Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Electrical

  • Intrusion alarms operable?

  • Employees provided with electrical lock outs?

  • Dielectric ladders provided equipped with safety feet?

  • Barricades used to mark dangerous areas?

  • Red tags or warning labels available?

  • Are non-conductive shoes worn?

  • Watch chains, wrist band, neck chains, key chains, the chains wrong?

  • Portable GFI's used if appropriate?

  • BC extinguisher used on electrical fires only?

  • HVAC Department

  • Periodic respiratory exams given?

  • Asbestos exposures noted?

  • Adequate hoists, lifts provided?

  • Compressed gas cylinders secured?

  • Hand held power tools grounded or double insulated?

  • Good housekeeping practiced?

  • Adequate eye, face respiratory protection provided?

  • ABC extinguisher available?

  • Proper lifting techniques explained to staff?

  • Toxic gas decomposition from Freon noted (results from exposure to open flame, hot surfaces)?

  • Grounds Department - Pesticide, Herbicide, Fertilizer Application

  • Proper respiratory, eye, face, hand protection available (Physical signs of overexposure noted)?

  • Pesticide, herbicides storage secured?

  • Proper disposal of containers?

  • Proper hygiene procedures explained, clothing changes, washing, showering, etc?

  • Pesticide storage properly labeled?

  • Eye wash available in trucks?

  • Weather conditions considered prior to application?

  • Licensed applicator employed?

  • Direction grass spray considered if near public streets with passing vehicles?

  • Mowers equipped with proper shields?

  • Good housekeeping practiced?

  • Safety Glasses Provided?

  • Chain saws equipped with blade guards, and shields?

  • Refueling of gasoline powered equipment done with motor off?

  • Power take-off shafts on tractor guarded?

  • Eye protection provided, dust mask, hearing protection?

  • Mower or Tractor exposed to rollover?

  • Tree trimmers alert to falling hazards, branches, etc.?

  • Material Safety Data Sheets Binders

  • Material Safety Data Sheets available to all employees?

  • Material Safety Data binder updated?

  • Carpentry Shop

  • Power tools in good condition, grounded or double insulated?

  • Hand tools in good condition?

  • Flammable and paints in approved storage cabinet?

  • Good housekeeping practiced?

  • Push blocks used on saws?

  • Machine guards in place?

  • Sawdust accumulations removed regularly?

  • Sawdust portable vacuum used, or centralized removal system?

  • Explosion proof lighting provided if applicable?

  • Adequate portable extinguishers, charged?

  • Adequate eye, ear and respirator protection provided?

  • Anti kick back dogs and spreader units provided on saws?

  • Grounded power equipment?

  • Unapproved electrical wiring, extension cords?

  • Missing electrical covers?

  • Charred outlet plates?

  • Stock properly organized, stored?

  • Proper storage of flammable glues?

  • Outlet box or breaker boxes filled with sawdust accumulations?

  • Vehicle Repair

  • Grinder equipped with eye shields?

  • Tools rest properly adjusted?

  • Good housekeeping practiced?

  • Compressed air used for cleaning reduced to 30 PSI?

  • Lifting Equipment in good condition?

  • Safety glasses provided?

  • Electrical Hazards?

  • Oily rags stored in proper receptacles and emptied daily?

  • Plumbers

  • Adequate material handling devices?

  • Proper lifting techniques provided?

  • ABC fire extinguisher available when sweating joints with torch?

  • Good housekeeping practiced?

  • Hand held power tools grounded or double insulated?

  • Methane gas exposures noted from sewers?

  • Eye protection provided (flux, solder splatter)?

  • Electrical shock hazards prevalent at wet locations?

  • Fire Extinguishers/Alarms

  • Extinguishers hung properly (5" or lower)?

  • Extinguishers fully charged, pin secured?

  • Extinguishers accessible?

  • Extinguishers inspection current?

  • Glaziers

  • Proper lifting techniques illustrated?

  • Cut resistant gloves provided?

  • Safety glasses provided?

  • Good housekeeping practiced?

  • Compressed air using for cleaning reduced to 30 PSI?

  • Scaffolds in good condition, secured?

  • Metal Shop

  • Welding cable inspected and replaced if frayed, no splices within 10 feet of electrical holder?

  • Adequate hoisting apparatus in good condition?

  • Adequate ventilation provided?

  • Adequate material handling equipment?

  • Paint Department

  • Approved safety containers?

  • Grounding and bonding provided?

  • Approved electrical in paint storage area?

  • Paint storage isolated from combustible storage?

  • Scaffolding in good condition, secured, guard rails?

  • AS system properly tested, heads clear?

  • OSY valve chained open?

  • Tools inspected, cleaned?

  • Proper disposal of used thinner?

  • Adequate portable extinguishers?

  • Good housekeeping practiced?

  • Metal Shop

  • Good housekeeping practiced?

  • Parts vats equipped with self closing lid?

  • Welding rod stubs properly stored and disposed?

  • Machine guards in place, disc grinders, metal shears, saws?

  • Power tools in good condition grounded, or double insulated?

  • Oxygen and acetylene cylinders properly separated?

  • Compressed gas cylinders secured properly?

  • Frayed electrical wiring or drop cords?

  • Flammable and paints in approved cabinet?

  • Adequate extinguishers, proper class?

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.