Global Energy Business

• Audit Title

• Site

• Location
  Address

• Number of workers

• Conducted on

  Date

• Prepared by

• Personnel

Legal Requirements

• Are Safety and Environmental policy statements signed posted and dated within the last 12 months?

  Yes

  No

  N/A

• Is their a copy of regional EHS laws available?

  Yes

  No

  N/A

• Are required posting posted and in good condition?

  Yes

  No

  N/A

• Safety committee members and meeting minutes posted?

  Yes

  No

  N/A

• Has their been any site visits by local authorities?

  No

  Yes

  N/A

• Are emergency contact numbers posted?

  Yes

  No

  N/A

Workplace Environment

• Thermal comfort (too hot/cold)

  No

  Yes

  N/A

• Adequate airflow? (Not too stuffy)

  Yes

  No

  N/A

• Free of noise and odour?

  Yes

  No

  N/A

Lighting

• All lights working and covers clean?

  Yes

  No

  N/A

• Emergency lighting in areas without natural light?

  Yes

  No

  N/A

Fire Protection

• Are fire extinguishers accessible?

  Yes

  No

  N/A

• Are fire extinguishers fully charged and in good condition ? (Correctly mounted, safety pin in)

  Yes

  No

  N/A

• Are fire extinguishers inspected and evidence available?

  Yes

  No

  N/A

• Correctly marked for the type(s) of fires to be fought?

  Yes

  No

  N/A

• Are fire / emergency exit routes clear and signs pasted, lighted and visible?

  Yes

  No

  N/A

• Emergency button or pull stations visible and protected?

  Yes

  No

  N/A

• Has there been a documented full fire evacuation drill in the last 12 months?

  Yes

  No

  N/A

Walking Surfaces

• Are walkways free of obstacles?

  Yes

  No

  N/A

• Floor coverings in good condition?

  Yes

  No

  N/A

• Floors free of slip/trip hazards? (Wet floors)

  Yes

  No

  N/A

• Are outside walkways clear and well maintained?

  Yes

  No

  N/A

Book Cases / Shelves / Cabinets

• Are doors and drawers closed when not in use?

  Yes

  No

  N/A

• Are the top of cabinets etc. clear of items?

  Yes

  No

  N/A

• Are shelves adequate for the items being stored on them?

  Yes

  No

  N/A

• Are heavier items stored on lower shelves and lighter on top?

  Yes

  No

  N/A

Meeting Rooms

• Are AV equipment cords and cables neat and tidy not creating trip hazards?

  Yes

  No

  N/A

• Are tables and chairs in good condition?

  Yes

  No

  N/A

• Is room clean and tidy paper, pens, whiteboards cleaned off after use?

  Yes

  No

  N/A

Worker Welfare Facilities

• Are their separate facilities for men and women?

  Yes

  No

  N/A

• Are washrooms clean and adequately stocked?

  Yes

  No

  N/A

• Is their adequate ventilation?

  Yes

  No

  N/A

• Is their adequate lighting?

  Yes

  No

  N/A

• Is their suitable hand washing and drying facilities?

  Yes

  No

  N/A

Kitchen and eating areas

• Are refrigerators cleaned on a regular schedule?

  Yes

  No

  N/A

• Are refrigerators set at a proper temperature?

  Yes

  No

  N/A

• Are there waste disposal bins available and emptied regularly?

  Yes

  No

  N/A

• Are food prep appliances clean and in good repair?

  Yes

  No

  N/A

• Eating surfaces clean?

  Yes

  No

  N/A

• Are eating areas adequate for the number of workers?

  Yes

  No

  N/A

Personal Work Spaces

• Clear and uncluttered?

  Yes

  No

  N/A

• Desk height positioned for ease of access / good posture?

  Yes

  No

  N/A

• Adequate lighting?

  Yes

  No

  N/A

Chairs

• Suitable for the task?

  Yes

  No

  N/A

• Adjustable?

  Yes

  No

  N/A

• Equipped with arm rests?

  Yes

  No

  N/A

• In good repair?

  Yes

  No

  N/A

General Housekeeping

• Are their items leaning against walls or desks?

  No

  Yes

  N/A

• Are doors in good repair and not propped open?

  Yes

  No

  N/A

Power Outlets, Cords

• No piggy back plugs?

  Yes

  No

  N/A

• No double adapters?

  Yes

  No

  N/A

• Cords that cross a walking surface are properly covered?

  Yes

  No

  N/A

• Extension cords are in good condition? (Not frayed, ground removed)

  Yes

  No

  N/A

Computers

• Monitor positioned at the correct height?

  Yes

  No

  N/A

• Are laptops being used permanently?

  No

  Yes

  N/A

• Separate keyboard in use?

  Yes

  No

  N/A

• Keyboard trays being used?

  Yes

  No

  N/A

Chemical Safety

• Are chemicals clearly labeled?

  Yes

  No

  N/A

• Are chemicals stored properly?

  Yes

  No

  N/A

• MSDS sheets available?

  Yes

  No

  N/A

First Aid Facilities

• Is their a first aid kit available and appropriately located?

  Yes

  No

  N/A

• Kit proper size for number of workers?

  Yes

  No

  N/A

• Kit adequately stocked and inspected regularly?

  Yes

  No

  N/A

• Is their an AED available?

  Yes

  No

  N/A

• Is their a receptacle for bio hazards?

  Yes

  No

  N/A

• Is their a means if creating privacy for sick or injured workers?

  Yes

  No

  N/A

• Certified first aides certificates posted?

  Yes

  No

  N/A

• Are first aids recorded in a log book?

  Yes

  No

  N/A

• Have their been any reportable or recordables lately?

  Yes

  No

  N/A

Worker Training

• New hire worker induction / orientation?

  Yes

  No

  N/A

• Are regular safety meeting held?

  Yes

  No

  N/A

Environmental

• Adequate provisions/system for recycling material?

  Yes

  No

  N/A

• Provisions for energy and water conservation?

  Yes

  No

  N/A

• Facilities for the collection and proper disposal of E waste?

  Yes

  No

  N/A

Security

• Have all visitors/contractors signed in?

  Yes

  No

  N/A

• Are visitors and contractors issued ID badges?

  Yes

  No

  N/A

• Have all visitors and contractors signed off on safety rules?

  Yes

  No

  N/A

• Does the facility have site security?

  Yes

  No

  N/A

• Is there adequate lighting in all areas

  Yes

  No

  N/A

• Is their a CCT system?

  Yes

  No

  N/A

• Summary of hazards and corrective actions

• Inspector

  Sign