• Work Area

  • Month and Year

  • Conducted on

  • Prepared by

  • Identify area chosen for random checks during this audit?

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed and are all outstanding actions completed?

2.0 - Fire Safety

  • 2.1 - Extinguishers in place and recently serviced? (Check 6 monthly punch mark on tabs.) Record expiry date in notes.

  • 2.2 - All fire equipment has location Marker clearly displayed on wall above?

  • 2.3 - Extinguishers and hoses clear of obstructions? (1.5m arc)

3.0 - Emergency Evacuation

  • 3.1 - Evacuation plan clearly displayed at exit point and firmly attached to the wall?

  • 3.2 - Evacuation plan & instructions up to date? Does equipment correspond to plan?

  • 3.3 - Have all staff who commenced employment since last inspection been inducted into fire safety and evacuation procedures?

  • 3.4 -Emergency exit lights are clearly visible, lit and provide direction notices for fire exit?

  • 3.5 - Exits and egress paths are clear of obstructions? (ie Any obstructions that could hinder exit?)

  • 3.6 - Assembly area is allocated and understood by staff? (This may be checked by randomly asking a staff member)

4.0 - First Aid Facilities

  • 4.1 - A first aid kit is available in work area and employees are aware of location?

  • 4.2 - Are contents regularly checked, restocked and no contents past their expiry date?

5.0 - Building Safety

  • 5.1 - Floor surfaces even, safe for use, no trip hazards and in good condition?

  • 5.2 - Entry and walkways kept clear of obstructions?

  • 5.3 - Do you have a safety procedure for liquid spills including correct signage?

  • 5.4 - Do you have any structural areas requiring maintenance that could cause a potential safety issue?

6.0 - Storage Design and Use

  • 6.1 - Materials stored on shelves / racks and bins wherever possible?

  • 6.2 - Commonly used or heavy items stored safely between mid thigh and shoulder height and stacked correctly to prevent objects from falling?

  • 6.3 - Floors around shelving/ racking clear of trip items or rubbish?

7.0 - Electrical Safety

  • 7.1 - Random checks identify no double adapters in use? (Note location of random check)

  • 7.2 - Random checks on Electrical equipment shows tested and tagged? (Note due date)

  • 7.3 - Random checks identify no broken plugs, sockets or switches?

  • 7.4 - Random checks ensure no power leads across walkways or frayed or damaged leads?

8.0 - Chemical Safety

  • 8.1 - Hazardous Substance Register complete and available?

  • 8.2 - Material Safety Data Sheets available for all chemicals and located In chemical storage areas?

  • 8.3 - All containers labelled to clearly identify contents?

  • 8.4 - Unused substances disposed of in appropriate manner?

  • 8.5 - If applicable are we compliant to special storage of chemicals?

9.0 - Office Hazards

  • 9.1 - Office furnishings in good condition and adequate space for all operators?

  • 9.2 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 9.3 - Photocopiers, printers and noisy machinery positioned to ensure safe working area?

  • 9.4 - If excessive noise is an identified concern has this been referred to SHAW unit for testing?

  • 9.5 - Lighting is adequate for type of work being undertaken in work area?

10.0 Health and Hygiene

  • 10.1 - Kitchen area is clean and tidy and cleaning equipment is provided including wipes, clothes and detergent?

  • 10.2 - Fridge, microwave and utensils are clean and operating correctly?

  • 10.3 - Are staff facilities including bathrooms kept clean and hygienic?

  • 10.4 - Compliant hand washing facilities provided including Microshield and disposable paper towels?

  • 10.5 - Regular pest control undertaken?

  • 10.6 - Work area cleaned and rubbish removed regularly?

  • 10.7 - If applicable have all monthly food safety plans been completed?

11.0 Other Notes or Issues Identified

  • Picture of identified hazard(s), non compliance etc.

Sign Off

  • Auditor's signature

  • Select date

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.