding of Fire Procedure (pick person(s) & assess) person(s) name

  • Understanding of H & S Procedures (pick person(s) & assess) person(s) name

  • Accidents: Last recorded accident, check for any new procedures works or any outstanding actions

Machinery guarding: Check a minimum of one machine per department

  • Guarding Checks completed

  • All guarding in place

  • Guarding in good condition. (no cracks or holes)

  • Guarding prevents access to dangerous / moving parts

  • Lock off system (LOTO): if in place/required, is it being adhered to? Machine locked off-lock used

Personal Protective Equipment

  • Appropriate PPE in use: e.g. Safety shoes, goggles, gloves, high vis jackets, hard hats

  • PPE storage: equipment identified and stored correctly


  • Check fire exits & fire points clear

  • Fire extinguishers tests in date

Transport/vehicular movement

  • Fork Lift Truck safety checks list in operation

  • Correct parking of vehicles

  • Floor surface including outside road surfaces in good condition

  • Haulage vehicles following site procedures. (correct parking, curtains tied back)


  • Work area environment: floor sound, no trip hazards, exposed wiring etc

  • All walkways clear

  • Safety notices defective/defaced


  • PAT & Fixed AT testing completed see Engineering Manager

  • Electrical cabinet locked. (Check 3 machines)

Working Practices

  • Yellow tag hazard system operating correctly; any un-actioned tags over 4 weeks

  • Risk assessment completed for task and understood. (Pick person) person(s) name

  • Safe systems of work in place and understood

  • OSHA: understanding of substance(s), using substance correctly

  • OSHA: safety data sheet and OSHA assessment available

  • Tools / equipment stored correctly and safely

Contractors: Audit only if contractors are on site)

  • Is the approved contractors list up to date

  • Contractors booked in at reception / wearing ID badge

  • Risk assessment completed / method statement completed/ Permits raised

High Risk areas

  • Discuss with Safety Adviser perceived high risk areas and outline what action will take place to eliminate / reduce the risk:

General Manager Audit Performance

  • Add signature

  • Select date

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.