Title Page

  • Conducted on

  • Client

  • Location

  • Department

  • Inspectors Name


    1. Please answer the questions below.
    2. Add Photos in ""Images"" and Comments in ""Notes"" on each question.
    3. Add a Corrective Measure in ""Action."" Provide a description, assign to a member, set priority, and due date
    4. Complete the audit by providing a digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • Date and Time

Asset Information

  • Site Contact

  • Asset Number

  • Asset Description

  • WLL of Asset


  • Are Warning Stickers Fitted & Clearly Visible

  • Are the ID Plates Fitted & Clearly Visible

  • Are there any cracks and defects

  • Are the wheels and feet in good condition

  • Are all bolts tight

  • Is the slope of the stiles between 60 and 70 degrees

  • Are the treads depth greater than 100mm

  • Is there anti slip fitted to the steps

  • Are the treads evenly spaced

  • Are the tread spacings between 200mm and 250mm

  • Does the platform have handrails on both sides

  • Is the handrail diameter less than 30mm

  • Is there a minimum hand clearance of at least 60mm around the handrails

  • Is the top handrail greater than 900mm and less than 1100mm

  • Does the platform have an intermediate handrail no greater than 450mm between the top handrail and the platform

  • Does the platform working deck have a suitable anti slip surface

  • Is the platform over 2000mm and over in height, if it is, is there a toe board installed on 3 sides

  • Is the height of the toe board great than 100mm high

  • Is the platform fitted with a chain or a restraint to stop a person from falling down the platform

  • Is the gate in good working order


  • General Comments on Defects

  • General Repairs Completed Onsite

  • Does the asset meet safety requirements?

  • Does the asset require repairs offsite?

  • Auditor Sign Off

  • Please add Photos

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.