• Audit Title

  • Audit Site

  • Conducted on

  • Prepared by

  • Personnel

Loss Prevention and Security

  • Is perimeter fencing in good condition?

  • External Gates: In good operation, closed and secured. Locked during non-operational hours. Not blocked or obstructed. (per video review)

  • External Perimeter Building Doors: closed and secured, no external door knob, strike plate security cover in place.

  • Dock Doors: Unused doors left closed and locked. No damage to the door or dock leveler that would allow unauthorized access.

  • Perimeter Lighting: All lighting in good working order and sufficiently lighting the exterior (per video review)

  • Plants, Trees, and Debris: the perimeter fence line will have a three foot clearance on either side of the fence, stacks of pallets, boxes, etc., are not permitted.

  • Camera System: Functional as intended (obstructions to camera), all camera views approved by LP, individual user access only.

  • Burglar Alarm Equipment: Secured/limited access to alarm panel, no apparent physical damage to wiring, door contacts, motion detectors, photo-beams.

  • Entrance and Exit: Specific location controlled for employee entrance and exit.

  • Access Control: Individual code numbers when possible, codes changed after turnover, functioning as required.

  • Signage: Directional signage for visitors and vendors. No Smoking and No Weapons Permitted signs displayed as necessary.

  • Live Test: Are all panic bars functioning as intended?

Document Review

  • Alarm Testing: Must be completed twice a year, documented, and all deficiencies repaired in a timely manner.

  • Burglar Alarm Codes: Only managers or those authorized by VPOP/GM/LP are to have codes. No shared codes, codes must be deleted after turnover, codes should be changed annually.

  • Key Control: Key issuance controlled, logged and distributed per policy. Spare keys accounted for and secured. Key acknowledgment letter signed by employees.

  • Visitor Program: Visitor forms signed, badges worn by visitors.

  • Employee Badges: Are all employees wearing company issued name badge and is it clearly visible?

Cigarette Department

  • Limited access: Doors/gates closed and secured, panic bars functioning properly, and clickers/buzzers working as intended.

  • Stamp Cabinet: Closed and locked, accessed only by manager or assistant.

  • Tax Stamp Security

  • Are unused stamps secured in the cabinet?

  • Is management recording the roll number and number of stamps on the roll time forms?

  • Does the stamper and management agree on the roll number and number of stamps on the roll then both initial roll time?

  • Is management punching the number of stamps into the stamp machine monitor?

  • Is first in/first out being followed for partial rolls?

  • Is management inspecting used roll paper for scrap stamps?

  • Are all taxing areas reconciled prior to trash being thrown away?

  • Is management checking every roll time form daily to follow the stamps from start to finish and ensuring the forms reflect this?

Food Safety

3.1 Pest Control

  • Are traps and bait boxes in place per policy, clean, and damage free?

  • Is the facility free of pests or signs of pest?

  • Is the sanitation line maintained on the interior of the building?

  • Is there vegetation, equipment, or other objects within 18 inches from the perimeter of the exterior?

  • Are all door seals in good condition and continuous without gaps?

  • Are all cracks and crevices sealed to prevent insect or rodent entry?

  • Is the warehouse free of unattended pesticides or consumer pesticides?

Food Safety Program

3.2 Interior

  • Is the sanitation of the facility maintained?

  • Are all food items stored off the floor on pallets or shelves?

  • Are chemicals stored above food, or not guarded from contacting food?

  • Is there evidence of pilferage, eating, or drinking in the warehouse?

  • Is the warehouse free of evidence of smoking or smokeless tobacco use?

  • Are all garbage cans clean with can liner being utilized, not overflowing, with exposed food removed daily?

  • Are the restrooms and break room clean and sanitary with the necessary supplies provided?

  • Do the restrooms have wash hands signage?

  • Are the freezer and cooler free of ice buildup or condensation?

  • Are liquid and food spills cleaned immediately?

  • Is the plant following the procedures for properly date stamping product (i.e. sandwiches, danishes)?

3.3 Exterior

  • Is the area around the dumpster free of debris and spills?

  • Are the grounds and parking areas free of trash and debris?

  • Are the exterior trash cans and dumpsters covered to prevent rodent infestation?

3.4 Document Review

Pest Control

  • Is a valid business license, applicators license, and certificate of insurance on file for the pest-control provider?

  • Are monthly inspections by the technician properly documented?

  • Are open conditions addressed within 30 days when issues are noted on the service inspections?

Food Safety Program

  • Are storage temperatures taken, recorded, and reviewed at least once per week?

  • Are storage temperatures taken by third-party monitoring system being reviewed at least weekly?

  • Are receiving trailer temperatures being taken, recorded, and reviewed?

  • Has the HACCP plan been reviewed annually and a signed copy included in the Food Safety folder?

  • Has the Preventative Controls Plan been reviewed within the last three years and a signed copy included in the Food Safety folder?

  • Has the plant completed their Food Defense Plan?

  • Are cleaning procedures documented and reviewed?

  • Are temperature check logs maintained for storage trailers or offsite storage?

  • Are outbound trailer inspection logs being documented and kept on file?

  • Are egg invoices which includes the shippers information and proper documentation being kept for 30 days?

  • Is the GMP-self inspection being completed once a month?

  • Are receiving trailers inspected for cleanliness and pest free?

  • Is the thermometer calibration log completed weekly?


4.0 Fuel Island

  • Adequate spill kit available at the fuel island?

  • Fire extinguisher accessible and free of damage?

  • No smoking and emergency response numbers posted?

  • Emergency shut off identified and accessible?

Interior of Cab

  • Is the fire extinguisher present and does it meet all requirements: properly mounted, pin intact, fully charged, serviced within the last 12 months?

  • Is the yellow Penske Book available in each cab and contains vehicle registration, insurance card, and HAZMAT letter?

  • Is the cab free of trash and debris?

  • Are both seat belts in good condition and working properly?


  • Is the ramp functioning as intended?

  • Is the side ladder available and working properly?

  • Is there a safety cone present?

  • Are there means of securing the load (i.e. load bars, safety straps)?


  • Is there evidence that the slam lock is being bypassed?

  • Are outbound trailers on the lot locked and sealed?

  • Are keys being left while vehicle is unoccupied?

  • Are trailer washes being completed on a monthly basis and documented?

  • Are loaded trailers on the lot kept within food safety temperature standards?

  • Are drivers in proper uniform?

  • Are safety vests readily available for all drivers?

  • Are the drivers using the 3-points of contact when entering the vehicle?

Accounts Receivable

  • Is petty cash reconciled monthly?

  • Is the on hand petty cash count reconciled with the log?

  • Are all checks accounted for?

  • Is the SWAT/Safety Bonus sign-off sheet Form 111 and Form 142 completed and verified against the disbursement?


Fire Systems and Extinguishers

  • Is the annual fire system test completed?

  • Sprinkler Valves: Maintained clearance, unobstructed, emergency shut off valve visibly marked and accessible?

  • Sprinkler Heads: Minimum 18" clearance between sprinkler head and stacked materials?

  • Fire Extinguishers

  • Fire extinguishers are unobstructed and stored properly (mounted 3.5' to 5' from ground, OSHA recommendation)?

  • Fire extinguishers are inspected each month with seal/pin intact and fully charged?

  • Fire extinguishers are identified with proper and adequate signage?

  • Fire extinguishers are recharged annually?

  • Are all devices for the fire alarm system (including horns, strobes, and pull stations) free from damage?

Emergency Egress

  • Aisles, walkways, and work areas are free of trip and fall hazards (i.e. torn carpets, turned up edges of door mats, boxes etc.)

  • Are points of emergency egress kept clear?

  • Are there objects stored under stairs that are part of an emergency exit route?

  • Are the emergency exit signs and lights functioning properly?

Racking and Storage Safety

  • Are materials secure and not leaning off the edges of the racks?

  • Are pallets on edge and/or do they have broken/protruding wood or nails?

  • Are pallets stacked in excess of O.H. Sprinkler combustible load ratings (6ft.)?

  • Are flammable liquids stored under barriers (not stacked on top tier of racking)?

  • Are rack uprights bolted to prevent tipping or falling?

  • Are rack uprights and crossbeams in good condition? Bent racks and beams must be repaired or replaced.

Machine Guarding

  • Are guards firmly secured and free of damage?

  • Are safety switches, interlocks, and/or emergency pull-cords functioning properly?

  • Are pinch points and inward running rollers properly guarded?

Control of Hazardous Energy


  • Are the proper Lockout/Tagout devices available for all energy sources available?

  • Are you utilizing equipment specific Lockout/Tagout procedures for each piece of equipment?

Electrical Safety

  • Do electrical panels and disconnects have 36" radial clearance for emergency access?

  • Are extension cords properly used and not in place of permanent wiring?

  • Electrical cords and plugs are in good condition (i.e., not frayed, taped, spliced, or ground prong missing)

  • Are electrical panels, disconnects and breakers labeled as to what they control?

  • Are electrical panels and disconnects labeled with amperage and voltage? NFPA70E

  • Observed electrical panels and disconnects or junction boxes with open slots, uncapped conduit holes, discontinued circuits or uncovered wiring

  • Is the facility free of any exposed or damaged wiring?

Hazard Communication

  • Does the plant have current 3E coordinators? (2 per shift = 6 total)

  • Are 3E instructions posted at all check stations?

  • Are all non-stock chemicals entered into the database?

Freezer/Cooler PPE

  • Are employees wearing the approved PPE?

  • Is the PPE clean and damage free?

  • Is the PPE storage adequate and clean?

Emergency Response and Emergency Action Plans

  • Evacuation maps displayed and up to date?

  • Do the evacuation maps possess a 'You are Here" sticker, primary exit route, and secondary exit route?

  • Are emergency numbers posted and up to date in a conspicuous location?

Forklifts and Powered Industrial Trucks

Forklift Operation

  • Are horns used while backing, approaching corners, or other potentially dangerous situations?

  • Are forklifts properly supervised and not left unattended?

  • The original capacity, operation and maintenance instruction plates, tags or decals on powered industrial trucks are in place and legible.

  • Is fall arrest system attached to all order pickers and functioning properly?

Forklift Battery Charging Stations

  • Do battery charging/changing stations contain a compliant and functional eye wash/shower?

  • Is the eye wash/shower inspected monthly, and cleaned weekly?

  • Are spill kits with acid neutralizer available where required and adequate for amount and type of chemicals on site?

  • Is the required PPE available, clean, and in good condition?

  • Are signs posted in charging area that state "No Smoking" and "PPE Required"?

Welding and Hot Work

  • Are gas and oxygen bottles stored properly?

  • Is the welding equipment kept in good condition?

Hearing Conservation

  • Is hearing protection available for all affected employees?

  • Are employees wearing the hearing protection?

  • Are areas posted where hearing protection is required?

First Aid, First Response, and Bloodborne Pathogens

  • Are first aid cabinets/kits adequately maintained?

  • Is necessary Bloodborne Pathogen PPE available to First Responders?

Fall Protection

  • Railing and/or covers are in place to protect personnel from fall hazards?

  • Are employees using adequate fall protection?

  • Are employees using the chains, ropes, and nylon belts on elevated pick modules?

Ladder Safety

  • Are ladders inspected quarterly to ensure they are in good condition?

  • Are there any unapproved ladders located in the facility?

  • Are ladders safely secured to prevent tipping or falling?

Machine Shop and Maintenance Area

  • Bench Grinders - Is there clearance between the wheel side and the guard of not more than 1/16 inch? 1910.215(b)(1)(iii)

  • Are tools properly guarded?

  • Are tools in safe working order?

Aerosol Cage

  • Is the chain-link fence free from damage?

  • Are doors/gates operable and adequate for emergency egress?

  • Is there a fire extinguisher located outside of the aerosol cage, but no less than 10 feet from the door opening?

General conditions

  • Are employees using proper lifting technique for the materials being handled?

  • Are wheel chocks and/or trailer restraint systems being utilized?

  • Are dock inspection lights in good condition and being utilized?

  • Are confined spaces identified, marked, and barricaded to notify and protect employees?

  • Is the ReportIt hotline awareness poster posted in a conspicuous location?

  • Only approved box cutters in use, used properly?

Safety Committee

  • Is the Safety Committee meeting monthly?

  • Are the meeting minutes posted in a conspicuous location?

  • Are Safety Talks conducted weekly?

  • Are monthly "Special Topic" inspections completed?

  • Are monthly warehouse inspections completed?

Document Review

  • Is the required monthly emergency lighting test documented and completed?

  • Have 2 evacuation drills been conducted for all shifts?

  • Have 2 severe weather drills been conducted for all shifts?


  • Has an authorized person completed the annual inspection of the LOTO procedures?

  • Have all authorized employees received their annual training?


  • Do all Powered Industrial Truck operators have current training certifications?

  • Are operators being retrained after accidents?

  • Are daily or pre-shift industrial truck inspections kept?

  • If applicable, is the blue light facing the correct direction?

Incident/Injury Record Keeping

  • Is the OSHA 300 log maintained and filled out correctly?

  • Is there an Associate Incident Report (Form 221) with each entry?

  • Is there an Incident Investigation Report (Form 221A) with each entry?

  • Are pictures included with each Incident Report?

Hearing Conservation Program

  • Is the hearing conservation program up to date?

  • Are annual hearing protection requirements met?

First Aid, First Responders, and BBP

  • First Responders Required Training

  • Bloodborne Pathogens (BBP) Training?

  • First-Aid Training?

  • Cardiopulmonary Resuscitation (CPR) Training?

  • Fire Extinguisher Training?

  • Hepatitis B vaccination or declination signed and on file?

  • Are there a minimum of 2 certified first responders on every shift?

Fall Protection

  • Is the date of service recorded on fall protection with no past due equipment being used?

  • Are quarterly fall protection inspections being completed?

Welding Operations

  • Are Hot Work Permits completed, filed, and posted for every welding event?

Closing Conference

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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.