Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Location Being Inspected

  • Office

  • Zone (If Applicable)

  • 1.1 - Has the last Monthly Workplace EHS Compliance Checklist been reviewed?

  • 1.2 - Are there NO outstanding Actions?

2.0 - Fire Prevention

  • 2.1 - Extinguishers in place tested and clearly marked for type of fire?

  • 2.2 - Extinguishers clear of obstructions?

  • 2.3 - Exit doors easily opened from inside? (Open at least two fire doors during walk round.)

  • 2.4 - Exits clear of obstructions?

  • 2.5 - Monthly Fire Alarm test completed and records available?

  • 2.6 - Emergency Lighting tested and records available?

3.0 - Waste Management

  • 3.1 - Are all waste transfer and consignment notes retained and filed correctly in the GSH Log Book?

4.0 - Electrical Safety

  • 4.1 - Are walkways free of power leads or trailing cables?

  • 4.2 - Have all other electrical hazards been identified?

5.0 - Chemical Safety

  • 5.1 - Material Safety Data Sheets (MSDS) available for all chemicals on site and records available?

  • 5.2 - All containers labelled correctly?

  • 5.3 - Risk assessments and Training for use of chemicals completed, in use and records available?

  • 5.4 - Adequate Personal Protective Equipment (PPE) available and being used when using chemicals? (E.g. Goggles, gloves and protective aprons.)

6.0 - First Aid Facilities

  • 6.1 - Are First Aid rooms clean and orderly?

  • 6.2 - First aid kits clearly labelled?

  • 6.3 - Is there easy access to First Aid kits in an emergency?

  • 6.4 - Are First Aiders accessible and are their emergency contact details posted around site?

7.0 - Visitor / Contractor (Vendor) Management

  • 7.1 - Are all visitors and contractors signing into the GSH Log Book on site? (Reconcile records with visitors and contractors present on site.)

  • 7.2 - Is there site safety and guidance available for visitors and contractors?

  • 7.3 - Are site visitor and contractor records being kept?

8.0 - Accident Reporting

  • 8.1 - Have all accidents and incidents (Near Miss) been recorded?

  • 8.2 - Have Near Misses been investigated if there was a serious risk of an accident?

  • 8.3 - Have all over 3 day accidents been reported to the appointed accident insurance fund, as required? (This should be carried out in conjunction with the EHS Manager.)

  • 8.4 - Have all accident details been collated and sent to the EHS Manager on a monthly basis?

9.0 - Environmental Health and Safety Documentation

  • 9.1 - Is a GSH Log Book system in use on site?

  • 9.2 - Are all reports and documentation filed correctly and cross referenced to other locations and files as appropriate?

  • 9.3 - Is all supporting documentation available such as:<br> Site asset list <br>Planned Maintenance schedule <br>Contract schedule <br>GSH and Client Contact details?

  • 9.4 - Are GSH risk assessments being completed for activities? (Verify 5 at random.)

  • 9.5 - Asbestos Register available for site?

  • 9.6 - Tap temperatures taken and records available?

10.0 - Other EHS issues (Include reports, other documents, photos or drawings)

  • Add media

  • Add drawing

Sign Off

  • Site Manager

  • FM Coordinator

  • Select date

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.