Information

  • Audit Title

  • Conducted on

  • Prepared by

Emergency Evacuation & Emergency Exits

  • Are all exits and paths to/from exits free of obstructions?

  • Are exits clearly marked?

  • Do emergency lights work?

  • Are doors that could be mistaken for a way of exit marked “Not an Exit” or with the name of the room?

  • Can all exits be opened from the inside without a key?

  • Do all emergency alarms work?

Electrical

  • Are extension cords only for temporary use?

  • Are power cords free of splices, taps, and damaged insulation?

  • Is the area free of electrical Daisy Chains

  • Are live electrical parts on tools, equipment, building wiring, and electrical panels enclosed to prevent contact?

  • Do all extension cords have ground pins in place?

  • No circuits become overloaded? If they are overloaded list why.

  • Are breaker boxes clear and can they be accessed when needed?

  • Are machines that have moisture (e.g.: refrigerators, air conditioners) or used outdoors or in industrial settings grounded?

  • Do electrical cords and equipment used at wet locations have waterproof covers or seals to keep moisture out?

housekeeping

  • Are scrap materials stored safely to prevent tripping, fire or pest hazards?

  • Are spills cleaned up promptly?

  • Is there effective drainage for wet areas?

walking Surfaces/Stairways

  • Are aisles and passageways kept clear of tripping hazards (cords, pipes, hoses etc.) and at least 28” wide?

  • Is the floor free of holes, projections, or depressions that could cause trips, or let material fall on workers below?

  • Are covers on holes or large openings in floors secure and capable of supporting the maximum load safely?

  • Are floors still able to hold the intended load safely?

  • Employees ARE NOT expected to work from heights? If they are, is fall protection provided?

  • Is there at least 7’ of head room in all aisles and on all stairs?

  • Are guardrails in place on the open sides of all walking surfaces 4’ or more above an adjacent surface?

  • Are guardrails 36” – 42” high and capable of withstanding 200 LB of force in any direction against the top rail?

  • Are toeboards to catch debris installed on guardrails where people may work or walk on the surface below?

  • Are stair tread surfaces non-slip, not excessively worn, and free of stored materials?

  • Are walkways protected from or clearly visible to vehicle or forklift traffic?

  • Are guardrails installed on stairways with four or more risers?

Lighting

  • Is there sufficient lighting in work areas?

  • Are temporary lights protected from accidental breakage?

  • Are parking areas equipped with sufficient security lighting?

Chemical

  • Do all chemical boxes, bottles, bags, tanks, etc. have a label that has the chemical name and appropriate hazard warning?

  • MSDS has been read and understood for all chemicals that are used

Personal Protective Equipment (PPE)

  • Confirm any combination door locks under your area of responsibility are working correctly

  • There ARE NO Jobs for which you feel a hazard assessment should be conducted?

  • Does the furnished PPE fit?

  • Is the PPE in good condition?

  • Is the PPE appropriate for the job?

  • Do employees wear the PPE when required?

  • Are safety glasses worn where there is a potential for flying particles or objects?

  • Are goggles or face shield worn where there is a danger of corrosive material splash?

  • Is safety-toed footwear worn where there is a potential for heavy objects to roll or fall on the feet?

  • Is a hard hat worn where there is a potential for being struck by a falling or flying object?

  • Are ear plugs or ear muffs available and used in areas where it is necessary to raise your voice to be heard by a co-worker?

  • Are gloves, aprons, or shields worn when there is a danger of cuts or chemical contact?

Storage

  • Are materials stored in a way that does not create a hazard (protected from slipping or collapse)?

  • Are storage areas kept free of tripping and fire hazards?

  • Are shelves capable of holding the intended load?

  • Do employees have a safe way to stock and unstock the shelves?

  • Employees NO NOT have to get on the shelves to get stock? If they do, are they using fall protection?

  • Are storage racks tightly assembled and free of sagging from overload or damage by vehicle traffic?

  • Are hand trucks, carts, or hoists available and used for routine lifting or carrying tasks?

Safe Machine and Tool Operation

  • The Maintenance Process for all Machines in the AMS are being followed and records are kept where required.

  • No New Machines or Tools in area. (if no is selected, list new machines)

  • Are Employees trained in the safe use of this machine?

  • Are machines in good working order?

  • Are moving parts of machines such as belts, pulleys, gears, cutters guarded to prevent accidental contact?

  • Are all the safeguards adjusted properly before use?

  • There ARE NO electrical hazards?

  • Is the area around the use machines clear of any tripping or slipping hazard?

  • Is there sufficient clearance around machines for safe operations, material handling, and service?

  • Is the power shut-off within easy reach of the operator’s work station?

  • Observe the work practice to ensure they are safe?

  • Employees ARE NOT wearing loose clothing or jewelry that could get caught in the machinery?

  • Do employees get help when they need it?

  • Are employees working next to machines safe?

  • Do machines require lockout/Tagout procedures?, are they created and Employees trained in them?

Other

  • Please list anything that should be added to this checklist.

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.