Information

  • Audit Title

  • Document No.

  • 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?

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

  • 2.11 - Fire alarm system functioning correctly?

  • 2.12 - Emergency exit lighting operable?

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?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 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 footpaths in good condition?

  • 4.10 - Furniture in sound condition?

5.0 - Rubbish Removal

  • 5.1 - Bins located at suitable points around site?

  • 5.2 - Bins emptied regularly?

  • 5.3 - Recycling bins clean?

6.0 - Electrical Safety

  • 6.1 - Safety switches installed?

  • 6.2 - Safety switches tested every 6 months and tests recorded?

  • 6.3 - No double adapters in use?

  • 6.4 - Portable equipment tested and tagged?

  • 6.5 - No broken plugs, sockets or switches?

  • 6.6 - No power leads across walkways?

  • 6.7 - No frayed or damaged leads?

7.0 - First Aid Facilities

  • 7.1 - Are cabinets and contents clean and orderly?

  • 7.2 - Are contents regularly checked?

  • 7.3 - No contents past their expiry date?

  • 7.4 - Cabinets clearly labelled?

  • 7.5 - Is there easy access to cabinets?

  • 7.7 - Are first aid officers accessible?

  • 7.8 - Are emergency numbers displayed?

8.0 - Office Hazards

  • 8.1 - Condition of filing cabinets?

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

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

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

  • 8.5 - Photocopiers positioned to avoid fumes?

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

  • 8.7 - Air conditioning systems regularly maintained?

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

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.