Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Floors and Hallways

  • Clean, clear, and sanitary

  • Free of slip, trip, or fall hazards

  • Clear and unobstructed

Work Areas

  • Desk and file drawers are closed

  • Work spaces organized and uncluttered

  • File cabinets drawers are not overloaded or improperly loaded

  • Heaviest items on bookshelves are in the lowest shelves

  • Attendance board is accurate

Exits

  • There are no locks or fastenings restricting escape

  • Doors are locked

Safety

  • Fire extinguishers were inspected this month

  • First aid supplies and injuries monitored

  • Electrical outlets are uncluttered

  • Desk heaters are clear

Storage

  • Aisle ways and access paths are clear and unobstructed

  • Stacks are stable and secure against sliding/collapsing

  • Storage area is clean and clear of foreign objects/materials

  • Step ladders and stools are present

  • Large/heavy items are stored on lower shelves

Emergency procedures

  • Emergency phone numbers are posted on H&S board

  • First aid supplies are satisfactory

  • Directions to hospital are posted on H&S board

  • Add signature

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.