Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous Audit

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there any outstanding actions?

2.0 - Documentation Review

  • 2.1 - Can the Manager provide evidence of tool box talks being conducted on a regular basis?

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  • 2.2 - Is the visitor sign in register being used on a regular basis?

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  • 2.3 - Is the induction checklist being used and recorded on a register that remains up to date?

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  • 2.4 - Is the WHS Noticeboard accessible to all workers and displays current information?

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  • 2.5 - Are forklift pre-start checklists being completed at the start of each shift?

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  • 2.6 - Can the supervisor provide evidence that daily inspections are being performed each day by a variety of different workers?

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3.0 - Worker Engagement

  • 3.1 - Meet with individual worker to determine if worker can adequately describe what they should do in case of an emergency

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  • 3.2 - Interview another worker and ask them where they could find a copy of the M3 Logistics WHS Policy.

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  • 3.3 - Speak with worker and ask if they can provide details of who their Health and Safety Representatives are

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  • 3.4 - Have you conducted a Safe Act Observation on a worker during this visit?

  • Provide details of Safe Act Observation.

4.0 - Fire Prevention

  • 4.1 - Evacuation plan displayed and understood by all employees?

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

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  • 4.3 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

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  • 4.4 - Extinguishers clear of obstructions?

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  • 4.5 - Exit doors easily opened from inside?

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  • 4.6 - Exits clear of obstructions?

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5.0 - General Lighting

  • 5.1 - Good natural lighting?

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  • 5.2 - Light fittings clean and in good condition?

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  • 5.3 - Emergency exit lighting operable?

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6.0 - Building Safety

  • 6.1 - Floor surfaces even and uncluttered?

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  • 6.2 - Entry and walkways kept clear?

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  • 6.3 - Walkways adequately and clearly marked?

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  • 6.4 - Stair and risers kept clear?

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  • 6.5 - Are railings in good condition?

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  • 6.6 - Are fall preventive measures in place and used where gaps occur in railings?

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  • 6.7 - Loading area clean and tidy?

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7.0 - Rubbish Removal

  • 7.1 - Bins located at suitable points around site?

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  • 7.2 - Bins emptied regularly?

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8.0 - Storage Design and Use

  • 8.1 - Materials stored in racks and bins wherever possible?

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  • 8.2 - Storage designed to minimise lifting problems?

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  • 8.3 - Floors around racking clear of rubbish?

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  • 8.4 - General condition of racks and pallets?

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9.0- Forklifts

  • 9.1 - Are they kept clean?

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  • 9.2 - Operators trained/inducted into the operation of the machines?

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  • 9.3 - Is the training recorded?

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  • 9.4 - Do operators comply with the training?

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  • 9.5 - Are lockout procedures implemented and followed?

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  • 9.6 - Are gas bottles secured?

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10.0 - Electrical Safety

  • 10.1 - Portable equipment tested and tagged?

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  • 10.2 - No broken plugs, sockets or switches?

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  • 10.3- No power leads across walkways?

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  • 10.4 - No frayed or damaged leads?

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11.0 - Chemical Safety

  • 11.1 - Hazardous Substance Register complete and available?

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

  • 11.3 - All containers labelled correctly?

  • 11.4 - Workers trained in the use of hazardous substances?

  • 11.5 - If required is PPE available?

  • 11.6 - Is adequate ventilation provided?

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

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  • 12.2 - Are contents regularly checked?

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  • 12.3 - Cabinets clearly labelled?

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  • 12.4 - Are first aid officers accessible?

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  • 12.5- Are emergency numbers displayed?

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13.0 - Office Hazards

  • 13.1 - Desks in good condition? (No damage.)

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  • 13.2 - Screen Based Equipment positioned to reduce glare from windows etc?

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  • 13.3 - Photocopiers positioned to avoid fumes?

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Sign Off

  • On site representative

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  • Auditor's signature

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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.