Information

  • Audit

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date and time of inspection

  • Signature of person involved in inspection

Housekeeping

  • Are work stations clean

  • Is office area clean

Proper lifting

  • Proper lifting observed?

  • Items stored properly (lights,boxes,cleaning,supplies,<br>

Exit Lights & Exterior Lights

  • Are lights working properly

  • Are lights visible and unobstructed

  • Light cover inspected?

PPE) Personal Protective Equipment)

  • Personal Protective Equipment is available and worn to protect?

  • "Feet and body ": Proper footwear and appropriate clothing?

  • "Hands" Gloves fit properly and are made of proper material?

Walking/Working Surfaces

  • Are edges smooth around tables and sinks

  • Are all floor openings covered

  • Do all floor drains have covers

  • Is floor free from slip hazards

  • Are lighting covers less than 7' from the floor

  • Is there adequate lighting for the workspace

  • Are wet floor signs displayed while cleaning

  • Is the floor dry around ice machines

Fire Protection

  • Are all portable fire extinguishers current (check that gauge is in the green and the card is good for one year from the date punched)

  • Is the evacuation plan displayed

  • Is the exit path clear of blockage

  • Are team members trained on evacuation procedures

  • Is the smoke detector in operating condition (light blinking)

  • Is there 18" clearance from ceiling sprinklers to storage

Extension Cords

  • Are extension cords being used for temporary power only (not more than 8 hours)

  • Are all extension cords in use equipped with a ground plug

  • Are all extension cords in use in good condition-no breaks in cover

Electrical Safety

  • Is there 3ft of clearance around electrical panels

  • Are wall outlets/switches in good condition (not loose or broken)

  • Are there covers on all outlets/switches

  • Are all warmers grounded and cords are in good condition

  • Are there grounds on all cords with three wires

  • Are Appliances cords inspected?<br>

Safety Data Sheet Book

  • Is the SDS book accessible to all team members

  • Are the Safety Data Sheets current

Ladders

  • Are ladders Inspected?

  • Right ladder for Job?

Chemicals and Portable Containers

  • Are chemical containers labeled with warning

  • Are portable containers labeled with warning

  • Are all containers labeled (water, alcohol, acetone, etc)

Hand Tools - Knives, etc

  • Are hand tools maintained in good condition and stored properly

  • Using the right tool for job?

Posted Warning Signs

  • Are no smoking signs posted in no smoking areas

Compressed Gas Cylinders

  • Are cylinders chained or in a rack (CO2)

Walk-In Coolers

  • Are all lights on

  • Are all fans covered

  • Are walking surfaces dry

  • Are racks in good condition

  • Can all walk-in and freezer doors be opened from the inside (even if locked)

  • Merchandise is accessible ?

Building Safety

  • Intersection kept clear of boxes and trash?

  • Out side Maintained clean and no obstructions?

First Aid Kit

  • Properly stocked?

  • Are exit doors clear not block or lock?

  • Expiration dates Validates?

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.