Information

  • Job Name/ Description

  • Client Name

  • Site & Location
  • Name of Auditor

  • Name of Personnel Audited

  • Date & Time of Audit

  • Category of Maintenance Task(s) Being Undertaken

Audit Checklist

  • 1. Pre-operation inspection completed

  • Rank Findings

  • 2. Safe Access / Egress (3-points)

  • Rank Findings

  • 3. Lifting / carrying materials or tools

  • Rank Findings

  • 4. Proper use of tools / equipment

  • Rank Findings

  • 5. Safe condition of equipment / tools

  • Rank Findings

  • 6. Slip / trip avoidance, walkways kept clear

  • Rank Findings

  • 7. Housekeeping and access maintained

  • Rank Findings

  • 8. PPE condition / compliance

  • Rank Findings

  • 9. Safe positions of employees

  • Rank Findings

  • 10. Safe procedures followed

  • Rank Findings

  • 11. Safe procedures established

  • Rank Findings

  • 12. Safe equipment operation

  • Rank Findings

  • 13. Training & knowledge of tasks

  • Rank Findings

  • 14. Railing / guarding compliance

  • Rank Findings

  • 15. Confined space working

  • Rank Findings

  • 16. Traffic control adequate

  • Rank Findings

  • 17. Fall hazards controlled

  • Rank Findings

  • 18. Electrical Isolations/ Lock offs / labels in place

  • Rank Findings

  • 19. Other

  • Rank Findings

Summary

  • Who is the responsible manager for any findings in this audit?

  • Client Manager Signature

  • Auditor(s) Signature

  • Date and time completed?

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.