• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • OSP 05-04

  • Select date

  • Inspected by?

  • Inspected by?

  • H & S Representative Signature

  • Manager / Coordinator Signature



  • Is the location and height adequate?

  • Is the type of sign appropirate?

  • Is testing of the unit up to date?


  • Are the relevant WH&S Policy and Procedures available and accessible?

  • Are the relevant WH&S Safe Work Procedures available and accessible?

  • Are the relevant Job Safety Analysis (JSA'S) available and accessible?

  • Are the relevant Safe Operating Procedures (SOP's) available and accessible?

  • Is the signage appropriately displayed and relevant?

  • Is the log book being filled out and up to date?

  • Is the layout and general housekeeping/condition adequate?

CHLORINE STORAGE AREA (Inside control shed)

  • Is the storage of drums acceptable?

  • Are containers correctly labelled?

  • Is there appropriate signage in the area?


  • Is the area tidy and organised?

  • Is access clear?

  • Is general area around tanks free from seeping and weeping liquid?

  • Has access to the large ladder been restricted? e.g. surrounding gate locked when site not being worked on?


  • Is the area tidy and is there clear access to the tanks?

  • Is the ground surface in good condition?

  • Does the wash down/emergency shower bay have clear access, working and with running water?


  • Are gates secure and lockable?

  • Is the height and width suitable?

  • Are padlocks in good condition?


  • Are ladders in good condition and adequate for the task?

  • Are ladders stored appropriately?

  • Are ladders in good condition and unauthorised access restricted where possible?


  • To be signed by WH&S Officer once inspection completed and checklist forwarded

  • 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.