• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add location


  • Proper layout, spacing and arrangement of furniture, equipment, etc.

  • Passageways, aisles clearly defined and free obstruction, slip / trip hazards

  • Drains kept clean and free of all debris

Fire Prevention, Protection & Means of Escape

  • Emergency procedures in place and evacuation plans are posted

  • Fire extinguishers are within specified service period

  • Fire extinguishers and hose reels are accessible

  • Fire alarm system is tested in accordance with the PM schedule

  • Emergency exit-way, marked, lighted and free of obstruction

  • Fire doors free from obstruction, easily opened and closed


  • HV certification is current

  • Electrical panels kept closed and properly labelled

  • Electrical panels are easily accessible and the front of each panel is free from obstruction

Floors and Stairs

  • No slipping, tripping, fall hazards

  • Floors, stairs adequately lit

  • Adequate emergency lighting installed and operational

  • Hand rails adequate and secured with "please use handrails" signs posted

  • All openings, balconies, and overhead areas supplied with proper guard rails

Chemical Safety

  • MSDS available for each chemical

  • Chemical storage areas are clean, and well ventillated

  • Containers are secured properly and there are no signs of spillage

  • PPE as stipulated on the MSDS is being used by site personnel

Personal Protective Equipment

  • PPE is available for site personnel

  • PPE is in good working condition

  • Staff understand how to use the personal protective devices

Site Rules

  • Are site rules adhered to

  • Are safety meetings held periodically


  • Are first aid arrangements adequate

  • Are the sanitary facilities kept clean

  • Is the elevator serviced in accordance with the statutory requirement

  • Is there effective and suitable ventillation

  • Select date

  • Add signature

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.