Office

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Emergency Response

• Fire extinguishers located as shown on map

  Yes

  No

  N/A

• Fire extinguishers service records are current

  Yes

  No

  N/A

• Fire exit routes clearly marked

  Yes

  No

  N/A

• Fire exits clear from obstructions

  Yes

  No

  N/A

• Evacuation rehearsals are held on a regular basis and evaluated after to ensure the plans are being followed

  Yes

  No

  N/A

Electrical

• No broken sockets, plugs or switches

  Yes

  No

  N/A

• No frayed electrical, computer or phone leads

  Yes

  No

  N/A

• No leads on floor as potential trip hazards

  Yes

  No

  N/A

• All electrical leads have current test tags

  Yes

  No

  N/A

• Safety switches fitted to all circuits

  Yes

  No

  N/A

Lighting

• No flicking or broken lights

  Yes

  No

  N/A

• Light fittings clean & in good condition

  Yes

  No

  N/A

• Walkways, stairs and working areas well lit

  Yes

  No

  N/A

Rubbish

• Bins provided and emptied regularly

  Yes

  No

  N/A

• Bins clean, no unpleasant odours

  Yes

  No

  N/A

• Bins not overflowing

  Yes

  No

  N/A

Bathrooms

• No leaks

  Yes

  No

  N/A

• Bathrooms are kept clean and tidy

  Yes

  No

  N/A

Walkways

• No obstructions on walkways

  Yes

  No

  N/A

• Floors free of water, ice, oils and other fluids

  Yes

  No

  N/A

• Unobstructed vision at intersections

  Yes

  No

  N/A

• Ramps designed to prevent slips and falls

  Yes

  No

  N/A

General Housekeeping

• Work areas clean and tidy

  Yes

  No

  N/A

• Items that are regularly used within easy reach

  Yes

  No

  N/A

• Adequate locks on all external doors

  Yes

  No

  N/A

• No broken or unstable furniture items

  Yes

  No

  N/A

• Adequate temperature maintained indoor areas

  Yes

  No

  N/A

• Kitchen cookers, toasters and microwaves regularly cleaned

  Yes

  No

  N/A

• Alarm system installed and functional

  Yes

  No

  N/A

First Aid

• First aid cabinets clearly labelled

  Yes

  No

  N/A

• Cabinet contents complete and audit current

  Yes

  No

  N/A

• Emergency numbers displayed

  Yes

  No

  N/A

• Disposable gloves provided and used in all injuries

  Yes

  No

  N/A

Contractor

• Visitors book

  Yes

  No

  N/A

Car Park

• Walkways are clearly marked

  Yes

  No

  N/A

• Lighting for evenings

  Yes

  No

  N/A

• No parking signs

  Yes

  No

  N/A

• Warnings about loading areas

  Yes

  No

  N/A

Notes

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• On Site Representative

  Sign

• Auditor

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