Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job Description

Head

  • Falling or Flying Objects

  • Work Being Performed Overhead

  • Elevated Conveyors

  • Striking Against a Fixed Object

  • Forklift Hazards

  • Exposed Electrical Conductors

  • Other

Eye and Face

  • Flying Particles

  • Molten Metals

  • Liquid Chemicals

  • Acids

  • Caustic Liquids

  • Chemical Vapors or Gases

  • Light Radiation

  • Other

Foot

  • Falling and Rolling Objects

  • Objects Piercing the Sole

  • Electrical Hazards

  • Wet or Slippery Surfaces

  • Chemical Exposure

  • Environmental

  • Other

Hands

  • Skin Absorption

  • Cuts or Lacerations

  • Abrasions

  • Punctures

  • Chemical Burns

  • Thermal Burns

  • Harmful Temperature Extremes

  • Other

Respiratory

  • Harmful Dusts

  • Fogs

  • Fumes

  • Mists

  • Smokes

  • Sprays

  • Vapors

  • Others

Torso

  • Hot Metals

  • Cuts

  • Acids

  • Radiotion

Miscellaneous

  • Lifting

  • Blood-borne Pathogens

Recommended Personal Protective Equipment

  • Goggles

  • Safety Glasses

  • Face Shield

  • Hard Hat

  • Rubber Boots

  • Steel Toed Boots

  • Leather Gloves

  • Chemical Gloves

  • Long Sleeve Rubber Gloves

  • Dust Mask

  • Half Mask Respirator

  • Full Face Respirator

  • SCBA

  • Harness

  • Full Body Suit (Tyvek)

  • Continuos Airflow Hood

  • Ear Plugs

  • Non-Routine Tasks

  • Select date

  • Department Representative

  • Health & Safety Manager

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.