Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Location

Work Environment

  • Are the emergency exits accessible, marked and illuminated?

  • Are the eyewash/safety showers accessible and inspected weekly?

  • Are the fire extinguishers accessible, charged and up to date?

  • Are safety signs legible and in good conditions?

  • Are hoses in good conditions and stored properly to prevent trip hazards?

  • Is the floor is clear of any other slip, trip, and fall hazards?

  • Are the electrical cords in good conditions?

  • Are electrical panels accessible (36" clearance) and labeled?

  • Is the material stored in racks organized and stable?

  • Is there visible damage to racks?

  • Are machine guards and interlocks in place and functional?

  • Are all machines guarded at the point of operation and at pinch points?

Personal Protective Equipment (PPE)

  • Are hard hats worn when required and stored properly (hung up on hooks)?

  • Are dust masks being worn in required areas?

  • Is eye and face protection available and being used?

  • Are respirators being used when required and are they stored properly?

  • Are respirators being worn by those working with clay products?

  • Are protective gloves available and do they match the hazards involved?

  • Is hearing protection being used in required areas?

Hazard Control

  • Are confined spaces properly marked?

  • If an entry is occurring, is the permit complete, and are permit requirements being followed?

  • Are platforms floors in good condition?

  • Are handrails, midrails and toe boards in good condition?

  • Are portable ladders and step ladders in good condition?

  • Do you observe proper use of portable ladders and step ladders?

  • Is a sweeping compound being used for spills?

  • Are the operators wearing seat belts and driving in a safe manner?

  • Are the back-up alarms working properly?

  • While parked, is the forklift blocking an exit route?

  • Are the forks placed on the ground, controls in neutral, brakes set and power off when not in use?

Contractors/visitors

  • If contractors or visitors are present, are they conducting themselves in a safe manner?

Hand tools/equipment

  • Has the daily hoist/crane inspection been completed?

  • Are tools in good condition?

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.