Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

101 Walking & Working Surfaces

  • Are these adequately illuminated?

  • Are all surfaces clear of obstructions?

  • Are all applicable surfaces adequately protected with proper<br>handrails/mid-rails and toe-boards?

  • Are there safety gate/chain in place for elevated<br>platforms?

  • Are all exits clear and properly marked?

  • Are all exposed openings/holes properly identified or<br>covered?

102 Roofs

  • Roof is free of excess material accumulation?

  • There are controls in place to restrict access as appropriate?

  • Roof is free from damage and leaks?

  • Roof is structurally sound?

103 Stairways & Ladders

  • Stairways & ladders are not broken, bent or damaged?

  • Stairways & ladders are clean, clear, no excess accumulation of<br>materials?

  • Stairways & ladders risers are adequately non-slip?

  • All portable ladders do not have broken feet or<br>rungs?

  • All Handrails are free from obstructions?

  • Are stairways and ladders free from<br>obstructions?

104 Materials Storage

  • There is no excess materials, spare parts strewn about? Area is clean & tidy?

  • Are all flammables including aerosol cans properly stored?

  • Are all chemicals properly labeled?

  • Materials arranged in orderly fashion in<br>designated locations?

  • Compressed gases are stored upright and<br>secured (chained) top and bottom?

  • Pallets or other bulk materials are not staked<br>too high?

  • The area is generally clean & in a good condition?

105 Tool Storage & Conditions

  • Hand tools are not broken or damaged?

  • Tools are stored in a designated area and<br>not creating a tripping or any other hazards?

  • Electrical cords are in a good condition, tested<br>and tagged?

  • All tools in this area is meant for purpose?

106 Stockpiles, Roadway & Railways

  • All Stockpiles are maintained in a safe manner & not at hazardous angles?

  • Windrows are present where they need to be and in good condition?

  • Railroad crossings are properly protected & sign posted?

107 Lighting & Electrical

  • There is adequate lighting in working areas?

  • All wiring is free of damaged and in good condition?

  • All permanent wiring is in conduit?

  • All breaker boxes and disconnects are closed,<br>properly labeled, free of water,<br>unobstructed for access & properly guarded?

108 Signs, Tags, Labels, Colour Coding & Warning Devices

  • All signs are clean, readable and not missing?

  • Are all hazardous areas danger/caution taped, properly tagged with<br>date and reason for the particular work?

  • Are all warning devices "visual and audible"<br>identified with proper signage telling youwhat they are for?

  • LOTOTO stations/devices clearly identified/labeled & with adequate items available e.g. locks, tags?

201 Spills & Dust (lime, dust & other products)

  • Dust accumulations are controlled as not to create<br>slip/trip/fall hazards?

  • Are all spills properly<br>cleaned up?

  • Point sources of dust adequately<br>controlled?

  • Are all dust control devices operating properly?

  • All eyewash stations in place and stocked?

202 Spills (Petroleum & Chemicals)

  • Are all spills properly cleaned up?

  • Are all spill kits in place as per Evacuation Plan?

  • Spill kits need to be checked on a monthly basis. Can you confirm that you have checked the kits and that everything is in place?

203 Water Management & Storm Water Control

  • Storm water drains and pathways are clear & no signs of erosion?

  • Ponds, canals, discharge points are clear,<br>no signs of erosion?

204 Rubbish & Waste Disposal / Recycling

  • All rubbish/recycling receptacles are reasonably clean and not overflowing?

  • Is all hazardous waste properly managed & discarded?

Facility Specific Category 1 - Contractor Management

  • Are all contractors wearing the Graymont approved PPE? e.g. Hard Hat with reflective strips, Hi Vis Clothing, Safety Boots & approved Safety Glasses.

  • Has all the contractors equipment been checked for compliance? e.g. Test & Tag of electrical equipment

  • Has the contractor completed all the Risk Assessments required for the task? e.g. JHA & Permits

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.