Housekeeping Audit

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Are work areas properly illuminated

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are all chairs or other furniture in good condition

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are all paths free of debris

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is the floor clear of slip/trip/fall hazards

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are designated walkways clear of debris and painted

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are stairwell treads in good condition

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are stairwell handrails in good condition

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are stairwells clear of any storage or objects

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are step risers on stairs uniform from top to bottom

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are stairways adequately illuminated

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are storage shelving in good condition

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are load ratings listed and visible on shelving

  Yes

  No

  N/A

• Are heavier items stored at waist level or below

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are basic PPE requirements being met

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is PPE stored and easily accessible to the team

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are signs free from obstruction and legible

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are ladders maintained and in good condition

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are ladder rungs and steps free of grease and oil

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are ladders equipped with non slip safety feet

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are slings/chains stored in designated areas

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are air hoses stored properly and in safe working order

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are all tools put away and in their assigned location

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is plant trash taken out regularly

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is trash being separated in bins; oily rags, scrap metal, wood, etc

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are restrooms kept clean and sanitary

  Select Yes No N/A

  • Yes
  • No
  • N/A

Fire and Emergency

• Exits properly designated and marked

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Exits free from any obstructions

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Exits/Emergency lights working and easily visible

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Fire extinguishers stored in designated area (holster, red painted column)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Fire extinguishers punched for monthly inspection

  Select Yes No N/A

  • Yes
  • No
  • N/A

Machine Guarding

• Machine guards present to prevent body parts from contacting moving parts

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Guards from and secure and not easily removable

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Belts and chain drives guarded

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Gears, sprockets, pulleys and flywheels guarded

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are grinders, saws and similar equipment using appropriate safety guards

  Select Yes No N/A

  • Yes
  • No
  • N/A

Electrical

• Equipment labeled correctly and legible

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Equipment grounded properly

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Electrical equipment free of corrosion

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are faceplates on switches, boxes, receptacles present and completely cover switch/receptacle wiring

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Electrical boxes accessible and free from clutter

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Extension cords/equipment cords ran to prevent damage to cord insulation

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Extension cards/equipment cords placed in a manner to minimize trip hazard

  Select Yes No N/A

  • Yes
  • No
  • N/A

Chemicals

• All chemicals/materials labeled and in appropriate containers

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Secondary containment used when necessary

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Areas that require hot work or have flames are free from flammable materials

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Safety eyewash stations are clean and working

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are flammable cabinets grounded

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are flammable cabinets free from flammable materials like cardboard

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are chemical piping systems marked as to their content

  Select Yes No N/A

  • Yes
  • No
  • N/A