• Audit Title

  • Conducted on

  • Document No.

  • Client / Site

  • Location
  • Personnel

  • Prepared by

  • Overview Shop Pictures

  • Summary of general audit observations:

  • Performance rating. 10 being best (little or no risk) and 1 being worst (high risk for injury or fines)

Explanation of audit scoring

  • All of the following audit questions will be answered in one of three ways:

    "Yes" (Green color) - 2 points
    (The jobsite performance met or exceeded expectations for this specific audit question.)
    "Improve" (Yellow color) - 1 point
    (The performance generally met expectations, but some specific improvements are needed.)
    "No" (Red color) - 0 points
    (The performance failed to meet expectations, or a serious violation was identified.)

    If an audit question does not apply to the jobsite's activities, the auditor will select N/A for "not applicable", and no score will be added or subtracted from the audit. (The auditor will typically select to omit these questions from the final audit report.)

Previous inspection

  • Has the last inspection been reviewed, items corrected and results documented?

1. Premises and Housekeeping


  • Building and floors

  • Floors clean, not damaged and freed from dirt and other damages

  • Structure, furniture, and equipment in good and safe condition

  • Lighting: natural and artificial

  • Ventilation, adequate, extraction system efficient

  • Ablution facilities,e.g. Toilets, wash basins etc, hygiene,no food in an unauthorised areas

Waste Management

  • Non-Hazardous waste stored and disposed of in a responsible manner

  • Hazardous waste stored and disposed of in a responsible manner

Aisle and Stacking

  • Aisle and storage areas demarcated

  • Access to fire- lighting equipment and electrical switchgear demarcated and unobstructed

  • Stacking: stable, neat and safe

  • Windowsills and cupboards tops clear, heavy objects on the floor

  • Workstation neat and tidy, free from superfluous redundant equipment

  • Scrap and refuse bins provided, separated bins for septet materials where necessary

  • Removal of scraps and refuse controlled


  • Area of scrap and refuse buns demarcated

  • Color coding of pipelines and plant correct, color keyboard prominently displayed

2. Mechanical, Electrical and Personal Safeguarding


  • Standardised symbolic signs and notices in positions

  • Appropriate electrical warning signs clearly displayed e.g. No unauthorised entry

  • Notices and signs: electrical mechanical, protective equipment, traffic signs and symbolic safety signs

Hazardous Substances

  • Hazardous substances listed and handled/stored using correct procedures

  • Hazardous substances controlled by appointed and trained person

  • Hazardous substances listed alphabetically

  • Staff informed of hazards

  • Radioactive sources handled and maintained by trained personnel using correct procedures

  • Registers maintained

Driven Machinery

  • Operators are in position of a medical fitness certificate

  • Does machinery has an annual inspection sheet available?

  • Operators trained and competent, carry valid operator cards

  • Daily inspection done, signed and available?


  • Can work done without repetitive twisting, bending or lifting of arms above the shoulders level?

  • Can employees keep their hand and wrists in a neutral position when they are working?

  • If workers have to push or pull objects of using great amounts of force, are mechanical aids provided?

  • Is work arranged so that workers are not required to lift and carry too much weight(no more than 23 kg/employee?

  • Are there sufficient rest breaks (in addition to schedule rest breaks ) to relieve stress from repetitive motion tasks?

  • Are pressure points on body parts(such as wrists, forearms, backs of thighs) avoided?

  • Are workers protected from exposure to excessive vibration from tools or equipment?

  • Are chairs and work benches adjusted, position and arranged to minimise strains on the body?

  • Are tools, instruments and machinery shaped, positioned, and handled so that tasks can be performed comfortably?

  • Are mechanical assists available to the worker performing material handing tasks?

Personal Protection

  • Adequate equipment provided for eye and face protection and use correctly

  • Safety foot ware provided and where necessary and used

  • Adequate protective clothing provided, clean and in good condition

  • Risk assessment done

  • Head protection provided where necessary and used correctly

  • Suitable respirator equipment provided where necessary and used correctly

  • Registers for issue of all protection protective equipment maintained

  • Staff signed acceptance of rules

  • Approved hearing protection provided and worn as required

  • Noise zones identified

  • Appreciate hand protection provided where necessary and used

Electrical Safety

  • Earth leakage available

  • Earth leakage protection test carried out by a trained/competent person

  • General electrical installation ( I.e. Fixed installation, no plugs) safe in good condition

  • Registers maintained

Hand Tools

  • Hand tools are properly stored and I good condition

  • Registers maintained

  • Do all power tools visually appear to be in good working order( no obvious physical defect, missing ground prong, cracked cars, etc)?

  • Are the switches operating properly (move freely, don't get hung up, etc)?

  • Are employees storing hand tools properly, (not leaving them stern on work benches, resting on material, left on floor, etc)?

  • Have lockout/tag out procedure been used for defective tools or extension cords?

Machine Guarding

  • Are machine guards firmly secured and not easily removable?

  • Are all point-of-operations guards provided, in place and properly adjusted?

  • Are belts and chains drives guarded?

  • Are all gears, speakers, pulleys and flywheels properly guarded?

  • Have pinch points and inward running rollers properly guarded

  • Do the guards prevent workers hand or other body parts from making contact with other moving parts of the machine?

3. Management of Fire and Other Emergency Risk

Fire Risk Management

  • Fire extinguishing equipment adequate and correctly located

  • Register maintained

  • Location of fire extinguishing equipment clearly marked, equipment unobstructed(0.5 x 1m)

  • Fire extinguishing equipment identified labeled, inspected annually and maintained

  • Date of next service

  • Flammable material stored correctly as authorised and approved by fire department

  • Smoke detectors/other early warning systems in place.

  • At least stuff member per 20 employees trained in use of fire extinguisher and evacuation procedures.

  • Fire drill done at least annually

Emergency Management

  • Staff aware of alarm signals

  • Written emergency action plan available, communicated, understood and acknowledged by staff.

  • Signed registers

  • 1 trained first aider per 20 employees in possession of valid competent certificate and appointed

  • Name of first aider displayed

  • First aid box and equipment adequate and in good condition, located clearly marked

Security Management

  • Is there control of persons and vehicles on entry and exits of the facility?

  • Daily operations recorded in site OB

Emergency Planning

  • Emergency plan available

  • Site plan available

  • MSDS and Chemicals spill plan/procedures available

4. Incident Recording and Investigation

Incident Recording

  • Reporting incidents include events where any person: dies, becomes unconscious, suffers the loss of limb or part thereof or is otherwise becomes injured or becomes I'll to such a degree that he/she is likely to either to die, or suffer a permanent physical defect or likely to be unable for a period of at least 14 days either to work or to continue with activity for which he/she was employed or is usually employed

  • Records Available

Statistics and Follow up

  • Injury statistics kept for each months

  • Annual statistics available

5. Organizational Management

Compliance Management

  • Occupational Health, Safety and environmental management policy available?

  • Communicated to all employees and signed registers available

  • OHSE risk and impact assessment available?

  • Communicated to all employees and signed register available

  • OHSE plan available

  • Communicated to all employees and signed register available


  • Signed appointments available

Safety Committee

  • Regular meetings held (at least once 3 months )

  • Minutes and records of meetings keep on file

  • Health and Safety committee established

Safety Awareness

  • Regular toolbox talks held? ( at least once per week)

  • Signed attendance registers available

  • Safety awareness posters displayed


  • Training matrix kept and maintained

  • Training records /certificates available

Contractor Control

  • List of contractor available

  • Contractors safety documentation available onsite

Safety Work Procedures

  • Written safe work procedure/codes of practice available

  • Communicated and signed registers available

6. Industrial Hygiene

Hearing Conservation

  • Have noise levels in all areas been evaluated to determine if they are below 85 decibels for an 8 hour time-weighted average?

  • Have all employees exposed to over 85 dB TWA been included in a hearing conservation program?

  • (Areas above 90 decibels 8hr TWA) Are employees required to wear hearing protection, and is it well stock and readily available?

  • (Hearing conservation program) Has annual audiometric testing been provided for employees in the program?

  • Are signs clearly posted for all areas where hearing protection is required?

7. Administrative

Required Postings - Labor Laws and policy

  • Are the state and labor law posters current, and is the required employer information filled out and up to date?

Morning Huddle and Near Miss Incident Reporting

  • Are employees following the Morning Huddle process and filling out the documentation correctly?

  • Are employees able to explain the AWS definition of a Near Miss incident?

  • Do workers conduct stretch & flex exercises daily to prevent repetitive motion injuries (if exposed to strains and sprains)?

  • Are employees actively reporting and documenting Near Miss incidents and their corrective actions?

  • Are identified corrective actions still in place for recent Near Miss incidents?

Management Engagement and Employee Involvement

  • Have all the managers received formal training in safety and health management responsibilities?

  • Do management personnel consistently enforce and reinforce safe work practices through their words and actions?

  • Do employees feel they have a positive impact on identifying and resolving safety and health issues?

  • Can a majority of employees can give examples of management's active commitment to safety and health?

8. Office Areas

  • Are the office aisles, walkways, and work areas free of trip and fall hazards (i.e. torn carpets, flipped door mats, boxes etc.)?

  • Do all office areas have 36” clearance maintained in front of any electrical panels and fire extinguishers?

  • Are electrical cords, plugs, and power strips in good condition (not frayed, taped, spliced, or ground prong missing)?

  • Are computer work stations and work area ergonomically correct, and are workers following safe work practices?

  • Have possible struck-by hazards been identified and resolved (closed cabinet doors, file drawers, etc)?

  • Are all items stored properly (e.g.: heavy items on lower shelves, shelves stable and evenly distributed, etc.)?

Outdoor storage / Yard

  • Are the grounds well groomed (snow & ice removed, grass mowed, weeds controlled, etc.)?

  • Are items stored neatly in a logical fashion (accessible, accounted for, assigned to specific jobs, etc.)?

  • Are flammable liquids and compressed gasses properly stored?

  • Are all other recognized hazards resolved in an appropriate manner?

Unsafe acts and conditions - OSH Act Section 5(a)(1) (General Duty Clause)

  • Are all employees following safe work practices for all items not specifically identified in this audit?

  • Have employees been receptive and responsive to any issues identified during the audit?

Safety representative Signature

  • Representative

Auditor Signature

  • Auditor

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.