Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Housekeeping

  • Are floors clean and in good condition without cracks?

  • Are carpeted floors maintained and in good repair?

  • Are floor mats or similar protection provided to prevent slippage?

  • Are painted and all paper walls in good condition?

  • Are work areas clean and orderly?

  • Are all spilled materials or liquid cleaned up immediately?

  • Are "wet floor" signs being used as needed?

  • Is trash picked up and disposed of on a regular basis?

  • Are walls, window sills, baseboards and woodwork clean?

  • Are all cleaning products properly labeled?

  • Are storage areas clean and free of clutter?

  • Are water fountains clean and operating properly?

  • Are all toilets and washing facilities clean and sanitary?

Electrical Safety

  • Are electrical cords on equipment in good condition?

  • Is electrical service adequate so that breakers do not trip?

  • Are Ground Fault Circuit Interrupters (GFCI) installed around water sources?

  • Are light fixtures operable?

  • Do all light fixtures have protective lens or covers in place to prevent lamp breakage?

  • Are power strips used singularly and not daisy chained?

  • Are only UL approved power strips with surge protection and circuit breakers in use?

  • IS the electrical/mechanical room clear of any stored items?

  • Do all receptacles have cover plates?

Building Exterior & Grounds

Fire Protection

  • Are fire extinguishers mounted, unobstructed and easily identifiable?

  • Are fire extinguishers inspected annually by licensed fire extinguisher service?

  • Is a fire alarm system available and functioning properly?

  • Are there fire alarm pull stations accessible?

  • Are fire drills conducted at least annually?

Emergency Preparedness

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.