• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Appropriate amounts of packaging materials (bags, pallets, etc.) are stored in the department and are stored properly.

  • Area is free of unnecessary, unused/obsolete equipment, furniture, or spare parts.

  • No unnecessary tools (e.g. brooms, shovels, hoses or ladders) in the area.

  • Appropriate storage locations for tools are present and are tools stored appropriately.

Set In Order

  • Covers on process equipment and doors/windows closed or othewise in order.

  • Signs and notices in good condition and clearly and neatly posted.

  • Interior storage (drawers, cabinets etc.) are orderly.


  • Floors, stairs, and walkways are clean and clear of obstructions and in good condition.

  • Lockers, furniture, benches, equipment and work surfaces kept clean and in good condition.

  • Lights, bug lights, ventilation vents, ceilings, beams and conduits are kept clean and in good conditions.

  • Railings, posts and other non-floor surfaces are clean.

  • Area is free of cobwebs or any other indication of pest activity.

  • There has been an improvement in the area since last audit.


  • Equipment, tanks, lines, packaged goods and storage areas are appropriately and clearly labeled.

  • Employees can articulate the process of checking their CCPS and most recent CCP check is timely and properly documented.

  • Required paperwork (i.e. BMRs) indicates it is being filled out in a timely and accurate manner.

  • Employees know where to look for Safety Data Sheets if necessary.

  • Employees can articulate understanding of plant incident reporting procedure, stop work policy and food safety/GMP/Quality Policy.


  • Employees can articulate the meaning of TAKE 2 and can provide examples of when they did so.

  • Employees can find MOC's written for their area.

  • Employees know where to find appropriate operating procedures and procedures are up to date.

  • Previously identified actions have been completed.


  • Forklift inspections are up to date.

  • Safety showers and eyewash stations are clean and free of obstructions.

  • Emergency lights that can be reached are working.

  • Machine guards are in place, appear to be suitable and are in good repair.

  • Extension cords are used/stored properly.

  • Fire extinguishers present show evidence of timely inspection and are free from obstuction. Other fire hazards such as excess combustables or blocked egress are not present.

  • Behaviors/work practices observed are safe/in compliance with PPE requirements, plant procedures and no changes were observed upon entering.

  • Permits checked in the field are correctly filled out and posted in the proper location.

  • Ladders present in the area indicate a history of inspection and are being used properly.

  • Walking surfaces including platforms, permanent ladders and railings are in good condition.


    Additional Comments
  • 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.