Information

  • Audit title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Safety

  • 2.1 - Is the fire panel operational and free from trouble

  • 2.2 - Is the alarm panel inspected annually?

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers inspected monthly

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguishers inspected annually?

  • 2.7 - Is there a City Fire Department procedures box installed

3.0 - Emergency Response

  • 3.1 - Is there a First Aid kit installed in the room?

  • 3.2 - Is blank First Aid reports readily available

  • 3.3 - Is there an eyewash station in the room?

  • 3.4 - is there a regular maintenance program for the First Aid kit and Eyewash?

  • 3.5 Is the Emergency Contact information posted.

4.0 - Fire Pumps( only where applicable)

  • 4.1 - Is there a Fire pump at this location?<br> If Yes complete section<br> If No mark section N/A

  • 4.2 - Is the pump and associated equipment maintained regularly?

  • 4.3 - Is there a regular scheduled Run Test completed?

  • 4.4 - Is the Run Test completed and results logged?

  • 4.5 - Is an annual load test completed and logged?

  • 4.6 - Is the diesel tank inspected annually?

  • 4.7 - Is the diesel tank certificate current?

  • 4.8 - Is the company Above Ground Storage Tank inspection completed and posted?

  • 4.9 - Is the correct WHMIS/GHS signage indicating the presents of Diesel in place?

  • 4.10 - Is there a spill kit in the room?

  • 4.11 - Is there an inventory list for the spill kit contents in the spill kit?

  • 4.12 Is the contents of the spill kit inspected monthly and logged?

  • 4.13 Are the building operators trained in the use of the spill kit for basic spill management?

  • 4.14 Is there signage to indicate "HEARING PROTECTION REQUIRED WHEN EQUIPMENT IS RUNNING " posted on the outside of the door?

5.0 -Lighting

  • 5.1 - Is the room adequately lite?

  • 5.2 - Is there emergency lighting in the room?

  • 5.3 - Is the system maintained regularly?

  • 5.4 - Is the annual inspection certificate current?

  • 5.5 - Is there an illuminated Exit sign in the room?

  • 5.6- Is the exit sign working properly?

6.0 - OH&S Required Information ( located in the main office for mobile operators)

  • 6.1 - Is the current Company OHS policy posted

  • 6.2 - Is there a copy of the current OHS Act,Regulations and Codes readily available?

  • 6.3 - Is there a copy of the Company OHS Procedures manual readily available?

  • 6.4- Is there a Safety Board in the office with current information posted?

  • 6.5- Is the current JHSC minutes posted on the board?

  • 6.6- I the required WCB/WSIB incident reporting poster posted on the board?

  • 6.7- Are the regularly safety tool box meeting minutes posted on the board?

7.0 - Electrical Safety

  • 7.1- Are all electrical panels covered and secured correctly?

  • 7.2- Is the current company Lockout/Tagout Procedure posted in the room?

  • 7.3 - Is there a lockout station mounted in the room?

  • 7.4 - Is the Lockout Station fully stocked with locks and tags?

  • 7.5 - Do the lock have only one key in the lock?

  • 7.6 - Are there blank Lockout tags available?

8.0 - Roof Access

  • 8.1- Is there proper company signage to indicate the roof access process?

  • 8.2 -Is the current company roof access procedure posted in the room?

  • 8.3 - Is there blank copies of the company roof access waivers readily available?

  • 8.4 - Are all roof access doors locked and secure to prevent unauthorized access?

9.0 General Safety

  • 9.1- Is the building operator wearing the company basic PPE required? ( answer N/A if operator is not present during the inspection)

  • 9.2 - Is the PPE in good condition?( answer N/A if operator is not present during the inspection)

  • 9.3 - Are there ladder at this location?<br> If Yes answer the next three questions <br> If No then answer N/A

  • 9.4- Are the ladders the company standard fiberglass ladders?

  • 9.5 - Are the ladders in good condition and maintained?

  • 9.6 - Are the ladders secured to the wall to prevent them from falling?

  • 9.7 - Is the access and egress to the building safe?

  • 9.8 - Are the grounds surrounding the building maintained and safe?

  • 9.9 - Is the room clean and clear of garbage and clutter?

  • 9.10 - Are the sidewalks around the building in safe condition to prevent slipping and / or tripping hazards? (this would include and not limited to cracked and uneven surfaces)

Additional Comments

  • 10- Additional Observations and concerns noted during the inspection

  • Notes

Sign Off

  • Inspector Conducting Audit

  • Property Manager- Please print and send a signed copy of this inspection form after all deficiencies have been corrected.

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