Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Instructions:

    1. Fill out the fields below.
    2. Answer "Compliant", "Non-Compliant", "N/A" for the questions provided.
    3. Add photos and notes by clicking on the paperclip icon.
    4. To add a Corrective Measure, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    5. Complete audit by providing digital signature.
    6. Share your report by exporting as PDF, Word, Excel or Web Link.

Office Area / Kitchen / Bathroom

  • Are all emergency exits clear and free from obstructions?

  • Is all fire equipment accessible and free from obstructions?

  • Are all emergency exit signs working?

  • Is the lighting and ventilation sufficient?

  • Is the floor/ground free of any hazards (i.e. wet conditions, damage to floor, no strapping left on ground, etc)?

  • Is the office free of tripping hazards?

  • Are work stations meeting ergonomic requirements (appropriate chair, desk, monitor height, etc.)

  • Has general rubbish been emptied?

  • Is the fridge working properly?

  • Are there adequate employee supplies? (coffee, sugar, etc.)

  • Is the fridge in a clean and hygienic state? (i.e. no out of date products, etc.)

  • Has all dishes been washed and stored away?

  • Is the kitchen in a hygienic state? (i.e. sink, benches and table wiped down)

  • Is the bathroom in a clean and hygienic state?

  • Are there adequate cleaning products (kitchen and bathroom cleaning products)?

  • Are the areas free of pests? (Look for signs of pests such as dead insects, container damage caused by feeding, droppings, feathers, etc.)

  • Is general housekeeping satisfactory?

Inside Shed

  • Are all emergency exits clear and free from obstructions?

  • Is all fire equipment accessible and free from obstructions?

  • Are all emergency exit signs working?

  • Is the lighting and ventilation sufficient?

  • Is the floor/ground free of any hazards (i.e. wet conditions, damage to floor, no strapping left on ground, etc)?

  • Are materials stored correctly on racks? (i.e. not overloaded, no heavy materials on top rack)

  • Are materials in the correct location?

  • Has excess stock been stored correctly and safely?

  • If forklift is in area, are keys removed from ignition?

  • Is the drop saw in good working order?

  • Is the drop saw's emergency stop button on?

  • Is the saw bench clean with saw dust bag emptied?

  • Is general housekeeping satisfactory?

Outside Yard

  • Is all fire equipment accessible and free from obstructions?

  • Is the floor/ground free of any hazards (i.e. wet conditions, damage to floor, no strapping left on ground, etc)?

  • Has excess stock been stored correctly and safely?

  • If forklift is in area, are keys removed from ignition?

  • Is general housekeeping satisfactory?

Overall

  • When conducting the inspection were all employees using/wearing the correct PPE (steel cap boots, hats, long sleeved shirts, safety glasses when using saw etc)?

  • Inspector

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.