Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Location

Work Environment

  • Are the emergency exits accessible, marked and illuminated?

  • Are the fire extinguishers accessible, charged and up to date?

  • Are first aid kits clear and easily found?

Conference Rooms

  • Are chairs in good working order?

  • Are trip hazards addressed?

  • Is the lighting all functional?

  • Is the TV turned off when not in use?

  • Are the doors in good working order?

Lunchroom

  • Is the lighting all functional?

  • Are conduits and receptacles in good condition?

  • Are the floors in good condition?

  • Are chairs and tables in good working order?

Cubicle

  • Are trip hazards addressed?

  • Is the lighting all functional?

  • Are chairs in good working order?

  • Space heaters

  • Are there cluttered areas?

People

  • Ask one employee to name

  • Does employee know the weekly safety topic?

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.