Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Personnel

  • Area Audited

  • Area:
  • Area audited:

  • "Other" area(s) audited:

  • 1. Are doors operating correctly and closed, or reported for repair if they are not?

  • Comments

  • Picture included for item?

  • Add media

  • 2. Are lights operational (including Emergency lights) and not damaged or reported for repair if they are not?

  • Comments

  • Picture included for item?

  • Add media

  • 3. Are doors, stairways, and passageways kept free of material, supplies, or obstructions?

  • Comments

  • Picture included for item?

  • Add media

  • 4. Are all stairs and handrails in good condition? (No bent/missing stairs, rails, parts, etc.) or reported for repair if they are not?

  • Comments

  • Picture included for item?

  • Add media

  • 5. Are sealed (concrete, tile, etc.) floors clean and free from slip hazards, debris, unintended items, and unused items?

  • Comments

  • Picture included for item?

  • Add media

  • 6. Are unsealed (gravel, dirt, etc.) walking surfaces free from debris and trash, potholes, and trip hazards?

  • Comments

  • Picture included for item?

  • Add media

  • 7. Are trash/waste containers available?

  • Comments

  • Picture included for item?

  • Add media

  • 8. Are flammables only stored in proper locations?

  • Comments

  • Picture included for item?

  • Add media

  • 9. Is airflow (as evidenced by the room temperature) working properly or reported for repair if it is not?

  • Comments

  • Picture included for item?

  • Add media

  • 10. Are surfaces and equipment free of excess dirt, dust, or contaminants?

  • Comments

  • Picture included for item?

  • Add media

  • 11. Are tables, cabinet tops, and working surfaces free from debris, unintended items, and unused items?

  • Comments

  • Picture included for item?

  • Add media

  • 12. Are items not being used (e.g., tools, cords, or supplies) stored in their proper locations?

  • Comments

  • Picture included for item?

  • Add media

  • 13. Are storage areas kept clean and free of unnecessary materials and debris?

  • Comments

  • Picture included for item?

  • Add media

  • 14. Are any cabinet doors shut properly?

  • Comments

  • Picture included for item?

  • Add media

  • 15. Are all appliances and furniture in good repair/working order or reported for repair if they are not?

  • Comments

  • Picture included for item?

  • Add media

  • 16. Are all postings and communications up-to-date or reported as needing updating if they are not?

  • Comments

  • Picture included for item?

  • Add media

  • 17. Are all posted signs legible?

  • Comments

  • Picture included for item?

  • 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.