Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed?

  • 2.2 - Extinguishers in place, clearly marked for type of fire?

  • 2.3 - Extinguishers recently serviced? (Check 12 monthly)?

  • 2.4 - Extinguishers clear of obstructions?

  • 2.5 - Adequate direction notices for fire exits?

  • 2.6 - Exit doors easily opened from inside?

  • 2.7 - Exits clear of obstructions?

  • 2.8 - Fire alarm system functioning correctly and been tested in the last 6 months?

  • 2.9 - Is the site free from acetylene?

  • 2.10 - Is the site clear of sources of heat close to combustible materials?

  • 2.11 - Are the correct type of extinguishers on site?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Emergency exit lighting operable?

  • 3.3 - Are all lights in good condition?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Are footpaths in good condition?

  • 4.5 - Is there adequate soap, hand towels etc?

5.0 - Rubbish Removal

  • 5.1 - Bins located at suitable points around site?

  • 5.2 - Bins emptied regularly?

  • 5.3 - Oily rags and combustible refuse in covered suitable containers?

6.0 LOLER information

  • 6.1 - Has all lifting equipment been inspected and have the correct coloured tags fitted?

  • 6.2 - Has the on site MEWP been serviced?

  • 6.3 - Is all lifting equipment marked with a SWL?

8.0 - Machines

  • 8.1 - Are the floors around the machines kept clean?

  • 8.2 - Guards fitted and in good condition?

  • 8.3 - Starting and stopping devices within easy reach of operator?

  • 8.4 - Are gas bottles secured?

  • 8.5 - Are emergency stops available on elevation platform and azimuth drive rooms?

  • 8.6 - Are all pressure gauges operational and in good condition?

9.0 - Electrical Safety

  • 9.1 - Portable equipment tested and tagged?

  • 9.2 - No broken plugs, sockets or switches?

  • 9.3 - No frayed or damaged leads?

  • 9.4 - Portable power tools in good condition?

  • 9.6 - Have all condemned electrical items been disposed of?

10.0 - Chemical Safety

  • 10.1 - Material Safety Data Sheets available for all chemicals?

  • 10.2 - All containers labelled correctly?

  • 10.3 - Unused substances disposed of?

  • 10.5 - If required is PPE available?

  • 10.6 - Is adequate ventilation provided?

  • 10.7 - Are eye washes available and in date?

11.0 Ladders

  • 11.1 - Are all ladders Industrial strength? (Non Household rated)

  • 11.2 - Are ladders in good condition?

  • 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 11.4 - Is there an anti climb on the mast?

  • 11.5 - Is there harness signage on the mast ladder?

12.0 - First Aid Facilities

  • 12.1 - Are first aid kits available?

  • 12.2 - Are contents regularly checked?

  • 12.3 - Are all the contents within their useable date?

  • 12.4 - Is the first aid kit easily found inside the cabin or main building area?

  • 12.5 - Are emergency numbers displayed?

  • 12.6 - Is information displayed showing areas of asbestos on site?

14.0 - Vehicle Condition

  • 14.1 - Condition of tyres?

  • 14.2 - Brake performance?

  • 14.3 - Lights? (Check operation of brake, indicator and reversing lights)

  • 14.4 - Condition of drivers seat?

  • 14.5 - Condition of other seats?

  • 14.6 - First aid kit supplied and adequate?

  • 14.7 - Storage provisions?

  • Vehicle registration number

15.0 Additional information or general issues

  • Are there are any issues or additional information?

Sign Off

  • Auditor's signature

  • Signature of line manager for the area audited.

Follow up inspection - Please record details of the follow up inspection below.

  • Date follow up inspection carried out?

  • Have all requested actions been completed?

  • Please list ALL items requiring further attention.

  • Include photographs where appropriate.

  • Date for completion of all action points?

  • Signature of 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.