Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Office

  • All walking ways clear - free from trip hazards

  • All lights are functional -area well lit

  • 2 fire extinguishers are properly mounted

  • Exit signs are over each doorway and working

  • Front and rear doorways clear - snow and ice

Washroom 1

  • Doorway are accessible

  • No water leaks

  • All lights are working and room is well lit

  • Hot and cold water on both sinks

  • Toilets flush

  • Locker room floor area clear

Washroom 2

  • Doorway are accessible

  • All lights are working and room is well lit

  • Locker room floor area clear

  • Toilet paper and paper towels available

  • No water leaks

  • Toilets flush

Shop tipping floor

  • All 7 man doors clear from obstructions and are accessible

  • All outside and inside walkways are clear and unobstructed ..ice and snow

  • All exit signs are lit up and clearly visible over doorways

  • All power failure back up lighting are functional

  • All lighting is functional and adequate for working conditions

  • All fire extinguishers are easily accessible and unobstructed

  • All material bin opening are blocked off with gates or chain

  • East and west conveyor systems are blocked off with gate or chain

  • All walkway access to conveyor systems are blocked off

  • Water draining sump pump in bay 5-6 cleared and working

Maintenance shop

  • Man door is clear from obstructions

  • All lighting is functional and adequate for woking conditions

  • Floor area is clear and free from trip hazards

  • All electrical outlets are covered and working condition

  • All power tools are in safe woking condition..(cords, guards)

  • Bench grinder tool rest is less than 1/8 gap from wheel

  • Bench grinder had both spark shields in place

  • Chop saw is in good working condition

  • Fire extinguisher is cleared from obstructions for easy access

Picking / sorting room

  • All 4 stairways are clear and structurally strong

  • All doors are functional and secure

  • All lights are functional and adequate for working conditions

  • Main floor walkways are clear

  • All exit signs are in working condition and lit up

  • All power outage lighting is in good working condition

  • All 7 fire extinguishers are easily accessible and mounted correctly

  • Mezzanine walkways are clear and free from trip hazards

  • All railing guards and kick plates are strong and secure

Electrical room

  • Main door closes tight and secure

  • All electrical panels have clear access and are unobstructed

  • No dust build up on or in electrical panels

  • Fire extinguisher mounted outside of door

  • All exit signs are lit up and in working condition

Loading dock area

  • Man door in good working condition

  • Bay door is clear and in working condition

  • Driving surfaces are clear of debris..ice and snow

Scale house

  • Door access is unblocked -free from ice and snow

  • Lighting is functional and adequate for working conditions

  • Room temperature is 18 deg C or higher

  • Power outage lighting in working conditions

  • Fire extinguisher is easily accessible and mounted

  • Main walkways are clear and unobstructed

Driveway and parking lot

  • Clear from snow and ice

  • Note driving and walking surface- pot holes and cracks

Other hazards and risks not noted

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.