Title Page

  • Audit Title

  • Community

  • Department

  • Conducted on

  • Prepared by

  • Location

Hand Protection - Gloves

  • Are gloves being used by employees where hand hazards exist?

  • Are gloves worn by employees suitable for hand hazards?

  • Are gloves free of damage or defects, and in clean/sanitary condition?

  • Are gloves stored properly when not in use?

  • Are gloves being properly disposed of when damaged or defective?

Protective Clothing

  • Is high visibility safety vest / shirt / jacket being worn?

  • Is protective clothing worn suitable for existing hazards?

  • Is protective clothing free of damage or defects?

  • Does protective clothing fit properly?

Protective Footwear

  • Is protective footwear being used by employees where foot hazards exist?

  • Is protective footwear worn by employees suitable for hazard?

  • Is protective footwear properly fitted?

  • Is protective footwear free of damage or defects?

Head Protection - Hard Hats

  • Are hard hats being worn where head hazards exist?

  • Are hard hats properly fitted and worn properly?

  • Are hard hats free of damage or defects? (i.e. cracks, UV damage, chips, etc.)

  • Are the hard hat suspension systems in good condition?

Hearing Protection

  • Is hearing protection being worn where noise hazards are above 90 dB?

  • Is hearing protection being used protect against present noise hazards?

  • Is hearing protection being worn properly?

  • Is hearing protection free of damage or defects?

Face/Eye Protection

  • Is face/eye protection being worn by employees where face/eye hazards exist?

  • Is face/eye protection suitable for hazards?

  • Is face/eye protection properly fitted and worn?

  • Is face/eye protection free of damage or defects?

Respiratory Protection - Respirators

  • Are respirators being used where respiratory hazards exist?

  • Are respirators being used suitable for hazards present?

  • Are respirators fitted and worn properly?

  • Are respirators being stored properly when not in use?

Additional Comments

  • Additional safety concerns

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.