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 no outstanding actions?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed and understood by all employees?

  • 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

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

  • 2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguishers weighing not more than 40lbs. mounted with top no more than 5 feet max height & base not lower than 4 inches?<br>

  • 2.7 - Indicator signs mounted on wall above extinguishers?

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Doors along exit routes marked as " Not an Exit".

  • 2.11 - Exits clear of obstructions?

  • 2.12 - Fire alarm system functioning correctly?

  • 2.13 - Smoke detectors in place and tested?

  • 2.14 - Are "No Smoking" signs posted in areas where flammable or combustible materials are used or stored?

  • 2.15 - Are employees trained in the use of fire extinguishers?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 4.9 - Are elevated surfaces (more than four feet above the floor) provided with guardrails and toe boards?

  • 4.10 - Are signs posted showing elevated floor load capacity?

  • 4.11 - Furniture in sound condition?

  • 4.12 - Loading area clean and tidy?

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges?

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Storage racks higher than 4' are secured to the wall?

  • 7.3 - Storage designed to minimize lifting problems?

  • 7.4 - General condition of racks and pallets?

  • 7.5 - Floors around racking clear of rubbish?

8.0 - Machines

  • 8.1 - Are they kept clean?

  • 8.2 - Are the floors around the machines kept clean?

  • 8.3 - Guards in good condition and properly adjusted according to manufacturer's specifications?

  • 8.4 - Starting and stopping devices within easy reach of operator?

  • 8.5 - Waste/off cuts removed and stored safely?

  • 8.6 - Drip pans on floor to prevent spillage?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled?

  • 8.10 - No bending or stooping required?

  • 8.11 - Duck-boards (floor mats) in good repair?

  • 8.12 - Operators trained in the operation of the machines?

  • 8.13 - Is the training recorded?

  • 8.14 - Do operators comply with the training?

  • 8.15 - Are lockout procedures implemented and followed?

  • 8.16 - Are bench and pedestal grinders permanently mounted?

  • 8.17 - Are face shields always worn when grinding?

  • 8.18 - Is the work rest kept adjusted to within 1/8 inch of the grinding wheel?

  • 8.19 - Is the adjustable tongue on the top side of the grinder used and kept adjusted to within 1/4 inch of the wheel?

  • 8.20 - Do side guards cover the spindle, nut, flange and 75% of the wheel diameter?

9.0 - Gas Cylinders

  • 9.1 - Are gas cylinders labeled and secured either to the wall, in a cage or to equipment?

  • 9.2 - Are empty gas cylinders also secured at top and bottom and labeled as empty?g

  • 9.3 - Are fuel-gas cylinders and oxygen cylinders separated by distance or fire resistant barriers while in storage?

10.0 Compressor Safety

  • 10.1 - Compressor equipped with pressure-relief valves and pressure gauges?

  • 10.2 - Air intakes ensure only clean air enters the compressor?

  • 10.3 - Are signs posted to warn of the automatic starting feature?

  • 10.4 - Is the belt drive system totally enclosed?

  • 10.5 - Are safety chains used on high pressure hose lines where a connection failure would create a hazard?

  • 10.6 - Are air supply hoses and fittings in good condition?

  • 10.7 - Are employees trained in compressor safety?

11.0 - Electrical Safety

  • 11.1 - GFCI outlets installed?

  • 11.2 - GFCI Outlets tested every 6 months and tests recorded?

  • 11.3 - Are multiple plug adapters in use?

  • 11.4 - Are there broken plugs, sockets or switches?

  • 11.5 - No power leads across walkways?

  • 11.6 - No frayed or damaged extension cords?

  • 11.7 - Do extension cords have a grounding conductor?

  • 11.8 - No strained cords or Daisy Chaining?

  • 11.9 - Are portable power tools in good condition, properly grounded and with undamaged cords?

  • 11.10 - Where required are emergency shut-down procedures in place?

  • 11.11- Are switch , receptacle and junction boxes provided with tight-fitting covers or plates?

  • 11.12 - Do electrical service panels have doors that can be closed?

  • 11.13 - Are service panels clear of combustible materials and other obstructions?

12.0 - Chemical Safety/HAZCOM Program

  • 12.1 - Hazardous Substance Register complete and available?

  • 12.2 - Material Safety Data Sheets (SDS) available for all chemicals?

  • 12.3 - Risk assessments completed for hazardous substances?

  • 12.4 - All containers labeled correctly?

  • 12.5 - Unused substances disposed of?

  • 12.6 - Do flammable storage cabinets have self-closing doors?

  • 12.7 - If applicable, are special storage conditions followed?

  • 12.8 - Are workers trained in the safe handling and use of hazardous substances?

  • 12.9 - If required, is PPE available and workers trained in its use?

  • 12.10 - Is the training recorded?

  • 12.11 - Is adequate ventilation provided?

  • 12.12 - Are easily accessible eye washes and showers provided where caustic corrosive chemicals are handled, and do they work?

13.0 Ladders

  • 13.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 13.2 - Are ladders in good condition?

  • 13.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 13.4 - Used according to instructions?

  • 13.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  • 13.6 - Is a ladder inspection program in place and inspection records kept?

14.0 - First Aid Facilities

  • 14.1 - Are cabinets and contents clean and orderly?

  • 14.2 - Are contents regularly checked?

  • 14.3 - No contents past their expiry date?

  • 14.4 - Cabinets clearly labelled?

  • 14.5 - Is there easy access to cabinets?

  • 14.6 - Employees aware of location of first aid cabinet?

  • 14.7 - Are first aid officers accessible or people trained in first aid?

  • 14.8 - Are emergency numbers displayed?

  • 14.9 - Is an AED available and are employees trained in its use?

15.0 - Office Hazards

  • 15.1 - Condition of filing cabinets?

  • 15.2 - Condition of chairs? (Five star bases.)

  • 15.3 - Desks in good condition? (No damage.)

  • 15.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 15.5 - Photocopiers positioned to avoid fumes?

  • 15.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  • 15.7 - Air conditioning systems regularly maintained?

  • 15.8 - Stable non-slip floor coverings in good condition?

  • 15.9 - Ergonomic analysis done and on file?

  • 15.10 - Are restrooms kept clean and sanitary?

  • 15.11- Are the eating area and appliances (refrigerator, microwave, countertops and cabinets) kept clean and sanitary?

  • 15.12- Is potable water available?

16.0 - Vehicle Condition

  • 16.1 - Schedule maintenance performed?

  • 16.2 - Condition of tires good?

  • 16.3 - Brake performance?

  • 16.4 - Lights? (Check operation of brake, indicator and reversing lights)

  • 16.5 - Condition of drivers seat?

  • 16.6 - Condition of other seats?

  • 16.7 - First aid kit supplied and adequate?

  • 16.8 - Storage provisions?

17.0 - Additional Safety Considerations

  • 17.1 - Physical Agent Data Sheets on file?

  • 17.2 - Personal tools are not in use?

  • 17.3 - Is Personal Protective Equipment (PPE) provided as needed?

  • 17.4 - Is the PPE in good condition and are workers trained in its use and maintenance?

  • 17.5 - Are workers trained in the use of all equipment and tools used by them, by a competent person?

  • 17.6 - Are written training records kept with date, subject, attendees, and trainer?

Sign Off

  • On site representative

  • 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.