Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Dept Safety meeting with quiz completed for month.<br>

  • New Injury or Damage Incidents to report (called in w/in 24 hours).<br><br>

  • New Injury or Damag Incident Investigation Reports (turned in w/in 2 days)<br><br>

  • Emergency Preparedness Plan and Employee Call Roster (understood & current)<br><br>

  • Hazmat Emergency Response Handbook (on-hand & current).<br><br>

  • MSDS Binder location and purpose (understood by staff).<br><br>

  • MSDS (Material Safety Data Sheets) Binder (updated as necessary)<br><br>

  • Fire extinguishers unobstructed and tag current (checked monthly).<br><br>

  • Fire Exits (not blocked).<br><br>

Office Furniture, Equipment & Supplies

  • desk & file drawers<br>

  • upper drawers on file cabinets<br>

  • defective chairs, desks & other equipment<br>

  • paper cutter spring<br>

  • binders, file folders, paper materials<br>

  • step ladders<br>

Office Stairways, Aisles & Floors

  • clear of obstructions (wastebaskets, boxes) and debris

  • all aisle clearances adequate for 2-way traffic<br>

  • stairways have effective handrails<br>

  • trip hazards from electrical and phone wires along the floor<br>

  • carpets, floor mats not torn, badly worn or curled<br>

Office Equipment

  • lighting<br>

  • extension cords used on a permanent basis<br>

  • frayed electrical cords, loose outlet plates<br>

  • office machines, coffee pot, refrigerator<br>

  • temporary extension cords not placed thru doorways / under rugs<br>

Office Employee Weekly Reminders

  • Do not move furniture or heavy objects alone--ask for help<br>

  • Watch where they are going around corners & doorways<br>

  • No running or horseplay<br>

  • Observed Unsafe Conditions / Actions (Hazard / Near-Miss Reports)<br>

  • Restrooms<br>

  • Other observations (note)

  • Photo(s)

  • Name & Signature of Inspector

  • Date & Time of Inspection

  • Safety Manager's Notes

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.