Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section 1: Premises and Housekeeping

Facilities & Structures

  • Lighting sufficient for tasks undertaken

  • Floors maintained free from dirt, liquids, debris, tools and materials

  • Walkways, store areas and keep clear zones clearly demarcated

Hygiene

  • Toilet facilities maintained in a clean hygienic condition.<br><br>

  • Crib/lunch room facilities include adequate seating, sink with hot and cold potable water.<br><br>

  • Crib/lunch room facilities maintained in a clean hygienic condition.<br><br>

Guarding and Barricades

  • Machine guarding is in place around all rotating machinery such as elevators, belts etc.

Eye washes and safety showers

  • Eye washes and safety showers are accessible.<br><br>

  • Suitable signs and lights indicate the presence of eyewashes and safety showers.<br><br>

  • Eye washes and safety showers are clean and operational

Workplace signage

  • Signs are legible.<br><br>

  • Signs are in place to inform PPE requirements.

Storage Areas

  • Storage racks purpose built with appropriate durable shelving.<br><br>

  • Flammable liquids stored in purpose built cupboards.<br><br>

  • Acids, chemicals and corrosives stored in accordance with MSDS and Dangerous Goods Requirements

Waste Management

  • Rubbish bins and bulk bins available, emptied and covered as appropriate

Spill Management

  • Suitable absorbents used for clean-up<br><br>

  • Spill kits maintained and available<br><br>

  • Spill procedures current and available

Re-fuelling Facilities

  • Fuel overflow collection facility i.e. sump or similar installed<br><br>

  • Ease of access to overflow facility to clean/drain<br><br>

  • Emergency stop fitted and accessible

Wash Down Facilities

  • Sealed wash down area<br><br>

  • Waste water collection and containment measures installed<br><br>

  • Water disposed of appropriately<br><br>

Section 2:​ Mechanical, Electrical, Environment and Personal Safeguarding

Confined Spaces

  • Confined space signs visible <br><br>

  • Confined space permits being used<br><br>

  • Personnel trained

Plant and Isolation

  • Equipment has an isolation point that can have a lock attached to it<br><br>

  • Sufficient personal danger tags and out of service tags<br><br>

  • Personnel have a personal isolation lock

Ladders, Handrails & Scaffolding

  • Portable ladders in good condition with non-slip feet

  • Fixed ladders guarded and in good condition.

Lifting Gear

  • SWL’s displayed<br><br>

  • Inspection records current

Pressure Vessels & Cylinders

  • Flash back arrestors fitted and hoses and fittings in good condition<br><br>

  • Pressure vessels registered and in good condition

  • Cylinders stored and transported correctly<br><br>

Hazardous Substances (Cleaning agents and chemicals)

  • Stored Correctly<br><br>

  • MSDS Available<br><br>

  • Hazardous substance register

Forklifts

  • Pre-start checklist completed daily<br><br>

  • Fire extinguishers present<br><br>

  • Serviced regularly

Electrical Installations and Equipment

  • Leads and equipment have current tags

  • RCDs used<br><br>

  • Portable/extension leads tagged and protected from traffic / water

Respiratory Equipment

  • Provided where required<br><br>

  • Equipment clean and serviceable

Workplace Noise

  • Noise areas identified<br><br>

  • Hearing protectors provided

Bulk Storage

  • Hydrocarbon drums and bulk tanks contained by suitable bunding.<br><br>

  • Bunding is free from water, vegetation and debris.<br><br>

  • Bunds are closed to prevent spills and able to be drained of accumulated water.<br><br>

  • Storage tanks and drums are free from leaks.

Fire and Emergency Evacuation

  • Extinguishers in place and accessible?<br><br>

  • Signs indicating specific use of extinguishers?<br><br>

  • Exits clear of obstructions?<br><br>

  • Extinguishers checked 6 monthly and tagged?

  • Emergency Assembly Point in place and signed?

First Aid

  • Cabinets and contents clean and orderly?<br><br>

  • No replacement materials required?<br><br>

  • Cabinets contents checked regularly?

  • Name: Signature: 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.