Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Safety Devices

  • Are machine guards in place on all operating equipment?

  • Are all belts, pulleys and other rotating parts properly guarded?

  • Are all emergency stop stop buttons clearly marked and operational?

Work Areas

  • Is there sufficient clearance space around all plant?

  • Are machinery and equipment areas kept clean and free from obstructions?

  • Is the ventilation adequate?

  • Are steps taken to reduce machinery noise (e.g. Isolating the plant, mufflers, baffles)?

  • Are tools and portable equipment stored safely?

Safe Operation

  • Are workers trained to operate machinery safely?

  • Do they hold necessary certificates and licenses?

  • Is higher hazardous plant registered (e.g. Boilers, vehicle hoists)?

  • Are workers supervised to ensure correct procedures are followed?

  • Is machinery and equipment regularly inspected for damage and wear?

  • Is machinery and equipment maintained according to manufacturers' instructions?

Personal Protective Equipment

  • Is adequate PPE provided?

  • Do employees maintain and wear PPE in accordance with manufacturers' instructions?

Hazards Identified (Planning for Improvement)

  • Hazard 1

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 2

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 3

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 4

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 5

  • Corrective Actions

  • Corrective Actions Completed

Signature

  • Strategic Safety and Training Consultant

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.