Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Inspection Start Date/Time:
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Inspection End Date/Time:
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Last inspection score
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1.3 - Are there no outstanding actions?
2.0 - Fire Prevention
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2.1 - Evacuation plan displayed and understood by all employees?
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2.2 - Evacuation procedures discussed regularly? (At least annually)
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguisher tops are no more than 5 ft max height & base not less than 4 in above the floor?
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2.7 - Indicator signs 2.1 m above floor level?
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2.8 - Adequate direction notices for fire exits?
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2.9 - Exit doors easily opened from inside?
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2.10 - Exits clear of obstructions?
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2.11 - Fire alarm system functioning correctly?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fittings clean and in good condition?
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3.4 - Emergency exit lighting operable?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are liquid spills removed quickly?
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4.7 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Are footpaths in good condition?
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4.10 - Furniture in sound condition?
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4.11 - Loading area clean and tidy?
5.0 - Work Benches
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5.1 - Clear of rubbish?
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5.2 - Tools not in use kept in place?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
6.0 - Rubbish Removal
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
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6.3 - Oily rags and combustible refuse in covered metal containers?
7.0 - Storage Design and Use
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7.1 - Materials stored in racks and bins wherever possible?
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7.2 - Storage designed to minimise lifting problems?
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7.3 - Floors around racking clear of rubbish?
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7.4 - General condition of racks and pallets?
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7.5 - Load rating of storage racks is posted?
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7.6 - If applicable, are special storage conditions followed (non-chemical)?
8.0 - Machines
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8.1 - Are they kept clean?
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8.2 - Are the floors around the machines kept clean?
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8.3 - Guards in good condition?
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8.4 - Starting and stopping devices within easy reach of operator?
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8.5 - Waste/off cuts removed and stored safely?
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8.6 - Drip pans on floor to prevent spillage?
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8.7 - Adequate work space?
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8.8 - Is lighting adequate?
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8.9 - Noise levels controlled?
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8.10 - No bending or stooping required?
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8.11 - Duck-boards in good repair?
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8.12 - Operators trained/inducted into the operation of the machines?
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8.13 - Is the training recorded?
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8.14 - Do operators comply with the training?
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8.15 - Are lockout procedures implemented and followed?
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8.16 - Are gas bottles secured?
9.0 - Electrical Safety
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9.1 - Safety switches installed?
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9.2 - Safety switches tested during PM and tests recorded?
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9.3 - GFCIs are installed where needed and working properly?
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9.4 - No double adapters in use?
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9.5 - Portable equipment tested and tagged?
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9.6 - No broken plugs, sockets or switches?
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9.7 - No power leads across walkways?
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9.8 - No frayed or damaged leads?
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9.9 - No strained leads?
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9.10 - Portable power tools in good condition?
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9.11 - Where required are emergency shut-down procedures in place?
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9.12 - 36" clearance and clear access to panels and disconnects?
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9.13 - Breaker panels properly labeled?
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9.14 - Extension/flexible cords are used properly?
10.0 - Chemical Safety
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10.1 - Hazardous Substance Register complete and available?
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10.2 - Safety Data Sheets available for all chemicals?
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10.3 - Risk assessments completed for hazardous substances?
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10.4 - All containers labelled correctly?
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10.5 - Unused substances disposed of?
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10.6 - If applicable, are special storage conditions followed? (Chemical only)
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10.7 - Workers trained in the use of hazardous substances?
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10.8 - If required is PPE available?
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10.9 - Is adequate ventilation provided?
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10.10 - Are eye washes and showers easily accessed?
11.0 - Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)
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11.4 - Used according to instructions?
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11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?
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11.6 - Are ladders properly stowed?
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiry date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
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12.6 - Employees aware of location of first aid cabinet?
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12.7 - Are first aid officers accessible?
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12.8 - Are emergency numbers displayed?
13.0 - Office Hazards
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13.1 - Condition of filing cabinets?
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13.2 - Condition of chairs? (Five star bases.)
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13.3 - Desks in good condition? (No damage.)
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13.4 - Screen Based Equipment positioned to reduce glare from windows etc?
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13.5 - Photocopiers positioned to avoid fumes?
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13.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)
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13.7 - Air conditioning systems regularly maintained?
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13.8 - Stable non-slip floor coverings in good condition?
14.0 - Powered Industrial Trucks
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14.1 - Scheduled maintenance (PM) performed?
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14.2 - Inspected at beginning of each shift?
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14.3 - Defects reported and corrected?
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14.4 - Safety devices are working properly?
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14.5 - Equipment is operated properly?
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14.6 - Operators have received appropriate training?
15.0 - Compressed Gasses
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15.1 - Tanks are properly secured with chains?
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15.2 - Tanks are properly separated by 20' or a firewall?
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15.3 - Tank locations are properly labeled?
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15.4 - Nozzles on air hoses used for cleaning are equipped with a diffuser to lessen pressure to <=30 lbs.?
16.0 - Bloodborne Pathogens
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16.1 - Employees have been trained on their responsibilities?
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16.2 - Sharps containers are being maintained properly?
17.0 - Additional Concerns
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17.1 - Are there no additional concerns not covered in previous categories?
Sign Off
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On site representative
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Auditor's signature
