Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Emergency exits

  • Emergency exit door clear of obstructions

Floor Surface

  • Good housekeeping

  • No trailing cables on floor

Toilets and Washroom

  • Male, Female and Handicapped toilet signage visible

  • Disposable bins available in toilet

  • No Water leakage inside toilets

  • Handicap toilet safety rod and emergency bell available

  • Toilet smelling good

Personal Protective Equipment (PPE)

  • Foot protection

  • Hands protection

  • Head protection

  • Eye protection

  • Hearing protection

  • Respiratory protection

  • Safety harness / Safety belt

Ladders

  • Secured

  • Proper size and type

  • Safe / usable condition

  • Non slip bases

  • Proper handrails and landing

Power tools & Electrical Equipments

  • General condition

  • Proper guards, cords & PPE

  • Equipments and Machines PAT Tested

  • Tagging or labelled as defective

  • No damage plugs, cables or worn out insulation

  • No internal colored wires visible at the plug head

  • Other

Gas Cylinders

  • Properly located and secured

  • Properly moved and lifted

  • Properly stored

First Aid Kit

  • First aid kit available

  • First aider available

  • Adequate contents inside first aid kit

Material & Chemical Storage room

  • Properly located

  • Safely piled, stacked , bundled or organized

  • Properly moved or lifted

  • Store room locked or authorized access only

  • Heavy items stored below

  • Chemicals store COSHH & MSDS file available

  • Properly labelled

Signs

  • Assembly points identified

  • Site HSE board

  • Emergency phone list

  • Warning signs at site

Workers education & uniform

  • HSE Induction training

  • How to report hazards and injuries (interview)

  • Personal health and safety responsibilities (interview)

  • Employees wearing appropriate uniform

  • Employees grooming up to EY standards

  • Employees smelling good

Hygiene and welfare facilities

  • Washroom facilities Available for staff

  • Cleanliness of facilities

  • Drinking water available for staff

Fire protection

  • Fire extinguishers present where required

  • Fully charged serviced and inspected

  • Fire alarm panel without faults

Signatures

  • HSEQ Officer

  • Site Incharge

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.