Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Inspected by:

  • Location Inspected:

(A) Building and Office Facilities

(A) BUILDING AND OFFICE FACILITIES (SRE Facilities Management will be accountable for unsafe acts and unsafe conditions)

Bulletin boards and Signs

  • Required signage in building are clean and readable

  • Display material changed at reasonable intervals

  • Free from loose material, debris, worn carpeting, and noticeable uneven surface

  • Free from slippery, oily, and wet condition(s)

  • Free from obstruction and hazards (trip & fall, sharp edges, etc.)

  • Adequately illuminated and have sufficient width (min 0.8 mtrs)

Emergency exits and stairways

  • Emergency EXIT signs are conspicuously displayed and illuminated

  • Free from obstruction and labeled properly

  • Hand rails/steps free from oil, water and any other slippery material

  • No storage of material at the staircase and landing area

  • Emergency doors are connected with sensor to raise fire alarm or to activate staff

  • Staircases marked as 'EMERGENCY EXIT' is not used for day to day walk

Equipment and Facilities

  • Guards, Screens and sound dampening devices in place and effective<br>

  • Chairs of suitable design and good condition

  • No sharp edges on desk/cabinets

  • Work desk is of suitable height (waist height)

  • Shelf's units are adequately secured to walls

  • Common kitchen/pantry equipments (microwave, fridge, coffee dispenser, water cooler) are well maintained without any visible defects

  • All waste are properly collected and disposed of

Emergency Equipment and Preparedness

  • Emergency HELP number(s) conspicuously displayed

  • Emergency evacuation procedure/plan available and displayed

  • Emergency lights are available and identified in working condition

  • Fire extinguishers in good condition and have valid inspection label

  • Fire hose reels in good condition without any sign of visible defect and damage

  • Wet risers in good condition without any sign of visible defect and damage

  • First aid box(s) available and have all required items

  • Alarm call points free from obstruction

  • Fire alarm panel in good condition without any sign of visible defect and damage

  • Clearance of 500mm maintained below sprinkler heads

  • IPP kit is available and have required items

  • Flu kit is available and have required items

Building and Common Area

  • Occupancy, working area, building services & plumbing facilities are normal and in good condition

  • Safety ensured for swinging doors

  • No loose wall and ceiling fixtures (visible)

  • Safety ensured and floor/wall openings

  • Safety ensureed for ladders, stairways and ramps

  • Safety ensured at escalator and lifts

  • Materials stored safely, tidily and securely in general

  • Fire wardens are nominated for each floor and clearly identifiable

  • Qualified first aiders are available for each floor and clearly identifiable

Air Handling Systems and Office

  • AHU rooms kept free from combustibles and well ventilated

  • System free from source of contamination (asbestos, micro organisms, dust, fumes, etc.)

  • Temperature maintained between 23-25 C

  • Relative humidity maintained between 55-65%

  • Office area properly illuminated as per standard

Hazardous Substances and Chemicals

  • Hazardous chemicals are identified and stored at safe place

  • Safe work procedure developed and used for hazardous chemicals

  • Proper PPEs used during handling of chemicals

  • Chemicals and properly labeled and stored as per manufacturers instructions

  • MSDS made available

  • Spill response plan & equipment in place

Sanitation and Pantry

  • Wash room and signage's are available and clear

  • Wash rooms and food preparation areas clean and free for water leakage and foul smell

  • No loose fittings in wash rooms and kitchen

  • No sharp edges in wash rooms and kitchen

  • Hot exposed surface or item in kitchen are marked and labeled

  • Pantry area is clean without noticeable unhygienic conditions

Electrical

  • Electrical circuits NOT overloaded

  • Electrical/Telecom cables and fittings concealed properly<br>(No loose visible electrical fittings)

  • No exposed or hanging Electrical/Telephone cables/wires across passageways

Security

  • Doors that are supposed to be closed NOT left open

  • Visitor identification system is in place

  • Security Guards do check on Authorized entry

(B) Workstation and Personal Safety

(B) WORKSTATION AND PERSONAL SAFETY (Concerning BUSINESS UNIT will be accountable for unsafe acts and conditions) (Use 'count of number' of staff observed for workstation and personal safety)

Workstations

  • Is 'CLEAR DESK' policy adopted in general?

  • Ergonomics postured maintained by staff (Use count of staff observed for maintaining or not maintaining)

  • Desk and file drawers kept closed when not in use

  • Desks are not crowded by material, which may cause significant hazard

  • File cabinets NOT overloaded with excessive material

  • Adequate leg room is maintained by staff

  • Excessive items are not stored under the table

  • Are (local flexible) cables and connection run tidily and not causing hazard

  • Are all electrical items switched off at the end of the day

  • No unauthorized connection and multi-plugs in use

  • Cups and glasses for coffee, tea, and water are kept safely

Visual Display Units

  • Are screen free from significant reflections and glare

  • Are sufficient light intensity maintained

  • Do adjustable VDU available

  • Is general set up of working at VDU ergonomically safe

Security

  • Staff wear security pass at all times

  • All CONFIDENTIAL and MOST CONFIDENTIAL documents under lock and key (if not seen any lying)

Others

Others

  • General Observations / Comments

  • Building and Office Facilities: SRE-FM to take action for rectification (The UA and UC will be in SRE account)

    Workstation and Personal Safety: Concerning Business Unit to take action for rectification (The UA and UC will be concerning Business Unit account)

  • Action Plan Monitoring for the Items Required Action (Unsafe Acts/Conditions)

  • Item
  • Location

  • Observation (comments/remarks/recommendations)

  • Description of Action Planned

  • Action Party (Name of person)

  • Completion Updates

  • With closing dates

  • Pictures (if applicable)

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.