Information

  • Document No.

  • Building Name

  • Conducted on

  • Inspected By

  • HAS THE LAST INSPECTION BEEN REVIEWED

  • Read last audit report to ensure any issues are reviewed for this audit

  • Add location (come back here to add more)

  • Plant Location
  • Select the plant room location name before you start

Access and Egress

  • Door secure from unauthorised access

  • Is there un-obstructed access to and from the plant room

Lighting condition?

  • Emergency lighting in standby and healthy?

  • Plant room lighting adequate

Plant room Housekeeping?

  • Slips, trips or spills?

  • Plant room general tidiness?

  • Provisions in place for rubbish storage?

Equipment General Condition

  • Any equipment leaking creating slip hazards?

  • If 'At Risk' is it contained?

  • Arrange for leak to be attended too and contained.

  • Any noise not normal for this equipment?

  • If 'Yes' can you identify the cause?

  • Contact manufacturer or service provider for advice and possible site visit. If necessary and safe to do so, isolate equipment to make safe.

  • Distribution boards locked and secure?

Signage and Health / Safety

  • Signs in place, clean and visible?

  • First Aid kits in place and stocked?

  • Eye wash stations in place and in date?

  • Safety showers if fitted operational?

Sub Contractors

  • Are there any other personnel working in the area?

  • Company Name

  • Are they working in a safe manner?

  • Contact permit issuer and inform them of hazardous working ethics.

  • Do they have a valid PTW?

  • Ask them to "stop working" and contact their customer for a PTW

  • Who is the permit issuer?

  • Is the permit valid and in date?

  • Sub Contractors Housekeeping

Photo Evidence

  • Add any pictures here

  • Any Issues Requiring Specialist Contractors to Attend

  • Add signature here.

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.