Title Page

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Premise / Structure (Site 1: Workshop, Plant room, Grounds)

  • No evidence of structural damage (hole in walls) to allow entry of pest / vermin

  • Grounds maintained to minimise harbourage of pests. No overgrown grass, weeds, storage of equipment is controlled & away from production facility

  • External walls are clean & in good repair (no mould build up evident)

  • Access to roof is restricted to authorised personnel only

  • Perimeter fence is secure with no evidence of damage / holes to allow unauthorised access

  • Walls and ceiling are free of damage &/or leaks

  • Paint surfaces free of flaking paint

  • Floor surfaces / coving in good repair and free of damage

  • Lights in plant room & workshop are covered, in working order with no damage evident

  • Food grade lubricants labelled and correctly stored

  • Electrical room doors locked and free of debris / pest activity

  • Cleaning of maintenance workshop & floor is maintained. Area is free of waste build up, cobwebs &/or metal shavings that may enter production zones

Verification Activity

  • Maintenance Paperwork - On completion of maintenance work sign off from both production & maintenance staff is evident to ensure area is clean & free of foreign contaminants?

  • Maintenance Toolboxes - Toolbox cleanliness is maintained with no evidence of gross build up, loose grease &/or lubricants.

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.