• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Observed Unsafe Conditions / Actions (Safety Incident report, reported & corrected)<br><br>

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

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

  • New Injury or Vehicle Accident Investigation Reports (turned in w/in 2 days).<br>

  • New Injury or Vehicle Accident Followup Corrective Reports.<br>

  • Emergency Preparedness Plan and Employee Call Roster.<br>

  • Daily Forklift Pre-use Inspection Sheets (accounted for daily).<br><br>

  • Forklift Safe Operating Practices (observed & enforced).<br><br>

  • HAZMAT Shipping Paperwork & Product Labeling (monitored for accuracy).<br><br>

  • HAZMAT Response Team & Spill Containment Kit (available & maintained).<br><br>

  • MSDS (Material Safety Data Sheet) Binders (understood & maint'd)<br><br>

  • Extra Propane Tanks, Gas/Diesel Storage Containers (properly stored).<br><br>

  • PPE (Personal Protective Equipment) - gloves, goggles, etc (provided & maintained).<br><br>

  • Safety Cage & Body Harness (Fall Arrest Equipment, used & maintained)<br><br>

  • Trailer Jackstands (Placed under containers worked in, used & maintained)<br><br>

  • Loading Dock & Warehouse Floors (kept clean of debris).<br><br>

  • All Lighting for Loading Dock & Warehouse (inspected & maintained).<br><br>

  • Storage Racks & Bollards for Loading Dock & Warehouse (repaired as necessary).<br><br>

  • All Walk-paths & Stairs for Loading Dock & Warehouse (kept clear of obstructions).<br><br>

  • Potholes in Container Yard (repaired as necessary)<br><br>

  • Circuit Breaker Panels, Fire Exits & Fire Extinguishers (kept clear of obstructions).<br><br><br>


  • Used proper lifting and carrying techniques<br>

  • Used the 3-points of contact method to climb up or down<br>

  • Always avoided jumping off or on anything<br>

  • Always avoided kicking anything<br>

  • Always let falling objects fall<br>

  • Used available lifting and carrying aides<br>

  • Always cleaned loose debris prior to working over any floor<br>

  • Always watched his / her hand placement<br>

  • Always checked for obstacles prior to backing his / her vehicle<br>

  • Watched for & was prepared for loose freight to fall<br>

  • Wore goggles and gloves as required<br>

  • Abided by HOUSE RULES regarding safety<br>


  • Other observations noted

  • Photos

  • 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.