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 (i.e. no out of date products, etc.)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