Title Page

  • Facility/Area

  • StampZone

  • Audit Month

  • Audit Year

  • Audit Date

  • Auditor's Name


    1. Please answer all the questions below.
    2. Add Photos in "Images" and Comments in "Notes" on each question.
    3. Add a Corrective Measure in "Action" Provide a description, assign to a member, set priority, and due date
    4. Complete the audit by providing a digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

Monthly Safety Inspections Checklist

  • A1. PPE : Are safety glasses with side shields being worn by all employees?

  • A2. PPE : Is PPE stored in convenient locations near the hazardous functions in an accessible manner?

  • A3. PPE : Are safety toed shoes being worn by all employees on the shop floor?

  • A4. PPE : Is hearing protection being worn in all required areas?

  • A5. PPE : Are gloves being worn in potential hand injury areas?

  • A6. PPE : Are flame resistant coats, chaps, spats and other associated being worn by welders?

  • A7. PPE : Is long hair tied back and jewelry removed around rotating equipment?

  • A8. PPE : Are protective sleeves being worn in areas prone to forearm, wrist and elbow lacerations?

  • A9. PPE : Are face shields being used in conjunction with safety glasses when grinding is being performed?

  • B1. Plant Hazards : Is each work area adequately lighted?

  • B2. Plant Hazards : Where compressed air is used for cleaning, are the appropriate nozzles being used (30 psi)?

  • B3. Plant Hazards : Are floor mats clean and in good repair/condition?

  • B4. Plant Hazards : Where floor grating is used, is it level?

  • B5. Plant Hazards : Are barricades being utilized where maintenance and/or construction work is being performed?

  • B6. Plant Hazards : Are materials being stored properly?

  • B7. Plant Hazards : In assembly areas, are test stand lights working properly?

  • B8. Plant Hazards : Do electrical panels have proper 36" clearance?

  • B9. Plant Hazards : Are extension cords only being used for short term use?

  • B10. Plant Hazards : Are exits clear (inside/outside)?

  • B11. Plant Hazards : Are exit lights working properly?

  • B12. Plant Hazards : Is each work area adequately ventilated?

  • B13. Plant Hazards : Is racking in good condition, not overloaded, anchored, load beams pinned and capacity posted?

  • B14. Plant Hazards : Do fire suppression system sprinklers have at least 18" of clearance?

  • B15. Plant Hazards : Are workers situated such that they avoid injury relatively to machinery and process?

  • B16. Plant Hazards : Are the floors, aisles/walkways and steps/stairs free of tripping hazards?

  • B17. Plant Hazards : Are combustible materials not being stored under steps/stairs?

  • B18. Plant Hazards : Is the facility free of live electrical hazards?

  • B19. Plant Hazards : Are all electrical cords, plugs and covers free from damage and in good working order?

  • B20. Plant Hazards : Are machine guards in place?

  • B21. Plant Hazards : Are confined space areas identified and posted?

  • C1. Fire Extinguishers : Are fire extinguishers readily accessible, unblocked (36" square clearance) and in sight?

  • C2. Fire Extinguishers : Are fire extinguishers securely mounted or in an unlocked cabinet?

  • C3. Fire Extinguishers : Is there signage and other identifiers in red indicating the location of the extinguishers?

  • C4. Fire Extinguishers : Are operating instructions clearly legible and located on the front of the extinguishers?

  • C5. Fire Extinguishers : Are pressure gauges reading in operable range?

  • C6. Fire Extinguishers : Are the pins and tamper seals intact?

  • C7. Fire Extinguishers : Are the extinguishers in good condition - no corrosion, pitting or cylinder damage?

  • C8. Fire Extinguishers : Have the annual maintenance checks been performed and recorded?

  • C9. Fire Extinguishers : Have the extinguishers been inspected within the last 30 day?

  • D1. Weld Areas : Are only authorized and trained employees permitted to use welding, cutting or brazing equipment?

  • D2. Weld Areas : Appropriate (and dry) PPE worn: eye, ear, and body?

  • D3. Weld Areas : Are the work return leads connected to the work piece?

  • D4. Weld Areas : Are cables together, without worn/damaged insulation, protected and connected properly?

  • D5. Weld Areas : Area welders using local exhaust system?

  • D6. Weld Areas : Are gas cylinders secure, inspected and connected properly?

  • D7. Weld Areas : Is work stable and within reach?

  • D8. Weld Areas : Is the area clean, traffic areas clear, no clutter, no standing water, no flammable or combustible material in the area?

  • D9. Weld Areas : Are protective screens in place to protect others?

  • E1. Hazardous Chemicals : Are adequate engineering and protective steps taken to protect employees from chemical exposure hazards? (handling of chemicals during production, or exposure from spills/leaks)

  • E2. Hazardous Chemicals : Is proper PPE being worn by employees involved in the handling of hazardous chemicals?

  • E3. Hazardous Chemicals : Are decontamination procedures being utilized by employees involved in the use of chemicals prior to removing PPE?

  • E4. Hazardous Chemicals : Are workers nearby aware of the content of chemical systems and are operating procedures readily available?

  • E5. Hazardous Chemicals : Is there a safety data sheet readily available for each hazardous substance used or accessed to Fortis via a computer in the area of use?

  • E6. Hazardous Chemicals : Are all containers labeled, tagged or marked as to their contents? (e.g. vats, storage tanks, drums, bottles)

  • E7. Hazardous Chemicals : If hazardous waste is stored, are all hazardous waste requirements complied with?

  • E8. Hazardous Chemicals : Are provisions made for secondary containment of chemicals should a container become punctured and/or damaged?

  • E9. Hazardous Chemicals : Are provisions made to dam, dike, divert a chemical spill/leak from storm sewers?

  • E10. Hazardous Chemicals : Are spill kits stocked, identified and readily available for use should a spill occur?

  • E11. Hazardous Chemicals : Are chemicals stored in an orderly fashion and protected from damage to forklift and other motorized vehicle activity?

  • F1. Compressed Gas Cylinders : Are cylinders stored upright, secured and in a dry, cool area?

  • F2. Compressed Gas Cylinders : Are cylinders stored away from electrical connections, flames, sources of ignition and flammable/combustible substances?

  • F3. Compressed Gas Cylinders : Are acetylene and propane gas cylinders separated from oxygen by at least 20 feet or by a fire resistant partition when in storage?

  • F4. Compressed Gas Cylinders : Are all compressed gas cylinder valve covers in place when the cylinders are not in use?

  • F5. Compressed Gas Cylinders : Are all compressed gas cylinders labels clear and legible?

  • F6. Compressed Gas Cylinders : Are all compressed gas cylinders free from visual defects?

  • F7. Compressed Gas Cylinders : Are compressed gas cylinders moved by a suitable hand truck?

Additional Details

  • General Comments/Recommendations


  • Completed by:

  • 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.