Title Page

  • Audit Title

  • Date/Time of Audit

  • Performed By:

  • Site Location

Safety Awareness and Performance

  • Is there a written site EH&S Policy posted in a highly visible area?

  • Do employees know who to contact in safety emergencies and/or to report safety concerns?

  • Are safety goals and objectives understood by all employees?

  • Is there a convenient way to report any safety incidents? (Near misses & accidents)

  • Is there a log of incidents, including near misses, first aids, and injuries or illnesses that is kept up to date daily?

  • Are there 10 near misses or greater for each accident?

  • Is there an effective program in place safety suggestions?

Manufacturing & Laboratories


  • Are all employees wearing required Personal Protective Equipment (PPE)?

  • Are wet or slippery surfaces covers with non-slip material?

  • Are all walkways clearly marked?

  • Are confined space procedures in place?

Hazardous Substances

  • Are emergency eyewash stations and safety showers regularly inspected and easily accessible?

  • Are hazardous substances handled in properly designed and exhausted locations?

  • Are hazardous substances handled in properly designed and exhausted locations?

  • Are relevant SDs available at point of use?


  • Is the power shut off switch within reach of the operators position at each machine?

  • Are all electrical cabinets free of instructions with marked floor borders?

  • Is area free of electrocution risks?


  • Is there an effective Lockout/Tagout program?

  • Are cleaning and maintenance in equipment conducted regularly?

  • Are all emergency stop buttons highly visible and easily accessible?

  • Are all pieces of equipment adequately guarded?


  • Do all forklifts and pallet jacks have adequate safety features?

  • Are there safety measures to prevent falling objects?

  • Are warehouse docking procedures effective for personnel safety?

Workplace Ergonomics

  • Are employees using proper lifting techniques?

  • Are ergonomic assessments offers to employees?

  • Do work areas have proper lighting?

  • Are repetitive motion studies performed where needed?

  • Are measures taken to avoid temperature stressors?

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.