Information

  • Audit Title

  • Conducted on

  • Prepared by

HOUSEKEEPING

  • Is area tidy and well kept?

  • Are desk and work stations keep tidy and orderly?

  • Is floor free of obstructions and not slippery?

  • Housekeeping Section Score

WORKING ENVIRONMENT

  • Are the lighting fixtures operating an is the lighting adequate?

  • Are lighting covers in place and fittings secure?

  • Are aisles wide enough and clear for traffic?

  • Working Environment Section Score

EMERGENCY ACTION

  • Are evacuation routes posted?

  • Does the area have a process to enable them account for unit personnel in the event of an evacuation?

  • Are fire extinguisher appropriate type and easily accessible?

  • Are eye wash/showers in good condition and inspection current?

  • Are exits posted and signs in good working condition?

  • Is emergency lighting adequate and in good working condition?

  • Is all emergency equipment accessible, fire extinguisher, fire hoses, eye wash/ shower, etc?

  • Have the monthly and annual fire extinguisher and hose reel inspections been completed?

  • Emergency Procedures Section Score

GENERAL FACILITIES

  • Are restroom facilities are clean and functional?

  • Are eating areas clean, hygienic & serviced?

  • Are ceiling tiles in good condition?

  • Are walls and doors in good condition?

  • Are floor coverings in good condition?

  • General Facilities Section Score

STORAGE

  • Are heavy items stored at waist height ?

  • Are stepladders or safe steps are available to access items stored on high shelves and inspected?

  • Are stored items and storage cabinets/ shelves adequately secured and stable?

  • Are chemicals stored and labeled properly?

  • Is all required PPE stored properly, readily available and in good condition?

  • Is proper signs in place for required PPE use and for any known hazards?

  • Storage Section Score

ENVIRONMENTAL

  • Are recycling posters and information displayed?

  • Are paper recycling bins provided?

  • Environmental Section Score

ELECTRICAL SAFETY

  • Are breakers cabinets closed?

  • Are all cords in safe condition?

  • If heaters are present are they UL approved and have tip-over shut offs?

  • Are all breakers labeled and are all spare breakers in the off position?

  • Are breakers panels / boxes clear of obstructions?<br>

  • Are extension cords being used properly, that is not as a permanent power supply?

  • There are no multiply extension cores or power strips being connected together (daisy chained) to provide power?

  • Is equipment is locked and tagged out properly?

  • Electrical Safety Section Score

  • Over all WPO Score

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.