Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1.0 - Previous inspection
-
1.1 - Has the last inspection been reviewed?
-
1.2 - Are there no outstanding actions?
2.0 - Fire Prevention & Safety
-
2.1 - Evacuation plan displayed and understood by all employees?
-
2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)
-
2.3 - Extinguishers in place, clearly marked for type of fire?
-
2.4 - Extinguishers serviced?
-
2.5 - Extinguishers clear of obstructions?
-
2.6 - Extinguisher no more than 48 inches max height & base not lower than 4 inches?
-
2.7 - Emergency Exit signs present at required locations?
-
2.8 - Adequate direction notices for fire exits?
-
2.9 - Exit doors easily opened from inside; maximum 15 lbs pressure?
-
2.10 - Exits clear of obstructions?
-
2.11 - Fire alarm system functioning correctly?
-
2.12 - Kitchen Hood System serviced and clean?
3.0 - General Lighting
-
3.1 - Good natural lighting?
-
3.2 - Reflected light from walls & ceilings not causing glare to employees?
-
3.3 - Light fittings clean and in good condition?
-
3.4 - Emergency exit lighting operable?
4.0 - General Housekeeping
-
4.1 - Floor surfaces even and uncluttered?
-
4.2 - Entry and walkways kept clear?
-
4.3 - Walkways adequately and clearly marked?
-
4.4 - Intersections kept clear of boxes etc?
-
4.5 - Stair and risers kept clear?
-
4.6 - Are liquid spills removed quickly?
-
4.7 - Are railings in good condition?
-
4.8 - Are fall preventive measures in place and used where gaps occur in railings?
-
4.9 - Are footpaths in good condition free of trip hazards?
-
4.10 - Furniture in sound condition?
-
4.11 - Loading area clean and tidy?
5.0 - Work Benches/Areas
-
5.1 - Clear of trash?
-
5.2 - Tools not in use kept in place?
-
5.3 - No damaged hand tools in use?
-
5.4 - No damaged power tools in use?
-
5.5 - Work height correct for the type of work and the employee?
6.0 - Trash Removal
-
6.1 - Bins located at suitable points around site?
-
6.2 - Bins emptied regularly?
-
6.3 - Oily rags in covered metal containers?
7.0 - Storage Equipment/Use
-
7.1 - Materials stored in racks and bins wherever possible?
-
7.2 - Storage designed to minimize lifting problems?
-
7.3 - Floors around racking clear of rubbish?
-
7.4 - General condition of racks and pallets adequate? Stack heights?
8.0 - Machinery/Appliances
-
8.1 - Are they kept clean?
-
8.2 - Are the floors around the machines kept clean?
-
8.3 - Guards in good condition & adjusted to compliance?
-
8.4 - Starting and stopping devices within easy reach of operator?
-
8.5 - Waste/off cuts removed and stored safely?
-
8.6 - Drip pans on floor to prevent spillage?
-
8.7 - Adequate work space?
-
8.8 - Is lighting adequate?
-
8.9 - Noise levels controlled?
-
8.10 - Work height is ergonomically appropriate?
-
8.11 - Anti fatigue mats in good repair?
-
8.12 - Operators trained/inducted into the operation of the machines?
-
8.13 - Is the training recorded?
-
8.14 - Do operators comply with the training?
-
8.15 - Are lockout procedures implemented and followed?
-
8.16 - Are gas cylinders secured?
9.0 - Electrical Safety
-
9.1 - Safety switches installed?
-
9.2 - Safety switches periodically tested and recorded?
-
9.3 - No extension cords used for permanent wiring?
-
9.4 - Portable equipment tested and tagged?
-
9.5 - No broken plugs, sockets or switches?
-
9.6 - No unguarded power cords across walkways?
-
9.7 - No frayed or damaged cords?
-
9.8 - Cord strain relief used where necessary?
-
9.9 - Portable power tools in good condition?
-
9.10 - Emergency shut-down procedures in place where necessary?
10.0 - Chemical Safety
-
10.1 - Written Hazardous Communication guideline available for review?
-
10.2 - Material Safety Data Sheets available for all chemicals?
-
10.3 - Risk assessments completed for hazardous substances? (HazCom)
-
10.4 - All containers labelled correctly?
-
10.5 - Unused unlabeled substances disposed of?
-
10.6 - Do special storage conditions apply?
-
10.7 - If applicable are special storage conditions followed?
-
10.8 - Workers trained in the use of hazardous substances?
-
10.9 - If required is PPE available?
-
10.10 - Is adequate ventilation provided?
-
10.11 - Are eye washes and showers easily accessed?
-
10.12 - Warning/Instruction signs posted in the shop or work area?
11.0 Ladders
-
11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
-
11.2 - Are ladders in good condition?
-
11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)
-
11.4 - Used according to instructions?
-
11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?
12.0 - Office Hazards
-
12.1 - Shelving seismically braced where necessary?
-
12.2 - Condition of chairs? (Five star bases.)
-
12.3 - Desks in good condition? (No damage.)
-
12.4 - Screen Based Equipment positioned to reduce glare from windows etc?
-
12.5 - Configuration of work station reduces ergonomic injury?
-
12.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)
-
12.7 - Air conditioning systems regularly maintained?
-
12.8 - Stable non-slip floor coverings in good condition?
Additional Comments
-
Notes
Sign Off
-
Inspector Conducting Audit
-
Site Representative- Please print and send a signed copy of this inspection form after all deficiencies have been corrected.
