Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
OFFICE/BUILDING
Health & Safety Documentation
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Does the company have a written health & safety policy statement?
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Is the health & safety policy statement signed and dated?
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Is the health & safety policy statement prominently displayed in the workplace?
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How are visitors to the building controlled?
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Other Observations?
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Actions required to rectify
Electrical Safety
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Are there any broken plugs or outlets?
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Are there any frayed or damaged leads?
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Are all fixed wiring installations inspected on a regular basis by a qualified and competent person?
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Is there evidence of up to date PAT on electrical items?
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Are there any extension leads across the floor?
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Are there signs of overloading of power boards, power points?
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Other Observations?
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Actions required to rectify
Fire Control
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Actions required to rectify
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Are fire extinguishers in place & signed?
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Are fire extinguishers within service dates?
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Are all fire/emergency exit signs in place?
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Are exits clear of obstructions?
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Other Observations?
Walkways
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Actions required to rectify
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Are floor areas clean, dry and free from slip/trip hazards?
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Are walkways kept clear?
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Are there work areas where fall protection is required?
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Other Observations?
First Aid/Accident Reporting & Investigations
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Is there a list of first aider's and emergency contact numbers displayed?
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Is there a first aid kit/cabinet available and accessible?
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Are employees aware of location of first aid kit?
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Is the first aid kit adequately stocked?
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Are first aid records kept?
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Are detailed accident investigation records kept?
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Other Observations?
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Actions Required to rectify
General Housekeeping
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Are work areas clear of rubbish?
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Are items not in use stored appropriately?
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Have bins been emptied ?
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Is there evidence of general clutter?
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Other Observations?
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Actions required to rectify
Office Safety
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Is lighting adequate for work tasks?
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Are light fittings clean and in good condition?
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Are diffuser covers in place and securely fixed where required?
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Is furniture appropriate and sound?
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Is air conditioning maintained?
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Is the office clean and tidy?
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Are fling cabinets drawers kept closed when not in use?
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Other Obsevations?
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Actions required to rectify
Storage
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Are materials stored so they will not fall?
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Are materials stored so that good manual handling practices can be applied, therefore safe retrieval?
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Are storage racks/cupboards in sound condition, not overloaded?
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Are racks free from projection, sharp edges?
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Are incompatible hazard substances segregated?
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Other Observations?
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Actions required to rectify
Welfare Matters
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Are toilets clean?
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Are kitchen facilities/lunchrooms clean?
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Is drinking water available?
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Are there washing facilities?
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Actions required to rectify
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Other Observations?
YARD
Chemicals (Hazardous/Dangerous Substances)
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Is there access to MSDS for all chemical products used?
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Are diesel supplies kept separate and secure?
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Are other flammable substances stored separately and securely in anti flammable containers
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Are chemical containers clearly labelled?
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If required is PPE available?
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Other Observations?
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Actions required to rectify
Rubbish/Waste
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Is site bin located at suitable point and emptied regularly?
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Is spoil, waste and excess material stored in suitable area away from operations
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Other Observations?
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Actions required to rectify
General
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Is yard is generally tidy and free from clutter?
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Is housekeeping in sheds adequate?
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Are sumps and drains easily accessible for cleaning and servicing?
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Are openings to drains and sumps covered?
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Are speed limits within the yard clearly displayed?
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Is suitable signage displayed warning of moving vehicles?
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Other observations?
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Actions to rectify
Opportunity for Improvement
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Corrective Actions
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Signature of client
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Signature of auditor