Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Site Name and address?
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Inspection Date
Hygiene Facilities
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Change rooms
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Toilet and kitchen
Occupational Hygiene Conditions
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Noise zoning
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Adequate venitalation
Environmental
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Biodivercity
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Water management
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Waste management
Electrical
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Safety devices
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Lock out
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Earth leakage
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DB Boards
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Transformers
Machine guarding
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Guards in place
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Clean and secured
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Fitted with handles
Critical equipment and stores
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Pressure vessels
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Gas, Fuel and HCS stores
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Dust suppression systems
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Water supply
Demarcation and Signage
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Correct symbolic signs
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Labeling on electrical
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Fire fighting and first aid equipment
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Storage areas
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Restricted areas
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Road signs
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Smoking areas
Tools and portable equipment
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Tools numbered and inspected
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No defective tools
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Persons competent and authorized to use tools.
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No self made tools.
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Tools in safe place
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Tools in good condition
Buildings and floors
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Walkways and grating
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Stairways and floors
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Stacking and storage
Emergency Equipment
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Fire Extinguishers
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Assembly point
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Emergency alarms
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First aid box and stretcher
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Escape routes
Explosives
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Labels and signage
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Register and log books
Lifting operations
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SWL
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Not damaged
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Stored neatly in locked container
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Proper issue register
Working at hights
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Safe work platforms
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Safety harnes
Trackless mobile machinery
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Road signage
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Operator competency and autherisation
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Seat belts
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Pre start checks
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Brake test
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Key control
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Vehicle permit
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Lights and reflective strips
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Two way radio
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Chock blocks
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Roads
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Hooter and reverse alarm
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Visibility
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Fire Extinguisher
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First aid kit available
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Cellphone usage
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Blind spot id
PPE
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PPE appropriate for task
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Employee trained to use PPE
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Used in line with MSDS
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PPE in Good order
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Site supervisor name and Signiture
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Site Agent name and Signiture
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GKC manager name and signiture
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Scan barcode of site or device inspected
