Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there any outstanding actions?

2.0 - Fire Prevention

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers recently serviced? (Check 12 monthly punch mark on tabs.)

  • 2.5 - Extinguishers clear of obstructions?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 Adequate lighting available for low-light conditions.

  • 3.3 - Light fittings clean and in good condition?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Walkways adequately and clearly marked?

  • 4.3 - Entry and walkways kept clear?

  • 4.4 - Intersections kept clear and presents no blind spots?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Furniture in sound condition?

  • 4.7 - Loading area clean and tidy?

  • 4.8 Structure and other concerns apparent?

5.0 - Rubbish Removal

  • 5.1 - Bins located at suitable points around site?

  • 5.2 - Bins emptied regularly?

Employee Training

  • Is safety training conducted with employees at least monthly?

Sign Off

  • On site representative

  • Chuck Vancura Director of Loss Control Leavitt Group Insurance Services

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