Information

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Previous Audits

  • Have all action items from the previous audit been completed?

Housekeeping

  • Is the area clean & tidy?

  • Are the rooms & passageways free of clutter?

  • Is access to the exit doors clear?

  • Have risks associated with sharp or protruding or low overhead structures been eliminated or minimized?

  • Are hand rails accessible and in good condition?

  • Are bins overfilled & do they have appropriate lids for their purpose? (i.e. Vermin proof for bins that contain food scraps)

  • Are linen skips kept half filled to eliminate / minimise risks of manual handling?

Floor Surface

  • Are surfaces free from cracks, unevenness?

  • Are spills cleaned up straight away so they do not cause a falls hazard? (Ask a random sample of staff & do a visual inspection)

  • Are the floor coverings free from wear & tears?

  • Is the floor surface clean and free from rubbish?

  • Have items / equipment that should not be there been removed?

Building / Work Area

  • Is the work area clean & tidy, equipment & paperwork put away?

  • Are the windows clean & in good working order?

  • Are the doors in good working order? (check latch that keeps doors open)

  • Are bathrooms clean & in good working order?

Environment

  • Is the temperature of the environment comfortable?

  • Is the lighting for the area adequate? (Not dime or flickering). Are light fittings clean & working?

  • Is the work area well lit? Is night lighting adequate? Are security lights working?

  • Are noise levels acceptable?

  • Is the area free of unpleasant odours?

  • Is ventilation adequate?

  • Air vents, filters, extraction fans clean?

Ergonomics / Manual Handling

  • Have unnecessary manual handling tasks been eliminated?

  • Has staff been trained in manual handling / No Lift and any mechanical aids? (Ask a random sample of staff)

  • Where staff are required to work at computerised work stations for 2 hours or more at any one time, have workstations been ergonomicaly assessed and adjusted to suit the individual?

  • Is furniture in good order, desk drawers closed?

  • Are office chairs adjustable, have a five point base?

Equipment

  • Is all equipment in good working order and if unsafe, taken out of service?

  • Is equipment that is not in use, stored appropriately?

  • Is the equipment used suitable for purpose? Ask a sample of staff

Electrical

  • Have electrical items been checked & have a current tag?

  • Are cords safe, not frayed or broken?

  • Have cords been arranged so they don't pose a trip hazard?

  • Are power points being used appropriately? (i.e. No double adapters)

Gas Cylinders

  • Are gas cylinders secured?

  • Are gas cylinders stored outside, with the minimum outside?

  • Are cylinders in use secured on a trolley?

Emergency Response

  • Are paths of egress free from obstruction?

  • Are fire / smoke doors free of obstruction and clearly marked?

  • Are fire extinguishers, hose reels & fire blankets sign posted?

  • Are fire blankets and extinguishers accessible?

  • Do fire extinguishers have a tag demonstrating testing within the last six months? Is it clear from obstruction?

  • Are staff familiar with their response upon hearing the fire alarm? (Ask a random sample)

  • Is there a telephone threat checklist (purple laminated A4 sheet) near each phone?

Chemical Safety / PPE

  • Are chemical containers in good condition?

  • Are chemical containers appropriately labeled?

  • Are labels clear and intact?

  • Are chemicals stored appropriately (locked)?

  • Do all chemicals in use have a current MSDS available?

Storage

  • Are all storage areas neat and tidy?

  • Are items stored / stacked safely?

  • Is there a risk of items falling from height?

  • Are areas under desks / tables free from clutter? (i.e. Boxes stored / clutter preventing ergonomic seating)

Signage

  • Are safety signs in place (floor washing)?

  • Is there a current Worksafe "if you are injured" poster displayed?

  • Are exit / entrance signs visible and intact?

  • Is there an emergency exit map displayed showing paths of egress and assembly points?

Security

  • Are doors chocked open?

  • Are staff wearing ID badges?

  • Are staff and patient valuables / belongings kept secure?

  • Is drug security maintained?

  • Is patient / resident information kept secure?

  • Are duress alarms tested, including under desk and wifi activated duress alarms? (Ask to see testing records)

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.