Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Ceiling tile issue (stain, holes, etc)

  • Add media

  • Floor
  • Add media

  • Infection control issue (expire items, storage, clean supply, etc)

  • Add media

  • Sprinkler pipe compromised

  • Add media

  • Electrical panel issue

  • Add media

  • Oxygen E-cylinder issue

  • Add media

  • Eye wash issue

  • Add media

  • Fire Extinguisher issue

  • Add media

  • Rated Door Compromised

  • Add media

  • Exit egress compromised

  • Add media

  • Med Gas Issue

  • Add media

  • Hazardous/Biohazard issue

  • Add media

  • Negative/Positive pressure issue

  • Add media

  • Open junction box

  • Add media

  • Fire Alarm Compromised (Master panel, horn, strobes, pull station, etc)

  • Add media

  • Exit sign issue

  • Add media

  • Rated Wall Penetration

  • Add media

  • Stairwell compromised

  • Add media

  • Stairwell signage

  • Add media

  • Occupancy change (room/area change of use)

  • Add media

  • Policy conflict (oven toasters, temp logs, etc)

  • Add media

  • Medicine issue

  • Add media

  • ADA issue (pull station, water fountain, hand rails, etc)

  • Add media

  • EPA issue

  • Add media

  • NFPA issue

  • Add media

  • Other issue

  • Add media

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.